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

www.cmfgroup.com/ThePAIsIn Keywords: PA modernization, physician associate, physician assistant profession future, full practice authority PAs, PA title change, PA board of medicine, PA self-governance, practice-level scope of practice, interstate compact for PAs, PA licensure compact, PA telemedicine multi-state, scope creep AMA, administrative burden PAs, PA advocacy, professional identity in healthcare, PA white coat patient perception, DMSC for PAs, PA doctorate, PA specialty competency, CAQ, PA leadership

Work–life balance isn’t a destination — it’s a feeling.

And according to executive life coach Rebecca Olson, that feeling is available to you even in the chaos of practicing medicine and parenting young kids. In this powerful, paradigm-shifting conversation, we unpack why so many clinicians feel overwhelmed, what’s actually happening inside your nervous system, and how to reclaim presence in the moments that matter most.Rebecca works with ambitious working parents — especially women — who want to go all in on their careers without sacrificing the relationships and values that matter most. Her approach blends mindset, emotional regulation, intentional decision-making, and practical tools you can implement immediately.

Inside this episode, we dig into:

✨ What “balance” really is (and why it’s not a time-management problem)

✨ Why your nervous system is running the show (and how to calm it in 30–120 seconds)

✨ The transition that makes or breaks your evenings as a working parent

✨ How to build boundaries that actually hold (even when it feels uncomfortable)

✨ Redefining success after becoming a parent

REBECCA OLSON COACHING https://www.rebeccaolsoncoaching.com/

DAILY KICKSTART RESOURCE https://www.ambitiousandbalanced.com/daily-kickstart

SPONSORS:

CM&F INSURANCE

www.cmfgroup.com/ThePAIsIn

Keywords: work-life balance, clinician burnout, nervous system regulation, emotional regulation tools, boundaries for clinicians, working parent mindset, Rebecca Olson coaching, PA wellness, presence practices, redefining success

This week on The PA Is In, we’re going behind the scenes of my experience with the PANRE-LA, the NCCPA’s longitudinal recertification exam. After recertifying the “old-school” way eight years ago — one long test, one long day, one giant burst of stress — I decided to try something totally different this cycle.

In this episode, I’m sharing why I chose the PANRE-LA, how the experience compares to the traditional PANRE, and what it’s actually like to be four quarters into the eight-quarter process. If you’re approaching your own recertification window — or just curious about how the PANRE-LA works — this is your honest, unfiltered look at the inside of the process.

Inside this episode:

• The biggest differences between the PANRE and the PANRE-LA (and why the 10-year cycle matters)

• Why I originally said no way to the PANRE-LA

• What changed my mind as a practicing PA, parent of five, and business owner

• My real-time lessons learned after completing four quarters

• How to avoid unnecessary stress and set yourself up for success

• Why this exam format better reflects modern clinical practice

• Quarterly deadlines you need to know: March 10, June 10, Sept 10, Dec 10
  

I’m sharing exactly how I schedule my questions, how I use (and don’t overuse) reference materials, what I’ve learned from the questions I missed, and why pacing makes the biggest difference in this process.

Whether you’re a fan of the all-at-once testing experience or you want something more flexible, I hope this episode gives you clarity, peace, and a sense of what’s possible for your own recertification season.

If you’ve taken — or are considering — the PANRE-LA, come tell me about your experience on LinkedIn or Instagram. I’d genuinely love to hear.

SPONSORS

⁠CM&F INSURANCE ⁠

⁠www.cmfgroup.com/ThePAIsIn⁠

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