Navigating unique challenges: librarian perceptions in supporting physician associate (assistant) programs
DOI:
https://doi.org/10.5195/jmla.2026.2211Keywords:
physician assistant (associate) education, resource management, library instruction, librarian workload, health sciences librarianshipAbstract
Objectives: This study examines the experiences of librarians who support physician assistant/associate (PA) programs, describing the unique challenges of these programs and outlining strategies that librarians adopt to engage these programs.
Method: This mixed-methods study includes two phases: (1) a quantitative survey developed and distributed to library personnel in institutions with established or developing PA programs in the US and Canada, and (2) semi-structured interviews with fifteen selected survey respondents, focusing on their experiences and perceptions related to PA education support. The qualitative data were analyzed using thematic analysis.
Results: Seventy-five survey responses were collected. Key findings from the survey include: most respondents were from universities with health sciences programs, with nursing and physical therapy being the most common additional programs. Most library-led instruction occurred during the didactic phase and focused on search skills and evidence-based practice. PubMed and UpToDate were the most library-promoted resources. Two thematic elements discovered through the semi-structured interviews were “relationship building as paramount” and “impact of the learning curve on librarian workload.”
Conclusion: Librarians who support PA educational programs face challenges related to relationship building, financial resources, workload, and steep learning curves. The findings underscore the need for targeted professional development programs to equip librarians with the necessary knowledge and skills.
References
1. Auerbach DI, Staiger DO, Buerhaus PI. Growing ranks of advanced practice clinicians — Implications for the physician workforce. N Engl J Med. 2018 Jun 21;378(25):2358–60. DOI: 10.1056/NEJMp1801869.
2. Physician Assistants: Occupational Outlook Handbook: : U.S. Bureau of Labor Statistics [Internet]. Bureau of Labor Statistics. [cited 2024 Jun 27]. Available from: https://www.bls.gov/ooh/healthcare/physician-assistants.html.
3. Morse A. PA named #2 best health care job by U.S. News & World Report [Internet]. AAPA. 2024 [cited 2024 Jun 27]. Available from: https://www.aapa.org/news-central/2024/01/pa-named-2-best-health-care-job-by-u-s-news-world-report-2/.
4. Hooker RS, Kulo V, Kayingo G, Jun HJ, Cawley JF. Forecasting the physician assistant/associate workforce: 2020–2035. Future Healthc J. 2022 Mar;9(1):57–63. DOI: 10.7861/fhj.2021-0193.
5. American Academy of Physician Associates. PA scope of practice [Internet]. American Academy of Physician Associates; 2019 Sep [cited 2024 Jun 27]. Available from: https://www.aapa.org/download/61319/.
6. American Association of Nurse Practitioners. What’s a Nurse Practitioner (NP)? [Internet]. American Association of Nurse Practitioners. [cited 2025 Aug 11]. Available from: https://www.aanp.org/about/all-about-nps/whats-a-nurse-practitioner.
7. Society of Emergency Medicine PAs. Practice management: PA & NP comparison [Internet]. [cited 2025 Aug 11]. Available from: https://sempa.org/pa-np-comparison/.
8. American Academy of Physician Associates. What is a PA? [Internet]. AAPA. [cited 2025 Aug 11]. Available from: https://www.aapa.org/about/what-is-a-pa/.
9. Kidd VD, Vanderlinden S, Hooker RS. A National Survey of postgraduate physician assistant fellowship and residency programs. BMC Med Educ. 2021 Apr 14;21:212. DOI: 10.1186/s12909-021-02613-y.
10. Petersen D. Analyzing physician assistant library resources: Equal access in a time of rapid growth? J Electron Resour Med Libr. 2019 Jan 2;16(1):19–24. DOI: 10.1080/15424065.2019.1596775.
11. Johnson CV, Johnson SY. An analysis of physician assistant LibGuides: A tool for collection development. Med Ref Serv Q. 2017 Oct 2;36(4):323–33. DOI: 10.1080/02763869.2017.1369241.
12. Heer BR, Gillette C, Geary A, McDaniel MJ. Clinical physician assistant students’ perceptions of evidence-based medicine resources: A cross-sectional examination. Med Ref Serv Q. 2024 Apr 2;43(2):119–29. DOI: 10.1080/02763869.2024.2329012.
13. Heer BR, Gillette C, Roman C, McDaniel MJ. Didactic physician assistant students’ perceptions of evidence-based medicine resources: A preliminary investigation. Med Ref Serv Q. 2022 Oct;41(4):347–62. DOI: 10.1080/02763869.2022.2131138.
14. Kealey S. Continual evolution: The experience over three semesters of a librarian embedded in an online evidence-based medicine course for physician assistant students. Med Ref Serv Q. 2011 Oct;30(4):411–25. DOI: 10.1080/02763869.2011.609046.
15. Devin RB. Doing without: Serving allied health programs at universities without medical schools. Med Ref Serv Q. 2009 Jan 28;28(1):44–55. DOI: 10.1080/02763860802615997.
16. Grodzinski A. A medical book collection for physician assistants. Bull Med Libr Assoc. 2001.
17. Competencies [Internet]. MLA. [cited 2025 Aug 11]. Available from: https://www.mlanet.org/professional-development/mla-competencies/.
18. Foreman GE, Baldwin C. Evaluation of library service to rural physician associate program students. Bull Med Libr Assoc. 1976.
19. Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Soc Sci Med. 2022 Jan;292:114523. DOI: 10.1016/j.socscimed.2021.114523.
20. Braun V, Clarke V. Conceptual and design thinking for thematic analysis. Qual Psychol. 2022 Feb;9(1):3–26. DOI: 10.1037/qup0000196.
21. Rampin R, Rampin V. Taguette: open-source qualitative data analysis. J Open Source Softw. 2021 Dec;6(68):3522. DOI: 10.21105/joss.03522.
22. Weng C, Murray DC. Faculty perceptions of librarians and library services: Exploring the impact of librarian faculty status and beyond. J Acad Librariansh. 2020 Sep;46(5):102200. DOI: 10.1016/j.acalib.2020.102200.
23. Barr A. Initial efforts to improve medical student information-seeking behavior with embedded library instruction. J Med Libr Assoc. 2023 Oct 2;111(4):823–8. DOI: 10.5195/jmla.2023.1771.
24. Cantwell LP, McGowan BS, Planchon WJ, Slebodnik M, Conklin JL, McCarthy S, Raszewski R. Building a bridge: A review of information literacy in nursing education. J Nurs Educ. 2021 Aug;60(8):431–6. DOI: 10.3928/01484834-20210722-03.
25. Koos JA, and Scheinfeld L. An investigation of the backgrounds of health sciences librarians. Med Ref Serv Q. 2020 Jan 2;39(1):35–49. DOI: 10.1080/02763869.2020.1688621.
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Copyright (c) 2025 Megan Jaskowiak; Michelle Nielsen Ott, AHIP; Karina Kletscher, AHIP
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