Specialty distribution of physician assistants and nurse practitioners in North Carolina.

Journal Article (Journal Article)

Physician workforce projections often include scenarios that forecast physician shortages under different assumptions about the deployment of physician assistants (PAs) and nurse practitioners (NPs). These scenarios generally assume that PAs and NPs are an interchangeable resource and that their specialty distributions do not change over time. This study investigated changes in PA and NP specialty distribution in North Carolina between 1997 and 2013. The data show that over the study period, PAs and NPs practiced in a wide range of specialties, but each profession had a specific pattern. The proportion of PAs-but not NPs-reporting practice in primary care dropped significantly. PAs were more likely than NPs to report practice in urgent care, emergency medicine, and surgical subspecialties. Physician workforce models need to account for the different and changing specialization trends of NPs and PAs.

Full Text

Duke Authors

Cited Authors

  • Fraher, EP; Morgan, P; Johnson, A

Published Date

  • April 2016

Published In

Volume / Issue

  • 29 / 4

Start / End Page

  • 38 - 43

PubMed ID

  • 26953672

International Standard Serial Number (ISSN)

  • 1547-1896

Digital Object Identifier (DOI)

  • 10.1097/01.JAA.0000481402.98969.07


  • eng

Conference Location

  • United States