PT - JOURNAL ARTICLE AU - J S Smith AU - B Tevis AU - K Murali TI - Commentary from the front lines: American physician assistants working in a United Kingdom emergency department AID - 10.1136/emj.2004.021493 DP - 2005 May 01 TA - Emergency Medicine Journal PG - 322--324 VI - 22 IP - 5 4099 - http://emj.bmj.com/content/22/5/322.short 4100 - http://emj.bmj.com/content/22/5/322.full SO - Emerg Med J2005 May 01; 22 AB - Physician assistants (PAs) have been an integral part of the emergency medicine team in the USA for the past 30 years. This review outlines the reasons why PAs can play a vital role in UK National Health Service (NHS). The experience of American PAs working in one NHS trust are discussed, highlighting the cultural differences in the environment of the emergency departments in the two countries that will influence the scope of practice of PAs in the UK.