With five years’ orthopedic experience, Lindsey Leonard, PA-C, “was used to working hard in a busy practice,” Dr. Sillers said. He now sees patients in concert with Leonard and finds that the setup is working well. Due to Dr. Sillers’ payer environment, Leonard does not see patients independently. (Many of the Blue Cross plans, prevalent in his area, do not reimburse PA services directly.) Her typical duties, according to Dr. Sillers, include obtaining the history and performing the basic physical examination of new and established patients, reviewing test results, responding to telephone calls and elaborating on options discussed and recommended by Dr. Sillers.