+1 scribing. I was a NA for 3 years (granted not the same as an MA), and then scribed for a year. I would disagree that it is essentially paid shadowing. As a scribe, I felt I was taught a deeper level of critical thinking in that I was trying to write notes as the physician would. You learn to navigate EMR, analyze health histories to create an HPI, and document a physical examination, along with learning criteria for testing and ICD codes. As I was an outpatient scribe, I was able to repeatedly work with 3 or 4 physicians and learned more about how they think and treat patients. This also fostered strong relationships with the physicians and I had several write letters of rec. Further, they taught me basic diagnostic skills, reading ekg, ct, caths, etc. My personal opinion is I got more out of scribing for a year than 3 years as an NA.