 Compared to Western country standards and the International Council of Nursing, Israeli nurse practitioners have relatively limited scopes of practice and independence.One of the well-established solutions to the growing shortage of medical personnel that is experienced also in Israel is the development of mid-level practitioners, e.g., nurse practitioners and physician assistants.The development of Physician Assistants in Israel was in a constant debate for years until a committee appointed by the Ministry of Health Director General recommended on 2013 on the development of an Israeli version of Physician Assistants in five areas that are currently in great need