Rising health care costs is a hot topic that impactsyour clients in very real ways. How are we going to care and payfor patient services in the coming decades? That is a questionfacing the health care industry as demand grows, while thephysician shortage worsens and the possibility of further reform atthe federal level remains uncertain.

Amid the uncertainty, one thing has become increasingly clear:cost-effective, qualified providers are a critical component of theequation, and highly educated certified physician assistants(PA-Cs), are prepared to perform many of the same duties ordinarilyprovided by physicians.

At the dawn of the profession, PAs practiced almost entirely inlocal primary care offices. Today, more than 70 percent of PAs nowpractice in non-primary care areas, such as emergency and hospitalmedicine, surgical specialties, psychiatry and other high-impactareas.

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