In 2007, Nadia Cobb, PA-C, M.S., began working with Physician Assistants in Ghana to care for rural and underserved populations providing primary care. These PAs see between 80 and 100 patients a day. This is a much-needed service; Ghana has less than one physician for 10,000 people, in a country of 24 million. Cobb learned from the Deputy Minister of Health in Ghana that they have no continuing medical education for the PAs. As there is no Internet or even mail service, it is very difficult to send textbooks, instructional videos, or even medical magazines to the rural physician assistants of Ghana. Some of the PAs have been practicing for 20 years but have not received further education since they finished their official schooling. Cobb assesses what information and materials the medical professionals need, and she comes prepared to add to their skill sets and knowledge.