Don't even get me started. As a former PA who recognized early on I was sorely educated and poorly trained, I dug in, went into tremendous debt, gave away my youth and got my MD degree only to see it devalued by the "physician extender". I currently have so many patients that have switched to me because "they never get to see the doctor". My current employer's stance is "we'd better hire them before someone else does"!!! We as physicians made our bed and now we have to lie in it. I am just so very glad I am at the end of my career and not the beginning.