Physician associates in England's hospitals: a survey of medical directors exploring current usage and factors affecting recruitment

Research output: Contribution to journalArticlepeer-review


  • Mary Halter
  • Carly Wheeler
  • Vari M Drennan
  • Simon de Lusignan
  • Robert Grant
  • Jonathan Gabe
  • Heather Gage

Colleges, School and Institutes

External organisations

  • Kingston University and St George's, University of London
  • University of Surrey
  • Royal Holloway University of London
  • Institute of Clinical Sciences, University of Birmingham


In the UK secondary care setting, the case for physician associates is based on the cover and stability they might offer to medical teams. We assessed the extent of their adoption and deployment - that is, their current usage and the factors supporting or inhibiting their inclusion in medical teams - using an electronic, self-report survey of medical directors of acute and mental health NHS trusts in England. Physician associates - employed in small numbers, in a range of specialties, in 20 of the responding trusts - were reported to have been employed to fill gaps in medical staffing and support medical specialty trainees. Inhibiting factors were commonly a shortage of physician associates to recruit and lack of authority to prescribe, as well as a lack of evidence and colleague resistance. Our data suggest there is an appetite for employment of physician associates while practical and attitudinal barriers are yet to be fully overcome.


Original languageEnglish
Pages (from-to)126-131
Number of pages6
JournalClinical Medicine
Issue number2
Early online date17 Apr 2017
Publication statusPublished - 17 Apr 2017


  • Medical directors, physician assistant, physician associate, physician executives, secondary care centres