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2004 PHYSICIAN'S ASSISTANT SURVEY

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2004 PHYSICIAN'S ASSISTANT SURVEY

  1. 1. 2004 PHYSICIAN’S ASSISTANT SURVEY Vermont Department of Health Agency of Human Services
  2. 2. SURVEY DESCRIPTION Mailed to PAs along with the license renewal forms in December 2003 Followed up via mail and phone calls The final response rate was 100% 2004 Physician’s Assistant Survey 2
  3. 3. SUMMARY • There were 155 PAs working in Vermont. • 56% (87) of PAs were female. • Ages ranged from 26 to 62, with a median of 44. • 62% (94) of respondents have worked in VT 9 years or less, and 16% (25) have worked in VT 20 or more years. 2004 Physician’s Assistant Survey 3
  4. 4. PRIMARY CARE 51% (79) worked mainly in primary care: • 35% (55) in family practice • 6% (10) in internal medicine • 6% (10) in obstetrics and gynecology • 3% ( 4) in pediatric primary care 2004 Physician’s Assistant Survey 4
  5. 5. SPECIALTY CARE 49% (76) worked mainly in specialty care: • 24% (37) in emergency medicine • 12% (18) in various surgery specialties • 4% ( 6) in dermatology • 3% ( 5) in internal medicine • 3% ( 4) in urology • 4% ( 6) all other specialties 2004 Physician’s Assistant Survey 5
  6. 6. CHANGES OVER TIME • As compared with 2002: • There was an increase of 25 PAs, 10 in primary care and 15 in specialty care. • More PAs are working 40 hours or more per week • There are 8.0 more primary care FTEs. Half of this increase was in Franklin County, while some areas have seen a drop in primary care. • There has also been an increase of 14.4 FTES in specialty care, mainly in Chittenden and Windsor counties. • Percent of PAs with hospital admitting privileges has increased from 24% to 55%. 2004 Physician’s Assistant Survey 6
  7. 7. AGE DISTRIBUTION 40% 35% 30% Percent of PAs 25% 20% 15% 10% 5% 0% < 35 35-44 45-54 55-59 60-64 65+ Count 38 40 53 20 4 0 Percent 25% 26% 34% 13% 3% 0% 25% of all PAs are under the age of 35 25% of all PAs are under the age of 35 2004 Physician’s Assistant Survey 7
  8. 8. AGE DISTRIBUTION BY GENDER 80 60 Male number of PAs 40 Female 20 0 < 35 35-44 45-54 55-59 60-64 65+ Male 12 16 26 12 2 0 Female 26 24 27 8 2 0 56% of all PAs are female; 64% of PAs under age 45 are female 56% of all PAs are female; 64% of PAs under age 45 are female 2004 Physician’s Assistant Survey 8
  9. 9. SPECIALTY BY GENDER 60 Male 40 Female number of PAs 20 0 Family Internal Dermato- Emerg- Orthop. Pediatric Ob/Gyn Other Practice Medicine logy ency Surgery Male 20 3 1 0 0 25 10 9 Female 35 7 3 10 6 12 4 10 Primary Care Specialty Care Most primary care PAs are female, most specialty care PAs are male Most primary care PAs are female, most specialty care PAs are male 2004 Physician’s Assistant Survey 9
  10. 10. NUMBER OF PAs BY COUNTY 60 Specialty Care 50 Primary Care Number of PAs 40 30 20 10 0 ADD BEN CAL CHI ESS FRA GI LAM ORA ORL RUT WAS WDM WDR Specialty Care 1 5 2 29 0 3 0 1 0 0 9 7 4 15 Primary Care 3 5 1 26 1 6 1 1 1 2 9 9 5 9 Although 23% of PAs work in more than one location, in this graph each PA is counted only once, Although 23% of PAs work in more than one location, in this graph each PA is counted only once, in their main specialty and main county of practice. in their main specialty and main county of practice. 2004 Physician’s Assistant Survey 10
  11. 11. NUMBER OF PA FTEs BY COUNTY 50 Specialty Care 40 Primary Care 30 FTEs 20 10 0 ADD BEN CAL CHI ESS FRA GI LAM ORA ORL RUT WAS WDM WDR Specialty Care 1.8 4.4 2 27.3 0 2.8 0 0.7 0 0 6.7 6 3.3 14.2 Primary Care 1.8 4.8 0.7 19.2 1 5.8 1 0.2 1 1.9 8.4 7 3 6.6 All sites and specialties of each PA are counted. All sites and specialties of each PA are counted. One FTE is defined as 40 or more hours per week. One FTE is defined as 40 or more hours per week. 2004 Physician’s Assistant Survey 11
  12. 12. PAs’ Basis for Vermont Certification 160 140 120 Number of PAs 100 80 60 40 20 0 Apprenticeship University Unknown Count 10 140 5 2004 Physician’s Assistant Survey 12
  13. 13. PAs’ Certification Exams Taken 160 140 120 Number of PAs 100 80 60 40 20 0 NCCPA State Other Unknown Count 137 2 3 13 2004 Physician’s Assistant Survey 13
  14. 14. YEARS WORKED IN VERMONT 25% 20% Percent of PAs 15% 10% 5% 0% <1 year 1-2 yrs 3-4 yrs 5-9 yrs 10-14 yrs 15-19 yrs 20-24 yrs 25+ yrs Count 17 26 15 36 18 15 12 13 Percent 11% 17% 10% 23% 12% 10% 8% 8% 38% of PAs have worked in Vermont 10 or more years 38% of PAs have worked in Vermont 10 or more years 2004 Physician’s Assistant Survey 14
  15. 15. NUMBER OF SITES OF PRACTICE 80% 60% Percent of PAs 40% 20% 0% One Two Three or more Count 119 30 6 Percent 77% 19% 4% 2004 Physician’s Assistant Survey 15
  16. 16. HOURS WORKED PER WEEK 60% P e rce n t o f P A s 40% 20% 0% < 30 hrs / wk 30 - 39 hrs / wk 40+ hrs / wk Count 35 33 87 Percent 23% 21% 56% 2004 Physician’s Assistant Survey 16
  17. 17. Hospital Admitting Privileges by Specialty 60 50 Number of PAs 40 30 20 10 0 Family Internal Dermato- Emerg- Orthop. Pediatric Ob/Gyn Other Practice Medicine logy ency Surgery % with priv. 29% 50% 50% 20% 33% 78% 86% 67% without priv. 39 5 2 8 4 8 2 2 with priv. 16 5 2 2 2 29 12 4 2004 Physician’s Assistant Survey 17
  18. 18. PAs ACCEPTING NEW PATIENTS Overall Medicaid 100% 80% Percent of PAs 60% 40% 20% 0% Family Internal Dermato- Orthop. Pediatric Ob/Gyn Other Practice Medicine logy Surgery Overall 95% 100% 100% 100% 100% 100% 96% Medicaid 86% 92% 80% 100% 100% 100% 92% Overall, 97% accept new patients, 90% accept new Medicaid patients, 91% accept new Medicare patients. Overall, 97% accept new patients, 90% accept new Medicaid patients, 91% accept new Medicare patients. Each site aaprovider practices in is counted separately. Emergency medicine excluded. Each site provider practices in is counted separately. Emergency medicine excluded. 2004 Physician’s Assistant Survey 18
  19. 19. COMPARISON WITH PREVIOUS SURVEYS 2004 Physician’s Assistant Survey 19
  20. 20. Primary Care PA numbers and FTEs, 1998-2004 1998 2000 2002 2004 Primary care PAs 68 70 69 79 Family Practice 44 51 53 55 Internal Medicine 12 7 7 10 Ob/Gyn 10 9 8 10 Pediatric Primary Care 2 3 1 4 Primary care PA FTEs 48.8 50.9 54.3 62.3 Family Practice 34.3 39.3 43.6 45.4 Internal Medicine 8.4 4.7 5.3 7.5 Ob/Gyn 4.7 5.5 4.5 5.6 Pediatric Primary Care 1.4 1.4 1.0 3.9 2004 Physician’s Assistant Survey 20
  21. 21. Specialty Care PA numbers and FTEs, 1998-2004 1998 2000 2002 2004 Specialist PAs 39 47 61 76 Emergency Medicine 20 25 33 37 Internal Medicine 1 1 1 5 Orthopedic Surgery 5 5 8 14 Specialist PA FTEs 37.7 42.1 54.8 69.2 Emergency Medicine 19.1 21.8 29.4 33.8 Internal Medicine 0.8 1.1 1.0 4.8 Orthopedic Surgery 4.6 4.6 7.5 12.9 2004 Physician’s Assistant Survey 21
  22. 22. Selected Indicators, 1998-2004 1998 2000 2002 2004 Total PAs active in Vermont 107 117 130 155 Percent female 52% 56% 59% 56% Percent age 55 or older 4% 7% 9% 15% Average patient care hours per week 36 34 36 37 Primary care PAs 68 70 69 79 % accepting new patients * 98% 94% 92% 97% accepting new Medicaid patients * 91% 87% 86% 89% accepting new Medicare patients * 96% 93% 86% 91% Primary care PA FTEs 48.8 50.9 54.3 62.3 FTEs/100,000 population ** 8.1 8.4 8.8 10.0 Specialist PAs 39 47 61 76 * % of sites not providers ** Population estimates for 1998 revised after 2000 census. 2004 Physician’s Assistant Survey 22

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