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A physician assistant or physician associate (PA) is a type of healthcare professional.While these job titles are used internationally, there is significant variation in training and scope of practice from country to country, and sometimes between smaller jurisdictions such as states or provinces.
As healthcare demands have increased in the United States due to an aging population, a physician shortage and the implementation of the Patient Protection and Affordable Care Act of 2010 there has been a shift toward more independence in practice for professionals such as physician assistants, nurse practitioners, pharmacists, and dental ...
must hold a current, unrestricted practical/vocational nurse license in the United States or its territories and must have hospice and palliative licensed practical/vocational nursing practice of 500 hours in the most recent 12 months or 1000 hours in the most recent 24 months prior to applying for the examination.
The preferred regulator term for advanced practice nursing in the United States is Advanced Practice Registered Nurse. Nursing in the United States is regulated at the state level. The National Council of State Boards of Nursing (NCSBN) drafts consensus models of proposed legislation for the individual states to implement. In 2008, the NCSBN's ...
For example, new categories have been created for delineating "paramedical practitioners"—grouping professions such as clinical officers, clinical associates, physician assistants, Feldshers, and assistant medical officers—as well as for community health workers; dietitians and nutritionists; audiologists and speech therapists; and others. [17]
The present-day concept of advanced practice nursing as a primary care provider was created in the mid-1960s, spurred on by a national shortage of physicians. [7] The first formal graduate certificate program for NPs was created by Henry Silver, a physician, and Loretta Ford, a nurse, in 1965. [7]
In January 2015, new legislation went into effect which allows an APRN to practice independently after one year of practice with a collaborative agreement with a physician. The Minnesota Medical Association (2014) states that the APRN must undergo 2080 hours of integrative practice with a physician prior to being able to practice independently.
Nursing in the United States is a professional health care occupation. It is the largest such occupation, employing millions of certified professionals. As of 2023, 3,175,390 registered nurses were employed, paid a median income of $86,070. [1] Nurses are not doctors' assistants and practice nursing in a