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Since the 1960s the United States has developed the profession of
physician assistant, based on a concept dating back to the 17th
century, to work in primary care to relieve nationwide shortages of
doctors. More than 44 000 physician assistants now work in America.
They mainly work semi-autonomously in association with individual
doctors, but an increasing number work in hospitals. Mittman and
colleagues (p 485) outline their training, and functions; they say
that physician assistants could provide Britain with a viable
alternative to physicians in areas where shortages of doctors
exist.