A physician assistant (P.A.) is a licensed health professional who practices medicine under the supervision of a physician. A physician assistant provides a broad range of health care services that were traditionally performed by a doctor. What a physician assistant does varies with training, experience, and state law. In addition, the scope of the P.A.'s practice corresponds to the supervising physician's practice. In general, a physician assistant will see many of the same types of patients as the physician. The cases handled by physicians are generally the more complicated medical cases or those cases requiring care that is not a routine part of the P.A.'s scope of work. Referral to the physician, or close consultation between the patient, P.A., and physician, is done in unusual or hard to manage cases. Physician assistants are taught to know their limits and refer to or consult with physicians appropriately.
Pennsylvania Physician's Assistant Employment Agreement
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How to fill out Physician's Assistant Employment Agreement?
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No, a Physician Assistant cannot practice independently. Every Physician Assistant must be supervised by a licensed physician (either M.D. or D.O.). The supervising physician is responsible for all medical services provided by the Physician Assistant under their supervision and for following each patient's progress.
Physician Assistants are permitted to independently prescribe under the supervision of a MD (allopathic) supervisor. The list of medications the PA cannot prescribe are listed in the work agreement approved by the board.
Duties vary depending on the practice. A PAC who works in a plastic surgery practice may assist in surgery, while a physician assistant employed at a psychiatric practice may provide mental health assessments. No matter what the specialty or sub-specialty, PACs may: Obtain medical histories.
Physician assistants are not independent practitioners but practice-focused autonomous professionals delivering care in partnership with physicians, in a role described as negotiated performance autonomy.5 This relationship allows them to staff satellite clinic offices, provide on-call services in the practice, and
Often, a PA will share ownership in the practice with the supervising physician. In fact, the Medicare program has provided reimbursement to practices in which PAs share ownership since 2003. PAs have been authorized to own certified rural health clinics for over 30 years.
PAs are educated to work together with physicians in a collaborative, team-based approach. It is ideal for improving coordination of care and patient outcomes, says the American Academy of Physician Assistants (AAPA).
Massachusetts, North Carolina, Rhode Island, and Vermont provide an excellent practice environment and have all six key elements of a modern PA practice. The Bay State is one Northeastern state that allows PAs considerable autonomy.
On October 7, 2021, Governor Tom Wolf signed five new bills into law, including legislation that provides for permanent COVID-19 waivers that will give physician assistants more leeway and autonomy to practice in Pennsylvania.