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I think the less the person knows about PA's the more likely they are to underestimate what a PA is and can do. The "assistant' in the name sets the default assumption of equivalence to a medical assistant.

One other point: it's very unlikely that a brand new EMT will get a job making 911 emergency responses. In many areas, 911 response is provided by the fire department. FD's that do EMS usually require their members to have both fire and EMS certifications. Even in non-fire based EMS systems, there aren't that many jobs for new EMT's. It's the 911 experience that teaches much more than interfacility transports.

A better approach would be to get your EMT. Some colleges teach it, which would give you credit and a good way to boost your GPA. Otherwise, you can find classes at most vocational school. Then, become an ED tech. That will be much better experience than you'll get driving a private ambulance doing interfacility transfers.

I don't know. All of the formal presentations at the SEMPA conference were recorded and are available for CME. I don't know about the round table discussions.

SEMPA (Society of Emergency Medicine PA's) has an EMS group that is looking at this. There's basically 3 areas: Using PA's in EMS response to manage the "frequent flyers" and reduce transports to the ED. NP's tend to be more common due to supervisory requirements. Using PA's for expanded field interventions for critical patients. This is most often seen in flight agencies. However, as above NP's tend to be more common. Using PA's to provide online and offline medical direction. This year's SEMPA conference had a round table discussion with a number of PA's who are inv

I did corporate IT for 29 years before transitioning to medicine. My undergrad degree is computer science. As UGoLong said: if it's your co-ops that are making you not want to be an engineer, you need to get the same data on being a PA to see if that's something you'd really want to do. You need to shadow a number of PA's in different areas of medicine to see if any of those really appeal to you. Medicine is very different depending on what you practice: his cardiology work is very different than my EM work in hours, types of patients, etc. You wouldn't get that feel just by looking at a

And this is where we run into ACEP's greater political clout and funding. I don't disagree, the question becomes how to influence enough state legislators to get those laws changed.

My concern with ACEP's activities is that at least in one of my states (Ohio) they have a lot of political clout, which has been and could well continue to be a barrier to eliminating scope of practice restrictions and other parts of OTP. For example, Ohio law required an ED to have a physician on duty, and also that that on-duty physician can require a consultant service to have a physician come in and examine a patient vs having a PA who works for the specialist do it.

Short version: economic fear. Docs in some fields, especially EM it seems and derm, are worried about making less money and having fewer jobs. My opinion: some of this is because of COVID-19 related losses; some because NP's and PA's are having increased roles.

Me too - but of my local friends and colleagues in EM, I was the only 1 this luck - though I did get to hire 2 experienced PA's I knew for PT positions. Most of my colleagues from my old job at a L3 trauma center had hours cuts and/or lost their job and had to find something else - which usually took months.

Your best bet for EM PA school rotations would be in busy community hospitals where there are no residents, especially if they are also trauma centers, e.g. level III. You'll have the volume and the acuity but still have a good chance to be hands on with the higher acuity patients.

This came up a number of times at this year's SEMPA conference. I put a summary of many of the things I heard in the emergency medicine sub-forum, but essentially coming from a number of sources, including major EM staffing companies, EM PA's are not going away nor are they going to have their roles cut. On the other hand, when we had the massive drops in ED volumes, PA/NP hours were cut to preserve doc hours.

I would much rather see a statement that focuses "physician leadership" as leadership of the organization, not of the leadership of the care of each individual patient. I would much rather see a statement that says PA's practice autonomously, and consult other providers as appropriate, i.e. just as physicians consult other specialists.

Looking at a map of trauma centers will be helpful. It's possible that level 2 or level 3 trauma centers may see lots of challenging trauma patients based on geography. Level 1 trauma centers may not be close. Weather may not permit EMS to fly or drive the patient to the level 1 trauma center. Level 3 trauma centers often don't have residents.

Limitations can come from many sources: State laws and regulations: these set absolute barriers on what PA's can and can't do. They also vary from state to state. I'm licensed in 3 states and they have different rules about prescribing, procedural sedation, EMS direction, etc. Facility regulations: hospitals and other health care systems can set rules about what PA's can & can't do, e.g. through their credentialing processes. Supervisory agreements: the individual SP or physician practice can set limits. Yes, PA's can have multiple jobs, and be allowed to different