ISSUE: Ghana has trained clinical practitioners for over 40 years as “medical assistants” at the Ministry of Health’s rural health training center.  More recently physician assistant programs have opened in university settings offering a degree upon completion. The 2009 IAPAE conference  was held in Sunyani, Ghana to coincide with the 40th anniversary of Kintampo training program.  Practice as a PA is regulated by the Medical and Dental Council of Ghana.