University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Thoracic and Cardiovascular Surgery


Dr. Thomas Colletti, DHSc, PA-C, DFAAPA



Purpose: The purpose of this study is to collect data regarding the status of Physician Assistants (PAs) involved in locum tenens cardiothoracic and vascular surgery (CTV) for which there exists no objective academic data to assist in making a permanent career choice.

Method: Data available through the Association of Physician Assistants in Cardiothoracic and Vascular Surgery (APACVS) annual database was scrutinized for information specific to practicing locum tenens CTV PAs. A supplemental survey was sent via email to current APACVS members identifying as locum tenens and a second cohort not affiliated with the APACVS. There were no exclusion-criteria.

Results: Data available on locum tenens physicians (MD/DO) was compared with cardiothoracic and vascular PA locum tenens employees. The survey response was 40 of the surveys sent (160 contractors as stated by two locum tenens agencies accounting for 60 contract facilities) resulting in a 25% response rate (95% CI). The level of significance needed for 95% confidence was APACVS locum tenens plus a 2nd cohort response p = 0.05, n = 40.

Conclusion: Based on the upsurge in MD/DO and CTV PA locum tenens contracts, the rationale for permanent employment as CTV locum tenens PA looks sustainable for at least the next five years. This needs to be compared with the retired MD/DO per diem contracts which are growing in smaller and lower-case volume facilities which will presumably mean similar locum tenens CTV PA opportunities.


Available when accessing via a campus IP address or logged in with a University of Lynchburg email address.

Off-campus users can also use 'Off-campus Download' button above for access.