35 ChatGPT Prompts for Physician Assistants (Claude, ChatGPT & DeepSeek)
You see 20 patients today. The schedule closes at 5:00 PM. The documentation window closes at 7:30 PM.
Between those two deadlines: 20 SOAP notes, 3 prior authorization letters, a referral summary for a hospitalist who needs it before morning rounds, and two patient education documents for newly diagnosed conditions.
That's the daily reality for 162,700 physician assistants in the US — the second-fastest growing healthcare profession at 20% projected growth through 2034 (Bureau of Labor Statistics, 2024). PAs practice with full clinical autonomy across every specialty, yet existing AI tools are built for attending physicians, not for the PA-specific workflows that require slightly different documentation framing, ordering privileges justification, and payer communication.
These 35 prompts cover seven PA documentation workflows: SOAP notes, H&P templates, prior authorization, referral letters, patient education, clinical communication, and administrative documentation. They work with Claude, ChatGPT, and DeepSeek. Replace the bracketed fields with your patient's specifics and cut documentation time in half.
Why PA Documentation Has Its Own Challenges
PAs practice under a collaborating or supervising physician agreement — which means documentation carries an additional layer: demonstrating appropriate clinical reasoning and, in some insurance contexts, flagging that a PA is the ordering or treating provider. This matters for prior auth approvals, which increasingly require additional justification when a non-physician is the requesting provider.
A 2026 survey by the American Academy of PAs found that PAs spend an average of 35–50 minutes per shift on documentation beyond patient care time. For PAs carrying independent outpatient panels of 15–25 patients per day, that documentation burden can exceed 2.5 hours of after-shift work.
The OpenAI "ChatGPT for Clinicians" launch in 2026 validated AI demand across PA, NP, MD, and pharmacist practice — but generic clinician tools don't address PA-specific contexts. These prompts do.
Category 1: SOAP Notes and Clinical Documentation
SOAP notes written by PAs must demonstrate independent clinical reasoning while reflecting the collaborating physician relationship where required by payer or state. These prompts generate structured, clinically defensible SOAP notes for outpatient encounters.
Prompt 1 — Acute Visit SOAP Note
Write a SOAP note for an acute outpatient visit.
Patient: [AGE, SEX]
Chief complaint: [SPECIFIC — e.g., "right shoulder pain after fall at work 3 days ago"]
History of present illness: [ONSET, LOCATION, DURATION, CHARACTER, AGGRAVATING/RELIEVING FACTORS, ASSOCIATED SYMPTOMS, PRIOR TREATMENT]
Past medical history: [RELEVANT PMH]
Medications: [RELEVANT MEDICATIONS]
Allergies: [DRUG ALLERGIES]
Review of systems: [PERTINENT POSITIVE AND NEGATIVE FINDINGS — limit to relevant systems]
Objective: [VITALS + EXAM FINDINGS — general appearance, affected systems, pertinent positives and negatives]
Assessment: [DIAGNOSIS OR DIFFERENTIAL, ICD-10 CODE IF KNOWN]
Plan: [TREATMENT, ORDERS, REFERRALS, RETURN PRECAUTIONS, FOLLOW-UP]
Professional SOAP format. Clinical reasoning visible in assessment — connect exam findings to diagnosis. Under 400 words. Appropriate for PA independent practice documentation.
Prompt 2 — Established Patient Follow-Up SOAP Note
Write a SOAP note for an established patient follow-up visit.
Patient: [AGE, SEX, PRIMARY DIAGNOSIS BEING FOLLOWED]
Visit purpose: [FOLLOW-UP FOR — chronic disease management / post-procedure check / medication adjustment]
Subjective: [PATIENT'S REPORT — symptom status, medication adherence, side effects, changes since last visit]
Interval history: [RELEVANT EVENTS SINCE LAST VISIT — hospitalizations, ER visits, specialist appointments]
Objective: [VITALS AND PERTINENT EXAM FINDINGS — focus on condition-relevant findings]
Labs or test results since last visit: [KEY VALUES — e.g., HbA1c 7.1 (was 8.4 at last visit)]
Assessment: [CONDITION STATUS — controlled / partially controlled / worsening + clinical reasoning]
Plan: [MEDICATION ADJUSTMENTS, NEW ORDERS, REFERRALS, PATIENT EDUCATION, NEXT FOLLOW-UP]
Demonstrate progress or response to treatment in assessment. Under 350 words.
Prompt 3 — Outpatient New Patient Visit SOAP Note
Write a SOAP note for a new patient initial visit.
Patient: [AGE, SEX]
Reason for visit: [CHIEF COMPLAINT OR PURPOSE — new patient intake / specific complaint]
HPI: [DETAILED HISTORY OF PRESENT ILLNESS — OLDCARTS format]
Past medical history: [ALL SIGNIFICANT PMH]
Past surgical history: [LIST]
Family history: [RELEVANT]
Social history: [TOBACCO/ALCOHOL/DRUGS, OCCUPATION, ACTIVITY LEVEL, LIVING SITUATION]
Medications: [COMPLETE LIST WITH DOSES]
Allergies: [WITH REACTION TYPES]
Review of systems: [10-SYSTEM REVIEW — note pertinent positives and negatives]
Physical exam: [COMPLETE OR TARGETED EXAM — note all systems reviewed]
Assessment: [ACTIVE DIAGNOSES WITH ICD-10 CODES + CLINICAL REASONING]
Plan: [IMMEDIATE ORDERS, REFERRALS, FOLLOW-UP, PATIENT EDUCATION]
New patient documentation is longer and more detailed. Show systematic clinical evaluation. Under 600 words.
Prompt 4 — Procedures Note
Write a procedure note for an in-office procedure performed by a PA.
Procedure: [PROCEDURE NAME — e.g., Joint aspiration / Skin biopsy / Laceration repair / I&D abscess]
Indication: [WHY PROCEDURE WAS PERFORMED]
Patient: [AGE, SEX]
Consent: [OBTAINED — verbal / written / informed consent documented]
Provider: PA [NAME], supervised by/collaborating with [MD NAME per state law/agreement if applicable]
Anesthesia: [LOCAL ANESTHETIC TYPE AND AMOUNT / NONE]
Procedure description: [STEP-BY-STEP NARRATIVE — approach, technique, findings, materials used]
Complications: [NONE / DESCRIBE IF ANY]
Post-procedure instructions: [GIVEN TO PATIENT — wound care, activity restrictions, follow-up]
Specimens sent: [YES — to which lab / NO]
Patient condition at discharge: [STABLE / DESCRIBE]
Clinical procedure note format. Accurate, specific, legally defensible. Under 300 words.
Prompt 5 — Hospital Discharge Summary (PA-Authored)
Write a hospital discharge summary for a PA managing an inpatient or observation patient.
Patient: [NAME, AGE, DOB]
Admission date: [DATE] — Discharge date: [DATE]
Admitting diagnosis: [ICD-10 AND DESCRIPTION]
Discharge diagnosis: [FINAL DIAGNOSIS]
Summary of hospital course: [BRIEF NARRATIVE — what happened from admission to discharge, key tests and their results, treatments given, patient response]
Significant test results: [KEY LABS, IMAGING, PROCEDURES PERFORMED]
Discharge medications: [COMPLETE LIST WITH DOSES AND CHANGES FROM PRIOR MEDICATIONS]
Discharge condition: [STABLE / IMPROVED — functional status at discharge]
Discharge instructions given: [ACTIVITY, DIET, WOUND CARE, WHEN TO CALL/GO TO ER]
Follow-up: [WITH WHOM, WHEN, AND FOR WHAT]
Collaborating/attending physician: [NAME]
Professional discharge summary format. Under 500 words.
Category 2: History and Physical Templates
H&P notes are required for hospital admissions, pre-operative evaluations, and new specialty consultations. PA-authored H&Ps must demonstrate the same systematic evaluation as attending-authored notes.
Prompt 6 — Hospital Admission H&P
Write a hospital admission history and physical note.
Patient: [NAME, AGE, DOB]
Admitting diagnosis: [DIAGNOSIS OR CHIEF COMPLAINT]
HPI: [DETAILED HISTORY — onset, progression, associated symptoms, prior treatments, timeline]
Past medical history: [ALL ACTIVE AND SIGNIFICANT INACTIVE CONDITIONS]
Past surgical history: [WITH DATES IF KNOWN]
Family history: [RELEVANT HEREDITARY CONDITIONS]
Social history: [TOBACCO, ALCOHOL, DRUGS, OCCUPATION, LIVING SITUATION, SUPPORT SYSTEM]
Medications: [COMPLETE HOME MEDICATION LIST]
Allergies: [WITH REACTION TYPES]
Review of systems: [COMPLETE MULTISYSTEM REVIEW]
Physical examination: [COMPREHENSIVE EXAM — all organ systems, pertinent positives and negatives]
Diagnostic results: [LABS, IMAGING, EKG ON ADMISSION]
Assessment and plan: [ACTIVE PROBLEM LIST WITH ICD-10 CODES + MANAGEMENT PLAN FOR EACH PROBLEM]
PA authoring this H&P: [NAME, CREDENTIALS] — Collaborating physician: [NAME]
Comprehensive H&P format. Under 700 words.
Prompt 7 — Pre-Operative H&P
Write a pre-operative history and physical note.
Patient: [NAME, AGE, DOB]
Planned procedure: [SURGERY NAME AND DATE]
Surgeon: [NAME]
Anesthesia type anticipated: [GENERAL / REGIONAL / LOCAL / MAC]
HPI: [REASON FOR SURGERY, RELEVANT MEDICAL HISTORY RELATED TO SURGICAL CONDITION]
Cardiac history: [MACE, PRIOR MI, CHF, ARRHYTHMIAS, PACEMAKER — relevant for anesthesia risk]
Pulmonary history: [ASTHMA, COPD, OSA — CPAP USE? — relevant for airway management]
Prior anesthesia history: [ANY COMPLICATIONS]
Medications: [COMPLETE LIST — note anticoagulants, steroids, diabetes meds, cardiovascular meds]
Allergies: [WITH REACTIONS]
Physical exam: [FOCUSED PRE-OP EXAM — cardiac, pulmonary, airway, relevant surgical site]
Labs: [PERTINENT PRE-OP RESULTS]
ASA classification: [I / II / III / IV + JUSTIFICATION]
Assessment: [MEDICALLY CLEARED FOR SURGERY / CONDITIONAL CLEARANCE WITH NOTES / NOT CLEARED WITH RATIONALE]
PA: [NAME] — Collaborating physician: [NAME]
Pre-op H&P format. Must address anesthesia risk factors explicitly. Under 400 words.
Prompt 8 — New Consult Note
Write a consultation note response to a referral.
Consulting service: [PA NAME, SPECIALTY PRACTICE]
Referring provider: [NAME]
Reason for consultation: [CLINICAL QUESTION OR REFERRAL DIAGNOSIS]
Patient: [NAME, AGE]
HPI: [FOCUSED HISTORY RELEVANT TO CONSULTATION QUESTION]
Relevant PMH/PSH: [ONLY WHAT MATTERS FOR THIS CONSULT]
Medications: [RELEVANT MEDICATIONS]
Exam: [TARGETED PHYSICAL EXAM FOR CONSULT PURPOSE]
Diagnostic results reviewed: [LABS, IMAGING, PRIOR NOTES REVIEWED]
Impression: [ASSESSMENT OF THE CLINICAL QUESTION — what the PA's evaluation found]
Recommendations: [SPECIFIC PLAN — "recommend the following…" numbered list]
Availability for follow-up: [HOW REFERRING PROVIDER CAN REACH US]
Consultation notes answer the referral question directly. Lead with the impression and recommendations. Under 400 words.
Prompt 9 — Mental Health Intake H&P
Write a psychiatric/behavioral health intake H&P for a PA in a behavioral health setting.
Patient: [AGE, SEX]
Chief complaint: [IN PATIENT'S OWN WORDS]
HPI: [ONSET OF CURRENT SYMPTOMS, PRIOR EPISODES, PRECIPITATING FACTORS, CURRENT SYMPTOM SEVERITY]
Psychiatric history: [PRIOR DIAGNOSES, HOSPITALIZATIONS, OUTPATIENT TREATMENT]
Medication history: [CURRENT AND PAST PSYCHIATRIC MEDICATIONS — include response and reason for discontinuation]
Substance use history: [DETAILED — type, frequency, quantity, last use, treatment history]
Social history: [FAMILY STRUCTURE, EMPLOYMENT, HOUSING, TRAUMA HISTORY RELEVANT TO CURRENT PRESENTATION]
Family psychiatric history: [RELEVANT]
Safety assessment: [SUICIDAL IDEATION — passive/active, plan, intent, means access / HOMICIDAL IDEATION — yes/no / PROTECTIVE FACTORS]
Mental status exam: [APPEARANCE, BEHAVIOR, SPEECH, MOOD, AFFECT, THOUGHT PROCESS, THOUGHT CONTENT, INSIGHT, JUDGMENT, COGNITION]
Assessment: [DSM-5 DIAGNOSES WITH CODES + CLINICAL REASONING]
Plan: [MEDICATION, THERAPY RECOMMENDATION, SAFETY PLAN, FOLLOW-UP]
Structured psychiatric H&P format. Safety assessment is non-negotiable. Under 600 words.
Prompt 10 — Urgent Care Visit Documentation Note
Write a clinical note for an urgent care visit.
Patient: [AGE, SEX]
Chief complaint: [ACUTE PROBLEM]
HPI: [ONSET, COURSE, HOME TREATMENT ATTEMPTED]
Relevant PMH: [PERTINENT ONLY]
Medications and allergies: [LIST]
Vitals: [BP, HR, RR, TEMP, O2 SAT, WEIGHT IF RELEVANT]
Exam: [FOCUSED ON CHIEF COMPLAINT — targeted systems]
Point-of-care testing: [RAPID STREP / FLU / COVID / UA / GLUCOSE — results]
Assessment: [DIAGNOSIS WITH ICD-10 + DIFFERENTIAL CONSIDERED]
Plan: [PRESCRIPTIONS, INSTRUCTIONS, RETURN PRECAUTIONS, REFERRALS IF NEEDED]
Disposition: [DISCHARGED HOME / REFERRED TO ED / REFERRAL TO FOLLOW-UP WITH PCP IN X DAYS]
Efficient urgent care note format. Keep focused — time matters in urgent care. Under 300 words.
Category 3: Prior Authorization and Insurance Documentation
PAs face an additional prior authorization challenge: some insurers require additional justification when a PA (rather than a physician) is the ordering provider. These prompts address both standard and PA-specific prior auth scenarios.
Prompt 11 — Standard Medication Prior Authorization
Write a prior authorization request for a medication ordered by a PA.
PA name and credentials: [NAME, PA-C, NPI]
Collaborating physician: [NAME, NPI]
Patient: [NAME, AGE, INSURANCE CARRIER AND PLAN]
Medication: [DRUG NAME, DOSE, FREQUENCY]
Diagnosis: [ICD-10 CODE AND DESCRIPTION]
Step therapy: [MEDICATIONS TRIED FIRST — names, doses, duration, result]
Clinical justification: [WHY THIS MEDICATION IS NECESSARY — specific clinical data]
Collaborating physician support: [PHYSICIAN HAS REVIEWED AND SUPPORTS THIS REQUEST]
Note: when PA is ordering provider, include supervising physician endorsement language — some payers require this for prior auth approval. Under 250 words.
Prompt 12 — Imaging Prior Authorization
Write a prior authorization request for advanced imaging.
PA ordering: [NAME, PA-C] — Collaborating physician: [NAME]
Imaging study requested: [MRI/CT/PET — body part and with or without contrast]
CPT code: [CODE IF KNOWN]
Patient: [NAME, AGE, INSURANCE CARRIER]
Diagnosis: [ICD-10]
Indication: [SPECIFIC CLINICAL FINDINGS JUSTIFYING IMAGING — what the PA found on exam and why imaging is needed]
Prior workup: [WHAT HAS ALREADY BEEN DONE — labs, plain films, conservative treatment — and results]
What the imaging will change: [HOW THE RESULT WILL AFFECT MANAGEMENT — e.g., "MRI result will determine surgical vs. conservative treatment path"]
Urgency: [ROUTINE / URGENT — justify if urgent]
Imaging prior auths succeed when you show what you already tried and what decision the image will inform. Under 250 words.
Prompt 13 — Specialty Referral Authorization
Write a referral prior authorization request for a specialty consult.
Referring PA: [NAME, PA-C]
Collaborating physician endorsement: [DR. NAME, NPI — endorses this referral]
Patient: [NAME, AGE, INSURER AND PLAN]
Specialist: [SPECIALTY AND PRACTICE IF KNOWN]
Reason for referral: [CLINICAL QUESTION — specific, not vague]
Clinical history: [WHAT WAS TRIED IN PRIMARY CARE FIRST]
Why specialty evaluation is necessary: [SPECIFIC RATIONALE — complexity beyond PA/PCP scope, failed conservative treatment, specialized testing needed]
Relevant documentation: [WHAT IS ATTACHED — notes, labs, imaging reports]
Under 250 words. PA-authored referral requests sometimes face additional scrutiny — be specific about the scope-appropriate reason for referral.
Prompt 14 — Prior Authorization Peer-to-Peer Request
Write a peer-to-peer review request letter for a PA-ordered service that was denied.
PA requesting peer-to-peer: [NAME, PA-C, NPI]
Collaborating physician if applicable: [NAME]
Denied service: [MEDICATION / IMAGING / PROCEDURE / REFERRAL]
Insurer denial reason: [EXACT LANGUAGE FROM DENIAL]
Clinical case summary: [CONCISE OVERVIEW — why this patient needs this service]
Evidence supporting the request: [CLINICAL GUIDELINES, PUBLISHED EVIDENCE, OR SPECIALTY SOCIETY RECOMMENDATIONS]
Request: [SCHEDULE A PEER-TO-PEER CALL WITH A MEDICAL DIRECTOR]
Availability: [DAYS AND TIMES FOR CALL]
Contact: [DIRECT LINE]
Brief, confident request. Peer-to-peer calls have high approval rates when the clinical case is prepared. Under 200 words.
Prompt 15 — DMEPOS Prior Authorization
Write a durable medical equipment (DME) prior authorization request.
PA ordering: [NAME, PA-C]
Patient: [NAME, AGE, INSURER]
Equipment requested: [SPECIFIC ITEM — e.g., CPAP with humidifier, power wheelchair, compression pump]
HCPCS code: [CODE IF KNOWN]
Diagnosis: [ICD-10]
Medical necessity justification: [SPECIFIC CLINICAL FINDINGS — what the patient cannot do without this equipment, clinical data supporting need]
Face-to-face evaluation: [COMPLETED DATE — many DME require a face-to-face to qualify]
Trial period or prior equipment: [IF APPLICABLE — any prior equipment used and response]
Prescription duration: [MONTHS]
DME prior auths require very specific medical necessity language. Generic "patient needs X" language is rejected. Under 250 words.
Category 4: Referral and Consultation Communication
Prompt 16 — Referral Letter to Specialist
Write a referral letter from a PA to a specialist.
Referring PA: [NAME, PA-C]
Practice: [PRACTICE NAME]
Specialist: [NAME, SPECIALTY]
Patient: [NAME, AGE, DOB]
Reason for referral: [SPECIFIC CLINICAL QUESTION]
Relevant history: [BRIEF CLINICAL SUMMARY — what the PA has found and done]
Current medications: [RELEVANT MEDICATIONS]
Recent diagnostics: [TEST RESULTS RELEVANT TO REFERRAL]
What we need from the specialist: [SPECIFIC ASK — diagnosis, management recommendation, co-management, procedure]
Urgency: [ROUTINE / PLEASE SEE WITHIN X DAYS]
Contact: [DIRECT LINE AND FAX]
Under 300 words. Specialists appreciate specific clinical questions, not vague "please evaluate" referrals.
Prompt 17 — Transition of Care Letter (Specialist to PCP)
Write a transition of care summary letter from a PA specialist to the patient's primary care provider.
PA author: [NAME, PA-C, SPECIALTY]
Receiving PCP: [NAME AND PRACTICE]
Patient: [NAME, AGE]
Summary of specialist care: [WHAT WAS DONE — diagnoses confirmed, procedures, hospitalizations, medications changed]
Ongoing issues requiring PCP management: [SPECIFIC ITEMS — e.g., medication monitoring, lab follow-up, blood pressure management]
Medication changes made by specialist: [LIST — what was added, stopped, or adjusted]
Items specialist is continuing to manage: [ANYTHING THE SPECIALIST IS KEEPING]
Recommended follow-up with us: [IF AND WHEN PATIENT SHOULD RETURN TO SPECIALIST]
Primary contact for questions: [SPECIALIST PA NAME AND DIRECT LINE]
Clear, structured handoff. The PCP needs to know exactly what changed and what they own. Under 350 words.
Prompt 18 — Urgent Consultation Request
Write an urgent consultation request from a PA to another service.
Requesting PA: [NAME, PA-C]
Collaborating physician: [NAME]
Receiving service: [SPECIALTY — e.g., Cardiology / Surgery / Neurology]
Patient: [NAME, AGE, LOCATION — e.g., Exam Room 3 / Hospital Room 412]
Urgent clinical finding: [WHAT WAS FOUND — e.g., new ST changes on EKG / acute abdominal rigidity / sudden onset neurological deficit]
Current clinical status: [STABLE / UNSTABLE — brief status]
Immediate actions already taken: [LABS, IV ACCESS, MONITORING, MEDICATIONS GIVEN]
Clinical question: [WHAT WE NEED THE CONSULTANT TO DO — evaluate, advise on management, take over care]
Time sensitivity: [HOW URGENT — e.g., "Please evaluate within 30 minutes" / "Requesting emergent consult"]
Brief and urgent. In an urgent consult, every word counts. Under 150 words.
Prompt 19 — Consultation Response Note
Write a consultation response note from a PA consultant back to the requesting provider.
PA consultant: [NAME, PA-C, SPECIALTY]
Requesting provider: [NAME]
Patient: [NAME, AGE]
Clinical question asked: [RESTATE THE QUESTION]
Evaluation performed: [EXAM AND REVIEW SUMMARY]
Findings: [WHAT THE PA FOUND — relevant clinical findings]
Impression: [ASSESSMENT — does the PA consultant agree with the working diagnosis? Additional diagnoses?]
Recommendations: [SPECIFIC, NUMBERED — what the requesting provider should do next]
Our role going forward: [ARE WE CO-MANAGING? WILL WE SEE IN FOLLOW-UP?]
Contact for questions: [DIRECT LINE]
Consultation responses answer the question asked. Lead with impression and recommendations. Under 300 words.
Prompt 20 — Referral Closure Letter to Patient
Write a patient-facing letter closing a specialist referral.
Patient: [NAME]
Specialist seen: [NAME, SPECIALTY]
Summary of specialist visit: [PLAIN LANGUAGE — what they found, what was recommended]
Changes to the plan: [ANY NEW MEDICATIONS, PROCEDURES SCHEDULED, ACTIVITY CHANGES]
What your primary PA is doing now: [NEXT STEPS ON OUR END — ordering labs, adjusting medications, scheduling follow-up]
What patient should do: [SPECIFIC ACTIONS — fill prescription, schedule with us, follow diet, etc.]
Follow-up with us: [DATE OR INSTRUCTION TO SCHEDULE]
Contact if questions: [PHONE AND HOURS]
Plain language, not clinical jargon. Patients often leave specialist visits confused — this letter closes the loop. Under 200 words.
Category 5: Patient Education
Prompt 21 — New Diagnosis Patient Education Letter
Write a patient education letter for a new diagnosis.
Condition: [DIAGNOSIS — e.g., Hypertension / Prediabetes / Hypothyroidism / Osteoarthritis]
PA author: [NAME, PA-C]
Patient: [AGE, SEX]
What the condition is: [PLAIN LANGUAGE — what is happening in the body]
Why it matters: [RISK IF UNTREATED — honest but not fear-based]
How we're treating it: [MEDICATIONS PRESCRIBED, LIFESTYLE RECOMMENDATIONS]
What the patient can do: [SPECIFIC DAILY ACTIONS — diet, exercise, monitoring]
When to call us: [SPECIFIC SYMPTOMS OR VALUES THAT REQUIRE A CALL]
When to go to the ER: [EMERGENCY SYMPTOMS — be specific]
Next appointment: [DATE OR INSTRUCTION TO SCHEDULE]
Under 300 words. Plain language only. If a patient needs to Google a word, simplify it.
Prompt 22 — Medication Start Education Note
Write patient education for starting a new medication.
Medication: [DRUG NAME, DOSE, FREQUENCY]
What it treats: [PLAIN LANGUAGE PURPOSE]
How to take it: [SPECIFIC — with food, time of day, what to do if a dose is missed]
Common side effects: [3-5 MOST LIKELY — normalize what is expected]
Side effects requiring immediate attention: [RED FLAGS — allergic reaction symptoms, specific dangerous effects for this drug class]
Drug interactions: [MOST CLINICALLY RELEVANT — alcohol, other medications, specific foods if applicable]
What to monitor at home: [ANY SELF-MONITORING — e.g., "check your blood pressure twice weekly and log it"]
How long before it works: [REALISTIC TIMELINE]
Under 250 words. Patients with clear expectations tolerate side effects better and are more likely to stay on medications.
Prompt 23 — Lifestyle Modification Counseling Note
Write a lifestyle modification counseling summary for a patient with a chronic condition.
Condition: [DIAGNOSIS — e.g., Metabolic syndrome / Type 2 Diabetes / Hypertension / High cholesterol]
Current lifestyle risk factors: [WHICH ONES APPLY — overweight, sedentary, high-sodium diet, tobacco use, excess alcohol]
Recommended changes: [SPECIFIC, ACHIEVABLE — not "lose weight and exercise more"]
Dietary guidance: [SPECIFIC TO CONDITION — e.g., DASH diet for hypertension, Mediterranean diet for cardiovascular risk, carb counting for diabetes]
Exercise recommendation: [SPECIFIC — type, duration, frequency — e.g., "150 minutes of moderate cardio per week, starting with 20-minute walks 5 days per week"]
Goal for next visit: [SPECIFIC MEASURABLE GOAL — e.g., "reduce daily sodium intake below 2000mg" / "walk 5 days per week"]
Resources available: [REFERRALS TO DIETITIAN / DIABETES EDUCATOR / EXERCISE PROGRAM IF APPLICABLE]
Under 300 words. Behavior change succeeds with specific, small steps — not overwhelming overhauls.
Prompt 24 — Post-Procedure Patient Instructions
Write post-procedure patient instructions for discharge.
Procedure performed: [NAME]
PA who performed it: [NAME, PA-C]
Date: [DATE]
Normal post-procedure expectations: [WHAT PATIENT SHOULD EXPECT — pain level, appearance, typical recovery]
Wound or site care: [STEP-BY-STEP INSTRUCTIONS IF APPLICABLE]
Activity restrictions: [SPECIFIC — what to avoid and for how long]
Medications: [PRESCRIBED — with instructions / OTC RECOMMENDATIONS]
Pathology or culture results: [WHEN AND HOW RESULTS WILL BE COMMUNICATED]
Red flags: [CALL US IF — specific symptom list / GO TO ER IF — emergency symptoms]
Follow-up appointment: [DATE OR INSTRUCTION TO CALL]
Numbered steps where possible. Patients need to be able to follow these instructions without calling back. Under 250 words.
Prompt 25 — Chronic Disease Monitoring Letter
Write a patient letter explaining their chronic disease monitoring schedule.
Condition: [DIAGNOSIS]
Monitoring tests required: [LIST — e.g., HbA1c every 3 months, lipid panel annually, microalbumin every 6 months, foot exam at every visit]
Why each test matters: [ONE SENTENCE EACH — plain language purpose]
Home monitoring: [WHAT PATIENT SHOULD TRACK — blood pressure, blood sugar, weight, symptoms, etc.]
Warning values: [SPECIFIC THRESHOLDS THAT REQUIRE A CALL — e.g., "Call us if your fasting blood sugar is above 300 twice in one week"]
Next scheduled tests: [UPCOMING ORDERS AND DATES]
What the monitoring prevents: [HONEST, NON-FEAR-BASED — e.g., "Regular A1C checks help us catch complications early before they become serious"]
Under 300 words. Monitoring is more adherent when patients understand the "why."
Category 6: Clinical Administrative Communication
Prompt 26 — Physician Handoff Note
Write a PA-to-physician handoff note for a complex patient case.
PA: [NAME, PA-C]
Physician: [COLLABORATING PHYSICIAN]
Patient: [NAME, AGE, MRN]
Situation: [ONE-LINE SUMMARY — why this patient needs physician review or action]
Background: [RELEVANT CLINICAL HISTORY — brief, only what matters for this handoff]
Assessment: [PA's ASSESSMENT — what the PA thinks is happening]
Recommendation: [WHAT THE PA RECOMMENDS — AND WHAT PA NEEDS FROM PHYSICIAN]
Urgency: [ROUTINE / NEEDS ATTENTION TODAY / URGENT]
Current status: [PATIENT LOCATION, CURRENT STABILITY]
SBAR format (Situation, Background, Assessment, Recommendation). Under 150 words. Physician handoffs are more effective when the PA leads with the recommendation, not the story.
Prompt 27 — Scope of Practice Documentation Note
Write a documentation note clarifying PA scope for a specific clinical action.
Action taken by PA: [DESCRIBE — e.g., ordered Schedule II controlled substance / performed minor surgical procedure / made independent diagnosis and treatment decision]
State in which PA practices: [STATE]
Collaborating physician agreement: [IN PLACE — physician name and practice]
State scope of practice alignment: [CONFIRM THIS ACTION IS WITHIN SCOPE PER STATE LAW]
Physician co-signature or endorsement: [REQUIRED BY STATE? IF YES, OBTAINED OR REQUESTED]
Reference: [CITE STATE LAW OR PA PRACTICE ACT IF APPLICABLE]
Documentation purpose: [COMPLIANCE PROTECTION]
Brief compliance note for chart or administrative file. Under 150 words.
Prompt 28 — Collaborative Practice Agreement Template Request
Write a summary of what a Collaborative Practice Agreement (CPA) with a new collaborating physician should include.
PA: [NAME, PA-C, SPECIALTY]
Physician: [NAME, SPECIALTY, NPI]
Practice setting: [OUTPATIENT / INPATIENT / URGENT CARE / TELEHEALTH]
PA scope within this practice: [WHAT THE PA WILL INDEPENDENTLY DO — diagnose, prescribe, perform procedures]
Prescribing scope: [WHAT CLASSES OF MEDICATIONS — include Schedule II-V if applicable]
Procedures authorized: [LIST OF IN-SCOPE PROCEDURES]
Physician availability requirement: [HOW QUICKLY PHYSICIAN RESPONDS — e.g., within 30 minutes by phone during PA hours]
Review and audit requirements: [HOW OFTEN PHYSICIAN REVIEWS PA CHARTS — e.g., quarterly chart audit]
State law requirements to include: [STATE-SPECIFIC REQUIREMENTS]
This is a summary outline, not legal advice. The actual CPA should be reviewed by a healthcare attorney. Under 300 words.
Prompt 29 — Quality Improvement Documentation Note
Write a quality improvement (QI) documentation note for a clinical outcome or process metric.
Metric tracked: [WHAT IS BEING MEASURED — e.g., diabetes HbA1c < 7% in managed panel / hypertension BP control rates / mammography screening compliance]
Current performance: [YOUR BASELINE OR CURRENT RATE]
Target benchmark: [NATIONAL OR PRACTICE BENCHMARK — e.g., HEDIS measure]
Patients reviewed: [HOW MANY IN THIS QI CYCLE]
Identified gaps: [WHERE PERFORMANCE IS BELOW TARGET]
Interventions planned: [SPECIFIC CHANGES — e.g., diabetes outreach calls, standardized education handout, recall reminders]
Re-measurement date: [WHEN WILL QI CYCLE BE REVIEWED]
Brief QI documentation note format. Under 200 words.
Prompt 30 — Patient Safety Incident Report
Write a clinical incident report for a patient safety event.
Date of incident: [DATE]
Patient: [AGE, SEX — no name in document]
Incident type: [NEAR-MISS / ADVERSE EVENT / SENTINEL EVENT]
What happened: [FACTUAL DESCRIPTION — what occurred, in clinical order]
Contributing factors: [WHAT MAY HAVE LED TO THE INCIDENT — process, communication, environment, equipment]
Immediate response: [WHAT WAS DONE AT TIME OF INCIDENT]
Patient outcome: [STATUS AT TIME OF DOCUMENTATION]
Follow-up actions: [WHAT WILL BE DONE TO PREVENT RECURRENCE]
Reporting PA: [NAME, PA-C]
Internal document — factual, objective, no admission of liability. Under 300 words.
Category 7: Practice Administration and Career Documentation
Prompt 31 — PA Job Interview Answer: Clinical Scenario
Write a structured STAR-format answer to a PA job interview clinical scenario question.
Question: [THE INTERVIEW QUESTION — e.g., "Tell me about a time you disagreed with an attending's clinical decision"]
Situation: [BRIEF CONTEXT — what was happening]
Task: [YOUR ROLE IN THAT SITUATION]
Action: [WHAT YOU SPECIFICALLY DID — this is the most important part]
Result: [OUTCOME — what happened as a result of your action]
Interview answers that are specific, clinical, and show PA reasoning are more persuasive than general answers. Under 300 words. Professional tone.
Prompt 32 — Continuing Medical Education (CME) Learning Summary
Write a CME learning summary for a PA's professional development log.
CME activity: [CONFERENCE / ONLINE MODULE / JOURNAL ARTICLE — title and provider]
Date completed: [DATE]
Topic: [SUBJECT MATTER]
Key takeaways: [3-5 SPECIFIC CLINICAL INSIGHTS OR PRACTICE CHANGES — not general summaries]
How this applies to my practice: [SPECIFIC PATIENT POPULATION OR CLINICAL SCENARIO WHERE THIS KNOWLEDGE APPLIES]
Actions I'm implementing: [CONCRETE CHANGES — new drug I'll now consider, diagnostic approach I'll modify, patient education I'll add]
NCCPA credits: [CATEGORY 1 OR CATEGORY 2 — number of hours]
CME logs are more valuable when they show clinical application, not just attendance. Under 250 words.
Prompt 33 — Peer Evaluation for PA Colleague
Write a professional peer evaluation for a PA colleague.
Evaluating PA: [YOUR NAME, PA-C]
PA being evaluated: [NAME, PA-C]
Working relationship: [HOW LONG, IN WHAT CONTEXT]
Clinical strengths: [3 SPECIFIC EXAMPLES — e.g., "consistently accurate clinical reasoning in complex patients," "exceptional procedural skills in joint injections"]
Areas for growth: [1-2 SPECIFIC, CONSTRUCTIVE OBSERVATIONS — not vague]
Professionalism: [COMMUNICATION, TEAMWORK, PATIENT INTERACTIONS]
Overall assessment: [STRONG PERFORMER / SOLID COLLEAGUE / IN NEED OF SUPPORT WITH SPECIFIC AREAS]
Professional peer evaluation format. Constructive and specific. Under 300 words.
Prompt 34 — Professional Reference Letter for PA
Write a professional reference letter for a PA.
Recommending author: [YOUR NAME, CREDENTIALS, TITLE]
PA being recommended: [NAME, PA-C]
How long and in what capacity you have known the PA: [RELATIONSHIP CONTEXT]
Clinical excellence: [SPECIFIC EXAMPLES — 2-3 clinical vignettes or observable skills]
Professionalism and teamwork: [SPECIFIC EXAMPLES]
Why this PA is exceptional: [WHAT DISTINGUISHES THEM — not generic "hardworking and dedicated"]
For what role or purpose: [JOB / AWARD / FELLOWSHIP — if known]
Your contact information: [FOR FOLLOW-UP]
Strong reference letters are specific, not generic. Vague praise does not stand out. Under 400 words.
Prompt 35 — Annual Performance Self-Evaluation
Write a PA annual performance self-evaluation.
PA name: [NAME, PA-C]
Review period: [DATE RANGE]
Clinical performance highlights: [3-5 SPECIFIC ACCOMPLISHMENTS — panels managed, outcomes achieved, procedures mastered]
Quality metrics: [RELEVANT METRICS — patient satisfaction scores, quality measures, documentation compliance]
Continuing education completed: [CME HOURS AND TOPICS]
Leadership or team contributions: [ANY ADMINISTRATIVE, TEACHING, OR QUALITY IMPROVEMENT WORK]
Areas for growth: [HONEST SELF-ASSESSMENT — where you want to improve and why]
Goals for next year: [3 SPECIFIC, MEASURABLE PROFESSIONAL GOALS]
Annual self-evaluations are advocacy documents — be specific, use numbers, and connect clinical work to patient outcomes. Under 500 words.
Start With These Three
- Prompt 1 — Acute visit SOAP note. Write your next acute visit note in 5 minutes. Use the prompt on your phone between patients.
- Prompt 11 — Medication prior authorization. The PA-specific prior auth format addresses the "ordering provider" justification issue that kills approval rates.
- Prompt 21 — New diagnosis patient education. Patients who leave with written education have better adherence. Generate it in 2 minutes while the patient is still in the exam room.
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