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089067 1 (1977-02-25)

handle is hein.gao/gaobacvbt0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D C 20548 HUMAN RESOURCES DIVISION B-146858 FEE 2 5 1977 The Honorable The Assistant Secretary of Defense (HA) Dear Dr Smith We recently completed a survey of Department of Defense (DOD) medical facilities in the United States and Europe As part of that survey, we distributed questionnaires to physicians assigned to seven military hospitals to obtain their opinions concerning conditions which may be influencing the quality of medical care A total of 293 physicians responded to the questionnaire, representing about 70 per- cent of the questionnaires distributed Because many areas in the questionnaire responses may be of interest to you, we are enclosing all the responses with the thought that this information could be useful in DOD's day-to-day management and evaluation of a valuable resource--physicians. One question (Number 41) concerns physician retention The answers to this ques- tion might be of particular interest to you since it highlights rea- sons why physicians plan to leave the military service An area of particular interest to us was the physician assistant (PA) programs of the Army, Navy, and Air Force We believe that work now being done for the Air Force, which is aimed at assessing the appropriate role of these health care providers in Air Force medical facilities,could be beneficial to the entire DOD hospital system PHYSICIAN ASSISTANTS Responses to question 21, part 2, indicate that physicians are substantially dissatisfied with the adequacy of PA staffing levels. In addition, comments from officials at some military hospitals which had PAs and from military officials in Washington, D.C., were compli- mentary of the PAs' work They stated that if more PAs were available, PAs could absorb mote of the physicians' workloads As you know, in fiscal year 1977, monies for the direct funding of PA training programs were eliminated from the budget The services' response to this action differed substantially. The Army initiated a

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