What is the role of a Neurosurgery PA?

When talking to patients, I frequently get asked, “what is a PA” or “are you studying to become a surgeon?”. To answer simply, PAs are NOT training to become surgeons or replace them. As defined by the American Academy of Physician Associates (AAPA), “PAs have licensed clinicians who practice medicine in every specialty and setting.” PAs can diagnose and treat patients, order tests, and prescribe medications. We collaborate with physicians to expand access to care and provide exceptional patient-centred, team-based treatment.

In a surgical subspecialty such as neurosurgery, PAs work in various settings. Most days begin in the inpatient setting, where I round on post-op, floor, and ICU patients in the hospital, either alone or with Dr. Mulholland. 

Then I either head to the operating room or the office. In the OR, PAs act as the first assist to the neurosurgeon for brain and spine procedures. Dr. Mulholland will complete the operation while I work alongside her, anticipating the next steps in the surgery to enable the procedure to move along smoothly and efficiently. 

On non-surgical days I will head to the office after rounds to see patients in the office, either alone or along with Dr. Mulholland. Clinic schedules vary but primarily consist of new patient appointments, clinic and hospital follow-ups, post-op checks, and pre-op visits. PAs can perform a comprehensive history and physical exam and ensure that all necessary tests and imaging studies have been completed. I can relay pertinent information, coordinating care with Dr. Mulholland to determine surgical candidacy or whether ongoing conservative management is acceptable. 

Having a physician and a PA in the office allows Dr. Mulholland and me to spend more time with each patient and ensure all questions are answered. This collaborative team approach optimizes patient management and, hopefully, satisfaction.  

Rated #3 in the top 100 Best Jobs list in News and World Report for 2022 and #2 for Best Healthcare Jobs, it's easy to say that being a PA is a fantastic career. Working in neurosurgery for almost ten years has been a rewarding experience, and I thoroughly enjoy my collaborative relationship with my supervising physicians. If you’re interested in learning more about the PA profession, check out AAPA.org or come see me in the office!