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Article History

Received: 31 January 2026

Accepted: 14 April 2026

First Online: 20 April 2026

Declarations

:

: Ethical approval was obtained from the Health Research Authority (Research Ethics Committee Reference: 24/NW/0116) and governance approval was obtained from the Research and Development Offices in each Trust and Health Board.

: Not required.

: KB is Course Lead for Physician Associate MSc at Brighton and Sussex Medical School and an Executive board member Physician Associate Schools Council; MC was previously a Board Member and Secretary at the UK Faculty of Physician Associates, a previous advisory forum member at the GMC for Good Medical Practice, and a previous London PA Ambassador at NHS England; SD was previously a Board Member and Interim President of the UK Faculty of Physician Associates; CL was previously Vice President of the UK Faculty of Physician Associates (resigned May 2024) and currently sits on the question writing/quality review group for the Physician Associate Registration Assessment exam, and neither role has financial remuneration; ME receives funding from the Wellcome Trust for research on health systems in Africa; JTG was Programme Director MMedSci PA Studies at the University of Sheffield from 2016 to 2025, a former member PA Schools Council and an examiner for the national PA examination; EH was a member of the Leng Review Group; JW is past Chair and an Executive Board member on PA Schools Council, Associate Dean for Medical Associate Professionals for Health Education and Improvement Wales and Previous Director of PATH (resigned February 2024); All other authors declare no competing interests.