Supervising PA Procedures

November 1, 2007

For a physician assistant to perform any procedure in an office setting, such as an injection or manipulation, it is our understanding that the supervising physician in the office must be qualified and have the ability to perform the same procedure. We are now hearing rumors from other offices that that is not the case. Would you please confirm if we are correct?

Question: For a physician assistant to perform any procedure in an office setting, such as an injection or manipulation, it is our understanding that the supervising physician in the office must be qualified and have the ability to perform the same procedure. We are now hearing rumors from other offices that that is not the case. Would you please confirm if we are correct?

Answer: You need to look at your state regulations relevant to supervision. In many states, the physician has to evaluate the PA’s ability to perform a specific procedure and delegate authority to him. Often, one can only delegate procedures that are a common part of your own practice. One easy course: If other offices are telling you something different, ask for their sources.