Absolutely. PA practice has been extensively studied and evaluated, and PAs have been found to provide high-quality patient care. Even under existing administratively burdensome laws and regulations, many — if not most — PAs have their own panels of patients and often serve as a patient’s primary healthcare provider. State laws and regulations have simply not kept pace with the changes in the healthcare marketplace or the changing needs of patients and PA employers.
Whether a PA is highly experienced, a new graduate, or changing the specialty area in which they work, they would continue to practice in teams with physicians, and their scope of practice would be determined at the practice level. If a patient’s condition falls outside of a PA’s training, education, and experience, a PA will still consult with other healthcare providers and make referrals when appropriate. If they don’t, that PA will be subject to disciplinary action by the state medical board, just as any other medical provider would be.
Under Optimal Team Practice, a newly licensed PA would, at their place of employment, be able to report to or be supervised by a physician, a senior PA, or a chief PA rather than having a specific relationship with a physician. Every PA and PA employer will continue to be responsible for assuring that there is adequate access to consultation and back-up. Removing the requirement for a specific relationship between a PA and a physician does not diminish those responsibilities.