Physician assistants (PAs), doctors, and nurse practitioners (ARNP) provide primary health care and fulfill leadership roles. Doctors and ARNPs are trained in leadership, but it is unclear how PA students learn leadership. An online survey was sent to all 173 accredited PA programs to determine if leadership training is part of PA curricula and how program directors believe PAs acquire leadership skills. Only 12% of programs provide any amount of stand-alone leadership training. Common barriers to initiation of leadership training are time constraints (44%), and the perception that leadership skills are gained through methods other than course instruction (50%). This may represent a disparity between what is necessary for PAs in practice and what is provided in their education.