International complications for PA's

International complications for PA's

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This topic contains 1 reply, has 2 voices, and was last updated by  Manichanh 2 years, 5 months ago.

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  • Anthony sherman


    I am sure this probably has been discussed in other blogs. I have an understanding of the Dr to PA relationship and I am just wondering if it is possible for PA’s to work in international settings under the supervision of a Dr who is located in the USA? Or does this require more direct supervision?
    The reason I ask is because I know of people in places such as Tarawa who have recieved permission from the country as nurses to provide health care and there is no physician. I am wondering if a PA, though not under direct supervision, if he could work distance like that while still in cahoots with a Dr. residing in the USA?
    Also, on the side, are PA’s required to operate only under specific guidelines that other countries set up regarding PA’s, or does it just depend on the location/country? Any thoughts would be much appreciated. i thank you



    Well, practice plans with US based physicians is not applicable as it is applied to the state that in which licensure is obtained. My travel/work experience is limited to Nigeria and Guatemala. Work has been alongside local docs to “sign off” on work for legalities, (although legalities are non existent in remote sites).
    I have had some discussion with persons in other countries. It might be possible to obtain licensure as a MD pending review of credentials and 2 years of chart review/audits.
    In Guatemala, I’ve had a discussions with one medical director whom stated it might be possible for PAs to work at his hospital, but he would work under his name. Sort of how a medical resident does.
    So outside of countries that formally recognize PAs, I think it is situational and specific to that country/region.

    Hope that helps.

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