rends in the modernization of state laws and regulations governing physician associate/assistant (PA) practice refl ect a move toward greater autonomy and less required physician supervision. 1 The movement, termed optimal team practice (OTP) and endorsed by the American Academy of Physician Associates (AAPA), aims to facilitate the removal of the legally mandated relationship between a PA and a specifi c physician from state-level PA statutes and regulations. 2 Historically, PAs have practiced in a delegated supervisory model, which allows for early-career support with everincreasing levels of autonomy as their experience levels