Delphi consensus: recommendations for early career compensation of dermatology physician assistants

Background: There are significant disparities and inconsistencies in salary expectations for early-career physician assistants (PAs) in dermatology. Proper compensation during the training period and immediately post-training is essential for career satisfaction and retention. Objective: This study aims to develop a Delphi consensus statement from a panel of 10–20 experienced dermatology PAs (10+ years of experience) to provide clear guidance on salary expectations for early career PAs (0–3 years). Methods: A Delphi method was employed, involving 2 rounds of surveys to gather and refine expert opinions on appropriate compensation during the training period and immediately post-training. A panel of nineteen dermatology PAs from diverse practice settings and geographic locations was selected based on their extensive experience in dermatology. Results: Consensus was reached on several key points: (1) PA training in the specialty of dermatology should accept an annual base salary. (2) The training period for a new Dermatology PA should be 6–12 months. (3) After an initial training period, PAs in the specialty of dermatology should be paid a base salary plus a bonus. (4) If an employer pays a percentage of collections as the sole compensation for a PA, the percentage should be 25%–30% of collections immediately after a training period. Conclusions: Establishing clear salary expectations through expert consensus will provide early career dermatology PAs with the information needed to navigate their compensation confidently. This initiative seeks to enhance career satisfaction and retention by promoting fair and consistent compensation practices.