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B-140300 1 (1973-10-10)

handle is hein.gao/gaobablaa0001 and id is 1 raw text is: 



                           WASHINGTON, D.C. MOl14
     B-14R3       RELEASED

                                                     OCT 10 1973


S4 LThe Honorable Charles A. Vanik

     House of Representatives

     Dear Mr. Vanik:

         Your May 23, 1973, letter asked us to examine and obtain
     data on the F  a_ proqgLakm to tain-ph y ician ssis s-tants
     (PA). Pursuant to your request and after discussion with your
     office, we reviewed the Civil Service Commission (CSC) role in
     the program and developed data on schools, participants, and
     salaries. We also inquired into PA reimbursement policies be-
   sing developed by the Social Security Administration (SSA). 2

   CSC ROLE IN PA PROGRAM

         In March 1971 CSC issued announcement number 428 for the
    position of PA in the Federal service. According to CSC, this
    action followed extensive discussions with medical representa-
    tives of Federal agencies which had indicated a desire to
    experiment with PA in medical care. The PA position was seen
    as a way to improve the use of professional medical skills
    and to offer a new employment opportunity for veterans with
    military experience as medical corpsmen.

         Physician's assistants are trained to help physicians by
    providing diagnostic and therapeutic medical care and services
    under the physicians' supervision. Tronsists q  a
    sl             rynqc e. A 1 a r g e
    number of candidates was expected from two main groups, former
    medical corpsmen and nurses.

         When CSC issued its announcement in March 1971, it did
    not mention that the education requirements had to be met at
    approved schools. At that time, no organization was estab-
    lished for accrediting schools for this training. As an in-
    terim measure, CSC established a panel of 4 doctors that eval-
    uated curriculums from an HEW list of 68 schools. The doctors

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