The field of Hospice and Palliative Medicine (HPM) is changing rapidly. On January 1, 2019, PAs will be able to follow patients and their families on to hospice. PAs have been part of the work in the development of the Clinical Practice Guidelines for Quality Palliative Care, a national set of guidelines created by the leading organizations in our field of hospice and palliative medicine. These revised Guidelines now include PAs as members of the interdisciplinary team (IDT) and represent a significant change in PA practice. It is a meaningful moment for Pas, as well as our patients, and their caregivers. However, due to the lack of a certification process, PAs have already seen barriers to practice in multiple settings where palliative medicine is part of the skill set necessary to take care of patients.  Here are some reasons to give your vote of advocacy by doing this survey: We want to keep our profession on an equal footing with other members of the interdisciplinary team and in optimal team practice models. Serious illness patients in almost every specialty require primary palliative care medicine, and we are the only other members of the IDT to practice in the medical model to provide this vital care. There is no existing survey that captures this important information, which is essential to collect data on skills and knowledge of palliative care medicine including - end-of-life care and hospice. In order to overcome workforce barriers and address critical shortages in the healthcare arena for the 21st century, you can help us to assure the PA profession on the medical team and in every facility, including the capacity for research and leadership. Thank you for your participation and support. We are improving opportunities in the 21st century healthcare arena, and we need your vote of advocacy! Please pass the survey link on to our colleagues as soon as possible: PA's In Hospice and Palliative Care Medicine 2019 Survey PAHPM Board of Directors 2018-2019 Greetings PA colleagues: Please consider a charitable donation to your profession and PAHPM! Learn more about palliative care and prepare yourself for the 21st century healthcare world! JOIN US & BECOME A PART OF THE CHANGE IN HEALTHCARE!