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The physician assistant experience in Scotland
JAAPA, 05/11/09
Dehn RW - This research concentrated on answering very basic questions, typically analyzing data that demonstrated the skills, physician acceptance, and patient satisfaction of early PA graduates. In early US studies, PAs first migrated to clinical practices and were then studied; thus, many variables pertaining to describing PA practice were uncontrollable. The Scotland pilot project, in contrast, was an experiment in which PAs were recruited to work in specific sites and clinical practices, and in which detailed observation as well as retrospective interview data were used to systematically evaluate their impact. The primary research question was whether US-trained PAs could be adapted to work effectively in Scotland's NHS and could contribute in a unique way. This report, while recommending that Scotland move forward in utilizing PAs, is richly detailed, describing subtle characteristics of PA practice not commonly seen in US research on PA practice.
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