Delaware Collaborating Physician Jobs – Top Opportunities for Licensed Physicians
Delaware is a PA-driven collaboration state — every Physician Assistant requires a written collaborative agreement with an actively practicing Delaware-licensed physician. With a 4-PA concurrent cap, a growing PA workforce in Wilmington, Dover, and the coastal resort communities, and no mandatory chart review percentage, Delaware offers focused and manageable collaboration opportunities.
Delaware’s Concurrent Cap — What It Means and When It Applies
Delaware’s 4-PA limit is a concurrent practice cap, not a total agreement cap. Understanding this distinction helps you maximize your collaboration opportunities appropriately.
How the 4-PA concurrent cap works under 24 Del. C. § 1771(f) and Admin. Code 1700-13.0:
Up to 4 PAs at Any One Time
A collaborating physician may NOT collaborate with more than 4 PAs at any given time — meaning during any single shift, clinical session, or period of active practice. This is the concurrent practice limit, not a limit on the total number of collaborative agreements a physician may have on file.
Same Physical Location + Active Coverage
The 4-PA cap does not apply when the physician and PAs all practice in the same physical office or facility building AND there is active physician coverage on-site (for example, an emergency department). In those settings, more than 4 PAs may be covered simultaneously.
Delaware’s PA Collaboration Requirement Creates Consistent, Well-Defined Physician Demand
Delaware is a full practice authority state for NPs but maintains a clear and permanent collaboration requirement for all PAs. Every PA in Delaware must have a written Collaborative Agreement with a Delaware-licensed physician who is actively engaged in patient care — not involved “in name only.” Delaware law explicitly states that the collaborating physician must be involved in active patient care on a regular basis.
Delaware’s framework is notably lean compared to many other states in this series: there is no mandatory chart review percentage, no required meeting frequency, and no proximity mandate — the physician must simply be readily accessible by electronic communication during PA patient encounters. The scope of practice is determined between the PA and the physician, giving both parties meaningful flexibility in structuring the collaboration.
Delaware’s 4-PA concurrent cap creates high per-physician demand — similar to Hawaii’s 2-PA cap model — meaning the ratio of opportunities to the PA workforce is more favorable for physicians than in uncapped states.
Delaware State Requirements
All PAs must complete a written collaborative agreement with a collaborating physician before practicing. The agreement is kept on file at the primary practice location and made available to the Board or Regulatory Council on request. No proactive filing with the Board required. 24 Del. C. § 1771(b)
A collaborating physician may not collaborate with more than 4 PAs at any given time unless practicing in the same physical facility with active physician coverage. The Board may increase or decrease this number by regulation. 24 Del. C. § 1771(f)
The collaborating physician must be involved in active patient care on a regular basis — cannot be involved in patient care in name only. The physician may only assign medical acts within the physician’s own license. 24 Del. C. § 1771(d)(e); 24 Del. Admin. Code 1700-13.0
The constant physical presence of the collaborating physician is NOT required on-site. The physician must be readily accessible by electronic communication during PA patient encounters. If not routinely present, the physician must ensure adequate collaboration through telecommunication, chart review, or other appropriate methods. 24 Del. C. § 1770A(2); § 1771(i)
No mandatory chart review percentage is specified. Scope of practice is determined between the PA and collaborating physician. PAs must have at least one collaborating physician for each location where controlled substances are prescribed. Governed by Delaware BOMLD and the Regulatory Council for Physician Assistants.
What a Collaborating Physician Does in Delaware
Delaware’s framework emphasizes active clinical involvement and electronic accessibility — with no mandated meeting schedule, no specific chart review percentage, and no on-site presence requirement.
Sign the Written Collaborative Agreement
Execute a written Collaborative Agreement with the PA defining the scope of practice, the collaboration structure, and the means of oversight. The agreement is kept on file at the practice location — no Board filing required unless requested.
Maintain Active Patient Care
Delaware requires you to be involved in active patient care on a regular basis — not in name only. This is a meaningful standard: you must be genuinely practicing medicine. Your Delaware medical license must be active and your clinical practice ongoing.
Electronic Accessibility During PA Encounters
Be readily accessible by electronic communication at the time of PA patient encounters — available for consultation as necessary. Physical presence is not required. Delaware explicitly states the physician is not required to be on-site provided electronic accessibility is maintained.
Flexible Oversight Methods When Not Present
When not routinely present, ensure adequate oversight through appropriate methods — such as telecommunication, chart review, or other collaboration methods suitable to the care setting and the PA’s education and experience. The specific method is determined at the practice level.
Define PA Scope Within Your Own License
Determine and document the PA’s scope of practice — which must not exceed your own license. Delaware law prohibits assigning medical acts to PAs that are beyond the physician’s own scope of practice and competence.
Earn Income Per PA Collaboration
Receive income for each PA you collaborate with — up to 4 concurrently. Delaware’s 4-PA cap and no-independence-pathway structure create consistent, ongoing demand for physicians who are actively practicing in the First State.
Get Started in 3 Simple Steps
Many physicians in our network are matched and onboarded within 24 to 48 hours.
Apply
Submit your credentials and Delaware license number. It takes less than 2 minutes. We verify your active clinical practice status before matching.
Get Matched
We connect you with Delaware PA practices — across Wilmington, Dover, Newark, and the coastal communities — whose scope aligns with your specialty and practice.
Start Collaborating
Begin with a fully compliant Delaware Collaborative Agreement — kept on file at the practice — with oversight methods and scope defined, and the 4-PA concurrent cap tracked from the start.
A Smarter Way to Work as a Delaware Collaborating Physician
Delaware’s “active patient care” requirement, 4-PA concurrent cap, per-location controlled substance requirement, and scope-alignment standard require careful attention. We handle the structure so you can focus on your role.
We connect you with PA practices
No searching, no cold outreach. Delaware PA clinic opportunities — from Wilmington to the Rehoboth Beach resort corridor — come directly to you.
Start within 24–48 hours
Many Delaware physicians in our network are matched and onboarded within 24 to 48 hours. No Board pre-filing required — agreements go on file at the practice.
24 Del. C. § 1771-compliant agreements
Our Collaborative Agreements meet BOMLD and Regulatory Council for Physician Assistants requirements — including active care language, scope definition, and oversight methodology.
4-PA cap tracking
We track your concurrent PA agreements to ensure you never exceed the 4-PA simultaneous cap — keeping you compliant under Delaware statute at all times.
High per-physician demand
Delaware’s 4-PA cap means the state requires significantly more collaborating physicians per PA than uncapped states — creating consistently high per-physician demand similar to Hawaii’s 2-PA model.
No chart review mandate — flexible oversight
Delaware leaves oversight methodology to the practice level. No mandatory percentage, no mandated meetings, no specific visit schedule — lean and manageable.
Delaware Clinic Types We Work With
PA-staffed clinics across Delaware — from Wilmington’s urban healthcare corridor to Dover’s state capital community and the Sussex County coastal resort market — all require a collaborating physician under Delaware law.
This Opportunity Is Ideal For
Physicians with an active Delaware medical license who are actively engaged in patient care on a regular basis
Physicians comfortable with electronic availability during PA patient encounters
Those seeking focused additional income from up to 4 concurrent PA collaborations
Physicians whose practice scope aligns with the types of medical acts they will delegate to the PA
Delaware requires the collaborating physician to hold an active Delaware medical license and to be involved in active patient care on a regular basis — not in name only. Retired physicians or physicians who are no longer actively practicing are not eligible. Your clinical practice must be genuine and ongoing to meet Delaware’s active care standard.
Delaware Collaborating Physician Jobs — PA-Only, 4-Cap Market Across Wilmington, Dover, and the First State
Delaware’s NPs practice with full practice authority, so the physician income opportunity is entirely in the PA collaboration market. Delaware imposes a 4-PA cap per physician — one of the most restrictive in the series — which drives premium per-arrangement compensation. With no proximity requirement, no chart review mandate, and permanent PA collaboration demand across Wilmington, Newark, Dover, and the Delaware Beaches, the First State offers well-compensated, remote-eligible collaborating physician jobs for physicians willing to engage within the cap structure.
Remote Physician Jobs — No Proximity, No Chart Review, No On-Site
Delaware’s PA collaboration framework imposes no geographic proximity requirement, no mandatory chart review percentage, and no on-site visit mandate. Physician availability for consultation can be fulfilled entirely by phone or electronic means. For physicians seeking remote physician jobs with permanent demand — Delaware has no PA independence pathway — the First State offers durable, long-term arrangements that generate consistent monthly income.
Part Time Physician Jobs — 4-PA Cap Drives Premium Rates
Delaware’s 4-PA cap per physician is the structural driver of physician income rates in the state. Because only 4 PAs can be supervised simultaneously, the per-arrangement value is higher than in uncapped states. A physician holding all 4 cap slots in Delaware is earning at the state’s income ceiling with defined, manageable obligations per arrangement — making these among the best-compensated part time physician jobs in the Mid-Atlantic.
Physician Consulting Jobs — Wilmington and Rehoboth Beach Wellness Market
Wilmington’s trolley square and Greenville corridors and the Delaware Beach communities of Rehoboth and Lewes generate demand for physician consulting jobs beyond standard PA collaboration income. PA-operated medspas, GLP-1 weight loss clinics, and telehealth practices across Delaware seek physician consulting jobs for protocol development, payer credentialing, and QA oversight — structured as retainer engagements alongside PA collaboration income.
Physician Advisor Roles for Delaware NP Clinics
Delaware NPs are fully independent but many NP-led practices voluntarily engage a physician advisor for payer credentialing, QA governance, and protocol oversight. These physician advisor jobs are structured at the practice level with no Board filing obligation and are available as remote physician advisor jobs for Delaware-licensed physicians statewide.
CollaboratingPhysician.com maintains an active pipeline of collaborating physician jobs across Delaware and matches physicians with PA practices within 24 to 48 hours. Whether you are looking for collaborating physician jobs, remote physician jobs in Wilmington or Newark, part time physician jobs across Dover and the Delaware Beaches, or remote physician advisor jobs with Delaware-based telehealth platforms, we structure Collaborative Agreements to meet Delaware Medical Practice Act requirements, verify cap compliance, and manage every arrangement throughout.
Frequently Asked Questions — Delaware
Start Building Additional Income as a Delaware PA Collaborating Physician
Delaware PA practices need actively practicing physician collaborators — and with a 4-PA concurrent cap creating high per-physician demand, qualified physicians are genuinely valued. We connect you, handle Collaborative Agreements, and track your concurrent cap compliance.
Apply Now — Takes Less Than 2 MinutesOr call us at +1 (817) 857-2726 to get started today.
Serving physicians and PA clinics across Delaware, including Wilmington, Dover, Newark, Middletown, Smyrna, Milford, Seaford, Georgetown, Elsmere, New Castle, Lewes, Rehoboth Beach, Bethany Beach, Millsboro, Harrington, Claymont, Laurel, Selbyville, and surrounding communities statewide.
Collaborating Physician Intake Form
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