USA TODAY US Edition

Survey: 39% of PAs are treating virus without PPE

Front-line workers face burnout, reduced pay

- Jessica Flores and Jordan Culver

A lack of personal protective equipment. Reductions in pay. Burnout.

Those are among the challenges faced by physician assistants during their battle against the novel coronaviru­s, according to a survey released Tuesday by the American Academy of Physician Assistants. The survey took responses from 743 PAs over a 12-day period, according to the AAPA.

Almost 39% of respondent­s treating COVID-19 patients say they have gone without PPE. In one set of survey data, 3.6% of PAs say they've been infected with COVID-19.

Jonathan Sobel, senior administra­tive director of advanced clinical providers at North Shore University Hospital in Manhasset, New York, praised the versatile work of PAs.

The AAPA noted, "In most states, PAs are required to have and maintain a relationsh­ip with a specific physician in order to practice." Governors in Maine, Michigan, New Jersey, New York, Louisiana, South Dakota, Tennessee and Virginia signed executive orders effectivel­y waiving that restrictio­n, according to the AAPA.

Some PAs who answered the survey say the pandemic has affected their employment status. Some were furloughed (22.1%), and others were terminated (3.1%). The majority (58.7%) say their hours were reduced, and 30.6% say their base pay was reduced.

“I think the survey is really vital because it shows that we're absolutely on the front lines, taking care of patients and that, in many areas, they were utilized in a way that helped the pandemic come under control," Sobel said.

PAs share a fear for the health and safety of their families: More than 650 of nearly 700 practicing respondent­s say they are at least “slightly worried.” The majority (43%) say they are “somewhat worried.”

Some of the PAs who clinically practiced in the past four months indicate they feel burnout. Though the majority say they aren’t feeling burnt out, 27.1% say they feel some symptoms – 2.5% say they “often wonder if [they] can go on.”

Tim McCall, the AAPA's associate director for surveys and analysis, said some of the survey results are surprising. McCall is a faculty member at the School of Medicine and Health Sciences at George Washington University.

McCall pointed to the burnout – or lack thereof.

"We're really surprised, in a pleasant way, that with PAs being on the front lines, and this being a crisis that they're having to deal with, we're seeing similar rates of burnout to what we saw at this time last year," McCall said, adding that the AAPA will continue to monitor burnout in a follow-up survey in June.

The AAPA represents more than 131,000 PAs nationwide, according to its website.

 ?? LIZ COPAN/SUMMIT DAILY NEWS VIA AP ?? Physician assistant Stephanie Kuenn adjusts her N95 mask before seeing potential COVID-19 patients in March at the Summit Community Care Clinic in Frisco, Colo.
LIZ COPAN/SUMMIT DAILY NEWS VIA AP Physician assistant Stephanie Kuenn adjusts her N95 mask before seeing potential COVID-19 patients in March at the Summit Community Care Clinic in Frisco, Colo.

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