Physician Assistants in dermatology diagnosis and treat a wide variety of conditions that are treated medically and surgically. Building on their primary-care training and experience, physician assistants are trained in dermatology in a variety of ways. Most dermatology PAs are trained by their supervising dermatologist and together the Physician/PA Team will decide the practice style, supervision arrangements, and delegation of services which they find appropriate for their practice. Most PAs work independently within a dermatology office much like a staff dermatologist seeing a wide range of medical, surgical and cosmetic patients but always under physician supervision. PAs get additional training through their required CME hours, attendance at AAD, SDPA and other dermatology based conferences, tumor boards, dermatology grand rounds and self-study courses. Some physician assistants hold a Master’s Degree in PA Studies with a concentration in Dermatology. In 1998, the first Dermatology PA Residency Program was established. There are currently two residency programs. Many PAs lecture at university PA programs and offer dermatology rotations to PA students; some are dermatology clinical preceptors to family practice residents.