Physician Assistant Program Policies to Assess and Address Student Reports of Mistreatment During Clinical Training.

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Date

2022-09

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Abstract

Introduction

Many physician assistant (PA) students experience mistreatment in clinical learning environments, and accredited PA programs are required to define, publish, and make readily available policies and procedures for student reports of mistreatment. The purpose of this study is to describe the prevalence, content, and dissemination of program policies to address students' reports of mistreatment involving preceptors during supervised clinical experiences.

Methods

To conduct a national policy analysis, the investigators included 10 new survey items in the 2019 Physician Assistant Education Association annual program survey. Deidentified data were analyzed by using descriptive statistics.

Results

The program response rate to the survey items was 99% (232). Approximately 76% of PA programs reported having a learner mistreatment policy. Policy content across programs varied widely, and several student reporting mechanisms were available. Program directors, clinical faculty, and institutional leadership were most likely to be involved in the management of reports. A majority programs actively assessed for mistreatment and most did so through clinical course evaluations and at the end of each clinical phase course. Most programs disseminated information about policy to faculty, students, and preceptors at least once a year.

Discussion

The descriptions of policy content, procedures, and dissemination increase educators' understanding of current policies across PA programs in the context of renewed efforts to write or revise policy that is specific to mistreatment. The authors discuss key policy priorities to define mistreatment, offer a range of confidential reporting mechanisms, review the management of reports, and consider how to optimize dissemination strategies.

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Published Version (Please cite this version)

10.1097/jpa.0000000000000451

Publication Info

Hudak, Nicholas M, Melinda Blazar and Nancy W Knudsen (2022). Physician Assistant Program Policies to Assess and Address Student Reports of Mistreatment During Clinical Training. The journal of physician assistant education : the official journal of the Physician Assistant Education Association, 33(3). pp. 185–191. 10.1097/jpa.0000000000000451 Retrieved from https://hdl.handle.net/10161/26109.

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.

Scholars@Duke

Hudak

Nicholas Mark Hudak

Associate Professor in Family Medicine and Community Health

Nicholas Hudak is an Associate Professor in the Department of Family Medicine and Community Health in the Duke University School of Medicine. He is faculty clinical coordinator with the Duke Physician Assistant (PA) Program, practicing PA in the Department of Neurology, and an Assistant Director in the Duke Center for Interprofessional Education and Care. 

Blazar

Melinda Frances Blazar

Assistant Professor in Family Medicine and Community Health

Director of Assessment and Evaluation, Duke Physician Assistant Program

  • Support program evaluation and accreditation, support program-wide assessment efforts
  • Strong interests in curriculum development and alignment, holistic assessment, competency-based education, maternal-child health education, and program evaluation and accreditation.
  • Participate in general faculty roles including student advising, admissions, small group teaching and lecturing.

Physician Assistant, Duke Family Medicine Center
  • Provide maternal-child health services, including low-risk obstetric care in a primary care setting
  • Support families and newborns in with care and support in the immediate postpartum/neonatal period.
  • Certified Centering Facilitator
  • Support family medicine residency education in obstetrics and newborn education.
  • Clinical preceptor for Duke PA and MD students
  • Advocate for reproductive health issues

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