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Physician Assistants: PArtners in medicine Definition of PAs Physician Assistants (PAs) are licensed health professionals who Practice medicine with physician supervision Exercise autonomy in medical decision making Provide a broad range of diagnostic and therapeutic services

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slide4

Physician

Assistants:PArtnersin medicine

definition of pas
Definition of PAs

Physician Assistants (PAs) are licensed health professionals who

  • Practice medicine with physician supervision
  • Exercise autonomy in medical decision making
  • Provide a broad range of diagnostic and therapeutic services
  • May also perform educational, research, and administrative activities
pas practice medicine
PAsPractice Medicine
  • Perform physical exams and take patient histories
  • Diagnose and treat illnesses
  • Order and interpret laboratory tests
  • Assist in surgery
  • Write prescriptions (in nearly all states)
  • Provide patient education and counseling
slide10

PAs by Specialty

Other

14.4%

Emergency

Medicine

9.7%

Family/General

Medicine

26.5%

Surgery &

Surgical

Subspecialties

24.9%

Obstetrics/Gynecology

2.3%

Pediatrics &

Pediatric Subspecialties

4.0%

Internal Medicine

& IM Subspecialties

18.2%

Source: AAPA, 2006 Census

pa employers

Hospital

22.4%

PA Employers

HMO

2.1%

Group Practice

44.1%

Solo-Physician

Practice

12.9%

Other

18.5%

Source: AAPA, 2006 Census

community need
Community Need

“The geographic distribution of PAs more evenly matches the population than other primary care providers.

Seventh Report to the President

and Congress on the Status of Health

Personnel in the United States —

U.S. Department of Health and Human Services

pa distribution

PA Distribution

Northeast – 22.7%

North Central – 21.0%

West – 19.1%

Southeast – 23.7%

South Central – 13.4%

Source: AAPA, 2006 Census

where pas are authorized to prescribe

Where PAs are Authorizedto Prescribe

*

DC

No

Yes

*California PAs may write "drug orders" which, for the purposes of DEA registration, meet the federal definition of a prescription.

AK

HI

Guam

Source: AAPA 2007

pa education
PA Education
  • Averages 26 months
    • Competency-based rather than degree-based
  • First 9 to 12 months in classroom:
    • Anatomy
    • Biochemistry
    • Microbiology
    • Pathophysiology
    • Pharmacology
    • Physical Diagnosis
pa education18
PA Education
  • Second 12 to 15 months in rotations

(more than 50 weeks of clinical instruction)

    • Family Medicine
    • Emergency Medicine
    • Internal Medicine
    • Obstetrics and Gynecology
    • Pediatrics
    • Psychiatry
    • Surgery
slide19

States with AccreditedPA Programs

DC

Yes

No

AK

HI

Guam

Source: AAPA 2007

pa certification
PA Certification
  • States require national certification.
  • To obtain certification, a PA
    • Must be a graduate of an accredited PA program
    • Must pass the national exam administered by the National Commission on Certification of Physician Assistants (NCCPA)
pa certification22
PA Certification
  • To maintain national certification, a PA
    • Must log 100 hours of continuing medical education (CME) every 2 years
    • Must sit for recertification exam every 6 years
  • Only health care profession to require recertification by exam every 6 years
growth of the pa profession number of people eligible to practice as pas by year

Growth of the PA Profession(number of people eligible to practice as PAs by year)

80,000

70,000

60,000

50,000

40,000

30,000

20,000

10,000

0

70

75

80

85

90

96

97

98

99

00

01

02

03

04

05

06

Source: AAPA 2007

slide30

Physician

Assistants:PArtnersin medicine

pa fast facts

PA Fast Facts

There were approximately 64,000 practicing PAs as of January 2007.

231 million patient visits were made to PAs in 2006.

According to the U.S. Department of Labor, the number of PA jobs will grow faster than the national average for all professions, increasing by 50% between 2004 and 2014.

PAs wrote approximately 286 million prescriptions in 2006.

Source: AAPA 2007