Top Careers: Physician Assistant and Ghostwriter

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As a senior practicing EM PA with more than a decade of experience, I am glad to see this article, although, it seems to imply much more supervision than is often there.  I routinely see patients with head trauma, renal stones, abdominal pain, a-fib and other conditions with almost no supervision. In fact, at one of the ER's I practice at, there is NO other practictioner on site. It's just me. I've cardioverted patients, placed chest tubes, and done more other procedures such as lumbar punctures than I can even possibly count. Supervision is part of our pedigree, although it can vary greatly. I also practice in a supervisory role at a large academic center, and the EM attendings will often consult me on Orthopedic and Neurologic conditions, and I will consult them on some other conditions. It is far more collaborative than delegatory.  PA graduates do not have that degree of latitude YET, nor do they advocate the greater latitude which evolves with our experienced PAs.  PA graduates often make the transition from PA school to full-fledged PA to PA house staff well, being well suited for these procedures, and with proper direction from the emergency medicine house staffs and faculty.  I also lecture to residents and medical students, and often precept medical students as well. %0d%0a%0d%0aAs far as NP's, I agree that they are also an integral part of our future, but I disagree with their pursuit of completely independent practice, as they are NOT MD's. Despite their new initiative of a DNP degree, which legally will create a minefield. (Plaintiffs atty: "So, how was the patient to know that you were NOT in fact an MD, as you go by the title "Doctor"?") I also have an issue with the fact that NP's only take their boards ONE time. PAs must recertify our boards every six years.  As well as 100 hours of CME (continuing medical education) every two years, which is equivalent to MD requirements. But the biggest problem with NP's, is that they are practicing health care, but governed by the nursing board. My view is, that if you wish to practice medicine, than you should be governed by the state medical board.  Those are only minor issues, but some of the differences. We need more of both quite frankly. %0d%0a%0d%0aAlso, we do not need "direct supervision" We need only available consult. One of my former peers is running his own primary care clinic in Florida. %0d%0a%0d%0aThe cost-effectiveness and excellence in patient care exhibited by seasoned PAs, new PAs, and PA-S in all aspects of medicine have been repeatedly evident, and are stressed by the increase in applications to, and the number of PA schools across the nation.  PAs proceed to meet this demand by allowing PA students to seek their clinical experiences.  There is a demonstrated need PAs aspects of cost-effective care, and the PA profession currently offers the viable, versatile enough solution in the health care system.  GO PAs!