• Pauline Joyce and Lisa Alexander.
• RCSI: Royal College of Surgeons in Ireland, Dublin, Ireland. pjoyce@rcsi.ie.
• Ir J Med Sci. 2023 Oct 1; 192 (5): 204120462041-2046.

BackgroundIn the Republic of Ireland, the employment of physician associates (PAs) is growing. Following a pilot project in a hospital setting, PAs are now employed across primary and secondary care in public and private sectors. Most of the Irish PA graduates are working in hospital settings.AimsThe aim of the study was to explore factors which supported or inhibited the employment of PAs in Irish hospital settings and the perceived supports or challenges for potential employers in recruiting PAs.MethodsAn online survey gathered data via human resources departments of public and private hospitals, with a 25% response rate.ResultsSimilar to previous studies, the barriers included the lack of recognition and regulation of the role and the small number of PAs to fill available posts. Enablers, which influenced the employment of PAs, included improving workflow, continuity of care and helping to address junior doctors' working hours.ConclusionsOur data suggests that there is a keen interest and willingness to employ PAs and there is great potential to expand the role in Irish healthcare. However, there are some key issues around funding and recognition to be addressed at government level for this profession to highlight its worth.© 2023. The Author(s).

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