Starting a new role as a physician assistant requires a clear, actionable plan to navigate the complexities of clinical practice, patient management, and interdisciplinary collaboration. A 30-60-90 day plan tailored for physician assistants helps set focused objectives, establish key competencies, and track progress in a clinical environment.
This template guides new PAs through their first three months by breaking down essential goals into manageable 30-day segments, ensuring they build confidence and proficiency while contributing to patient care and team dynamics.
Benefits of a 30-60-90 Day Plan for Physician Assistants
Implementing a structured onboarding plan offers several advantages for new physician assistants:
- Accelerated Clinical Integration:
Helps PAs quickly familiarize themselves with clinical protocols, electronic health records (EHR) systems, and departmental workflows.
- Competency Development:
Focuses on mastering core clinical skills such as patient history taking, physical exams, diagnostic reasoning, and procedural tasks relevant to the specialty.
- Team Collaboration:
Encourages building strong relationships with supervising physicians, nurses, and ancillary staff to foster effective communication and patient-centered care.
- Performance Tracking:
Enables continuous self-assessment and feedback collection to identify strengths and areas for improvement.
Main Elements of the Physician Assistant 30-60-90 Day Plan
This template is structured to support both the new PA and their supervisors through clear objectives, actionable tasks, and progress documentation:
First 30 Days: Orientation and Foundation
- Complete orientation sessions covering hospital policies, compliance, and safety protocols.
- Shadow experienced PAs and physicians to observe clinical workflows and patient interactions.
- Familiarize with EHR systems, documentation standards, and order entry processes.
- Begin supervised patient encounters focusing on history taking and physical exams.
- Attend interdisciplinary team meetings to understand care coordination.
Days 31-60: Skill Building and Increased Responsibility
- Perform patient assessments and develop differential diagnoses under supervision.
- Initiate management plans and participate in minor procedures as appropriate.
- Engage in patient education and counseling to enhance communication skills.
- Receive regular feedback from preceptors and document learning progress.
- Participate in quality improvement projects or clinical case discussions.
Days 61-90: Autonomy and Leadership
- Manage a full patient panel with decreasing supervision, demonstrating clinical judgment.
- Lead patient rounds and contribute to team decision-making processes.
- Identify opportunities for practice improvement and propose initiatives.
- Complete competency checklists and prepare for performance evaluations.
- Establish long-term professional development goals aligned with career aspirations.
By following this structured 30-60-90 day plan, physician assistants can confidently transition into their roles, ensuring they meet clinical expectations while delivering high-quality patient care. This template supports ongoing communication between PAs and their supervisors, fostering a productive onboarding experience and setting the foundation for continued professional growth.








