Statement On
The "Highest Level" of PA Practice

April 2013

To practice at the "highest level" of PA practice:

1. The PA is licensed to practice medicine and is regulated in their state by a freestanding Board of PA Medicine or Examiners or an autonomous PA board under the BOM.

2. The PA is an autonomous medical care provider that is both a team member and team player. The PA collaborates with physicians and also other healthcare professionals whenever appropriate and the PA is responsible for the medical care the PA provides.

3. PAs manage, supervise, run and own clinics, offices and other sites that deliver healthcare as to increase access to that care. State regulations that are barriers to that goal should be responsibly removed or minimized.

4. Any barriers to PA practice such as chart review, co-signatures, ratios, geography, etc., must be proven by evidenced based research to actually improve care and not be a barrier for access to PA care. State regulations that are old and antiquated should be removed if not proven to increase PA quality of care.

5. PAs may be allowed to become partners in the medical practices or groups by the removal of state corporate limitations and restrictions.

6. PAs are encouraged to know their productivity and become familiar with whatever metrics are used to measure their work.

7. For those PAs with hospital privileges, the credentialing and privileging process shall be the same for PAs as for all other staff members. No arbitrary restrictions shall be placed on PA practice. A PA shall be able to practice any task or procedure for which they have demonstrated education and competence. PAs must be members of the credentialing committee and be a voting member for all PA credentialing/privileging matters. Hospital based PAs should be considered medical staff. 

8. The PAs name and credentials are listed publicly along with physicians, NPs and other professionals with whom they practice.

9. PAs are empaneled by insurance companies by specialty and all insurance restrictions of PA practice are removed.

10. PAs are allowed by federal rules and regulations as well as ACOs and insurance organizations to lead a patient centered medical home (PCMH).

11. Ideally, the PAs name will change to be representative of their profession which is not one of an "assistant," but a full clinician and/or associate.

12. The relationship with their patients is the one the PA holds as the highest. The patient and their needs as individuals are primary and above relationships with physicians and other health care providers.

The Board of Directors of the PAFT realizes that not all of these criteria will be met in every location in which PAs practice, but feels strongly that these should be the ideals that PA leaders look towards providing the PAs in their states as PAs join a practice or new employment situation. Putting the above suggestions in place would provide the PA profession with the greatest ability to make a difference to the American people who need access to high quality, cost effective patient care.


PAs for Tomorrow is a  professional organization for all PAs of all specialties.  It represents the future interests of all PAs, providing a vocal core group of PAs committed to seeing the PA profession reach its deserved place among America's health care providers and advocating for their role as providers of high-quality, cost-effective, comprehensive and patient-centered health care. 

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