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clinical officers. Most of them study clinical medicine at the Malawi College of Health Sciences and other colleges within the country. In 2021, the American Academy of Physician Assistants voted to rename itself the American Academy of Physician Associates (AAPA) and adopted "physician associate" as the preferred professional designation. U.S. state governments such as the one in Oregon have begun to implement statutory changes to reflect the name change in Oregon. The move has been controversial; critics of the name change feel the word "associate"

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