If you are a PA and would like to talk to a PA colleague who has experience dealing with issues of impairment, whether it is for yourself, another PA, or a physician, you may want to call the PA Impairment Helpline. For more information please visit Physician Assistants: PAs Helping PAs. You can get help dealing with a variety of situations, ranging from concerns you may have about yourself or another PA, to so-called "secondary impairment", which occurs when a PA's supervising physician is impaired, and the PAs ability to practice safely is affected.