How PAs Began
In the mid-1960s, physicians at Duke University Medical School recognized the need for a health professional trained in the medical model who would work with physician supervision to extend patient access to care. These physicians, led by Dr. Eugene Stead, developed the concept of the physician
assistant. They envisioned a medical school-type curriculum, geared toward primary care and focused to provide the appropriate education in an intense and uniquely designed curriculum. The physician assistant profession has retained this commitment to the medical educational model and
to team practice with physician supervision.

The Educational Model
Applicants to physician assistant programs must complete
at least two years of college courses in basic science and
behavioral science as prerequisites to PA training. This is
analogous to pre-med studies required of medical students.
Preference is usually given to candidates who have prior
experience in health care. Most PA students have earned a
bachelor’s degree and have nearly three years of health care
experience before they are admitted to a program.1
The mean length of PA education programs is 26.8 months.1
Educators of PAs include physicians, PAs, and basic scientists.
Physician assistant education is characterized by an intense
yet practical curriculum, with both didactic and clinical
components.
The first year of PA education provides a broad grounding
in medical principles with a focus on their clinical
applicability. This didactic curriculum typically consists
of coursework in the basic sciences, including anatomy,
physiology, biochemistry, pharmacology, physical diagnosis,
pathophysiology, microbiology, clinical laboratory sciences,
behavioral sciences, and medical ethics. In the second year,
students receive hands-on clinical training through a series of
clerkships or rotations in a variety of inpatient and outpatient
settings. Rotations include family medicine, internal
medicine, obstetrics and gynecology, pediatrics, general
surgery, emergency medicine, and psychiatry. Physician
assistant students complete on average more than 2,000 hours
of supervised clinical practice prior to graduation.
PA education is tightly structured and focused and recognized
by many as highly innovative, efficient, and effective. It is
competency based, meaning that students must demonstrate
proficiency in various areas of medical knowledge and must
meet behavioral and clinical learning objectives. Many other
professions also offer competency based degrees. The M.D.,
D.O., D.D.S., and J.D. degrees are competency based. 

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Physician assistant programs are accredited by the independent
Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), which is sponsored by the American Medical Association, American Academy of Family Physicians, American College of Surgeons, American Academy of Pediatrics, American College of Physicians, Physician Assistant Education Association, and American Academy of Physician Assistants. Accreditation standards are rigorous. Although all accredited PA programs must meet the same educational standards, they have the flexibility to offer a variety of academic degrees.3 More than three-fourths of the programs offer a master’s degree. However, graduation from an accredited PA education program remains the definitive credential. Regardless of the degree awarded, only graduates of accredited programs are eligible to sit for the Physician Assistant National Certifying Examination administered by the independent National Commission on Certification of Physician Assistants.

Excellence in Practice

Numerous studies have repeatedly demonstrated that PAs, practicing as part of a supervising physician’s
team, provide high quality health care. Patient satisfaction with PA care also has been very high. The Office of Technology Assessment of the U.S. Congress studied health care services provided by physician
assistants and determined that, within their scope of practice, physician assistants provide health care that is indistinguishable in quality from care provided by physicians. 

References
1. Twenty-third Annual Report on Physician Assistant Educational
Programs in the United States, 2006-2007. Alexandria, VA.
Physician Assistant Education Association.
2. Eleventh Annual Report on Physician Assistant Educational
Programs in the United States, 1994-95. Washington, DC.
Association of Physician Assistant Programs.
3. Accreditation Standards for Physician Assistant Education,
March 2002. Duluth, GA. Accreditation Review Commission
on Education for the Physician Assistant, Inc.
4. Nurse Practitioners, Physician Assistants, and Certified Nurse-
Midwives: A Policy Analysis, December, 1986. Washington,
DC. Office of Technology Assessment, United States
Congress. 

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