We Asked: Do You Support FPAR for PAs?

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In last week's Buzz, we asked you to weigh in about what you think of the AAPA's proposal for PAs to pursue full practice authority and responsibility (FPAR). Most respondents expressed support (including one physician), but a few disagreed that FPAR is a good idea. 

Here's what your colleagues had to say.

◉ As a physician, I have had 2 PAs in my practice and both were excellent. If they had any questions, they knew they could always call me, but they did very well on their own 99.9% of the time. I would trust my life with either of these two. I have had the greatest respect for them and still do.

◉ FPAR would be a great way to meet the growing need for providers in the future. After practicing under physician supervision for a specified period of time, PAs should be able to take that next step and apply for FPAR with a recommendation from their supervising physician.

◉ FPAR is an awesome concept, but we need to be cognitive of the responsibility as professionals in the healthcare business.

◉ I have been a practicing PA for the past 27 years. This topic has enraged me for some time! It's such an obvious solution to a far-reaching problem. We must have full practice authority! NPs are more readily hired for this specific reason: it's even brought up during the interview process. [If we don't pursue FPAR], we will become much like the dinosaur...extinct!

◉ It's clear a new graduate simply does not have the experience or knowledge base to practice independently. FPAR should only be applicable to PAs who have practiced for a minimum of 5 years. Of course, this would admit that new grads don't have the knowledge base necessary for FPAR, but I speak from experience as a licensed PA for over 20 years.

◉ No, the PA is a PA and should continue to be supervised by a physician. Full practice authority for PAs will result in hostility from physicians and NPs, and I do not wish to go it alone.

◉ I think we need to understand in clear and concise language what it means for today's PA to practice should the movement get support and be enacted. For example, what does "accept liability for the care they provide" actually mean? Does it involve malpractice insurance? And what are the approximate costs of adequate coverage? These are things many never worried about, and to make an educated decision I would need to know all of the details proposed.

◉ As a nationally certified PA for 25 years, I have never understood why PAs complete 1,000 didactic hours in the classroom (compared to 500-700 for NPs ) and 2,000 clinical hours (compared to 1,000 hours for NPs) and we are the ones who can't practice independently. We should really ask patients who they would rather see. I bet they choose the clinician with more extensive training than less. 

◉ If PAs want full practice authority, they should have gone to medical school. I think many of us have forgotten why we came to exist.

◉ I support every part of FPAR.

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