Visits to the Stead Center are by appointment only. Please call the NCAPA office for more information. Read More »

Visits to the Stead Center are by appointment only. Please call the NCAPA office for more information. Read More »

Optimal Team Practice

Throughout the last two years, NCAPA staff and volunteers have been working diligently to craft legislation supported by stakeholders and policy makers. Now, in 2021, NCAPA plans to submit OTP legislation. Stay tuned for more updates!

Optimal Team Practice (OTP)

Team Based Care

To ensure efficient and high-quality health care, PAs should collaborate with physicians and other health care providers.

Supervision at the Practice Level

The degree of supervision and collaboration between PAs and physicians is made at the practice level on a case-by-case basis.

Greater PA Representation in Regulation

Increase PA representation on the NC Medical Board to have a greater voice for how the profession is regulated.


Full Reimbursement

PAs should be credentialed by all insurers and be eligible for full reimbursement of services.


NCAPA’s Vision for OTP

North Carolina is one of the best states to practice as a PA and our laws should demonstrate and support this. OTP will

  • ESTABLISH a career entry interval of 4,000 clinical hours upon entry into practice for new PAs and a training interval of 1,000 hours if a PA changes specialty.
  • DEFINE Team-Based Settings as physician-owned practices, medical practices, and licensed health facilities
  • ENHANCE support for new grads through orientation and onboarding, clinical oversight, quality measures, scope of practice, and plan for expansion.
  • COLLABORATE with, consult with, or refer to the appropriate member of the health care team as indicated by the condition of the patient, the education, experience, and competence of PAs.

OTP in North Carolina will keep PAs accountable for the care they provide and will keep team-based, collaborative care at the center of patient care and medical decision-making.

In 2018, NCAPA traveled across the state to share information and listen to thoughts and concerns PAs have regarding OTP. These listening sessions provided an excellent opportunity for NCAPA leadership to hear directly from PAs in North Carolina. Through those sessions, we learned:

  • PAs overwhelmingly support OTP and want NCAPA to work toward modernizing our practice laws.
  • PAs take immense pride in their profession and are dedicated to ensuring NC is the best place to practice as a PA.
  • PAs are committed to working in healthcare teams and Optimal Team Practice aligns with that commitment.
  • PAs care deeply for their patients and don’t want legislative or regulatory limitations to come between them and providing the best care for their patients.

“I’ve worked as a PA for 37 years and remember when it was very difficult to practice. By those standards things are very good today. That being said, there are a lot of PAs that need to know “times are changing” and we need not be left behind.”

“As a PA student this answered so many questions I have about the intricacies of the profession. I want to be an advocate for the profession and this felt like a great first step!”

Ultimately, our goal is that this work will result in a modern practice environment emphasizing team-based care and ensures North Carolina is the best state to be a PA.