SDN Members don't see this ad. About the ads. I know PA is insanely hard to get into. Lurking around, ive heard that in some cases it is even harder than med schools. I know next to nothing about NP programs. After taking that into account, what are key differences between the two careers? I cant distinguish them except for their title differences. I know they both practice medicine, prescribe medication, and diagnose conditions. What makes one different from the other? 1. Pay scales are the same arent they? 2. Is it possible to be an NP without going to nursing school? 3. If yes to 2, How do np schools compare in competitiveness to PA programs? 4. Can either practice without supervision? 5. Whats the job market like for both fields? Ive heard PA is in dire need of fresh graduates. Nurses are always wanted, what about NPs? Saturated areas? If it isnt obvious enough, im really having trouble deciding on the path that i should choose. Thanks guys!