I find it very hard to believe that in ANY state credentials would be understood that way. I am a medical assistant and a cna. I have several dear friends who are PAs who would be very insulted by your statement. They perform OR surgeries as well as do hospital rounds, see patients in the doctor's office, sign charts, write patient orders, prescriptions, etc. Some medical assistants are trained right on their job and don't even go to special schooling.
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