Oren Berkowitz1,2, Marcus Hoffmann1,2. 1. Oren Berkowitz, PhD, PA-C, is a senior lecturer in the Department of Health Systems Management at Ariel University, Ariel, Israel. 2. Marcus Hoffmann, MD, is president of EuroPA-C and a professor at Baden-Württemberg Cooperative State University Karlsruhe, Karlsruhe, Germany.