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Physician Team

Physician-PA teams enhance coordination and quality of care by working in all medical and surgical specialties. This healthcare team is effective because of the similarities in Physician and PA training, the PA profession’s commitment to team practice and the efficiencies created by utilizing the strengths of each professional in the clinical practice setting.


The Physician-PA Team, (2014) American Academy of Physician Assistants (AAPA)

Team-Based Family Medicine, (2011) American Academy of Family Physicians and AAPA


Physician-Physician Assistant Agreement Documents


A physician assistant and supervising physician must sign a physician-physician assistant delegation agreement which specifies scope of practice and manner of supervision as required by the board. The agreement must contain:

  • a description of the practice setting
  • a listing of categories of delegated duties;
  • a description of supervision type; and
  • a description of the process and schedule for review of prescribing, dispensing, and administering legend and controlled drugs and medical devices by the physician assistant authorized to prescribe.

The agreement must be maintained by the supervising physician and physician assistant and made available to the board upon request. If there is a delegation of prescribing, administering, and dispensing of legend drugs, controlled substances, and medical devices, the agreement shall include a description of the prescriptive authority delegated to the physician assistant. Physician assistants shall have a separate agreement for each place of employment. Agreements must be reviewed and updated on an annual basis. The supervising physician and physician assistant must maintain the physician-physician assistant delegation agreement at the address of record.

Notification of Intent to Practice

A licensed physician assistant shall submit a notification of intent to practice to the board prior to beginning practice. The notification shall include the name, business address, and telephone number of the supervising physician and the physician assistant. Individuals who practice without submitting a notification of intent to practice shall be subject to disciplinary action under section 147A.13 for practicing without a license, unless the care is provided in response to a disaster or emergency situation pursuant to section 147A.23.

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