Dave Mittman is back—and we’re talking about what’s next for the PA profession. After 50 years in advocacy and leadership (including serving as AAPA President), Dave breaks down why the “experiment worked,” why PA modernization is the real conversation (not “scope creep”), and what changes are already reshaping our day-to-day practice.

We dig into full practice and practice-level decision-making, title change momentum, why self-governance matters (hello, PA boards), and how interstate compacts could transform telemedicine and multi-state work. We also get practical: how you introduce yourself, how your clinic markets you, why your referrals should come back to you, and why the white coat conversation isn’t about vanity—it’s about clarity and credibility.

If you’ve ever felt like the profession is evolving faster than your workplace policies… this episode is your roadmap.

Here’s what you’ll learn:

• Why PA “modernization” is bigger than one policy change—and why it’s happening now

• The shift from legislation-driven rules to practice-level determination of scope and competence

• Why “scope creep” is a distraction (and what PAs are actually asking for)

• How title change impacts public understanding—and why waiting for laws may be unnecessary

• What interstate compacts could unlock for telemedicine, specialty care, and access

• The professionalism pieces that matter: intros, signage, marketing, referrals, and perception

• Why advocacy can’t be “someone else’s job” anymoreSPONSORS:

CM&F INSURANCE

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