Legislation was introduced last year to legally authorize physician assistants to practice in Puerto Rico, the only US territory where they're not. This week's guest, PA Luis Ramos, began the push to bring PAs and other mid-level providers to Puerto Rico. He joins host Lisa Dandrea Lenell to discuss the obstacles and barriers to including mid-level practitioners in the island's medical community. They also talk about the first class of PAs in Puerto Rico training through Chatham University in Pittsburgh, Pennsylvania, in partnership with Universidad Metropolitana.