ER-Forum Blog

What does Specialty Certification mean to PA’s?

By Natalie Schmitz, PA-C

In emergency medicine, any decision that has the potential to impact a large group of people, can elucidate many pros and cons.  Such is the case with specialty certification – which is a very contentious issue right now. 

On the one hand, it seems like a good idea.  After working in emergency medicine for some time, obtaining a certification to attest to one’s level of experience seems like a natural progression.  Furthermore, with the estimated emergency physician shortage, PAs will be called upon more than ever to fill the gap in the ER.  It seems logical that there should be some standardization of what it means to be an Emergency Medicine PA!

On the other hand, although not the intention, specialty certification may hinder the very flexibility that has made the PA profession so versatile and allowed PAs to fill a much needed niche in extending healthcare to a growing population.  After attending several SEMPA conferences it’s truly apparent that PAs are utilized very differently in various practice settings.  Some PAs practice only in fast-track settings, while in remote access emergency rooms, a PA may be the only on-site practioner.  This wide range of utilization makes standardization very challenging.

Also to be considered, are there unforeseen consequences of such specialty certification from outside organizations? For example, will certification or lack thereof affect reimbursements from insurance companies?  How will hospital credentialing committees deal with PAs who do or do not have certification in their particular specialty?  If specialty certification is offered, will your hospital or employer require certification and will it affect pay rates?

Regardless of opinion, it’s important to be involved in the decision making process.  For example, when NCCPA approached SEMPA and our ACEP liaisons for input, a focus group put together a proposal of requirements for such a certification.  During the recent AAPA House of Delegates (HOD) meeting, policy was almost unanimously approved to recommend that PAs not take specialty certification exams, but instead have a committee appointed to look at alternatives to specialty recognition. 

As the discussion continues to evolve, it’s necessary to voice your opinions. I urge you to contact your representatives from NCCPA, SEMPA, and/or AAPA and let your voice be heard! 

I look forward to your comments.

Note: The opinions of Ms.Schmitz are designed to encourage discussion and do not necessarily reflect the viewpoint of SEMPA.