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Nursing duties can be divided into four major categories: In the United States, there are some practices that advertise for a PA or NP for the same position. PA scope of practice is very similar to Nurse Practitioners more than it is to Registered Nurses. PAs do not compete for nursing jobs, as PAs do not do the same clinical duties as nurses. Read The Differences between Nurse Practitioners and Physician Assistants. There are some of my PA colleagues who were registered nurses before becoming Physician Assistants. Nurses may choose to pursue PA school or Nurse Practitioner (NP) school. PAs are trained under the medical model, nurses are trained in the nursing model. Read our post on PA Admissions in the United States. Programs in the United States rely on three different methods depending on the school: traditional interview, group interviews, or MMI.
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Read the post on How to Excel at the MMI.
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orthopaedic surgery, dermatology, urology, nephrology, cardiology, anesthesia, cardiovascular surgery, etc.).Īt present each of the 3 civilian programs in Canada use the MMI as the interview style of choice. family medicine, internal medicine, surgery, emergency, psychiatry, pediatrics, OB/GYN) and elective rotations (i.e. Each of the programs however follow the same general outline: year 1 is didactic learning where medical foundations and clinical skills are established, and year 2 is clinical rotations in various mandatory, core rotations (i.e. undergraduate education, health care experience, letters of reference, etc.) and curriculum. University of Manitoba Master’s of PA Studies, McMaster University PA Education Program, University of Toronto (PA Consortium) and Canadian Forces PA ProgramĮach PA program has their own admission criteria (e.g. There are four Physician Assistant schools in Canada. This includes 3 civilian programs, and one military program. The steps outlined above may occur for PAs that are fresh out of school, but as PA builds competency, it may transition into a more indirect supervision method (MD available in building or by phone if PA needs to consult). They bill at 85% of the physician fee. The “Incident to” billing is when the physician steps in and participates in the patient encounter, the practice can then bill at 100% of the physician fee. In the United States, PAs have billing numbers and do not require physician participation to bill third party insurers. The above model allowed my supervising physician to triple the number of patients seen, while simultaneously reducing the length of the clinic (6 hours instead of 8), and the physician subsequently did no medical dictation for the clinic afterward as the PAs completed the dictations between the next patient. PAs in Canada cannot independently bill provincial health insurance plans. This model in a fee-for-service setting allows the physician to bill for 100%, with the PA having done 85% of the work in the patient encounter. During this time the PA has started another patient encounter (Step 1).
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**In Canada, a physician must have “meaningful participation” in order to bill for the patient encounter at 100% of the physician code (Source: OHIP Schedule of Benefits). A family practice that adds a PA to their practice can expand the number of patients seen, increase number of appoints available while simultaneously decrease wait times to see a primary care provider.Īt a specialty practice, a PA can help a specialist physician increase the number of patients seen, decrease the wait times to be seen by a specialist, while simultaneously increase the fee-for-service billing that comes to the practice **
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This can theoretically free up health care dollars to be spent on other necessary services.Īt a family practice for example, a PA can see their own list of patients, while the physician is seeing their own list of patients.
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On a larger health care system scale, PAs can help to save the health care system money while at the same time improving patient access to health care services.