{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:02:29Z","timestamp":1777384949690,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      As the number of physician associates (PAs) in hospice and palliative medicine (HPM), understanding their professional needs is vital. This exploratory study (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 49) aimed to identify factors to inform strategic initiatives for the Physician Associates in Hospice and Palliative Medicine (PAHPM) organization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This descriptive, cross-sectional study utilized a 17-question survey distributed in December 2024 to PAs via PAHPM and social media. Data included demographics, training, and open-ended questions regarding professional obstacles. Qualitative data were analyzed via thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Respondents were primarily female (89.8%) and hospital-based (57.1%), with 73.5% less than or equal to 10 years of experience in the specialty. While 55.1% had specialized training, only 16.3% were specialty certified. Qualitative analysis identified five challenges: regulatory and policy hurdles, workforce disparities compared to other APPs, misconceptions about the PA role, education gaps, and emotional strain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These preliminary findings suggest a need for targeted organizational support in advocacy, particularly regarding legislative efforts for hospice inclusive, and professional development to bridge the certification gap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261423102","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T13:46:00Z","timestamp":1770126360000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Physician Associates in Hospice and Palliative Medicine: Insights From a National Needs Assessment"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2970-7910","authenticated-orcid":false,"given":"Ryan","family":"Baldeo","sequence":"first","affiliation":[{"name":"School of Graduate Studies, University of Maryland Baltimore, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00018"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.01.011"},{"key":"e_1_3_4_4_2","unstructured":"NCCPA. Statistical profile of certified physician assistants by specialty: an annual report of the National Commission on certification of physician assistants. 2017. 2016. https:\/\/www.nccpa.net\/wp-content\/uploads\/2020\/11\/2016StatisticalProfilebySpecialty.pdf. Accessed 2024."},{"key":"e_1_3_4_5_2","unstructured":"NCCPA. Statistical Profile of Board Certified Physician Assistants. Statistical profile of board certified physician assistants: annual report. 2024. 2023. https:\/\/www.nccpa.net\/wp-content\/uploads\/2024\/05\/2023-Statistical-Profile-of-Board-Certified-PAs5_3_24.pdf. Accessed November 19 2024."},{"key":"e_1_3_4_6_2","unstructured":"PAHPM. Mission & vision. Physician associates in hospice & palliative medicine | my PA network. https:\/\/pahpm.mypanetwork.com\/page\/1477-mission-vision. Accessed October 9 2025."}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261423102","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091261423102","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261423102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:31:43Z","timestamp":1777368703000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091261423102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,3]]},"references-count":5,"alternative-id":["10.1177\/10499091261423102"],"URL":"https:\/\/doi.org\/10.1177\/10499091261423102","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,3]]},"article-number":"10499091261423102"}}