1 Noël E. Smith is senior director of PA and industry research and analysis for the American Academy of Physician Associates, based in Alexandria, Va. Talia Sierra is an associate professor at Idaho State University in Pocatello, Idaho. Heidi Brown practices in psychiatry in Oregon, Idaho, and Utah, and is an affiliate faculty member in the PA program at Idaho State University in Pocatello, Idaho. The authors have disclosed no potential conflicts of interest, financial or otherwise.