Physicians Assistants Medical Role

In the world of medicine a fairly new career option has been growing over the last decade, that of Physicians Assistant, or more simply, a PA.

Though not a “doctor” in the classical sense, particularly since their medical education is not as long or extensive as that of a doctor, a PA is nevertheless a healthcare professional who has been trained and is licensed to practice medicine – however they are limited according to the supervision of a licensed physician.

PAs are licensed to do many of the same professional duties generally performed by a physician, including, examinations, collecting medical histories, diagnose illnesses, prescribe medicine, order treatments, and refer patients to necessary specialists.  There is a PA-Physician Practice Agreement which spells out exactly what the PA is allowed to legally do under the supervision of a physician. They are not allowed to go outside the scope of this document.

AURORA, CO - JULY 28: Physician's Assistant Ki...

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PAs  are allowed to practice in any medical field and often specialize in areas of surgery.  They often moved from one medical or surgical field to another during their careers, learning many different types of medical practices.

They have their own specific medical licenses which are different from those issued to physicians.  They work under the authority of this license and not as an appendage to the supervising physician’s license.

Depending upon the state in which the PA practices medicine, there are some limits according to that state’s laws regarding the PAs ability to prescribe medication.  These limits are imposed by the state through the Drug enforcement Administration. For example, PAs in Hawaii, Florida and Alabama are not allowed to prescribe any controlled substances at all.

Choosing a Specialty: Family Medicine and Pediatrics

If you’re in medical school, chances are you’re eyeing one of the five major specialties you’ll be going into after you graduate medical school. The five major specialties are internal medicine, surgery, psychiatry, family medicine, and pediatrics. Generally, internal medicine and surgery are more hospital-based, whereas family medicine and pediatrics are more office-based and psychiatry is a blend of both. Of course, there are exceptions to every rule; internal medicine specialists may very well work in a non-hospital office, for example. This article will give you some general facts and information about two of these specialties: family medicine and pediatrics.

1.) Family Medicine.
Family medicine is a primarily office-based and ambulatory profession. This profession deals with basic medical needs of the general population. This can include pediatrics, adults, and geriatrics. It’s a more generalized, less specialized profession that can make educated referrals to specialists when health problems fall outside their range of expertise. In addition, family medicine physicians manage all health care received by their respective patients. The benefits of family medicine include a stronger rapport and relationships with their patients than doctors in more specialized professions experience. Additionally, they don’t have call and may experience a better work-life balance than a physician in a more high-stress medical specialty. However, family medicine is currently experiencing a financial struggle brought on by the reimbursement system of insurance companies and many students may be unsatisfied with current family medical salaries in comparison to their student loan debt.

2.) Pediatrics.
Pediatrics parallels internal medicine, but with a completely different patient population. Pediatrics professionals specialize in the health concerns of children or young adults. Their respective sub-specialties can be in any specialty in medicine applicable to children, from oncology to rheumatology. Obviously, pediatrics professionals should enjoy working with young people and be able to communicate effectively with parents, particularly parents who are worried and oftentimes irrational.