Unique nurse gift for upcoming graduations and pinning ceremonies for Physician Assistants and more! This gorgeous rose gold tone Physician Assistant pin has an PA caduceus symbol with a butterfly tie tack style closure. Hanging from the bottom of the pin is your choice of birthstone and initial for personalization. If you prefer only the pin itself, there is an option for that as well. Pin measures approximately 1.25 inch wide and 1.25 inch tall. Makes a great gift for pinning ceremonies or your favorite PA.