Table of Contents
- Overview
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PAs in all 50 states, Washington, D.C., and Guam have prescriptive practice privileges. They may not receive direct third-party (insurance) reimbursement for their services, but their services are billed for through their supervising doctor or employer.
See also:
PRACTICE SETTINGS
PAs practice in a variety of settings in nearly every medical and surgical specialty area. Many practice within primary care areas, including family practice. Other common practice areas are general surgery, surgery specialties, and emergency medicine. The rest are involved in teaching, research, administration, or other nonclinical roles.
PAs may practice in any setting in which a physician provides care. This allows doctors to focus their skills and knowledge in a more effective way. PAs practice in both rural and inner city communities. About 30% of PAs practice in areas that have less than 50,000 people. The ability and willingness of PAs to practice in rural areas has improved the distribution of health care providers throughout the general population.
REGULATION OF PROFESSION
Like many other professions, physician assistants are regulated at two different levels. They are licensed at the state level according to specific state laws. Certification is established through a national organization. Requirements for minimal practice standards are consistent across all states.
Licensure: Laws specific to PA licensure may vary somewhat among the states. However, nearly all states require national certification before licensure.
All state laws require PAs to have a supervising doctor. This physician does not necessarily have to be onsite at the same location as the PA. Most states allow physician supervision by telephone communication with periodic site visits. Supervising doctors typically review and sign all visits the PA records in the patient's file.
Certification: In the early stages of the profession, the AAPA (American Association of Physician Assistants) joined with the AMA (American Medical Association) and the National Board of Medical Examiners to develop a national competency examination.
In 1975, an independent organization, the National Commission on Certification of Physician Assistants, was established to administer a certification program. This program includes an entry-level examination, continuing medical education, and periodic re-examination for recertification. Only physician assistants who are graduates of approved programs and have completed and maintained such certification may use the credentials PA-C (certified).
Review Date: 10/31/2009
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of
Physician Assistant Studies, University of Washington, School of
Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director,
A.D.A.M., Inc.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)
