Has anyone seen this on change.org https://www.change.org/p/president-of-the-united-states-independent-practice-for-physician-assistants-and-nurse-pracitioners
Pretty much it's making the argument that PAs and NPs should be allowed to practice independly in family medicine to help with the opioid and mental health crisis. Thoughts? Some of the points seem pretty valid. Please delete if someone's already seen it.
Practicing PAs of the forums (or those who will be practicing soon), what does autonomy mean to you? Where is the line between collaboration/supervision/micromanagement? I guess in other words, what is your ideal practice situation. Also- what state/specialty do you work in?
I've browsed around and have seen a wide range of opinions... also have encountered grumblings from physicians about "the mid-levels who are pushing so hard for autonomy, they should have gone to med school." What is your take on that? Not trying to be inflammatory, just want to start a dialogue on this.
By PAFT PRESIDENT
Dear PA Colleagues,
PAs for Tomorrow has been an organization committed to the future of the PA profession. Since our inception, PAFT has sought to create real change in a profession that has grown far beyond original expectation. The Board of Directors remains committed to those original ideas and hope we can prompt you to join us in those efforts. Our profession has matured and is facing challenges. In order to face those challenges, PAFT is excited to make a direction changing announcement that continues to look to the future.
As we approach a new era in healthcare, the PA profession truly stands at a crossroads. While we embrace our history, we must also embrace a future that will require our profession to expand to a new and exciting chapter. The PAFT Board of Directors has been approached to develop a National PA Autonomy Task Force. The intent is to create a representative body to coordinate information among those in our profession who see autonomous practice as an evolving reality for our profession. Further, a national task force could help streamline strategies for promoting and advocating for autonomous PA practice in each state, where legislative change must eventually happen. A coordinated effort and a central communication hub for exchange of ideas, strategic planning and directional development of this movement would benefit the entire autonomy effort.
There are a great many PAs across the nation who have the vision, the enthusiasm and the optimism for seeking autonomous practice but lack the directional design of how to implement it to reality. The task force will initially be a sub-committee of the PAFT organization. Such an effort should be led by progressive, forward thinking PAs who have a vested interested in success. There are many PAs who embody those characteristics and you need not be a member of PAFT to join the task force.
Please consider this communication a formal invitation to submit a cover letter and curriculum vitae to the PAFT Board of Directors and the co-chair, Brian Sady, MMSc, MPAS, PA-C. The initial task force members will be charged with developing the framework, goals and strategic direction of the task force. The vision for the task force includes other pro-autonomy professionals - PAs, physicians, NPs, AAPA reps, VA and military reps, legislators and others - to further enhance the commitment of the core membership. The inclusion of other professionals seeks to expand the skill sets necessary for the ultimate success of this cause. We cannot do this alone and would be remiss to try.
If you are a pro-autonomy PA with the interest and desire to commit to active involvement, please submit your cover letter and CV to firstname.lastname@example.org.
Nichole Bateman, PA-C, MPAS President, PAFT
Task Force Co-Chair
Brian Sady, MMSc, MPAS, PA-C
Task Force Co-Chair
By PAFT PRESIDENT
PAFT Announces Development of National Task Force for PA Autonomy
PA Practice evolves, so should laws
PAs for Tomorrow (PAFT), a national advocacy organization focused on the future of the PA profession, announces that their Board of Directors has unanimously voted to develop a national task force focused on PA practice autonomy. Nichole Bateman, PAFT President, says, "The task force is intended to create a representative body of PAs and other professionals to coordinate information and strategize efforts among those who see autonomous practice as an evolving reality for the PA profession. The time to explore how autonomy can and should apply to PA practice is now."
Brian Sady, MMSc,MPAS, PA-C, author of the white paper "Optional Autonomy for Experienced PAs in Primary Care in Nevada" approached the PAFT board of directors with the task force concept. He found that there are extensive autonomy efforts by other PAs across the nation. According to Mr. Sady, "In seeking information and research, I encountered a great many of my PA peers who are doing similar research and have similar ideas, but have no way to coordinate those efforts and develop the concept. I found that when I discussed the idea of optional autonomy using specific verbiage that would allow experienced PAs in primary care to be fully autonomous OR keep a collaborative agreement, PAs were very enthusiastic."
The working definition of autonomy for the purposes of task force development includes incorporating the concept of OPTIONAL autonomy for experienced PAs in primary care, i.e. no supervisory or collaborative language in state statutes for PAs with solid clinical experience. The autonomy concept is not new to organized medicine but has not historically been applied to PAs. The intent of PA autonomy is not to sever or separate the historic PA/Physician relationship. The intent is to better reflect how PAs deliver care in the healthcare environment of today - which is, in many settings, already very autonomous with little physician oversight in the real life delivery of high quality, safe care.
PA practice of medicine has evolved and advanced significantly since the creation of the profession nearly 50 years ago. Despite diligent efforts by PAs across the nation, supervision language and concepts that govern PA practice in many states have not kept pace. In many states, antiquated supervision language is no longer reflective of how PAs deliver care in modern healthcare systems and has become a hindrance for PA practice.
Federal laws, state statutes and individual institutional policies should reflect what PAs actually do in the delivery of healthcare. Most importantly, those laws and policies should be responsive and reactive to increase rather than restrict access to medical services for patients. PA education is standardized to produce well-trained professionals who practice medicine. The modern PA is a proven "value added" member of the healthcare team. Removing restrictive supervision language will increase access to quality care and lower costs.
Though the creation of the task force will initially be under the helm of the PAFT organization, the greater vision includes involvement of key individuals, organizations and representative bodies. Invitation to leadership in the AAPA, AFPPA, military branch and VA PAs, state constituent organizations, AP Student Academy as well as individual pro-autonomy PAs who only strengthen the development and directional design of the task force.
About PAs For Tomorrow
PAs for Tomorrow, Incorporated (PAFT) is a special interest group (SIG) of the American Academy of PAs (AAPA). PAFT is a professional organization for PAs of all specialties and represents the future interests for the profession. PAFT is committed to the advocacy of PAs as providers of safe, high-quality, cost effective and comprehensive health care. For more information about PAFT, visit the website at www.pasfortomorrow.org.
Nichole Bateman, MPAS, PA-C
Hi : D So I am an undergraduate student, quite certain I want to work in primary care, specifically family medicine...but I am debating that old question, P.A. vs. D.O. (If I did go to med school it would be an osteopathic school because i like the osteopathic philosophy). So my question is:
- Are there many part time opportunities for P.A.s in family medicine/other primary care? How does working part time as a doctor vs. part time as a P.A. compare?
- How is it being a P.A. in NJ or P.A. (the state)? Like how much autonomy/respect do they have in comparison to other places...
-Is it just me, or are primary care P.A.s happier in general with their jobs than surgical/ Emed P.A.s? (I've been hanging arounf the forums for a bit now...)