According to the six key elements, who determines the scope of practice for PAs?

• A. The physician
• B. The state
• C. The patient
• D. The practice level

Answer: (D)

Scope of practice for PAs is defined at the practice level. While the state provides the legal framework and supervision requirements, the specific tasks a PA may perform are set by the practice setting—the clinic or hospital policies, protocols, and the supervising physician. This arrangement lets the practice tailor duties to the local patient population, available resources, and specialty, all within the state’s boundaries. The patient’s role is important in care, but they don’t determine the scope, and the physician contributes to supervision, not the sole determinant of daily scope.