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Advancing Leadership Capacity in Doctorally Trained Physician Associates: Organizational Strategies Aligned With the Mission and Vision of the Academy of Doctoral PAs

Peter Yen, DMSc, MSHA, PA-C, LSSGB

Abstract

Doctoral trained Physician Associates represent a significant advancement in the evolution of the PA profession and reflect a maturing commitment to leadership, education, and system level transformation. The Academy of Doctoral PAs advocates for national recognition, integration, and advancement of doctoral prepared PAs across healthcare, academics, and policy. This paper outlines how healthcare organizations can support ongoing leadership development for doctoral trained PAs in alignment with ADPA’s mission to advance leadership, education, and advocacy. By integrating current literature, leadership theory, and workforce data, this paper provides a structured framework for organizations seeking to maximize the impact of doctoral trained PAs as leaders in a complex healthcare environment.

Introduction

Healthcare in the United States continues to face challenges that include rising patient demand, physician shortages, increasing burnout, and a widening gap in qualified healthcare leadership. These pressures require leaders who possess clinical depth, administrative preparation, and strong operational judgment. The Academy of Doctoral PAs was created to meet this need. ADPA’s mission is to advance the PA profession through leadership, education, and advocacy while elevating the highest standards for doctoral trained clinicians. Its vision is to position doctoral prepared PAs as influential leaders who strengthen healthcare delivery, advance educational excellence, and improve organizational outcomes. Although doctoral programs prepare PAs with competencies in leadership, policy, financial management, and quality improvement, organizations must provide the environment in which these skills can grow. This paper presents organizational strategies that support ongoing leadership development for doctoral trained PAs and reflect ADPA’s mission and efforts.

Doctoral Trained PAs as System Leaders: The ADPA Perspective

Doctoral trained PAs bring clinical expertise integrated with systems level thinking. Doctoral programs include advanced study in leadership science, healthcare economics, performance improvement, and policy analysis. This preparation equips PAs to understand system level challenges and contribute evidence based solutions that improve care models and operational outcomes. The United States may face a shortage of up to eighty six thousand physicians by 2036 and more than sixty two thousand annual openings in healthcare management roles. Doctoral trained PAs offer a leadership ready workforce that supports both clinical and administrative needs. ADPA promotes leadership grounded in education, integrity, clinical excellence, and system advancement. Doctoral trained PAs are positioned to lead interprofessional teams, support organizational goals, and advance initiatives that improve quality, safety, and service line performance.

How Organizations Can Support Ongoing Leadership Development for Doctoral Trained PAs

Organizations can support leadership development by creating formal leadership pathways aligned with ADPA competencies. These pathways may include roles such as Director of Clinical Operations, Vice President of Advanced Practice, and Chief Advanced Practice Officer. Executive mentorship and sponsorship are essential. Doctoral trained PAs should be paired with senior executives and included in strategic decision making structures. Continued executive education such as FACHE credentialing, Lean Six Sigma Black Belt certification, and professional leadership programs should be supported. Hybrid roles that combine clinical and administrative responsibilities allow doctoral trained PAs to maintain credibility while increasing leadership influence. Organizations must foster a culture that recognizes doctoral preparation and values ongoing education. Doctoral trained PAs should also be engaged in innovation and redesign initiatives that support organizational improvement.

ADPA’s National Role

ADPA strengthens national leadership pipelines by defining leadership standards, promoting doctoral level education, supporting advocacy, and creating mentorship networks for doctoral trained PAs. Through conferences, research initiatives, and leadership development forums, ADPA amplifies organizational efforts and strengthens the identity and influence of doctoral prepared PAs.

Conclusion

Doctoral trained Physician Associates represent a powerful leadership asset for modern healthcare. Their clinical expertise, advanced education, and strategic competence align directly with the mission and vision of the Academy of Doctoral PAs. Organizations that invest in structured leadership pathways, mentorship, continuing executive education, and inclusive culture will unlock the full leadership potential of doctoral trained PAs. ADPA continues to lead this national movement by equipping doctoral trained PAs to make meaningful contributions across clinical care, academics, administration, and policy.

References

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  • American College of Healthcare Executives. Mission, Vision, Values. 2024.

  • Association of American Medical Colleges. Physician Workforce Projections to 2036. 2024.

  • Bureau of Labor Statistics. Healthcare Management Occupational Outlook. 2024.

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  • Goodall, A. (2011). Physician leaders and hospital performance. Social Science and Medicine, 73, 535 to 539.

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  • PAEA. Doctoral PA Education and Leadership Pathways. 2023.

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