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Physician assistant - Wikipedia
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.mbox-image,.mw-parser-output .compact-ambox .ambox .mbox-imageright,.mw-parser-output .compact-ambox .ambox .mbox-empty-cell,.mw-parser-output .compact-ambox .hide-when-compact{display:none}</style><table class="box-Multiple_issues plainlinks metadata ambox ambox-content ambox-multiple_issues compact-ambox" role="presentation"><tbody><tr><td class="mbox-text"><div class="mbox-text-span"><div class="multiple-issues-text mw-collapsible"><b>This article has multiple issues.</b> Please help <b><a href="/wiki/Special:EditPage/Physician_assistant" title="Special:EditPage/Physician assistant">improve it</a></b> or discuss these issues on the <b><a href="/wiki/Talk:Physician_assistant" title="Talk:Physician assistant">talk page</a></b>. <small><i>(<a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove these messages</a>)</i></small> <div class="mw-collapsible-content"> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1251242444"><table class="box-Disputed plainlinks metadata ambox ambox-content ambox-disputed" role="presentation"><tbody><tr><td class="mbox-text"><div class="mbox-text-span">This article's <b>factual accuracy is <a href="/wiki/Wikipedia:Accuracy_dispute" title="Wikipedia:Accuracy dispute">disputed</a></b>.<span class="hide-when-compact"> Relevant discussion may be found on the <a href="/wiki/Talk:Physician_assistant#Disputed" title="Talk:Physician assistant">talk page</a>. Please help to ensure that disputed statements are <a href="/wiki/Wikipedia:Reliable_sources" title="Wikipedia:Reliable sources">reliably sourced</a>.</span> <span class="date-container"><i>(<span class="date">April 2023</span>)</i></span><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1251242444"><table class="box-Globalize plainlinks metadata ambox ambox-content ambox-globalize" role="presentation"><tbody><tr><td class="mbox-text"><div class="mbox-text-span">The examples and perspective in this article <b>deal primarily with the United States and do not represent a <a href="/wiki/Wikipedia:WikiProject_Countering_systemic_bias" title="Wikipedia:WikiProject Countering systemic bias">worldwide view</a> of the subject</b>.<span class="hide-when-compact"> You may <a class="external text" href="https://en.wikipedia.org/w/index.php?title=Physician_assistant&action=edit">improve this article</a>, discuss the issue on the <a href="/wiki/Talk:Physician_assistant" title="Talk:Physician assistant">talk page</a>, or <a href="/wiki/Wikipedia:Article_wizard" title="Wikipedia:Article wizard">create a new article</a>, as appropriate.</span> <span class="date-container"><i>(<span class="date">April 2023</span>)</i></span><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> </div> </div><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> <p>A <b>physician assistant</b> or <b>physician associate</b> (<b>PA</b>) is a type of <a href="/wiki/Healthcare_professional" class="mw-redirect" title="Healthcare professional">healthcare professional</a>. While these job titles are used internationally, there is significant variation in training and scope of practice from country to country, and sometimes between smaller jurisdictions such as states or provinces. Depending on location, PAs practice semi-autonomously under the supervision of a <a href="/wiki/Physician" title="Physician">physician</a>, or autonomously perform a subset of medical services classically provided by physicians.<sup id="cite_ref-auto_1-0" class="reference"><a href="#cite_note-auto-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p><p>The educational model was initially based upon the accelerated training of physicians in the United States during the shortage of qualified medical providers during <a href="/wiki/World_War_II" title="World War II">World War II</a>. Since then, the use of PAs has spread to at least 16 countries around the world.<sup id="cite_ref-auto_1-1" class="reference"><a href="#cite_note-auto-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> In the US, PAs may diagnose illnesses, develop and manage treatment plans, prescribe medications, and serve as a principal <a href="/wiki/Healthcare_provider" class="mw-redirect" title="Healthcare provider">healthcare provider</a>. In many states PAs are required to have a direct agreement with a <a href="/wiki/Physician" title="Physician">physician</a>.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> In the UK, PAs were introduced in 2003. They support the work of the healthcare team, but are dependent clinicians requiring supervision from a physician.<sup id="cite_ref-sheikh_4-0" class="reference"><a href="#cite_note-sheikh-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> They cannot prescribe medications nor request ionising radiation investigations (e.g., x-ray) in the UK.<sup id="cite_ref-:2_5-0" class="reference"><a href="#cite_note-:2-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> PAs are widely used in Canada. The model began during the <a href="/wiki/Korean_War" title="Korean War">Korean War</a> and transitioned to the present concept in 2002. Skills and scope of privileges are similar to those in the US.<sup id="cite_ref-auto_1-2" class="reference"><a href="#cite_note-auto-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p> <style data-mw-deduplicate="TemplateStyles:r886046785">.mw-parser-output .toclimit-2 .toclevel-1 ul,.mw-parser-output .toclimit-3 .toclevel-2 ul,.mw-parser-output .toclimit-4 .toclevel-3 ul,.mw-parser-output .toclimit-5 .toclevel-4 ul,.mw-parser-output .toclimit-6 .toclevel-5 ul,.mw-parser-output .toclimit-7 .toclevel-6 ul{display:none}</style><div class="toclimit-3"><div id="toc" class="toc" role="navigation" aria-labelledby="mw-toc-heading"><input type="checkbox" role="button" id="toctogglecheckbox" class="toctogglecheckbox" style="display:none"><div class="toctitle" lang="en" dir="ltr"><h2 id="mw-toc-heading">Contents</h2><span class="toctogglespan"><label class="toctogglelabel" for="toctogglecheckbox"></label></span></div> <ul> <li class="toclevel-1 tocsection-1"><a href="#Nomenclature"><span class="tocnumber">1</span> <span class="toctext">Nomenclature</span></a></li> <li class="toclevel-1 tocsection-2"><a href="#Services"><span class="tocnumber">2</span> <span class="toctext">Services</span></a></li> <li class="toclevel-1 tocsection-3"><a href="#Workplaces"><span class="tocnumber">3</span> <span class="toctext">Workplaces</span></a></li> <li class="toclevel-1 tocsection-4"><a href="#Training"><span class="tocnumber">4</span> <span class="toctext">Training</span></a></li> <li class="toclevel-1 tocsection-5"><a href="#History"><span class="tocnumber">5</span> <span class="toctext">History</span></a></li> <li class="toclevel-1 tocsection-6"><a href="#Jurisdictions"><span class="tocnumber">6</span> <span class="toctext">Jurisdictions</span></a> <ul> <li class="toclevel-2 tocsection-7"><a href="#Australia"><span class="tocnumber">6.1</span> <span class="toctext">Australia</span></a></li> <li class="toclevel-2 tocsection-8"><a href="#Canada"><span class="tocnumber">6.2</span> <span class="toctext">Canada</span></a> <ul> <li class="toclevel-3 tocsection-9"><a href="#Education_and_certification_(Canada)"><span class="tocnumber">6.2.1</span> <span class="toctext">Education and certification (Canada)</span></a></li> <li class="toclevel-3 tocsection-10"><a href="#Scope_of_practice_(Canada)"><span class="tocnumber">6.2.2</span> <span class="toctext">Scope of practice (Canada)</span></a></li> <li class="toclevel-3 tocsection-11"><a href="#Compensation_(Canada)"><span class="tocnumber">6.2.3</span> <span class="toctext">Compensation (Canada)</span></a></li> <li class="toclevel-3 tocsection-12"><a href="#Regulation_(Canada)"><span class="tocnumber">6.2.4</span> <span class="toctext">Regulation (Canada)</span></a></li> </ul> </li> <li class="toclevel-2 tocsection-13"><a href="#Germany"><span class="tocnumber">6.3</span> <span class="toctext">Germany</span></a></li> <li class="toclevel-2 tocsection-14"><a href="#India"><span class="tocnumber">6.4</span> <span class="toctext">India</span></a></li> <li class="toclevel-2 tocsection-15"><a href="#Ireland"><span class="tocnumber">6.5</span> <span class="toctext">Ireland</span></a></li> <li class="toclevel-2 tocsection-16"><a href="#Israel"><span class="tocnumber">6.6</span> <span class="toctext">Israel</span></a></li> <li class="toclevel-2 tocsection-17"><a href="#New_Zealand"><span class="tocnumber">6.7</span> <span class="toctext">New Zealand</span></a></li> <li class="toclevel-2 tocsection-18"><a href="#United_Kingdom"><span class="tocnumber">6.8</span> <span class="toctext">United Kingdom</span></a> <ul> <li class="toclevel-3 tocsection-19"><a href="#Faculty_of_Physician_Associates,_Royal_College_of_Physicians_(UK)"><span class="tocnumber">6.8.1</span> <span class="toctext">Faculty of Physician Associates, Royal College of Physicians (UK)</span></a></li> <li class="toclevel-3 tocsection-20"><a href="#Scope_of_practice_(UK)"><span class="tocnumber">6.8.2</span> <span class="toctext">Scope of practice (UK)</span></a></li> <li class="toclevel-3 tocsection-21"><a href="#Regulation_(UK)"><span class="tocnumber">6.8.3</span> <span class="toctext">Regulation (UK)</span></a></li> <li class="toclevel-3 tocsection-22"><a href="#Training_(UK)"><span class="tocnumber">6.8.4</span> <span class="toctext">Training (UK)</span></a></li> </ul> </li> <li class="toclevel-2 tocsection-23"><a href="#United_States"><span class="tocnumber">6.9</span> <span class="toctext">United States</span></a> <ul> <li class="toclevel-3 tocsection-24"><a href="#Nomenclature_(US)"><span class="tocnumber">6.9.1</span> <span class="toctext">Nomenclature (US)</span></a></li> <li class="toclevel-3 tocsection-25"><a href="#Education_and_certification_(US)"><span class="tocnumber">6.9.2</span> <span class="toctext">Education and certification (US)</span></a></li> <li class="toclevel-3 tocsection-26"><a href="#Scope_of_practice_(US)"><span class="tocnumber">6.9.3</span> <span class="toctext">Scope of practice (US)</span></a></li> <li class="toclevel-3 tocsection-27"><a href="#Employment_(US)"><span class="tocnumber">6.9.4</span> <span class="toctext">Employment (US)</span></a></li> <li class="toclevel-3 tocsection-28"><a href="#Compensation_(US)"><span class="tocnumber">6.9.5</span> <span class="toctext">Compensation (US)</span></a></li> <li class="toclevel-3 tocsection-29"><a href="#Federal_government,_uniformed_services,_and_US_armed_forces_(US)"><span class="tocnumber">6.9.6</span> <span class="toctext">Federal government, uniformed services, and US armed forces (US)</span></a></li> </ul> </li> <li class="toclevel-2 tocsection-30"><a href="#South_Korea"><span class="tocnumber">6.10</span> <span class="toctext">South Korea</span></a></li> </ul> </li> <li class="toclevel-1 tocsection-31"><a href="#References"><span class="tocnumber">7</span> <span class="toctext">References</span></a></li> <li class="toclevel-1 tocsection-32"><a href="#External_links"><span class="tocnumber">8</span> <span class="toctext">External links</span></a></li> </ul> </div> </div> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(1)"><span class="indicator mf-icon mf-icon-expand mf-icon--small"></span><h2 id="Nomenclature">Nomenclature</h2><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=1" title="Edit section: Nomenclature" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div><section class="mf-section-1 collapsible-block" id="mf-section-1"> <p>The occupational title of physician assistant and physician associate originated in the United States in 1967 at <a href="/wiki/Duke_University" title="Duke University">Duke University</a>. The role has been adopted in the US, Canada, United Kingdom, Republic of Ireland, Netherlands, Australia, New Zealand, India, Israel, Bulgaria, Myanmar, Switzerland, Liberia, Ghana, and by analogous names throughout Africa, each with their own nomenclature and education structure. In Malawi they are called clinical officers. Most of them study clinical medicine at the Malawi College of Health Sciences and other colleges within the country </p> <table class="wikitable sortable mw-collapsible mw-collapsed plainrowheaders"> <tbody><tr> <th>Jurisdiction</th> <th>Title</th> <th>Abbreviation</th> <th>Test</th> <th>Certifying Authority </th></tr> <tr> <td>United States</td> <td>Physician Associate/Physician Assistant</td> <td>PA-C</td> <td>Physician Associate National Certification Exam</td> <td>National Commission on Certification of Physician Associates<sup id="cite_ref-aapa_6-0" class="reference"><a href="#cite_note-aapa-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> with accompanying state-level certification. </td></tr> <tr> <td>Canada</td> <td>Canadian Certified Physician Assistant</td> <td>CCPA</td> <td>Entry to Practice Examination</td> <td>Physician Assistant Certification Council of Canada<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> with accompanying provincial certification </td></tr> <tr> <td>United Kingdom</td> <td>Physician Associate</td> <td>PA-R</td> <td>Physician Associate National Certification Examination</td> <td>Royal College of Physicians<sup id="cite_ref-UK_8-0" class="reference"><a href="#cite_note-UK-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> </td></tr> <tr> <td>Republic of Ireland</td> <td>Physician Associate</td> <td>PA</td> <td>none</td> <td>none </td></tr> <tr> <td>Kenya</td> <td><a href="/wiki/Clinical_officer" title="Clinical officer">Clinical officer</a></td> <td>CO</td> <td>Clinical Officers Licensing Examination</td> <td><a href="/wiki/Clinical_Officers_Council" title="Clinical Officers Council">Clinical Officers Council</a> </td></tr> <tr> <td>South Africa</td> <td>Clinical Associate<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup></td> <td></td> <td> </td></tr> <tr> <td>Malaysia</td> <td><a href="/wiki/Assistant_Medical_Officer" class="mw-redirect" title="Assistant Medical Officer">Assistant Medical Officer</a></td> <td></td> <td></td> <td>Malaysia Medical Assistant Board (Lembaga Pembantu Perubatan Malaysia) </td></tr> <tr> <td>India</td> <td>"Physician Assistant"& "Physician Associate" Both are now known as "Physician Associate"(NCAHP ACT 2021, Government of India)</td> <td>PA</td> <td>National common Entry and Exit Examination.</td> <td><a rel="nofollow" class="external free" href="https://ncahp.abdm.gov.in/">https://ncahp.abdm.gov.in/</a> <p>NCAHP, Ministry of Health and Family Welfare, Government of India. </p> </td></tr> <tr> <td>Germany</td> <td>Physician Assistant</td> <td>PA</td> <td>None</td> <td>None<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup> </td></tr> <tr> <td>China</td> <td><a href="/wiki/Assistant_doctor_(China)" title="Assistant doctor (China)">Assistant Doctor</a><sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup></td> <td></td> <td></td> <td> </td></tr> <tr> <td><a href="/wiki/Papua_New_Guinea" title="Papua New Guinea">Papua New Guinea</a></td> <td><a href="/wiki/Health_Extension_Officer" class="mw-redirect" title="Health Extension Officer">Health Extension Officer</a><sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup></td> <td></td> <td></td> <td> </td></tr> <tr> <td>Former <a href="/wiki/Soviet_Union" title="Soviet Union">Soviet Union</a></td> <td><a href="/wiki/Feldsher" title="Feldsher">Feldsher</a><sup id="cite_ref-isco08_13-0" class="reference"><a href="#cite_note-isco08-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup></td> <td></td> <td></td> <td> </td></tr> <tr> <td>Israel</td> <td>Physician Assistant<sup id="cite_ref-JAAPA-israel_14-0" class="reference"><a href="#cite_note-JAAPA-israel-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup></td> <td>PA-R</td> <td></td> <td> </td></tr></tbody></table> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(2)"><span class="indicator mf-icon mf-icon-expand mf-icon--small"></span><h2 id="Services">Services</h2><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=2" title="Edit section: Services" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div><section class="mf-section-2 collapsible-block" id="mf-section-2"> <p>Physician assistants or associates may: </p> <ul><li>conduct patient interviews and take medical histories</li> <li>conduct physical examinations</li> <li>order and interpret diagnostic tests and exams (<i>As per International labour Organisation code</i>)</li> <li>diagnose illnesses</li> <li>formulate treatment plans</li> <li>coordinate and manage care</li> <li>perform medical procedures</li> <li>prescribe medications (As per International labour organisation <i>norms if any</i>)</li> <li>conduct clinical research</li> <li>provide patient counselling</li> <li>offer advice on preventative health care</li> <li>first assist in surgery<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup></li> <li>Can serve as a clinical tutor/Demostrator, assistant professor, associate professor, or professor (depending on academic qualifications along with experience).</li> <li>In Administrative sector, can serve as principal/Director, Dean etc as per experience & Qualifications.</li></ul> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(3)"><span class="indicator mf-icon mf-icon-expand mf-icon--small"></span><h2 id="Workplaces">Workplaces</h2><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=3" title="Edit section: Workplaces" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div><section class="mf-section-3 collapsible-block" id="mf-section-3"> <p>Physician assistants or associates train to work in settings such as <a href="/wiki/Hospital" title="Hospital">hospitals</a>, <a href="/wiki/Clinic" title="Clinic">clinics</a> and other types of health facilities, or virtually via <a href="/wiki/Telemedicine" class="mw-redirect" title="Telemedicine">telemedicine</a>. PAs are commonly found working in teaching and research as well as hospital administration and other clinical environments. PAs may practice in <a href="/wiki/Primary_care" title="Primary care">primary care</a> or Health Sciences specialties, including emergency medicine, surgery and cardiology.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup> </p> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(4)"><span class="indicator mf-icon mf-icon-expand mf-icon--small"></span><h2 id="Training">Training</h2><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=4" title="Edit section: Training" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div><section class="mf-section-4 collapsible-block" id="mf-section-4"> <p>Physician assistant (or associate) education is shorter than a medical degree required to become a physician. It also typically does not involve <a href="/wiki/Residency_training" class="mw-redirect" title="Residency training">residency training</a>, although this is increasingly offered in a variety of specialties. </p><p>Renewal of certification is usually required every few years, varying by jurisdiction.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> </p> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(5)"><span class="indicator mf-icon mf-icon-expand mf-icon--small"></span><h2 id="History">History</h2><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=5" title="Edit section: History" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div><section class="mf-section-5 collapsible-block" id="mf-section-5"> <p>In 1961, Charles Hudson recommended that the <a href="/wiki/American_Medical_Association" title="American Medical Association">American Medical Association</a> create new medical provider certifications. <a href="/wiki/Eugene_A._Stead" title="Eugene A. Stead">Eugene A. Stead</a> of the <a href="/wiki/Duke_University" title="Duke University">Duke University</a> Medical Center assembled the first class of physician assistants in 1965, composed of four former <a href="/wiki/United_States_Navy" title="United States Navy">US Navy</a> <a href="/wiki/Hospital_Corpsman" class="mw-redirect" title="Hospital Corpsman">Hospital Corpsmen</a>.<sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup> He based the curriculum of the PA program on his first-hand knowledge of the fast-track training of medical doctors during <a href="/wiki/World_War_II" title="World War II">World War II</a>.<sup id="cite_ref-aapa.org_19-0" class="reference"><a href="#cite_note-aapa.org-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> Two other physicians, Richard Smith at the <a href="/wiki/University_of_Washington" title="University of Washington">University of Washington</a>, and Hu Myers at <a href="/wiki/Alderson_Broaddus_University" title="Alderson Broaddus University">Alderson-Broaddus College</a> launched their own programs in the mid-late 1960s. J. Willis Hurst started the <a href="/wiki/Emory_University" title="Emory University">Emory University</a> Physician Assistant Program in 1967. </p><p>The Liberian model of PAs was a curriculum intended for graduates to work in areas absent of physicians as physician substitutes. Advisors for this program included UNICEF, American physicians, and Agnes N. Dagbe, MS, RN, a Liberian nurse educated in the US. Additional training was done in the USSR. The Liberian government inaugurated the program in 1965 with Dagbe as PA program.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">[</span>20<span class="cite-bracket">]</span></a></sup> </p><p>Beginning in January 1971,<sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">[</span>21<span class="cite-bracket">]</span></a></sup> the US Army produced eight classes of physician assistants, at 30 students per class, through the <a href="/wiki/United_States_Army_Medical_Department_Center_and_School" title="United States Army Medical Department Center and School">Academy of Health Sciences</a>, <a href="/wiki/Brooke_Army_Medical_Center#Brooke_Army_Medical_Center" title="Brooke Army Medical Center">Brooke Medical Center</a> (academically accredited by <a href="/wiki/Baylor_University" title="Baylor University">Baylor University</a>). </p><p>In 2017, approximately 68% of physician assistants in the United States were women and approximately 32% were men.<sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">[</span>22<span class="cite-bracket">]</span></a></sup> </p><p>The profession expanded globally. It can now be found in Afghanistan, Australia, Canada, Germany, Ghana, India, Israel, Liberia, the Netherlands, New Zealand, Saudi Arabia, and the United Kingdom. As a profession, physician assistants have greatly influenced the theory and conceptualization of socially accountable health professional education.<sup id="cite_ref-23" class="reference"><a href="#cite_note-23"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup> </p> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(6)"><span class="indicator mf-icon mf-icon-expand mf-icon--small"></span><h2 id="Jurisdictions">Jurisdictions</h2><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=6" title="Edit section: Jurisdictions" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div><section class="mf-section-6 collapsible-block" id="mf-section-6"> <div class="mw-heading mw-heading3"><h3 id="Australia">Australia</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=7" title="Edit section: Australia" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>In 2011, Health Workforce Australia began developing the role of physician assistant throughout the country culminating with registration and a PA Program based out of <a href="/wiki/James_Cook_University" title="James Cook University">James Cook University</a>.<sup id="cite_ref-24" class="reference"><a href="#cite_note-24"><span class="cite-bracket">[</span>24<span class="cite-bracket">]</span></a></sup> The Australian Society of Physician Assistants in 2011 published a code of practice.<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">[</span>25<span class="cite-bracket">]</span></a></sup> Despite all initial indicators showing that the new profession would be successfully integrated into the health care system, in 2013 it was reported that the progress had floundered resulting in the majority of PAs in Australia being unemployed.<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">[</span>26<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Canada">Canada</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=8" title="Edit section: Canada" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>As of 2024, there are approximately 1000 physician assistants working in healthcare settings in Canada.<sup id="cite_ref-auto1_27-0" class="reference"><a href="#cite_note-auto1-27"><span class="cite-bracket">[</span>27<span class="cite-bracket">]</span></a></sup> The first formally trained physician assistants graduated in 1984 from the <a href="/wiki/Canadian_Forces_Medical_Service" class="mw-redirect" title="Canadian Forces Medical Service">Canadian Forces Medical Services School</a> at Borden, Ontario.<sup id="cite_ref-CAPA_history_28-0" class="reference"><a href="#cite_note-CAPA_history-28"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup> The <a href="/wiki/Canadian_Medical_Association" title="Canadian Medical Association">Canadian Medical Association</a> (CMA) recognized physician assistants as a health professional in 2003.<sup id="cite_ref-CAPA_history_28-1" class="reference"><a href="#cite_note-CAPA_history-28"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup> Physician assistants are able to perform medical functions such as ordering tests, diagnosing diseases, prescribing medications, treating patients, educating patients and performing various medical and surgical procedures. Physician assistants are labeled under the federal government national occupational classification code 3124: allied primary health practitioners.<sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">[</span>29<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Education_and_certification_(Canada)"><span id="Education_and_certification_.28Canada.29"></span>Education and certification (Canada)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=9" title="Edit section: Education and certification (Canada)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1251242444"><table class="box-More_citations_needed_section plainlinks metadata ambox ambox-content ambox-Refimprove" role="presentation"><tbody><tr><td class="mbox-text"><div class="mbox-text-span">This section <b>needs additional citations for <a href="/wiki/Wikipedia:Verifiability" title="Wikipedia:Verifiability">verification</a></b>.<span class="hide-when-compact"> Please help <a href="/wiki/Special:EditPage/Physician_assistant" title="Special:EditPage/Physician assistant">improve this article</a> by <a href="/wiki/Help:Referencing_for_beginners" title="Help:Referencing for beginners">adding citations to reliable sources</a> in this section. Unsourced material may be challenged and removed.</span> <span class="date-container"><i>(<span class="date">May 2021</span>)</i></span><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> <p>The first civilian physician assistant education programs were launched in 2008 at the <a href="/wiki/University_of_Manitoba" title="University of Manitoba">University of Manitoba</a> and <a href="/wiki/McMaster_University" title="McMaster University">McMaster University</a>.<sup id="cite_ref-CAPA_history_28-2" class="reference"><a href="#cite_note-CAPA_history-28"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup> In 2010, a third civilian program was launched by the consortium of physician assistant education (<a href="/wiki/University_of_Toronto" title="University of Toronto">University of Toronto</a>, <a href="/wiki/Northern_Ontario_School_of_Medicine" class="mw-redirect" title="Northern Ontario School of Medicine">Northern Ontario School of Medicine</a>, and <a href="/wiki/The_Michener_Institute" title="The Michener Institute">The Michener Institute</a>) while further programmes were added in 2024 at <a href="/wiki/Dalhousie_University" title="Dalhousie University">Dalhousie University</a><sup id="cite_ref-30" class="reference"><a href="#cite_note-30"><span class="cite-bracket">[</span>30<span class="cite-bracket">]</span></a></sup> and at the <a href="/wiki/University_of_Calgary" title="University of Calgary">University of Calgary</a>.<sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">[</span>31<span class="cite-bracket">]</span></a></sup> A new programme has been announced to be housed at the <a href="/wiki/University_of_Saskatchewan" title="University of Saskatchewan">University of Saskatchewan</a> to start in 2025.<sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">[</span>32<span class="cite-bracket">]</span></a></sup> </p><p>In Canada, the education of a physician assistant generally consists of three years of professional post-graduate university education. The education is delivered over a two calendar year time-frame by completing fall, winter and summer semesters for both years of the program in either a master level university physician assistant program or post-graduate professional university bachelor level physician assistant program. Physician assistant graduates become eligible for the certification exam by being a graduate of a Canadian physician assistant program that is recognized by the Physician Assistant Certification Council of Canada (Canadian Armed Forces physician assistant program, University of Manitoba, McMaster University and the consortium of physician assistant education all of which are accredited by the Canadian Medical Association).<sup id="cite_ref-auto1_27-1" class="reference"><a href="#cite_note-auto1-27"><span class="cite-bracket">[</span>27<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Scope_of_practice_(Canada)"><span id="Scope_of_practice_.28Canada.29"></span>Scope of practice (Canada)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=10" title="Edit section: Scope of practice (Canada)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>As of 2023 PAs in Canada may: </p> <dl><dd></dd></dl> <p>Physician assistants resemble and provide many of the functions of physicians. Physician Assistants (PA) are academically prepared health care professionals who provide a broad range of medical services. PAs are physician extenders and not independent practitioners; they work with a degree of autonomy, negotiated and agreed on by the supervising physician(s) and the PA. PAs can work in any clinical setting to extend physician services. PAs complement existing services and aid in improving patient access to health care. A relationship with a supervising physician is essential to the role of the PA. "<sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">[</span>33<span class="cite-bracket">]</span></a></sup> Physician assistants may be compared to the role of nurse practitioner by the general public and may be confused as the same profession. Nurse practitioners in Canada practice under an advanced nursing model.<sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">[</span>34<span class="cite-bracket">]</span></a></sup> Physician assistants practice under a medical model, similarly modeled after medical school (physician) education.<sup id="cite_ref-35" class="reference"><a href="#cite_note-35"><span class="cite-bracket">[</span>35<span class="cite-bracket">]</span></a></sup> Nurse practitioners practice within their defined specific scope of practice autonomously and sometimes collaboratively. The defined scopes of a nurse practitioner include the areas of (family care, adults and paediatrics). Physician assistants are permitted to practice in all medical specialties by mirroring the practice of a physician with a full range of skills and scope by practicing both autonomously as a clinician and collaboratively with physicians when required. Some examples of practice areas for physician assistants include (emergency medicine, critical care medicine, cardiology, psychiatry, community and family medicine, neurology, surgery, orthopaedics, internal medicine, oncology, gastroenterology, military medicine, respirology, dermatology, women's health and many more specialities). Physician assistants may perform certain roles which have been traditionally only provided by physicians in clinical practice, making the PA's medical training over other providers unique in this regard.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> </p> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1251242444"><table class="box-Disputed plainlinks metadata ambox ambox-content ambox-disputed" role="presentation"><tbody><tr><td class="mbox-text"><div class="mbox-text-span">This article's <b>factual accuracy is <a href="/wiki/Wikipedia:Accuracy_dispute" title="Wikipedia:Accuracy dispute">disputed</a></b>.<span class="hide-when-compact"> Relevant discussion may be found on the <a href="/wiki/Talk:Physician_assistant#Disputed" title="Talk:Physician assistant">talk page</a>. Please help to ensure that disputed statements are <a href="/wiki/Wikipedia:Reliable_sources" title="Wikipedia:Reliable sources">reliably sourced</a>.</span> <span class="date-container"><i>(<span class="date">April 2023</span>)</i></span><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> <div class="mw-heading mw-heading4"><h4 id="Compensation_(Canada)"><span id="Compensation_.28Canada.29"></span>Compensation (Canada)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=11" title="Edit section: Compensation (Canada)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>Physician assistant salaries in civilian practice in Canada are relatively new and can range from approximately $80,000 CAD for entry level positions to $142,000 CAD a year for experienced providers which are not on call and up to $178,000 CAD for experienced providers which are on call.<sup id="cite_ref-36" class="reference"><a href="#cite_note-36"><span class="cite-bracket">[</span>36<span class="cite-bracket">]</span></a></sup> The physician assistant profession is newer to civilian practice in Canada. The compensation report published in 2019 by the Canadian Association of Physician Assistants outlines the typical salaries across Canada being an entry median salary of approximately $80,000 CAD and an experienced median salary of approximately $105,000 CAD.<sup id="cite_ref-37" class="reference"><a href="#cite_note-37"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Regulation_(Canada)"><span id="Regulation_.28Canada.29"></span>Regulation (Canada)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=12" title="Edit section: Regulation (Canada)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>Physician assistants are currently practicing across Canada in the Canadian Armed Forces as commissioned officers in domestic and international environments and have been in practice since the 1960s.<sup id="cite_ref-38" class="reference"><a href="#cite_note-38"><span class="cite-bracket">[</span>38<span class="cite-bracket">]</span></a></sup> Physician assistants outside of the Canadian Armed Forces practice usually in the public health care system in the provinces of Manitoba, Ontario, New Brunswick, Nova Scotia, and Alberta.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (June 2021)">citation needed</span></a></i>]</sup> Physician assistants have been regulated in Manitoba since 1999 and in New Brunswick since 2009<sup id="cite_ref-39" class="reference"><a href="#cite_note-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> and are registrants of their respective provincial college of physicians and surgeons. Physician assistants in Ontario were introduced in 2007 to the public health system as a joint venture between the Ontario Ministry of Health and the Ontario Medical Association.<sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">[</span>40<span class="cite-bracket">]</span></a></sup> In PEI, regulation has been mandatory since June 2023. In Alberta, PAs regulation is in effect since 2021. In Nova Scotia, regulation becomes compulsory since 2024. In Ontario, PAs will be regulated from 1 April 2025. In Saskatchewan, regulation for PAs is now in effect. Physician assistants are represented by the Canadian Association of Physician Assistants, which originally was formed in October 1999.<sup id="cite_ref-CAPA_history_28-3" class="reference"><a href="#cite_note-CAPA_history-28"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup> As of 2023, PAs scope of practice in Canada is described at their website: </p> <dl><dd>The PA's scope of practice is determined on an individual basis and formally outlined in a practice contract or agreement between the supervising physician(s), the PA and often the facility or service where the PA will work. Activities may include conducting patient interviews, histories and physical examinations; performing selected diagnostic and therapeutic interventions or procedures; and counseling patients on preventive health care.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (May 2023)">citation needed</span></a></i>]</sup></dd></dl> <div class="mw-heading mw-heading3"><h3 id="Germany">Germany</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=13" title="Edit section: Germany" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>Physician Assistants / Associates were established in Germany as a degree course in 2005. (<i><a href="https://de.wikipedia.org/wiki/Arztassistent" class="extiw" title="de:Arztassistent">de:Arztassistent</a></i> <sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">[</span>41<span class="cite-bracket">]</span></a></sup>). Recruitment had initially been slow, but as of 2019 there were said to be several hundred <i><a href="https://de.wikipedia.org/wiki/Arztassistenten" class="extiw" title="de:Arztassistenten">de:Arztassistenten</a></i> in Germany. </p> <div class="mw-heading mw-heading3"><h3 id="India">India</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=14" title="Edit section: India" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>The first PA program in India was established in 1992 with a focus on expanding cardiovascular specialty .<sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">[</span>42<span class="cite-bracket">]</span></a></sup> Since then, multiple programs have developed (~130), most of them at baccalaureate level with four master's level programs.<sup id="cite_ref-43" class="reference"><a href="#cite_note-43"><span class="cite-bracket">[</span>43<span class="cite-bracket">]</span></a></sup> As on 2024, an estimated 10,000 PAs have graduated in India. With the enactment of the National Commission of Allied and Healthcare professions Act in 2021 in the Parliament, the profession is a recognised one. Physician Assistants in India are now referred to as 'Physician Associates.' Formation of a council for Allied and Healthcare professions is underway at the National level and in the different states.<sup id="cite_ref-44" class="reference"><a href="#cite_note-44"><span class="cite-bracket">[</span>44<span class="cite-bracket">]</span></a></sup> Efforts towards regulation of the profession, standardization of the curriculum, accreditation of training institutes etc., are also underway(As January 2025).<sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">[</span>45<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Ireland">Ireland</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=15" title="Edit section: Ireland" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>Physician Associates were introduced by the <a href="/wiki/Health_Service_Executive" title="Health Service Executive">Health Service Executive</a> in the mid-2010's. The <a href="/wiki/Royal_College_of_Surgeons_in_Ireland" title="Royal College of Surgeons in Ireland">Royal College of Surgeons</a> has offered a PA <a href="/wiki/Postgraduate_degree" class="mw-redirect" title="Postgraduate degree">postgraduate degree</a> since 2016,<sup id="cite_ref-46" class="reference"><a href="#cite_note-46"><span class="cite-bracket">[</span>46<span class="cite-bracket">]</span></a></sup> with 28 graduating by January 2021<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Physician_assistant&action=edit">[update]</a></sup>.<sup id="cite_ref-MedIndoSoFar.ie_47-0" class="reference"><a href="#cite_note-MedIndoSoFar.ie-47"><span class="cite-bracket">[</span>47<span class="cite-bracket">]</span></a></sup> PAs may not write <a href="/wiki/Medical_prescription" title="Medical prescription">prescriptions</a>.<sup id="cite_ref-MedIndoSoFar.ie_47-1" class="reference"><a href="#cite_note-MedIndoSoFar.ie-47"><span class="cite-bracket">[</span>47<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Israel">Israel</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=16" title="Edit section: Israel" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>Physician Assistants were introduced in Israel in May 2016 to help augment a shrinking physician workforce. The initial training programs have been overseen by the ministry of health directly, but transition to academic training is planned.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> Israeli PA education is modeled after United States' and Netherlands' approaches, and has focused on former paramedics with bachelor's degrees.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> As of 2022, the 100 or so PAs in Israel work exclusively within Emergency Departments. While PA scope of practice includes many emergency procedures, Israeli PAs are not currently allowed to prescribe or administer medicine in non-emergency settings.<sup id="cite_ref-JAAPA-israel_14-1" class="reference"><a href="#cite_note-JAAPA-israel-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="New_Zealand">New Zealand</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=17" title="Edit section: New Zealand" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>In February 2015, Health Workforce New Zealand completed a Phase-2 trial of PAs who worked for a period of two years (2013–2015) in four clinical settings.<sup id="cite_ref-:0_48-0" class="reference"><a href="#cite_note-:0-48"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup> Specifically, the sites included one rural emergency department and three primary care settings (two rural and one urban) located on the North and South Islands of New Zealand.<sup id="cite_ref-:0_48-1" class="reference"><a href="#cite_note-:0-48"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup> At conclusion of the trial, several clinics continued to employ PAs while the process of health regulation makes its way through the government bureaucracy.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> </p> <div class="mw-heading mw-heading3"><h3 id="United_Kingdom">United Kingdom</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=18" title="Edit section: United Kingdom" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>The position of physician assistant was established in the United Kingdom in 2005. It evolved from that of physician assistant, developed in the US in the 1960s.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> In 2012, a group of physician assistants voted to change the name to <i>physician associate</i>, this title has been criticised, however, as it is similar to the title <i>Associate Physician</i>, which represents a senior medical doctor. <a href="/wiki/Hillingdon_Hospitals_NHS_Foundation_Trust" class="mw-redirect" title="Hillingdon Hospitals NHS Foundation Trust">Hillingdon Hospitals NHS Foundation Trust</a> was asked to manage the recruitment of 200 physician associates who are expected to come from the US for 40 <a href="/wiki/NHS_trust" title="NHS trust">NHS trusts</a> in September 2015.<sup id="cite_ref-49" class="reference"><a href="#cite_note-49"><span class="cite-bracket">[</span>49<span class="cite-bracket">]</span></a></sup> </p><p>Physician Associates will be regulated by the General Medical Council from 13 December 2024. They are currently not able to prescribe or order tests which require ionising radiation. Legally, physician associates must practice under the supervision of a medical doctor/surgeon. </p><p>In July 2023 a motion was brought forward for discussion by the <a href="/wiki/British_Medical_Association" title="British Medical Association">British Medical Association</a> to rename PAs as Physician Assistants in the U.K. to avoid role confusion with Physicians and for them to be registered with the <a href="/wiki/Health_and_Care_Professions_Council" title="Health and Care Professions Council">Health and Care Professions Council</a>, however, the British Medical Association is a trade union for doctors and is not a regulatory body; it therefore has no statutory power to set a scope of practice, rename the profession or decide on a regulatory body.<sup id="cite_ref-50" class="reference"><a href="#cite_note-50"><span class="cite-bracket">[</span>50<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Faculty_of_Physician_Associates,_Royal_College_of_Physicians_(UK)"><span id="Faculty_of_Physician_Associates.2C_Royal_College_of_Physicians_.28UK.29"></span>Faculty of Physician Associates, Royal College of Physicians (UK)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=19" title="Edit section: Faculty of Physician Associates, Royal College of Physicians (UK)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>The <a href="/wiki/Faculty_of_Physician_Associates" title="Faculty of Physician Associates">Faculty of Physician Associates</a> is currently the professional body for Physician Associates working in the United Kingdom.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (February 2024)">citation needed</span></a></i>]</sup> A joint venture between the <a href="/wiki/Royal_College_of_Physicians" title="Royal College of Physicians">Royal College of Physicians</a> of London and the previous professional body, the United Kingdom Association of Physician Associates, the Faculty officially launched in July 2015, taking over all professional responsibilities.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> The Faculty oversees the managed voluntary register, which all practising associates are encouraged to join, and sets and runs the National Assessment Examination and National Recertification Examination which is optional for PAs.<sup id="cite_ref-fparcpfaq_51-0" class="reference"><a href="#cite_note-fparcpfaq-51"><span class="cite-bracket">[</span>51<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Scope_of_practice_(UK)"><span id="Scope_of_practice_.28UK.29"></span>Scope of practice (UK)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=20" title="Edit section: Scope of practice (UK)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>In the United Kingdom, PAs are dependent practitioners, and they must practice under the supervision of a physician.<sup id="cite_ref-:2_5-1" class="reference"><a href="#cite_note-:2-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> They perform tasks such as taking medical histories, ordering and interpreting laboratory tests.<sup id="cite_ref-52" class="reference"><a href="#cite_note-52"><span class="cite-bracket">[</span>52<span class="cite-bracket">]</span></a></sup> </p><p>There is no nationally agreed upon scope of practice for Physician Associates in the United Kingdom as of 2024, despite them working in the United Kingdom for over a decade. </p> <div class="mw-heading mw-heading4"><h4 id="Regulation_(UK)"><span id="Regulation_.28UK.29"></span>Regulation (UK)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=21" title="Edit section: Regulation (UK)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>The title physician associate was not legally protected in the UK until December 2024. Since June 2010, physician associates have been able to obtain membership of the Managed Voluntary Register for physician associates.<sup id="cite_ref-53" class="reference"><a href="#cite_note-53"><span class="cite-bracket">[</span>53<span class="cite-bracket">]</span></a></sup> This database, run by PAs for PAs, aims to identify all qualified PAs who are able to practise. Its intent is to maintain high standards.<sup id="cite_ref-54" class="reference"><a href="#cite_note-54"><span class="cite-bracket">[</span>54<span class="cite-bracket">]</span></a></sup> To remain on the voluntary register, physician associates are required to re-certify every 5–6 years.<sup id="cite_ref-55" class="reference"><a href="#cite_note-55"><span class="cite-bracket">[</span>55<span class="cite-bracket">]</span></a></sup> </p><p>In 2018 <a href="/wiki/Matt_Hancock" title="Matt Hancock">Matt Hancock</a> announced a plan to regulate PAs. The General Medical Council begins to regulate PAs on 13 December 2024.<sup id="cite_ref-56" class="reference"><a href="#cite_note-56"><span class="cite-bracket">[</span>56<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Training_(UK)"><span id="Training_.28UK.29"></span>Training (UK)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=22" title="Edit section: Training (UK)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>Training is through a two-year training programme (MSc) in Physician Associate Studies, although some PAs in the United Kingdom only hold a PgDip in Physician Associate Studies. As of 2017<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Physician_assistant&action=edit">[update]</a></sup> at least 32 universities offered these programs: </p> <style data-mw-deduplicate="TemplateStyles:r1184024115">.mw-parser-output .div-col{margin-top:0.3em;column-width:30em}.mw-parser-output .div-col-small{font-size:90%}.mw-parser-output .div-col-rules{column-rule:1px solid #aaa}.mw-parser-output .div-col dl,.mw-parser-output .div-col ol,.mw-parser-output .div-col ul{margin-top:0}.mw-parser-output .div-col li,.mw-parser-output .div-col dd{page-break-inside:avoid;break-inside:avoid-column}</style><div class="div-col" style="column-width: 15em;"> <ul><li><a href="/wiki/University_of_Bolton" class="mw-redirect" title="University of Bolton">University of Bolton</a></li> <li><a href="/wiki/University_of_Hertfordshire" title="University of Hertfordshire">University of Hertfordshire</a></li> <li><a href="/wiki/Queen_Mary_University_of_London" title="Queen Mary University of London">Queen Mary University of London</a></li> <li><a href="/wiki/University_of_Aberdeen" title="University of Aberdeen">University of Aberdeen</a><sup id="cite_ref-57" class="reference"><a href="#cite_note-57"><span class="cite-bracket">[</span>57<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/University_of_Bradford" title="University of Bradford">University of Bradford</a><sup id="cite_ref-Bradford.ac.uk_58-0" class="reference"><a href="#cite_note-Bradford.ac.uk-58"><span class="cite-bracket">[</span>58<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-59" class="reference"><a href="#cite_note-59"><span class="cite-bracket">[</span>59<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Anglia_Ruskin_University" title="Anglia Ruskin University">Anglia Ruskin University</a></li> <li><a href="/wiki/University_of_Birmingham" title="University of Birmingham">University of Birmingham</a><sup id="cite_ref-60" class="reference"><a href="#cite_note-60"><span class="cite-bracket">[</span>60<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Canterbury_Christ_Church_University" title="Canterbury Christ Church University">Canterbury Christ Church University</a></li> <li><a href="/wiki/University_of_East_Anglia" title="University of East Anglia">University of East Anglia</a></li> <li><a href="/wiki/Hull_York_Medical_School" title="Hull York Medical School">Hull York Medical School</a><sup id="cite_ref-61" class="reference"><a href="#cite_note-61"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/University_of_Leeds" title="University of Leeds">University of Leeds</a></li> <li><a href="/wiki/Manchester_Medical_School" class="mw-redirect" title="Manchester Medical School">Manchester Medical School</a></li> <li><a href="/wiki/University_of_Liverpool" title="University of Liverpool">University of Liverpool</a></li> <li><a href="/wiki/University_of_Central_Lancashire" title="University of Central Lancashire">University of Central Lancashire</a></li> <li><a href="/wiki/Newcastle_University" title="Newcastle University">Newcastle University</a></li> <li><a href="/wiki/Plymouth_University" class="mw-redirect" title="Plymouth University">Plymouth University</a><sup id="cite_ref-62" class="reference"><a href="#cite_note-62"><span class="cite-bracket">[</span>62<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/University_of_Reading" title="University of Reading">University of Reading</a><sup id="cite_ref-63" class="reference"><a href="#cite_note-63"><span class="cite-bracket">[</span>63<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Sheffield_Hallam_University" title="Sheffield Hallam University">Sheffield Hallam University</a></li> <li><a href="/wiki/St_George%27s,_University_of_London" title="St George's, University of London">St George's, University of London</a><sup id="cite_ref-64" class="reference"><a href="#cite_note-64"><span class="cite-bracket">[</span>64<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/University_of_Surrey" title="University of Surrey">University of Surrey</a><sup id="cite_ref-65" class="reference"><a href="#cite_note-65"><span class="cite-bracket">[</span>65<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/University_of_Wolverhampton" title="University of Wolverhampton">University of Wolverhampton</a><sup id="cite_ref-66" class="reference"><a href="#cite_note-66"><span class="cite-bracket">[</span>66<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/University_of_Worcester" title="University of Worcester">University of Worcester</a><sup id="cite_ref-67" class="reference"><a href="#cite_note-67"><span class="cite-bracket">[</span>67<span class="cite-bracket">]</span></a></sup></li></ul> </div> <p>Entry requirements vary, especially in terms of required first degree subject.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (March 2024)">citation needed</span></a></i>]</sup> For example, <a href="/wiki/University_of_Bradford" title="University of Bradford">University of Bradford</a> requires a 2:1 (or above) undergraduate degree in a Life Science, Biomedical Science, or Healthcare subject. Under exceptional circumstances, experience in healthcare practice may contribute/compensate absent the above requirements.<sup id="cite_ref-Bradford.ac.uk_58-1" class="reference"><a href="#cite_note-Bradford.ac.uk-58"><span class="cite-bracket">[</span>58<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="United_States">United States</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=23" title="Edit section: United States" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <div class="mw-heading mw-heading4"><h4 id="Nomenclature_(US)"><span id="Nomenclature_.28US.29"></span>Nomenclature (US)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=24" title="Edit section: Nomenclature (US)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>In accordance with the <a href="/wiki/American_Academy_of_Physician_Associates" title="American Academy of Physician Associates">American Academy of Physician Associates</a> (AAPA), the official title of the profession in the United States is "Physician Associate".<sup id="cite_ref-aapa_6-1" class="reference"><a href="#cite_note-aapa-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-68" class="reference"><a href="#cite_note-68"><span class="cite-bracket">[</span>68<span class="cite-bracket">]</span></a></sup> While this is the official title used by the national organization, utilization of this title may vary on the state and local level based on state and local bylaws and policies.<sup id="cite_ref-69" class="reference"><a href="#cite_note-69"><span class="cite-bracket">[</span>69<span class="cite-bracket">]</span></a></sup> Many hospital and healthcare systems still use physician assistant as titles, with some just resorting to using "PA" to avoid confusion with <a href="/wiki/Physician" title="Physician">physicians</a>.<sup id="cite_ref-70" class="reference"><a href="#cite_note-70"><span class="cite-bracket">[</span>70<span class="cite-bracket">]</span></a></sup> </p><p>A physician assistant may use the initials "PA", "PA-C", "APA-C", "RPA" or "RPA-C", where the "-C" indicates "Certified" and the "R" indicates "Registered".<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> The "R" designation is unique to a few states, mainly in the <a href="/wiki/Northeastern_United_States" title="Northeastern United States">Northeast</a>. APA stands for aeromedical physician assistant and indicates that a physician assistant successfully completed the US Army Flight Surgeon Primary Course.<sup id="cite_ref-71" class="reference"><a href="#cite_note-71"><span class="cite-bracket">[</span>71<span class="cite-bracket">]</span></a></sup> During training, PA students are designated PA-S.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> The use of "PA-C" is limited to certified PAs who comply with the regulations of the National Commission on Certification of Physician Assistants and who have passed <a href="/wiki/Physician_Assistant_National_Certifying_Exam" title="Physician Assistant National Certifying Exam">PANCE</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> </p><p>Students undertaking physician assistant or associate training may refer to themselves as a physician assistant student, physician associate student, student physician assistant or student physician associate.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> PA students may add "S" at the end of their student designation (PA-S).<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> Students may also use the corresponding year of their training in their student designation.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> For example, students in the second year of their physician assistant or physician associate training may use (PA-S2) as their student designation.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> </p><p>The American Academy of Physician Associates has spent over $22 million since 2018 campaigning to change the word "assistant" to "associate" in the title of physician assistant. The campaign has been heavily criticized by physicians, but advocates argue that the revised title more accurately reflects the clinician's role on the patient care team.<sup id="cite_ref-72" class="reference"><a href="#cite_note-72"><span class="cite-bracket">[</span>72<span class="cite-bracket">]</span></a></sup> </p><p>In the United States, the profession is represented by the <a href="/wiki/American_Academy_of_Physician_Associates" title="American Academy of Physician Associates">American Academy of Physician Associates</a>. All PAs must graduate from a nationally accredited ARC-PA<sup class="noprint Inline-Template" style="margin-left:0.1em; white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Please_clarify" title="Wikipedia:Please clarify"><span title="The text near this tag may need clarification or removal of jargon. (May 2021)">clarification needed</span></a></i>]</sup> program as well as passing the national certification exam.<sup id="cite_ref-73" class="reference"><a href="#cite_note-73"><span class="cite-bracket">[</span>73<span class="cite-bracket">]</span></a></sup> In 1970 the <a href="/wiki/American_Medical_Association" title="American Medical Association">American Medical Association</a> passed a resolution to develop educational guidelines and certification procedures for PAs.<sup id="cite_ref-Carter_2001_74-0" class="reference"><a href="#cite_note-Carter_2001-74"><span class="cite-bracket">[</span>74<span class="cite-bracket">]</span></a></sup> The <a href="/wiki/Duke_University_Medical_Center" class="mw-redirect" title="Duke University Medical Center">Duke University Medical Center</a> Archives had established the Physician Assistant History Center, dedicated to the study, preservation, and presentation of the history of the profession. The PA History Center became its own institution in 2011, was renamed the PA History Society, and relocated to <a href="/wiki/Johns_Creek,_Georgia" title="Johns Creek, Georgia">Johns Creek, Georgia</a>.<sup id="cite_ref-75" class="reference"><a href="#cite_note-75"><span class="cite-bracket">[</span>75<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Education_and_certification_(US)"><span id="Education_and_certification_.28US.29"></span>Education and certification (US)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=25" title="Edit section: Education and certification (US)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>As of May 2019<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Physician_assistant&action=edit">[update]</a></sup>, 243 accredited PA programs operated in the United States, with dozens more in development.<sup id="cite_ref-paeaonline.org_76-0" class="reference"><a href="#cite_note-paeaonline.org-76"><span class="cite-bracket">[</span>76<span class="cite-bracket">]</span></a></sup> Most educational programs are <a href="/wiki/Postgraduate_education" title="Postgraduate education">graduate programs</a> leading to the award of <a href="/wiki/Master%27s_degree" title="Master's degree">master's degrees</a> in either Physician Assistant Studies, Health Science (<a href="/wiki/Master_of_Health_Science" title="Master of Health Science">Master of Health Science</a>), or Medical Science (MMSc), and require a <a href="/wiki/Bachelor%27s_degree" title="Bachelor's degree">bachelor's degree</a> and <a href="/wiki/Graduate_Record_Examination" class="mw-redirect" title="Graduate Record Examination">Graduate Record Examination</a> or <a href="/wiki/Medical_College_Admission_Test" title="Medical College Admission Test">Medical College Admission Test</a> scores for entry. The majority of PA programs in the United States employ the <a href="/wiki/CASPA" title="CASPA">CASPA</a> application for selecting students.<sup id="cite_ref-paeaonline.org_76-1" class="reference"><a href="#cite_note-paeaonline.org-76"><span class="cite-bracket">[</span>76<span class="cite-bracket">]</span></a></sup> Professional licensure is regulated by <a href="/wiki/U.S._state" title="U.S. state">state</a> medical boards. PA students train at medical schools and academic medical centers across the country. </p> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Physician_Assistant_Program_at_ODU.jpg" class="mw-file-description"><noscript><img src="//upload.wikimedia.org/wikipedia/commons/thumb/e/e4/Physician_Assistant_Program_at_ODU.jpg/220px-Physician_Assistant_Program_at_ODU.jpg" decoding="async" width="220" height="147" class="mw-file-element" data-file-width="6048" data-file-height="4032"></noscript><span class="lazy-image-placeholder" style="width: 220px;height: 147px;" data-mw-src="//upload.wikimedia.org/wikipedia/commons/thumb/e/e4/Physician_Assistant_Program_at_ODU.jpg/220px-Physician_Assistant_Program_at_ODU.jpg" data-width="220" data-height="147" data-srcset="//upload.wikimedia.org/wikipedia/commons/thumb/e/e4/Physician_Assistant_Program_at_ODU.jpg/330px-Physician_Assistant_Program_at_ODU.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/e/e4/Physician_Assistant_Program_at_ODU.jpg/440px-Physician_Assistant_Program_at_ODU.jpg 2x" data-class="mw-file-element"> </span></a><figcaption>Physician Assistant Program at ODU</figcaption></figure> <p>PA education is based on medical education;<sup id="cite_ref-77" class="reference"><a href="#cite_note-77"><span class="cite-bracket">[</span>77<span class="cite-bracket">]</span></a></sup> it typically requires 2 to 3 years of full-time graduate study like most master's degrees.<sup id="cite_ref-78" class="reference"><a href="#cite_note-78"><span class="cite-bracket">[</span>78<span class="cite-bracket">]</span></a></sup> (Medical school lasts four years plus a specialty-specific residency.) Training consists of classroom and laboratory instruction in medical and behavioral sciences, followed by clinical rotations in internal medicine, family medicine, surgery, pediatrics, obstetrics and gynecology, emergency medicine, and geriatric medicine, as well as elective rotations.<sup id="cite_ref-79" class="reference"><a href="#cite_note-79"><span class="cite-bracket">[</span>79<span class="cite-bracket">]</span></a></sup> PAs are not required to complete residencies after they complete their schooling (unlike physicians). Postgraduate training programs are offered in certain specialties for PAs, though these are optional and shorter in length than medical residency.<sup id="cite_ref-80" class="reference"><a href="#cite_note-80"><span class="cite-bracket">[</span>80<span class="cite-bracket">]</span></a></sup> </p><p>PA clinical postgraduate programs are clinical training programs that differ from on the job training given their inclusion of education and supervised clinical experience to meet learning objectives.<sup id="cite_ref-Polansky_2007_100–108_81-0" class="reference"><a href="#cite_note-Polansky_2007_100%E2%80%93108-81"><span class="cite-bracket">[</span>81<span class="cite-bracket">]</span></a></sup> Montefiore Medical Center Postgraduate Surgical Physician Assistant Program was established in 1971 as the first recognized clinical postgraduate PA program.<sup id="cite_ref-Polansky_2007_100–108_81-1" class="reference"><a href="#cite_note-Polansky_2007_100%E2%80%93108-81"><span class="cite-bracket">[</span>81<span class="cite-bracket">]</span></a></sup> 49 programs address specialties such as Neurology, Trauma/Critical Care and Oncology. 50 programs joined the Association of Postgraduate Physician Assistant Programs to establish educational standards for postgraduate PA programs.<sup id="cite_ref-Polansky_2007_100–108_81-2" class="reference"><a href="#cite_note-Polansky_2007_100%E2%80%93108-81"><span class="cite-bracket">[</span>81<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Polansky_2012_39–45_82-0" class="reference"><a href="#cite_note-Polansky_2012_39%E2%80%9345-82"><span class="cite-bracket">[</span>82<span class="cite-bracket">]</span></a></sup> </p><p>In the United States, a graduate from an accredited PA program must pass the NCCPA-administered Physician Assistant National Certifying Exam (<a href="/wiki/PANCE" class="mw-redirect" title="PANCE">PANCE</a>) before becoming a PA-C; this certification is required for licensure in all states.<sup id="cite_ref-83" class="reference"><a href="#cite_note-83"><span class="cite-bracket">[</span>83<span class="cite-bracket">]</span></a></sup> The content of the exam is covered in the PANCE BLUEPRINT. In addition, a PA must log 100 <a href="/wiki/Continuing_medical_education" title="Continuing medical education">Continuing Medical Education</a> hours and reregister his or her certificate with the NCCPA every two years. Every ten years (formerly six years), a PA must also recertify by successfully completing the Physician Assistant National Recertifying Exam (<a href="/wiki/PANRE" class="mw-redirect" title="PANRE">PANRE</a>)<sup id="cite_ref-84" class="reference"><a href="#cite_note-84"><span class="cite-bracket">[</span>84<span class="cite-bracket">]</span></a></sup> There is a growing number of doctoral programs for certified PAs leading to a <a href="/wiki/Doctor_of_Medical_Science" title="Doctor of Medical Science">Doctor of Medical Science</a> (DMSc) but there is no requirement for one to have a doctorate in order to practice. "National Physician Assistant Week" is celebrated annually in the US from October 6 through October 12. This week was chosen to commemorate the anniversary of the first graduating physician assistant class at Duke University on October 6, 1967.<sup id="cite_ref-85" class="reference"><a href="#cite_note-85"><span class="cite-bracket">[</span>85<span class="cite-bracket">]</span></a></sup> October 6 is also the birthday of the profession's founder, Eugene A. Stead Jr., MD.<sup id="cite_ref-86" class="reference"><a href="#cite_note-86"><span class="cite-bracket">[</span>86<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Scope_of_practice_(US)"><span id="Scope_of_practice_.28US.29"></span>Scope of practice (US)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=26" title="Edit section: Scope of practice (US)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>Physician assistants have their own licenses with distinct scope of practice.<sup id="cite_ref-87" class="reference"><a href="#cite_note-87"><span class="cite-bracket">[</span>87<span class="cite-bracket">]</span></a></sup> Each of the 50 states has different laws regarding the prescription of medications by PAs and the licensing authority granted to each category within that particular state through the <a href="/wiki/Drug_Enforcement_Administration" title="Drug Enforcement Administration">Drug Enforcement Administration</a> (DEA).<sup id="cite_ref-88" class="reference"><a href="#cite_note-88"><span class="cite-bracket">[</span>88<span class="cite-bracket">]</span></a></sup> PAs in Kentucky and Puerto Rico are not allowed to prescribe any <a href="/wiki/Controlled_substance" title="Controlled substance">controlled substances</a>. Several other states place a limit on the type of <a href="/wiki/Controlled_Substances_Act" title="Controlled Substances Act">controlled substance</a> or the quantity that can be prescribed, dispensed, or administered by a PA.<sup id="cite_ref-89" class="reference"><a href="#cite_note-89"><span class="cite-bracket">[</span>89<span class="cite-bracket">]</span></a></sup> Depending upon the specific laws of any given state board of medicine, the PA must have a formal relationship on file with a <a href="/wiki/Collaborative" class="mw-redirect" title="Collaborative">collaborative</a> physician. The collaborating physician must also be licensed in the state in which the PA is working, although he or she may physically be located elsewhere. Physician collaboration can be in person, by <a href="/wiki/Telecommunication" class="mw-redirect" title="Telecommunication">telecommunication systems</a> or by other reliable means (for example, availability for consultation). In <a href="/wiki/Emergency_department" title="Emergency department">emergency departments</a> the laws governing PA practice differ by state, generally allowing a broad scope of practice and limited direct supervision.<sup id="cite_ref-90" class="reference"><a href="#cite_note-90"><span class="cite-bracket">[</span>90<span class="cite-bracket">]</span></a></sup> </p><p>During the COVID-19 pandemic, several state governments changed regulations regarding PA scope of practice, including: </p> <ul><li>On May 21, 2020, the law S.B. 1915 was signed by Oklahoma Governor <a href="/wiki/Kevin_Stitt" title="Kevin Stitt">Kevin Stitt</a>. This law allows Physician Assistants to become primary care providers and receive direct pay from insurers. The reference of "supervision" was changed to "delegating" in regards to physician responsibility. This law also allows PAs to legally volunteer in the case of disaster or emergency.<sup id="cite_ref-91" class="reference"><a href="#cite_note-91"><span class="cite-bracket">[</span>91<span class="cite-bracket">]</span></a></sup></li> <li>On May 27, 2020, Governor <a href="/wiki/Tim_Walz" title="Tim Walz">Tim Walz</a> signed into Minnesota law the Omnibus Healthcare Bill S.F. 13. This law removes references to physician responsibility of supervision and delegation of care provided by PAs. The law also removes delegated prescriptive authority.<sup id="cite_ref-92" class="reference"><a href="#cite_note-92"><span class="cite-bracket">[</span>92<span class="cite-bracket">]</span></a></sup></li></ul> <div class="mw-heading mw-heading4"><h4 id="Employment_(US)"><span id="Employment_.28US.29"></span>Employment (US)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=27" title="Edit section: Employment (US)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>The first employer of PAs was the then-Veterans Administration, known today as the <a href="/wiki/United_States_Department_of_Veterans_Affairs" title="United States Department of Veterans Affairs">Department of Veterans Affairs</a>. Today it is the largest single employer of PAs, employing nearly 2,000.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (September 2021)">citation needed</span></a></i>]</sup> </p><p>According to the AAPA, as of 2020 there are more than 148,560 certified PAs in the United States, up from 115,547 in 2016.<sup id="cite_ref-93" class="reference"><a href="#cite_note-93"><span class="cite-bracket">[</span>93<span class="cite-bracket">]</span></a></sup> </p><p><i>Money</i> magazine, in conjunction with Salary.com, listed the PA profession as the "fifth best job in America" in May 2006, based both on salary and job prospects, and on an anticipated 10-year job growth of 49.65%.<sup id="cite_ref-94" class="reference"><a href="#cite_note-94"><span class="cite-bracket">[</span>94<span class="cite-bracket">]</span></a></sup> In 2010, CNN Money rated the physician assistant career as the number two best job in America.<sup id="cite_ref-95" class="reference"><a href="#cite_note-95"><span class="cite-bracket">[</span>95<span class="cite-bracket">]</span></a></sup> In 2012, Forbes rated the physician assistant degree as the number one master's degree for jobs.<sup id="cite_ref-96" class="reference"><a href="#cite_note-96"><span class="cite-bracket">[</span>96<span class="cite-bracket">]</span></a></sup> In 2015, Glassdoor rated physician assistant as the number one best job in America.<sup id="cite_ref-97" class="reference"><a href="#cite_note-97"><span class="cite-bracket">[</span>97<span class="cite-bracket">]</span></a></sup> In 2021, U.S. News & World Report rated physician assistant as the number one best job in America.<sup id="cite_ref-98" class="reference"><a href="#cite_note-98"><span class="cite-bracket">[</span>98<span class="cite-bracket">]</span></a></sup> </p><p>The US Department of Labor Bureau of Labor Statistics report on PAs states, "...Employment of physician assistants is projected to grow 37 percent from 2016 to 2026, much faster than the average for all occupations..."<sup id="cite_ref-99" class="reference"><a href="#cite_note-99"><span class="cite-bracket">[</span>99<span class="cite-bracket">]</span></a></sup> This is due to several factors, including an expanding health care industry, an aging <a href="/wiki/Baby_boomer" class="mw-redirect" title="Baby boomer">baby-boomer</a> population, concerns for cost containment, and newly implemented restrictions to shorten physician <a href="/wiki/Residency_(medicine)" title="Residency (medicine)">resident</a> work hours. </p><p>In the 2008 AAPA census, 56 percent of responding PAs worked in physicians' offices or clinics and 24 percent were employed by <a href="/wiki/Hospital" title="Hospital">hospitals</a>.<sup id="cite_ref-100" class="reference"><a href="#cite_note-100"><span class="cite-bracket">[</span>100<span class="cite-bracket">]</span></a></sup> The remainder were employed in <a href="/wiki/Public_health" title="Public health">public health</a> clinics, nursing homes, schools, prisons, home <a href="/wiki/Health_care" title="Health care">health care</a> agencies, and the <a href="/wiki/United_States_Department_of_Veterans_Affairs" title="United States Department of Veterans Affairs">United States Department of Veterans Affairs</a><sup id="cite_ref-101" class="reference"><a href="#cite_note-101"><span class="cite-bracket">[</span>101<span class="cite-bracket">]</span></a></sup> Fifteen percent of responding PAs work in counties classified as non-metropolitan by Economic Research Service of the <a href="/wiki/United_States_Department_of_Agriculture" title="United States Department of Agriculture">United States Department of Agriculture</a>;<sup id="cite_ref-102" class="reference"><a href="#cite_note-102"><span class="cite-bracket">[</span>102<span class="cite-bracket">]</span></a></sup> approximately 17% of the US population resides in these <a href="/wiki/County_(United_States)" title="County (United States)">counties</a>.<sup id="cite_ref-103" class="reference"><a href="#cite_note-103"><span class="cite-bracket">[</span>103<span class="cite-bracket">]</span></a></sup> </p><p>For PAs in primary care practice, <a href="/wiki/Malpractice" title="Malpractice">malpractice</a> insurance policies with $100,000–300,000 in coverage can cost less than $600 per year; premiums are higher for PAs in higher-risk specialties.<sup id="cite_ref-104" class="reference"><a href="#cite_note-104"><span class="cite-bracket">[</span>104<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Compensation_(US)"><span id="Compensation_.28US.29"></span>Compensation (US)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=28" title="Edit section: Compensation (US)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>According to Bureau of Labor Statistics, in 2020 the median pay for physician assistants working full-time was $115,390 per year or $55.48 per hour, and the highest 10 percent earned more than $162,470.<sup id="cite_ref-105" class="reference"><a href="#cite_note-105"><span class="cite-bracket">[</span>105<span class="cite-bracket">]</span></a></sup> Physician assistants in emergency medicine, dermatology, and surgical subspecialties may earn up to $200,000 per year.<sup id="cite_ref-106" class="reference"><a href="#cite_note-106"><span class="cite-bracket">[</span>106<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Federal_government,_uniformed_services,_and_US_armed_forces_(US)"><span id="Federal_government.2C_uniformed_services.2C_and_US_armed_forces_.28US.29"></span>Federal government, uniformed services, and US armed forces (US)</h4><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=29" title="Edit section: Federal government, uniformed services, and US armed forces (US)" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>PAs are employed by the <a href="/wiki/State_Department" class="mw-redirect" title="State Department">United States Department of State</a> as <i>foreign service health practitioners</i>. PAs working in this capacity may be deployed anywhere in the world where there is a State Department facility.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> They provide primary care to US government employees and their families in American embassies and consulates around the world.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> An important part of their jobs is to get to know what resources are available locally that they can count on in an emergency. They have other important roles, such as advising their ambassadors on the health situation in the country and provide health education to the diplomatic community. In order to be considered for the position, these PAs must be licensed and have at least two years of recent experience in primary care.<sup id="cite_ref-107" class="reference"><a href="#cite_note-107"><span class="cite-bracket">[</span>107<span class="cite-bracket">]</span></a></sup> </p> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Physician_Assistants_DVIDS31599.jpg" class="mw-file-description"><noscript><img src="//upload.wikimedia.org/wikipedia/commons/thumb/1/1b/Physician_Assistants_DVIDS31599.jpg/220px-Physician_Assistants_DVIDS31599.jpg" decoding="async" width="220" height="146" class="mw-file-element" data-file-width="1800" data-file-height="1192"></noscript><span class="lazy-image-placeholder" style="width: 220px;height: 146px;" data-mw-src="//upload.wikimedia.org/wikipedia/commons/thumb/1/1b/Physician_Assistants_DVIDS31599.jpg/220px-Physician_Assistants_DVIDS31599.jpg" data-width="220" data-height="146" data-srcset="//upload.wikimedia.org/wikipedia/commons/thumb/1/1b/Physician_Assistants_DVIDS31599.jpg/330px-Physician_Assistants_DVIDS31599.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/1/1b/Physician_Assistants_DVIDS31599.jpg/440px-Physician_Assistants_DVIDS31599.jpg 2x" data-class="mw-file-element"> </span></a><figcaption>Physician Assistant in the US Army</figcaption></figure> <p>Military PAs serve in the <a href="/wiki/White_House_Medical_Unit" title="White House Medical Unit">White House Medical Unit</a>, where they provide care to the president and vice president and their families as well as White House staff.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> </p><p>They are employed by several organizations with the intelligence community, specifically the Central Intelligence Agency.<sup id="cite_ref-:1_108-0" class="reference"><a href="#cite_note-:1-108"><span class="cite-bracket">[</span>108<span class="cite-bracket">]</span></a></sup> While much of the job description is classified, they work under the Directorate of Support and are deployed to "austere environments" where they provide medical care, including trauma stabilization, and teach in the fields of survival, field medicine, and tactical combat casualty care.<sup id="cite_ref-:1_108-1" class="reference"><a href="#cite_note-:1-108"><span class="cite-bracket">[</span>108<span class="cite-bracket">]</span></a></sup> </p><p><a href="/wiki/United_States_Army" title="United States Army">United States Army</a> PAs serve as <a href="/wiki/Army_Medical_Department_(United_States)#Medical_Specialist_Corps_(SP)" title="Army Medical Department (United States)">Medical Specialist Corps</a> <a href="/wiki/Officer_(armed_forces)" title="Officer (armed forces)">officers</a>, typically within Army combat or combat support <a href="/wiki/Battalion" title="Battalion">battalions</a> located in the <a href="/wiki/Continental_United_States" class="mw-redirect" title="Continental United States">continental United States</a>, <a href="/wiki/Alaska" title="Alaska">Alaska</a>, <a href="/wiki/Hawaii" title="Hawaii">Hawaii</a>, and overseas.<sup id="cite_ref-109" class="reference"><a href="#cite_note-109"><span class="cite-bracket">[</span>109<span class="cite-bracket">]</span></a></sup> These include <a href="/wiki/Infantry" title="Infantry">infantry</a>, <a href="/wiki/Armor" class="mw-redirect" title="Armor">armor</a>, <a href="/wiki/Cavalry" title="Cavalry">cavalry</a>, <a href="/wiki/Airborne_forces" title="Airborne forces">airborne</a>, <a href="/wiki/Artillery" title="Artillery">artillery</a>, and (if the PA qualifies) <a href="/wiki/Special_forces" title="Special forces">special forces</a> units. They serve as the "front line" of Army medicine and along with <a href="/wiki/Combat_medic" title="Combat medic">combat medics</a> are responsible for the total health care of soldiers assigned to their unit, as well as of their family members.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> </p><p>PAs also serve in the <a href="/wiki/United_States_Air_Force" title="United States Air Force">Air Force</a> and <a href="/wiki/United_States_Navy" title="United States Navy">Navy</a> as clinical practitioners and <a href="/wiki/Aviation_medicine" title="Aviation medicine">aviation medicine</a> specialists, as well as in the <a href="/wiki/United_States_Coast_Guard" title="United States Coast Guard">Coast Guard</a> and <a href="/wiki/United_States_Public_Health_Service" title="United States Public Health Service">Public Health Service</a>. The skills required for these PAs are similar to that of their civilian colleagues, but additional training is provided in advanced casualty care, medical management of chemical injuries, <a href="/wiki/Aviation_medicine" title="Aviation medicine">aviation medicine</a>, and <a href="/wiki/Military_medicine" title="Military medicine">military medicine</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2023)">citation needed</span></a></i>]</sup> In addition, military PAs are also required to meet the officer commissioning requirements, and maintain the professional and physical readiness standards of their respective services.<sup id="cite_ref-110" class="reference"><a href="#cite_note-110"><span class="cite-bracket">[</span>110<span class="cite-bracket">]</span></a></sup> </p><p>The marine physician assistant is a US Merchant Marine staff officer. A certificate of registry is granted through The United States Coast Guard National Maritime Center located in Martinsburg, West Virginia.<sup id="cite_ref-111" class="reference"><a href="#cite_note-111"><span class="cite-bracket">[</span>111<span class="cite-bracket">]</span></a></sup> Formal training programs for marine physician assistants began in September, 1966 at the Public Service Health Hospital located in Staten Island, N.Y.<sup id="cite_ref-112" class="reference"><a href="#cite_note-112"><span class="cite-bracket">[</span>112<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="South_Korea">South Korea</h3><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=30" title="Edit section: South Korea" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div> <p>On 28 August 2024, the National Assembly passed a bill that would authorize some nurses to aid physicians: "The bill, which authorizes physician assistant nurses to support physicians during surgery and handle some duties presently reserved for doctors."<sup id="cite_ref-113" class="reference"><a href="#cite_note-113"><span class="cite-bracket">[</span>113<span class="cite-bracket">]</span></a></sup> </p> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(7)"><span class="indicator mf-icon mf-icon-expand mf-icon--small"></span><h2 id="References">References</h2><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=31" title="Edit section: References" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div><section class="mf-section-7 collapsible-block" id="mf-section-7"> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-auto-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-auto_1-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-auto_1-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-auto_1-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.thepalife.com/physician-assistants-pas-and-associates-around-the-world/">"Where PAs and Physician Associates Can Work Internationally"</a>. <i>The Physician Assistant Life</i>. 11 December 2018<span class="reference-accessdate">. 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(2023-06-06). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10242803">"The influence of government policies on the nurse practitioner and physician assistant workforce in the Netherlands, 2000–2022: a multimethod approach study"</a>. <i>BMC Health Services Research</i>. <b>23</b> (1): 580. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1186%2Fs12913-023-09568-4">10.1186/s12913-023-09568-4</a></span>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a> <a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/1472-6963">1472-6963</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a> <span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10242803">10242803</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/37280653">37280653</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=BMC+Health+Services+Research&rft.atitle=The+influence+of+government+policies+on+the+nurse+practitioner+and+physician+assistant+workforce+in+the+Netherlands%2C+2000%E2%80%932022%3A+a+multimethod+approach+study&rft.volume=23&rft.issue=1&rft.pages=580&rft.date=2023-06-06&rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC10242803%23id-name%3DPMC&rft.issn=1472-6963&rft_id=info%3Apmid%2F37280653&rft_id=info%3Adoi%2F10.1186%2Fs12913-023-09568-4&rft.aulast=Dankers-de+Mari&rft.aufirst=Ellen+J.+C.+M.&rft.au=van+Vught%2C+Anneke+J.+A.+H.&rft.au=Visee%2C+Hetty+C.&rft.au=Laurant%2C+Miranda+G.+H.&rft.au=Batenburg%2C+Ronald&rft.au=Jeurissen%2C+Patrick+P.+T.&rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC10242803&rfr_id=info%3Asid%2Fen.wikipedia.org%3APhysician+assistant" class="Z3988"></span></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFRadiDentAllenAnderson2023" class="citation journal cs1">Radi, Joshua K.; Dent, Robert A.; Allen, Cesar A.; Anderson, Jeffrey A.; Atkins, J. Brandon; Schneider, Matthew (2023). <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/37042506/">"Combating Fentanyl: National Guard Physician Assistants on the Front Lines of America's War Against Synthetic Opioids"</a>. <i>Medical Journal (Fort Sam Houston, Tex.)</i> (Per 23-4/5/6): <span class="nowrap">50–</span>59. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a> <a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/2694-3611">2694-3611</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/37042506">37042506</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Medical+Journal+%28Fort+Sam+Houston%2C+Tex.%29&rft.atitle=Combating+Fentanyl%3A+National+Guard+Physician+Assistants+on+the+Front+Lines+of+America%27s+War+Against+Synthetic+Opioids&rft.issue=Per+23-4%2F5%2F6&rft.pages=%3Cspan+class%3D%22nowrap%22%3E50-%3C%2Fspan%3E59&rft.date=2023&rft_id=info%3Apmid%2F37042506&rft.issn=2694-3611&rft.aulast=Radi&rft.aufirst=Joshua+K.&rft.au=Dent%2C+Robert+A.&rft.au=Allen%2C+Cesar+A.&rft.au=Anderson%2C+Jeffrey+A.&rft.au=Atkins%2C+J.+Brandon&rft.au=Schneider%2C+Matthew&rft_id=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F37042506%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3APhysician+assistant" class="Z3988"></span></li></ul> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(8)"><span class="indicator mf-icon mf-icon-expand mf-icon--small"></span><h2 id="External_links">External links</h2><span class="mw-editsection"> <a role="button" href="/w/index.php?title=Physician_assistant&action=edit&section=32" title="Edit section: External links" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> <span class="minerva-icon minerva-icon--edit"></span> <span>edit</span> </a> </span> </div><section class="mf-section-8 collapsible-block" id="mf-section-8"> <style data-mw-deduplicate="TemplateStyles:r1235681985">.mw-parser-output .side-box{margin:4px 0;box-sizing:border-box;border:1px solid #aaa;font-size:88%;line-height:1.25em;background-color:var(--background-color-interactive-subtle,#f8f9fa);display:flow-root}.mw-parser-output .side-box-abovebelow,.mw-parser-output .side-box-text{padding:0.25em 0.9em}.mw-parser-output .side-box-image{padding:2px 0 2px 0.9em;text-align:center}.mw-parser-output .side-box-imageright{padding:2px 0.9em 2px 0;text-align:center}@media(min-width:500px){.mw-parser-output .side-box-flex{display:flex;align-items:center}.mw-parser-output .side-box-text{flex:1;min-width:0}}@media(min-width:720px){.mw-parser-output .side-box{width:238px}.mw-parser-output .side-box-right{clear:right;float:right;margin-left:1em}.mw-parser-output .side-box-left{margin-right:1em}}</style><style data-mw-deduplicate="TemplateStyles:r1237033735">@media print{body.ns-0 .mw-parser-output .sistersitebox{display:none!important}}@media screen{html.skin-theme-clientpref-night .mw-parser-output .sistersitebox img[src*="Wiktionary-logo-en-v2.svg"]{background-color:white}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .sistersitebox img[src*="Wiktionary-logo-en-v2.svg"]{background-color:white}}</style><div class="side-box side-box-right plainlinks sistersitebox"><style data-mw-deduplicate="TemplateStyles:r1126788409">.mw-parser-output .plainlist ol,.mw-parser-output .plainlist ul{line-height:inherit;list-style:none;margin:0;padding:0}.mw-parser-output .plainlist ol li,.mw-parser-output .plainlist ul li{margin-bottom:0}</style> <div class="side-box-flex"> <div class="side-box-image"><span class="noviewer" typeof="mw:File"><a href="/wiki/File:Commons-logo.svg" class="mw-file-description"><noscript><img alt="" src="//upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/30px-Commons-logo.svg.png" decoding="async" width="30" height="40" class="mw-file-element" data-file-width="1024" data-file-height="1376"></noscript><span class="lazy-image-placeholder" style="width: 30px;height: 40px;" data-mw-src="//upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/30px-Commons-logo.svg.png" data-alt="" data-width="30" data-height="40" data-srcset="//upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/45px-Commons-logo.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/59px-Commons-logo.svg.png 2x" data-class="mw-file-element"> </span></a></span></div> <div class="side-box-text plainlist">Wikimedia Commons has media related to <span style="font-weight: bold; font-style: italic;"><a href="https://commons.wikimedia.org/wiki/Category:Physician_assistants" class="extiw" title="commons:Category:Physician assistants">Physician assistants</a></span>.</div></div> </div> <ul><li><a rel="nofollow" class="external text" href="http://www.aapa.org/">American Academy of Physician Associates (AAPA)</a></li> <li><a rel="nofollow" class="external text" href="http://www.paeaonline.org/">Physician Assistant Education Association</a></li> <li><a rel="nofollow" class="external text" href="https://nccpa.net/">National Commission on Certification of Physician Assistants (NCCPA)</a></li> <li><a rel="nofollow" class="external text" href="http://www.arc-pa.org/">Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)</a></li> <li><a rel="nofollow" class="external text" href="http://www.capa-acam.ca/">Canadian Association of Physician Assistants CAPA</a></li> <li><a rel="nofollow" class="external text" href="https://www.fparcp.co.uk/">The Faculty of Physician Associates at the Royal College of Physicians (FPA)</a></li> <li><a rel="nofollow" class="external text" href="https://web.archive.org/web/20130622024612/http://physicianassistant.co.il/">Israeli Association of Physician Assistants</a></li> <li>NCAHP, MOHFW, Government of India:: <a rel="nofollow" class="external free" href="https://ncahp.abdm.gov.in/">https://ncahp.abdm.gov.in/</a><sup class="noprint Inline-Template"><span style="white-space: nowrap;">[<i><a href="/wiki/Wikipedia:Link_rot" title="Wikipedia:Link rot"><span title=" Dead link tagged November 2024">dead link</span></a></i><span style="visibility:hidden; color:transparent; padding-left:2px"></span>]</span></sup></li></ul> <style data-mw-deduplicate="TemplateStyles:r1130092004">.mw-parser-output .portal-bar{font-size:88%;font-weight:bold;display:flex;justify-content:center;align-items:baseline}.mw-parser-output .portal-bar-bordered{padding:0 2em;background-color:#fdfdfd;border:1px solid #a2a9b1;clear:both;margin:1em auto 0}.mw-parser-output .portal-bar-related{font-size:100%;justify-content:flex-start}.mw-parser-output .portal-bar-unbordered{padding:0 1.7em;margin-left:0}.mw-parser-output .portal-bar-header{margin:0 1em 0 0.5em;flex:0 0 auto;min-height:24px}.mw-parser-output .portal-bar-content{display:flex;flex-flow:row wrap;flex:0 1 auto;padding:0.15em 0;column-gap:1em;align-items:baseline;margin:0;list-style:none}.mw-parser-output .portal-bar-content-related{margin:0;list-style:none}.mw-parser-output .portal-bar-item{display:inline-block;margin:0.15em 0.2em;min-height:24px;line-height:24px}@media screen and (max-width:768px){.mw-parser-output .portal-bar{font-size:88%;font-weight:bold;display:flex;flex-flow:column wrap;align-items:baseline}.mw-parser-output .portal-bar-header{text-align:center;flex:0;padding-left:0.5em;margin:0 auto}.mw-parser-output .portal-bar-related{font-size:100%;align-items:flex-start}.mw-parser-output .portal-bar-content{display:flex;flex-flow:row wrap;align-items:center;flex:0;column-gap:1em;border-top:1px solid #a2a9b1;margin:0 auto;list-style:none}.mw-parser-output .portal-bar-content-related{border-top:none;margin:0;list-style:none}}.mw-parser-output .navbox+link+.portal-bar,.mw-parser-output .navbox+style+.portal-bar,.mw-parser-output .navbox+link+.portal-bar-bordered,.mw-parser-output .navbox+style+.portal-bar-bordered,.mw-parser-output .sister-bar+link+.portal-bar,.mw-parser-output .sister-bar+style+.portal-bar,.mw-parser-output .portal-bar+.navbox-styles+.navbox,.mw-parser-output .portal-bar+.navbox-styles+.sister-bar{margin-top:-1px}</style><div class="portal-bar noprint metadata noviewer portal-bar-bordered" role="navigation" aria-label="Portals"><span class="portal-bar-header"><a href="/wiki/Wikipedia:Contents/Portals" title="Wikipedia:Contents/Portals">Portal</a>:</span><ul class="portal-bar-content"><li class="portal-bar-item"><span class="nowrap"><span typeof="mw:File"><span><noscript><img alt="icon" src="//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/WHO_Rod.svg/8px-WHO_Rod.svg.png" decoding="async" width="8" height="19" class="mw-file-element" data-file-width="107" data-file-height="250"></noscript><span class="lazy-image-placeholder" style="width: 8px;height: 19px;" data-mw-src="//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/WHO_Rod.svg/8px-WHO_Rod.svg.png" data-alt="icon" data-width="8" data-height="19" data-srcset="//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/WHO_Rod.svg/12px-WHO_Rod.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/d/d6/WHO_Rod.svg/16px-WHO_Rod.svg.png 2x" data-class="mw-file-element"> </span></span></span> </span><a href="/wiki/Portal:Medicine" title="Portal:Medicine">Medicine</a></li></ul></div> <!-- NewPP limit report Parsed by mw‐web.codfw.main‐9664bf54d‐vv6rs Cached time: 20250210164151 Cache expiry: 2592000 Reduced expiry: false Complications: [vary‐revision‐sha1, show‐toc] CPU time usage: 1.018 seconds Real time usage: 1.221 seconds Preprocessor visited node count: 11216/1000000 Post‐expand include size: 282296/2097152 bytes Template argument size: 23904/2097152 bytes Highest expansion depth: 23/100 Expensive parser function count: 19/500 Unstrip recursion depth: 1/20 Unstrip post‐expand size: 391239/5000000 bytes Lua time usage: 0.625/10.000 seconds Lua memory usage: 6728571/52428800 bytes Number of Wikibase entities loaded: 0/400 --> <!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 1096.883 1 -total 47.42% 520.179 1 Template:Reflist 29.94% 328.356 82 Template:Cite_web 15.34% 168.236 24 Template:Citation_needed 14.27% 156.571 25 Template:Fix 7.93% 87.011 1 Template:Short_description 7.65% 83.898 16 Template:Cite_journal 5.90% 64.746 1 Template:Multiple_issues 4.96% 54.390 1 Template:Commons_category 4.78% 52.451 52 Template:Category_handler --> <!-- Saved in parser cache with key enwiki:pcache:478859:|#|:idhash:canonical and timestamp 20250210164151 and revision id 1274312553. 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