dkuhns1 Posted February 27, 2012 Share Posted February 27, 2012 In follow-up to the recent thread from Glen Coombs about changing the title, there was a question as to what the role is called in the international setting. While there are 'Clinical Officers' and 'Medical Officers' used throughout Africa and a Venn diagram would show a fair amount of overlap, they are not necessarily the same as the US model. It is that American model, with over 40 years of history , and as evidenced through PubMed searches for 'Physician Assistants' (as opposed to the few citations with 'Physician Associate'), that has formed the foundation of the international development of the PA role. [TABLE] [TR] [TD]Country [/TD] [TD]Title[/TD] [TD]Comments[/TD] [/TR] [TR] [TD]Canada[/TD] [TD]Physician Assistant[/TD] [TD][/TD] [/TR] [TR] [TD]Netherlands[/TD] [TD]Master Physician Assistant[/TD] [TD][/TD] [/TR] [TR] [TD]United Kingdom[/TD] [TD]Physician Assistant[/TD] [TD]* ** See below[/TD] [/TR] [TR] [TD]Australia[/TD] [TD]Physician Assistant[/TD] [TD][/TD] [/TR] [TR] [TD]Kingdom of Saudi Arabia[/TD] [TD]Assistant Physician[/TD] [TD]Due to an issue around translation[/TD] [/TR] [TR] [TD]South Africa[/TD] [TD]Clinical Associate[/TD] [TD][/TD] [/TR] [TR] [TD]Germany[/TD] [TD]Physician Assistant[/TD] [TD]But still early in the evolution of the role and there is not yet a representative national professional or academic organization.[/TD] [/TR] [/TABLE] [TABLE] [TR] [TD]India[/TD] [TD] Physician Assistant[/TD] [TD][/TD] [/TR] [/TABLE] * Early in the evolution of the British model the plan was to call the role a 'Medical Care Practitioner', but after a survey was done of the public where they were told of the education, skill mix, and level of responsibility, the public nixed the MCP and other titles and felt that 'Physician Assistant' was the best option for the UK. **It is also important to know that within the UK's NHS there is an entity called an 'Associate Physician', which to my understanding is a doctor who falls out if their pyramid training (residency) scheme and is left to work in a specific area but will never be a fully qualified consultant (attending), so they are seen as a second class provider within that system. So no real interest in pursuing the 'Physician Associate' title in the UK. Thought that you should know. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 28, 2012 Moderator Share Posted February 28, 2012 Saudi arabia: Assistant physician mannitoba , canada: Clinical assistant Link to comment Share on other sites More sharing options...
jmj11 Posted February 28, 2012 Share Posted February 28, 2012 Saudi arabia: Assistant physicianmannitoba , canada: Clinical assistant In Arabic the possessive adjective must ALWAYS come before the noun. So to say, this is "his book,} in Arabic you literally say "this book his" (Haatha ketabu) So it only makes sense to them to say "Assistant Physician,: which translates literally "The Physician's Assistant." If you really wanted to say Physician Assistant (such as the Assistant Physician in English) that would probably be "doktor musiad". We would be better served if we used the term Physician Assistant in the Arabic speaking community than Assistant Physician. But again, my Arabic is rusty. Link to comment Share on other sites More sharing options...
dkuhns1 Posted February 28, 2012 Author Share Posted February 28, 2012 It was the Saudi's themselves who decided the title. Link to comment Share on other sites More sharing options...
dkuhns1 Posted February 28, 2012 Author Share Posted February 28, 2012 You were correct but now Manitoba is training Physician Assistants. See below: From: Canadian Family Physician March 2011 vol. 57 no. 3 e83-e88 [h=1]Physician assistants in Canada: Update on health policy initiative Jones, I. Hooker, R.[/h] "Manitoba Manitoba recognized it had challenges with its health care work force. In 1999, the Manitoba government, at the urgings of the College of Physicians and Surgeons of Manitoba, passed the clinical assistant (CA) registration amendment.16 This new and generic title permitted different experimental forms of clinical health care. Although the title of CA was purposefully nonspecific, Manitoba’s Minister of Health used the termphysician assistant in her declaration of this innovative legislation for the citizens of Manitoba. Initially PAs were identified as certified CAs and regulated by the Registrar of the College of Physicians and Surgeons under the Manitoba Medical Act.16 This regulation formalized administrative and medical responsibilities of the profession. In 2008, the University of Manitoba inaugurated the first civilian PA program in Canada. As of 2010 Manitoba had 14 PAs, 45 CAs, and 22 PA students, as well as new legislation that specifically mentioned PAs as licensed health professionals.In Manitoba PAs have been used in diverse ways with good results. An innovative trial in orthopedics employed PAs to process arthroplasty patients; the surgical replacements of joints per annum has almost doubled without additional surgeons. Physician assistants are used throughout surgical care to maximize the surgeon’s time, and patients report a high degree of satisfaction.17" Link to comment Share on other sites More sharing options...
sk732 Posted March 4, 2012 Share Posted March 4, 2012 I practice in Manitoba and am licensed here as a PA not a CA. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted March 4, 2012 Moderator Share Posted March 4, 2012 I stand corrected RE: ca vs pa. thanks for clarification Link to comment Share on other sites More sharing options...
Beorp Posted March 4, 2012 Share Posted March 4, 2012 Excellent work pulling this together. It would seem to be prudent to engage with the professional organizations representing the non-American PAs when it comes to a name change. Link to comment Share on other sites More sharing options...
sk732 Posted March 4, 2012 Share Posted March 4, 2012 I stand corrected RE: ca vs pa. thanks for clarification No worries - they were originally classified as CA's, and some still are because of training. They've started coming around, I think because of the new Master's program at U Man to reflect what the students graduate as. Also, alot of the PA's practicing in Manitoba right now are ex-military or ex-pats trained in the US - again, it reflects what the end product was called. They had to call them something to identify their role as not physicians, nurses, NP's, paramedics. Link to comment Share on other sites More sharing options...
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