Expanding role of hospitalist PAs

More and more medical centers are relying on hospitalists — hospital-based internal medicine specialists who coordinate the complex care of inpatients. Now,  an 18-month study comparing two hospitalist groups — one with a high PA-to-physician ratio (“expanded PA”) and one with a low PA-to-physician ratio (“conventional”) — has found no significant differences in key clinical outcomes achieved by both groups.

“We believe this is the first study of its kind to directly compare outcomes and costs between different staffing models using hospitalist PAs and hospitalist physicians,” says Henry Michtalik, M.D., M.P.H., M.H.S., an assistant professor of medicine at the Johns Hopkins University School of Medicine and the paper’s senior author. “This study shows that the expanded use of well-trained PAs within a formal PA-physician collaboration arrangement can provide similar clinical outcomes with lower costs.”

The study has been featured in numerous publications, including an article and video in The Baltimore Sun.