Office of Rural Health & Primary Care Health Workforce Analysis Program Physician Assistants: Minnesota Demographics 2005 The Office of Rural Health and Primary Care asks physician assistants to answer questions about their employment status and the nature of their practices each year when they renew their registrations. Response to the survey is voluntary and does not affect license renewal. Old definitions. Physician assistant workforce data has previously been reported for “urban” and “rural” portions of the state. Urban has been defined to include seven Twin Cities metropolitan counties (Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington) and the cities of Duluth, Rochester and St. Cloud. New definitions. For 2005, data is also reported for three groupings that focuses greater attention on the 46 most rural counties: Metropolitan Statistical Areas (MSA) counties – 21 Minnesota counties included in seven metropolitan statistical areas (Minneapolis-St. Paul, St. Cloud, Rochester, Duluth-Superior, Fargo, Grand Forks and La Crosse). Micropolitan counties – 20 counties surrounding smaller urban centers of at least 10,000 people. Rural – 46 counties outside MSAs and Micropolitan areas. In the following data tables, gray shading distinguishes data reported under the old urbanrural definition from data reported under the new MSA-micropolitan-rural definition. P.O. Box 64882 St. Paul, MN 55164-0882 (651) 201-3838 http://www.health.state.mn.us May 2006 Minnesota Demographics: Physicians Assistants page 2 Numbers of physician assistants There were 832 registered physician assistants in Minnesota as of July 1, 2005, up from 804 in 2004. Some of these were retired or not working as physician assistants, and many lived or practiced in other states. Registered Physician Assistants 900 800 700 600 500 400 300 200 100 0 1988 1990 1992 1994 1996 1998 2000 2002 2004 Numbers of registrations July 1 of each year; not necessarily practicing in Minnesota. Source: Minnesota Board of Medical Practice Based on survey responses and licensing data from the Minnesota Board of Medical Practice, the Office of Rural Health and Primary Care estimates approximately 750 physician assistant were practicing at least part-time at Minnesota practice sites in mid- 2005. For explanation of this estimate, see the methodological note at the end of this report. Using the July 1, 2005, population estimate for Minnesota, 750 physician assistants equate to 15 active physician assistants per 100,000 people. All data reported below is for physician assistants who work at least part time at a primary practice site in Minnesota, according to the Office of Rural Health and Primary Care survey of physician assistants renewing licenses for 2005. Minnesota Demographics: Physicians Assistants page 3 Geographic Distribution • • Physician assistants’ practice sites are disproportionately located in metropolitan areas, but the imbalance is not as pronounced as for physicians. The 46 most rural counties have 13 percent of the state’s population and 10 percent of the state’s practicing physician assistants. Geographic Distribution of Physician Assistants Rural 10% Micropolitan 12% Metropollitan 78% 2004 Minnesota Population Rural 13% Micropolitan 15% Metropollitan 72% Urban Rural Statewide Metropolitan counties Micropolitan counties Rural 2004 Population 3,015,421 2,129,685 5,145,106 3,732,499 752,857 659,750 % Population 58.6% 41.% 100.0% 72.5% 14.6% 12.8% % Physician Assistants 68.4% 31.6% 100.0% 77.9% 11.8% 10.3% Minnesota Demographics: Physicians Assistants page 4 Gender of Physician Assistants • • Fifty-eight percent of all physician assistants are female, and 73 percent of physician assistants under age 35 are female. Rural physician assistants are slightly more likely than physician assistants in metropolitan counties to be female. AGE Respondents % MALE 526 41.9% All physician assistants 167 27.1% Under 35 142 40.1% 35-44 141 43.3% 45-54 70 77.1% 55-64 6 * 65 and older 360 43.9% Urban locations 166 37.6% Rural locations 410 42.7% Metropolitan 62 39.3% Micropolitan 54 38.9% Rural *Percentages not calculated because of small number of physician assistants % FEMALE 58.1% 72.9% 59.9% 56.7% 22.9% * 56.1% 62.4% 57.3% 60.7% 61.1% Age of Physician Assistants • • • Physician assistants (median = 41 yrs.) tend to be much younger than physicians (48 yrs.). This reflects both a somewhat shorter training period and the newness of the profession. Nearly 59 percent of physician assistants were less than 45 years old in 2005; nearly a third were under 35. Micropolitan and rural physician assistants are older than physician assistants in metropolitan counties. Age of Physician Assistants 200 150 100 50 0 < 35 35-44 45-54 55-64 65+ Minnesota Demographics: Physicians Assistants page 5 Age Group Median age Less than 35 35-44 45-54 55-64 65 and older Total Statewide n = 526 Urban n = 360 Rural n = 166 Metropolitan n = 410 Micropolitan n = 62 Rural n =54 respondents respondents respondents respondents respondents respondents 41 yr. 31.7% 27.0% 26.8% 13.3% 1.1% 100.0% 39 yr. 34.3% 27.5% 22.8% 14.2% 1.1% 100.0% 44 yr. 25.9% 25.9% 35.5% 11.4% 1.2% 100.0% 39 yr. 34.6% 26.3% 23.7% 14.1% 1.2% 100.0% 43 yr. 22.6% 29.0% 38.7% 9.7% -0100.0% 44.5 yr. 20.4% 29.6% 37.0% 11.1% 1.9% 100.0% Types of practice sites • • • • Most (about 77 percent) physician assistants work in provider offices or clinics. About 15 percent reported their primary workplace as a hospital-inpatient site. Metropolitan (and urban) physician assistants are more likely than rural physician than micropolitan or rural physicians to work in hospitals. Physician assistants based in clinics are about two-thirds female, while those in hospitals are somewhat more likely to be male Type of Site N = respondents Office/clinic Hospital – inpatient Other Statewide 461 76.8% 15.2% 8.0% Urban 308 73.0% 18.8% 8.2% Rural 153 89.9% 4.8% 5.3% Metropolitan 257 72.6% 18.9% 8.5% Micropolitan 53 91.3% 3.5% 5.2 Rural 44 90.0% 2.0% 8.0% Note: Some respondents in the “other” category identified workplaces that are probably in clinics or hospitals. Percentages for micropolitan and rural (new definition) are less reliable because of the small number of respondents. Type of Site Office/clinic Hospital – inpatient Respondents 354 70 Male 38.8% 54.3% Female 61.8% 45.7% Minnesota Demographics: Physicians Assistants page 6 Methodological note for numbers of physician assistants Data reported here is from responses received from physician assistants renewing their licenses for 2005. Renewals were due July 1, so most physician assistants answered the survey in May or June 2005. The Board of Medicine received about 704 registration renewals for 2005. This estimate is based on the number of active registrations on July 1, minus the number of new registrations during 2005. The Office of Rural Health and Primary Care received survey responses from 586 physician assistants renewing their registrations for 2005. At the time of registration renewal, 526, or 90 percent, of these said they working at least part time at a primary practice site in Minnesota. The exact number of physician assistants actually practicing in Minnesota is not known. If the 90 percent figure is applied to the total number of registered physician assistants, there would have been about 750 physician assistants working in Minnesota in mid-2005. This would be a reasonable estimate if practitioners working in Minnesota were no more likely than physician assistants not working in Minnesota to respond to the survey. However, active Minnesota practitioners were probably more likely to respond, making this estimate somewhat high. Using the July 1, 2005, population estimate for Minnesota, 750 physician assistants equate to 15 active physician assistants per 100,000 people. Because of different data sources and definitions, the estimate of 15 active physician assistants per 100,000 people is not directly comparable to other reported data. The Bureau of Health Professions in the U.S. Health Resources and Services Administration reported that Minnesota had 711 practicing physician assistants in 2000, or 14.4 per 100,000 people, matching the national rate of 14.4.
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