Joseph Gatti, DMSc, MPAS, MBA, PA-C, on Optimizing Collaboration and Mutual Respect Between PAs and Dermatologists

At this year’s SDPA Fall meeting, physician associate and founder of The Clinic for Dermatology & Wellness, LLC, and Pure Medspa, LLC, in Medford, Oregon, Joseph Gatti, DMSc, MPAS, MBA, PA-C, shared insights on optimizing collaboration between dermatologists and physician associates (PAs) in his session, “Beyond Supervision: Redefining the Modern PA–Dermatologist Partnership.”¹ Drawing on more than a decade of experience, Gatti emphasized that the success of these partnerships relies on mutual respect, communication, and the removal of ego from clinical relationships.

Reflecting on the evolution of the PA role, Gatti recalled the controversy surrounding a 2017 New York Times article, which he described as “traumatizing” for many PAs. Despite lingering skepticism among some physicians, Gatti stressed that many dermatologists value the expertise and contributions PAs bring to their practices. With the national shortage of physicians continuing across all specialties, he argued that PAs play an essential role in expanding access to dermatologic care, improving patient outcomes, and supporting practice growth.

“What we all have to keep in mind is that this is a partnership. It is not a competition. It's not one is better than the other...We both have a part to play and as long as we respect each other and just remember that
we're here for the same goal,” he told Dermatology Times.

Gatti, who served in the Army, likened the dermatologist–PA relationship to teamwork on a battlefield: each professional brings a unique perspective and shared mission to treat patients and fight disease.

When asked about advice for early-career PAs considering the Doctor of Medical Science (DMSc) degree, Gatti offered a nuanced view. As a DMSc graduate himself from the University of Lynchburg, he sees value in the degree for those pursuing administrative, leadership, or industry roles. However, he cautioned against promoting the degree as an entry-level requirement, citing concerns about added debt and limited clinical benefit for new graduates.

“If you're wanting to get into management, clinical medicine, research leadership, you should do this 100% across the board. It will help your life and it will make you more successful,” he advised. Gatti concluded by encouraging thoughtful, purpose-driven education choices that enhance both professional growth and patient care, reinforcing his broader message that collaboration, humility, and patient-centered practice remain at the heart of modern dermatology.

Reference

1. J Gatti, C Hardy. Beyond Supervision: Redefining the Modern PA–Dermatologist Partnership. Presented at: Society of Dermatology Physician Associates Fall 2025 Conference; November 5-9, 2025; San Antonio, Texas.