 Because of legislative reasons, and in order to implement fast, the Ministry of Health decided not to create a new general profession like in the US but to expand the capabilities and authorities of existing medical professions thus creating new 'roles' for these professions as Physician Assistants.The first course of Emergency Medicine Physician Assistants started on May 15, 2016, comprising about 35 participants, most of them academic paramedic with substantial experience and very few MDs from international universities (outside Israel) that failed to pass the Israeli government examination so are not licensed to practice medicine in Israel.In the near future the Israeli Ministry of Health intends to open similar courses in the areas of Anesthesiology and Pathology.