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Physician assistants (PAs) practice medicine under the supervision of physicians
and surgeons. They should not be confused with Medical assistants, who perform routine
clinical and clerical tasks. PAs are formally trained to provide
diagnostic, therapeutic, and preventive health care services, as delegated by a
physician. Working as members of the health care team, they take medical histories,
examine and treat patients, order and interpret laboratory tests and x rays, and
make diagnoses. They also treat minor injuries, by suturing, splinting, and casting.
PAs record progress notes, instruct and counsel patients, and order or carry out
therapy. In 48 States and the District of Columbia, physician assistants may prescribe
some medications. In some establishments, a PA is responsible for managerial duties,
such as ordering medical supplies or equipment and supervising technicians and assistants.
Physician assistants work under the supervision of a physician. However, PAs may
be the principal care providers in rural or inner city clinics where a physician
is present for only one or two days each week. In such cases, the PA confers with
the supervising physician and other medical professionals as needed and as required
by law. PAs also may make house calls or go to hospitals and nursing care facilities
to check on patients, after which they report back to the physician.
The duties of physician assistants are determined by the supervising physician and
by State law. Aspiring PAs should investigate the laws and regulations in the States
in which they wish to practice.
Many PAs work in primary care specialties, such as general internal medicine, pediatrics,
and family medicine. Other specialty areas include general and thoracic surgery,
emergency medicine, orthopedics, and geriatrics. PAs specializing in surgery provide
preoperative and postoperative care and may work as first or second assistants during
major surgery.