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The DL 920 is a reference form utilized in the evaluation process of Physician Assistant (PA) candidates in primary care settings. It is intended to be completed by a supervising physician and serves as a comprehensive assessment tool. The form encompasses various evaluation criteria, including the candidate's clinical skills, professionalism, and quality of patient care. Additionally, it facilitates the documentation of the relationship between the physician and the candidate and any reservations the physician might have regarding the candidate’s readiness for licensure.
To effectively use the DL 920, it is essential to understand its structure and components. The form is designed to gather detailed feedback from the physician. Begin by familiarizing yourself with each section, as this will ensure comprehensive and accurate completion.
Provide detailed comments and examples to support your assessments, which will aid in providing a holistic view of the candidate's capabilities.
Completing the DL 920 requires a methodical approach to ensure all aspects of the candidate’s qualifications are adequately documented:
Understanding the terminology used in the DL 920 can enhance the accuracy and integrity of the assessment:
These terms form the foundation of the evaluation metrics and ensure the assessment aligns with professional standards.
The primary users of the DL 920 are:
These stakeholders utilize the form to ensure that those entering the field are equipped with the necessary competencies.


The DL 920 serves as a legal document that supports the licensure process by providing verifiable assessments of a PA candidate’s capabilities. To ensure legal compliance:
The form plays a crucial role in the validation of professional competencies, aiding the legal aspects of PA certification.
Each state may have variations or additional requirements associated with the DL 920:
It is important for physicians and candidates to consult local licensing boards to verify state-specific requirements.
Examples provide clarity to users unfamiliar with the DL 920’s application:
These real-world applications illustrate how the DL 920 captures diverse aspects of clinical and interpersonal competencies, proving invaluable in the licensing assessment process.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2022 | 4.8 Satisfied (88 Votes) | |
| 2022 | 4.8 Satisfied (191 Votes) | |
| 2021 | 4.8 Satisfied (121 Votes) | |
| 2020 | 4.7 Satisfied (53 Votes) | |
| 2020 | 4.9 Satisfied (47 Votes) | |
| 2020 | 4.4 Satisfied (41 Votes) | |
| 2020 | 4.2 Satisfied (57 Votes) | |
| 2019 | 4.9 Satisfied (29 Votes) | |
| 2018 | 4.2 Satisfied (65 Votes) | |
| 2017 | 4.2 Satisfied (26 Votes) | |
| 2016 | 4.8 Satisfied (212 Votes) | |
| 2016 | 4.6 Satisfied (53 Votes) | |
| 2016 | 4.8 Satisfied (236 Votes) | |
| 2016 | 4 Satisfied (40 Votes) | |
| 2016 | 5 Satisfied (46 Votes) |
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