{"schemaVersion":"1.0","exportedAt":"2026-05-15T12:38:28.554Z","occupation":{"soc":"29-1071.00","title":"Physician Assistants","group":"Healthcare Practitioners & Technical","sector":"62","jobZone":5,"jobZoneInferred":false},"framework":{"version":"v.26.05","description":"","contextCovered":"This framework covers Physician Assistant practice across primary care, specialty, urgent care, inpatient, and academic medical center environments, from supervised entry-level clinical work through executive-level health system leadership.","levels":{"emerging":{"label":"Emerging","statements":["Patient health histories — collect and document under attending physician supervision in an ambulatory care clinic setting.","Physical examination findings — perform structured assessments and record results under direct oversight in a supervised clinical rotation.","Diagnostic test orders — initiate standard laboratory and imaging requests following established protocols with physician co-signature in a hospital environment.","Diagnostic test results — interpret basic deviations from normal reference ranges under supervisory guidance in a primary care setting.","Tentative diagnoses — formulate preliminary differential diagnoses for common, uncomplicated conditions with physician review in an outpatient clinic.","Prescription medications — assist in drafting treatment recommendations for straightforward cases pending physician approval in a supervised practice.","Therapeutic procedures — perform basic injections and wound care under direct supervision following sterile technique protocols in a clinical setting.","Patient counseling — deliver scripted instruction on prescribed therapeutic regimens and health maintenance under a senior clinician's guidance.","Electronic medical records — enter and organize patient progress notes and examination data using practice management software in a clinic environment.","Clinical decision-making frameworks — apply evidence-based guidelines to routine patient scenarios under mentored supervision in an acute or primary care setting."]},"developing":{"label":"Developing","statements":["Patient medical data — compile comprehensive histories, physical findings, and diagnostic results independently within an established outpatient or urgent care practice.","Differential diagnoses — formulate and prioritize working diagnoses for moderately complex cases with reduced physician oversight in a specialty or primary care clinic.","Diagnostic imaging and ECG results — interpret findings for common deviations and integrate results into clinical decision-making in a hospital or multispecialty setting.","Prescription therapies — select and prescribe appropriate medications or treatment regimens within scope-of-practice guidelines with routine physician collaboration.","Diagnostic test panels — order and coordinate x-rays, electrocardiograms, and laboratory studies efficiently to support timely diagnosis in a busy clinical environment.","Therapeutic procedures — perform suturing, immunizations, and infection management routinely with minimal supervision in an emergency or outpatient procedure suite.","Patient counseling sessions — conduct individualized education on chronic disease management, family planning, and emotional health in a community health center.","Progress documentation — author clear, legally compliant progress notes and discharge summaries using electronic health record systems in an inpatient setting.","Time-sensitive clinical situations — prioritize and manage multiple patient encounters efficiently during high-volume shifts in an urgent care or hospital medicine unit.","Interdisciplinary care coordination — collaborate with nursing, pharmacy, and specialist teams to align treatment plans in a hospital or integrated health system."]},"proficient":{"label":"Proficient","statements":["Complex diagnostic workups — independently design and interpret multi-system diagnostic investigations for undifferentiated or atypical presentations in a tertiary care environment.","Treatment management decisions — autonomously determine and adjust comprehensive management plans for complex, multi-morbid patients across the full scope of PA practice.","Advanced therapeutic procedures — execute high-acuity procedural interventions including complex wound management and critical care support protocols in an inpatient or procedural setting.","Pharmacological regimens — prescribe, titrate, and modify multimodal medication plans for chronic and acute conditions, navigating drug interactions in a specialty practice environment.","Diagnostic reasoning — synthesize clinical, laboratory, and imaging data using advanced inductive and deductive reasoning to resolve diagnostically challenging cases.","Patient and family counseling — lead nuanced discussions on serious diagnoses, treatment trade-offs, and psychosocial dimensions of care with empathy in a complex care setting.","Systems evaluation — assess clinical workflow inefficiencies and contribute to protocol refinement initiatives within a hospital or large group practice.","Clinical documentation quality — produce comprehensive, medico-legally precise records and scholarly case summaries using health information systems in an academic medical center.","Non-routine clinical problem solving — apply active learning and science-based reasoning to manage rare or emergent conditions without immediate physician availability in a remote or rural setting.","Population health monitoring — track patient panel outcomes, identify risk trends, and recommend preventive interventions in a value-based or accountable care organization environment."]},"advanced":{"label":"Advanced","statements":["Clinical practice standards — establish and champion evidence-based protocols and scope-of-practice policies across a department or health system to elevate patient care quality.","PA workforce development — design and lead structured mentorship, onboarding, and continuing education programs that build clinical competency across an organization's PA staff.","Organizational diagnostic strategy — direct enterprise-wide diagnostic utilization initiatives, reducing unnecessary testing while improving accuracy across a multi-site health network.","Interdisciplinary leadership — lead collaborative, cross-functional care teams including physicians, nurses, and allied health professionals in delivering complex patient care programs.","Health system quality improvement — drive institution-level quality and patient safety initiatives by analyzing clinical outcome data and implementing systemic corrective measures.","Advanced prescribing governance — develop formulary guidance and prescribing policy frameworks adopted across a hospital system or regional integrated health network.","Strategic patient education programs — architect system-level patient counseling and health literacy initiatives targeting chronic disease, family planning, and behavioral health outcomes.","Clinical technology integration — lead the evaluation and implementation of medical software, EHR upgrades, and telehealth platforms to optimize clinical operations at an organizational level.","Regulatory and credentialing leadership — represent the PA profession in institutional credentialing committees, regulatory bodies, and scope-of-practice advocacy forums at state or national level.","Research and knowledge translation — lead applied clinical research, publish findings, and translate emerging evidence into actionable practice changes across a healthcare system or academic institution."]}}},"sources":{"onet":"v30.2 (CC BY 4.0)","crosswalk":"https://skillscrosswalk.com","generator":"LER.me"},"attribution":"© EBSCOed"}