When a PA exits a practice, who ensures safe transition and patient safety?

• A. The patients
• B. The PA
• C. The supervisor alone
• D. The employing institution and supervising physician, with proper handoffs and updated protocols

Answer: (D)

When a PA exits a practice, patient safety hinges on a formal transition process that ensures continuity of care. The employing institution provides the framework—policies, coverage plans, and access to the medical record—while the supervising physician oversees the clinical handoffs and ensures someone is taking over and that the clinical plan is accurately conveyed. Together, they implement structured handoffs and updated protocols so essential information is transferred reliably: current diagnoses, active treatment plans, medication lists and allergies, pending test results, follow-up plans, and contact information for the patient. Standardized handoff tools and clear documentation prevent gaps and miscommunication.

Relying on patients alone is unlikely to ensure a smooth transition. The PA alone may leave gaps in coverage or documentation, and the supervisor alone needs institutional systems to guarantee consistent processes. The strongest, safest approach is the collaboration between the institution and the supervising physician with proper handoffs and updated protocols.