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Questions to Ask Employers during PA Job Interviews

Questions to Ask Employers during PA Job Interviews

Although civilian PAs have been working in Canada since 2006, there’s no question that integrating them is still a work in progress.  If you are lucky, you’ll be applying for jobs where the supervising physicians and hospitals already have PAs and have worked out some (but probably not all) of the bugs in the system.  Most of the time, however, you’re likely to be the first PA your potential employer has ever met.  But if he/she/they want a PA, they should at least have thought through why they want a PA and how they’ll use one.  If they don’t offer up that information during the interview, here are some questions you may want to put to them:

Questions about the PA Role

  1. How much direct experience have you had with PAs in Canada or the US?
  2. How do you intend to use a PA in your practice (history and physicals only?  Filling out paperwork?  Will there be any procedures?   Telephone follow ups with patients/pharmacies/referrals?)
  3. Will the PA see all types of patients (including those with acute, complicated medical problems?)
  4. What are your expectations for transitioning a PA into your practice (i.e. how much time will you spend training, how much supervision, transition to more autonomy)
  5. Why are you seeking a PA for this position rather than an RN or NP?
  6. How many physicians would the PA work with?  Are there any physicians who are opposed to hiring/supervising a PA?

Questions around Allied Health

  1. (If they have an RN or NP or other allied health)  How do other staff members feel about your decision to hire a PA?  What type of interaction/relationship would the PA have with them?  How will you educate/prepare staff for the addition of a PA to the team?
  2. What types of orders will the PA be able to write (medication, diagnostic tests, discharge instructions etc.)?  Will there be any exceptions (i.e. narcotics)?
  3. How will you obtain or create medical directives for the PA (and how much of this will fall on the PA’s shoulders???)
  4. Do you envision any problems with allied health carrying out these directives?
  5. If you take medical clerks/residents in your practice, how would you divide the responsibilities between them and the PA?  Would the PA be supervising any of these clerks/residents?  Would the PA at any time fall under the supervision of a resident?

Questions about the Business Plan

  1. MOHLTC, how will you fund the position when that program ends (in one to two years)?
  2. How do expect hiring a PA will affect your billing/salary?  How important is it to you that the PA improves your bottom line?  What if the PA proves to be revenue neutral?  How important are other benefits such as improved quality of life, improved patient access/continuity of care, etc?
  3. How will you approach the issue of billing for services/procedures provided by the PA?
  4. What kind of liability insurance will the PA need?  What will you provide?
  5. What are the benefits you are offering (vacation days, sick leave, drug and dental coverage)?
  6. What access will the PA have to continuing medical education?  Will the PA be included in rounds? Teaching? Will the PA be given time and funding to attend a practice-appropriate conference during the year?
  7.  (If office or clinic-based) Do you have hospital privileges?  Would you expect to use the PA in the hospital?  How would you approach the hospital about obtaining privileges for the PA?

Questions about Patient Care Philosophy

  1. How would you describe your patient population?
  2. How would you describe your philosophy/approach to patient care?

Questions about Career Development

  1. How open would you be to preceptoring PA students/clerks in partnership with your PA?
  2. I’m very interested in _______________ (social media, research, teaching, procedures etc.).  How open would you be to helping me develop that interest as part of your practice?

Notes

Pick and choose from the questions above depending on the job situation you are interviewing for (i.e. hospital versus family health team versus solo practice).  Some of these questions may be more appropriate in a second interview or after a job offer, but if some of the answers are very important to you, then go ahead and ask them in the first meeting.  Otherwise, you may be wasting everybody’s time.

If you are a new graduate, or applying in a new field, be sure the employer/physician supervisor understands that PAs require several weeks (usually months) of training on the job.  This is the nature of the condensed program and is an accepted fact of life in the US.

Obviously once there is a job offer, you will want to enquire about salary, hours, overtime, call etc.  The experience of many Canadian and US PAs is that while salary and benefits are important, they do no make up for a poor working environment where the PA feels unwelcome, underused or overworked.

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2017-08-28T10:07:27+00:00 1 Comment

About the Author:

Maureen Taylor is a Physician Assistant in Infectious Diseases at Michael Garron Hospital in Toronto. She is a graduate of the inaugural class of Physician Assistants at McMaster University in2010, and is currently an Associate Clinical Professor in that program. Prior to her studies as a PA, Maureen was an award-winning broadcast journalist for 25 years, including 7 years as the National Medical/Health Reporter for the Canadian Broadcasting Corporation. Maureen has also worked at Sunnybrook Health Sciences Centre as a PA in Emergency Medicine, and she was named PA of the Year by the Canadian Association of Physician Assistants in 2016.

  • Ian Jones

    Hi Just some trivial fact checking and suggestions
    The first PAs working for the Canadian Public Health Sector actually began at the University of Alberta in 1993. Originally from Alberta Jan Duritz (sp?) and Norm Bison were Graduates of American Programs and employed in Cardiac Surgery. The First Civilian Licensed PAs began in Manitoba in 2003 Chris Rhule, and Russ Ives 2004. Several others began in 2004 and 2005. This does not include the retired Military PAS who provided medical services throughout the Territories from 1990’s. Ontario started 5 PAs in Emergency in 2006 and expanded in 2007.

    As stated: If is essential to ask about the orientation and training. Are there recommended resources? What is the go to standard or reference for the supervisor? If just thrown into any medical practice without mentorship the arrangement will likely fail. So ask about the formal review and teaching process. Remind the Docs you are making a career commitment and would like to invest your skills and time in their practice.

    If the Employer pays for the Omissions and Errors Coverage (Malpractice) the employer decides on settlements and make the ultimate call. Better to ask if the employer reimburse the PA for insurance and buy it yourself. Paying it yourself is tax deductible and gives you control. Manitoba requires 10 million in coverage.

    Be clear about your professional CPD requirements and included pay days off (5 is normal) to allow travel and attendance at Cat 1 Conferences.

    Good advice from Ms Taylor