In foundational modernization, which item is determined at the practice level?

• A. Adaptable collaboration requirements
• B. Cosignature requirements determined at the practice level
• C. Number of PAs a physician may practice with
• D. Full prescriptive authority

Answer: (C)

The main idea is that the staffing and supervision arrangement within a practice can be shaped by the team’s needs and resources. The number of PAs a physician may practice with is a practical, operational decision a group can adjust based on patient volume, case complexity, and supervision capacity, as long as it stays within regulatory and licensure boundaries. This contrasts with items like prescriptive authority, cosignature requirements, or collaboration mandates, which are typically set by state law, medical staff bylaws, or other external rules rather than by a single practice. Therefore, determining how many PAs a physician works with is the aspect most appropriately decided at the practice level.