Physician Assistant (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. (medical
assistants are discussed elsewhere in the Handbook.) 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 medications. PAs also may have
managerial duties. Some order medical supplies or equipment and supervise
technicians
and assistants.
Physician Assistant 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 1 or 2 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.
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Topic: Physician Assistant Working Conditions