Evaluating the Effectiveness of PA-Led Postoperative Follow-up in Orthopedic Clinics

Authors

• Shirley P. Alleyne, University of LynchburgFollow

Specialty

Orthopedics

Advisor

Dr. Colletti

Abstract

Abstract

Postoperative follow-up is essential for monitoring healing, identifying complications, and supporting functional recovery in orthopedic patients. As surgical demand increases and workforce pressures intensify, orthopedic practices have increasingly incorporated physician associates/physician assistants (PAs) into postoperative roles. This manuscript evaluates the safety, effectiveness, and operational impact of PA-led postoperative follow-up in orthopedic clinics through a structured synthesis of existing literature examining clinical outcomes, patient satisfaction, workflow efficiency, and continuity of care. Across reviewed studies, the literature demonstrates that PAs effectively manage routine postoperative evaluations—including wound assessment, functional monitoring, imaging review, and patient education—with outcomes comparable to surgeon-led visits. Evidence further indicates that PA-led follow-up improves clinic efficiency by redistributing routine care responsibilities, enhancing patient flow, and increasing surgeon availability for operative and complex cases. Patient satisfaction remains consistently high in PA-led models, with patients valuing accessibility, communication, and continuity. In contrast, this analysis highlights the importance of role clarity, interprofessional integration, and organizational readiness for successful implementation, while acknowledging persistent limitations, such as limited PA-exclusive research and variable patient familiarity with the PA role. Collectively, these findings support PA-led postoperative follow-up as a safe, efficient, and patient-centered model that strengthens orthopedic care delivery amid evolving workforce demands.

Recommended Citation

Alleyne SP. Evaluating the Effectiveness of PA-Led Postoperative Follow-up in Orthopedic Clinics. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2026; 8(1).