Physician assistants say proposed rules could spell disaster for rural Alaska health care

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Physician assistants say proposed rules could spell disaster for rural Alaska health care
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The proposed regulations would increase the amount of directly supervised hours required before PAs could work in a remote area — from 160 to 2,400.

That’s about 14 months of training that would have to take place in an urban area. And the way the regulations are written, a remote location is most of the state beyond Anchorage.

Physician assistants can diagnose and treat patients and must be supervised by a physician. Their education usually includesLowe said even with more than a decade of experience, if she wanted to return to clinical work under the proposed regulations, she would need those 14 months of training again. She said that’s true of PAs who want to change their specialty too, something she’s done a lot during her career.

Members of the Alaska State Medical Board declined to answer even basic questions on the proposal because the regulations are open for public comment through Oct. 3. In a short emailed statement, thethat oversees the board said, “The project took two years to complete and the proposed changes currently out for public comment are the outcome of that process.”

“We would brace ourselves for a massive disruption because you’d essentially be taking people off the line and making it significantly harder and more time intensive to get people who have been qualified all the way up to this point,” said Kosin.. But Kosin said Alaska tends to be more conservative than other states and these regulations appear to restrict independence, not increase it.

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