Points On Licensure for MAs

By Lexi, BSN, RN, CCMA, PBT-C
Member- American Association of Medical Assistants

Professional License vs Certified Credentials

Healthcare practitioners, such as medical doctors, mental health professionals, practical nurses, physician assistants, podiatrists, and chiropractors in the USA must be registered and licensed in their state in order to practice their skill. Even beauticians in an hair and nail salon must be licensed in most states. What most people don't realize is that presently there are no licensure mandates for medical assistants. Medical assistants in the United States are considered unlicensed healthcare workers.

• Better Medical Assistant Jobs & Future
• Licensing in Healthcare
  
  Certain allied health professionals must be registered or licensed in their state to practice their skill, however, there are no licensing requirements for medical assistants.

Medical Assistant Certification is NOT Licensure

Medical assistant certification is largely voluntary. Upon passing the medical assistant certification exam, the certificant receives an official document to confirm the person named therein has passed a standardized written certification test. This test is called the certification exam. The document shows the individual's name, profession, certificate number, date of birth, registration/certification status, professional school attended, professional examination results, and any conditions, or restrictions. This documentation is especially valuable during job applications and consideration for promotion.

Why Settle for Good When You Can Have the Best?

Think of it this way-if you were remodeling your home and you had two great contractors to choose from-same price for the same work, both with great references-but only one is licensed, which one would YOU choose?

As a homeowner you would be crazy to choose the unlicensed professional! You would risk everything. Licensure means the state deemed the individual worthy to practice in their field through a series of exams, background checks, and in addition, they must carry professional liability, and workman's comp insurance, and such. Furthermore, and most importantly, the state that regulates them will allow any complaints against them to be filed, investigated, and documented, and hopefully resolved.

How Licensure Works

Licensure in healthcare works the same way. If not, then how will the public know it the MA you work side by side with, or records your vital signs and changes your wound dressing has not been terminated from job after job because of harmful mistakes? As long as no one governs the medical assistant profession we just don't.

A governing state board of medical assistants would register the background and activities of a shoddy medical assistant while employed, and their record would follow them when changing jobs. All complaints, investigations, and performance issues would be kept within their record throughout the state they are licensed in. Furthermore, when seeking to obtain licensure in another state the same record, good and/or bad, would follow along.

• Better Medical Assistant Jobs & Future
• Licensing in Healthcare
  
  Certain allied health professionals must be registered or licensed in their state to practice their skill, however, there are no licensing requirements for medical assistants.

 

Although many medical assistants may be well aware of their duties, responsibilities, skill levels and scope of practice, they are among the minority. Many working in the healthcare field, including doctors, medical office and healthcare facility manages and nurses (RN) are not always one hundred percent sure what the medical assistant's employment qualifications and duties are.

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Our patients may have an inkling that we're not all nurses but they don't quite know what our title or training is. Add to this confusion the commercials for MA schools that depict the medical assistant racing down the hospital corridor beside a gurney, as if she’s rushing someone into the ER, and it’s no wonder there’s so much confusion.

The Clout of Cluelessness

A glance at any nursing forum shows that with the exception of nurses who work in doctor's offices and ambulatory care centers, most nurses don't know what medical assistants can do. Comments like "Can a medical assistant give injections?" are commonplace due to a lack of knowledge of the medical assistant's role and scope of practice.

Since there are no "hard and fast" requirements for becoming a medical assistant in most states of the United States of America, there is naturally a huge disparity in regards to medical assistant education and skill levels. Yes, one CAN have absolutely no medical education what-so-ever and be hired as a medical assistant with on the job training, while most of us would agree that this is not the ideal scenario. Nevertheless, there are no regulations to prevent this from happening in most states.

I wouldn't take my computer to be repaired by someone who wasn't certified in that field but we expect the public and medical community to accept our capabilities without question? I believe this is a major stumbling block for MA's in their quest to being considered part of the professional medical field. How can we get the respect we deserve if there are no "standards" in our profession?

I work in a very busy family practice. Out of six medical assistants, I am the only one certified in any way. This is not to say that I am any more qualified than anyone else that I work with. In fact, the colleagus I work with have been in the field for many years and I seek their advice daily.

Most of them HAVE been certified by some organization and have simply let that certification lapse. In reality, what’s the point of keeping a certification up if it:

a.) is not required

b.) has no relevant bearing on your status or income 

In an updated version of an article by the AAMA originally published in 1996 and updated in 2003, it is noted that only seven states (Arizona, California, Florida, New Jersey, Maryland, South Dakota, and Washington) have specific regulations pertaining the scope of practice of MA's. In most instances, the MA is permitted to perform any technical procedure not prohibited elsewhere by law as long as the supervising physician deems the MA qualified and properly trained to perform.

There also seems to be no standard as far as medical assisting schools goes. Unless a school wants to be accredited by a certain agency (ABHES, CAAHEP, etc.) there are no guidelines required as to curriculum, classroom hours and so on.

This creates quite a conundrum for medical assistants. If we decide we want a specific scope of practice, it may actually narrow a pretty broad scope of practice that many of us now have. Also, if we decide we want specific standards by the way of licensure, we will open ourselves up to the liability issues that go along with that.

Instead of working under a physicians license as we do now, we'll be working under our own. As it stands, we have no one to be accountable to. You can't take away something (certification) that’s voluntary to start with. Well, you can, but what does it matter if you don't really need it to work in the field?

Mandatory Licensure For Medical Assistants

Despite the above reservations, I still feel that mandatory licensure, along with standardized educational requirements is the only way for the medical assistant to gain widespread acceptance and respect. Perhaps then, medical assistants would be welcomed by the rest of the medical community as the highly valued professionals we know we are.

*By Lorraine, CMA, CNA