Which choice most effectively establishes the main topic of paragraph [1]?

Today, physician assistants are vital members of any healthcare system, but it hasn't always been that way.

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For many years, doctors and educators struggled to find a role for the high number of incoming medical students.

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The difference between physician assistants and nurse practitioners was often hard to quantify, but then came a shift in healthcare needs.

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Physician assistants had long played a vital role in the medical field, but the career didn't become popular until the mid-20th century.

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Solution

The correct option is A Today, physician assistants are vital members of any healthcare system, but it hasn't always been that way.
The first paragraph discusses how the existence of the Physician assistant (P.A) came about. This creation of the P.A. was quite important in the healthcare history. In this context, option A is the best answer. The other options are incorrect as they do not fit into the context.

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