Physician assistants work under the direction and supervision of their supervising physician. In the event their primary physician is unavailable, an alternate physician is named.

PAs perform tasks authorized by the state medical board that are within the scope of practice of their supervising physician.

Supervision of PAs can take a variety of acceptable pathways. Examples of such supervision include that the physician sees this patient on the same day that they are treated by the PA, the physician reviews, signs and dates, the medical record of patients seen by the physician assistant within a time as approved by the state board. The physician and PA adopt written protocols which specifically guide the actions of the PA. There are a number of other scenarios that meet the intent of the law. Questions about this should be directed to the Oklahoma State Board of Medical Licensure and Supervision.