What is actually physician assistant in USA medical service?

2

drfrappucino asked:


I watched ER-rerun on TV and a character named Jeannie Boulet is a physician assistant.

How does the training differs from nursing or medical?
Do they have more authority and earn better than nurses?

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May 17, 2010

AMBER D @ 7:09 pm #

Physician assistants (PAs) practice medicine under the supervision of physicians and surgeons. They should not be confused with medical assistants, who perform routine clinical and clerical tasks. (medical assistants are discussed elsewhere in the Handbook.) PAs are formally trained to provide diagnostic, therapeutic, and preventive health care services, as delegated by a physician. Working as members of the health care team, they take medical histories, examine and treat patients, order and interpret laboratory tests and x rays, and make diagnoses. They also treat minor injuries, by suturing, splinting, and casting. PAs record progress notes, instruct and counsel patients, and order or carry out therapy. In 48 States and the District of Columbia, physician assistants may prescribe medications. PAs also may have managerial duties. Some order medical supplies or equipment and supervise technicians and assistants.

Physician assistants work under the supervision of a physician. However, PAs may be the principal care providers in rural or inner city clinics, where a physician is present for only 1 or 2 days each week. In such cases, the PA confers with the supervising physician and other medical professionals as needed and as required by law. PAs also may make house calls or go to hospitals and nursing care facilities to check on patients, after which they report back to the physician.

The duties of physician assistants are determined by the supervising physician and by State law. Aspiring PAs should investigate the laws and regulations in the States in which they wish to practice.

Many PAs work in primary care specialties, such as general internal medicine, pediatrics, and family medicine. Other specialty areas include general and thoracic surgery, emergency medicine, orthopedics, and geriatrics. PAs specializing in surgery provide preoperative and postoperative care and may work as first or second assistants during major surgery.

Median annual earnings of physician assistants were $69,410 in May 2004. The middle 50 percent earned between $57,110 and $83,560. The lowest 10 percent earned less than $37,320, and the highest 10 percent earned more than $94,880. Median annual earnings of physician assistants in 2004 were $70,310 in general medical and surgical hospitals and $69,210 in offices of physicians.

May 20, 2010

Kris Kelly @ 8:37 pm #

I’m an RN and I watch too. They go a little farther than what a P.A. really does.
A P.A. is a degree above a nurse. The training is much more extensive, they must learn all nursing skills as well as alot of “Doctor” skills. They do have more authority and are paid quite a bit more that nurses.
A P.A. usually works in Doctors offices. The see patients, they write scripts, (They cant write narcotics, but they can see you and ask the doctor to write the narcotic script) They pretty much see the cases that are your run of the mill colds, flu, stomach problems, things like that. It’s one step away from being a Doctor with alot less school.

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