THROUGH THEIR LENS: BLACK PRE-PHYSICIAN ASSISTANT STUDENTS’ VIEWS ON THE ENTRY-LEVEL PA DOCTORATE

Abstract

By 2025, Physician Assistants (PA) will be the sole prescribing medical provider without an entry-level doctorate. Over the past two decades, the PA community has vigorously debated the possible shift from a master's degree to an entry-level clinical doctoral degree. Concurrently, the representation of Black PAs has experienced a steady decline, carrying significant implications for addressing Black health disparities and advancing health equity. Studies show a negative link between advanced degree requirements and diversity in the PA field. This study investigates Black pre-PA students' views on the transition and identifies key factors for success. Utilizing the validated Professional Entry Doctorate Degree Survey (PEDDS) instrument supplemented with open-ended questions, the research aims to answer the following questions: 1) What are Black pre-PA students' perceptions of the entry-level doctorate? (2) How do perceptions of the entry-level doctorate vary by Black pre-PA students’ (a) gender; (b) perception of academic rank; (c) first-generation; (d) level of education; and (e) family income? 3) What do Black pre-PA students perceive as essential factors for successfully pursuing an entry-level PA doctorate? While previous studies show opposition to the transition, this study finds mixed opinions among Black pre-PA students. Demographic differences do not significantly impact perceptions. Participants highlighted key areas needing attention, including increased costs, admissions processes, prerequisite barriers, bias, discrimination, and resource limitations. Recommendations include bolstering outreach, scholarships, faculty diversity, and educational initiatives to enhance Black representation and shape future PA policies effectively. These insights hold significant promise for advancing health equity within the PA profession.