Nora, I'll let you answer and I'd like to

expand.

All right.

So I think there has been a very meaningful shift here toward surgical and specialty practice among the PAs.

I think this reflects changes in both the healthcare system as well as the PA profession itself.

If you look at the latest data from the National Commission on Certification of Physician Assistants, the NCCPA, it's particularly striking.

It indicates surgical subspecialties now represent the largest single practice category for PAs, making up over 18% of the workforce in 2025.

For listeners who may not be familiar with bundled payments, how does this model affect surgical teams and where do surgical PAs create value throughout the episode of care?