Hey ! Wow at least you are a Physical Therapist. I was crippled by my decision to go to med school in my 20s so I did not go back to school at all! I got jobs doing totally different things hoping I would decide to move forward with med school. I never felt quite "ready"in my 20s though. I was not confident I could make it through the course load. I did not want to give up my "20s" for the "fire hose"studying that everyone talks about in med school. I was always worried about having a family which i thought i would have started by now. Blah blah.... for whatever lame reasons I didnt have the mindset. So, here I am. Push comes to shove. **** or get off the pot for me. At least you have a stable career. It is crunch time for me. I have all of my nursing pre reqs done etc etc. I must move forward. I emailed an older woman who went to nursing school and was a nurse for 20 years and then decided to go to med school. She responded back to me a couple of days ago and wow.... the things she mentioned really put things in perspective for me. The toll med school takes on a partner and a family. The sacrifices that must be made. I really think that I need to go on the path of BSN---- to NP. Meanwhile hope to have kids here within next couple and then if i want to go to med school later then re evaluate. The cost of med school alone at our age is like mind blowing. What are your thoughts? I also like preventative care and GP work ( sounds crazy ? haha) i also could picture myself as a surgeon but that ship has sailed. Anyways, could you pursue a BSN or would you go for a direct entry FNP? PA?
This is a long winded response, but maybe the thought process will be of value to you- since we seem to be juggling similar competing values...
It's really a tough call, especially with regard to the sacrifice. For me it really comes down to 3 different things - calling/passion, time, and money.
Time:
I'm an introvert, my free time, my down time to exercise, read etc is hugely important to me. I sacrificed a lot of that for 3 years of PT school, and even my 2 years out of school where I had to really work hard to integrate all I had learned and get into a groove, while making crap for money. The first 2 semesters were probably comparable to med school ( I went to New York Medical College for PT, so I had a direct comparison, the med school faculty taught us our basic anatomy/physiology, neuro etc) in terms of volume of content and time spent studying (non stop). I didn't personally find time to exercise or read leisurely for those two semesters- and I was single. PT goes heavy on musculoskeletal anatomy/cadaver, kinesiology, cardiopulmonary and neuro for physiology, and then the rest is a bit lighter because it's not as relevant to our scope, whereas med school is heavy like that for 2 years. With time also comes the consideration of career longevity. As a 50/60 year old practitioner, it's ostensibly easier to perform your job functions as a primary care provider doing blood work and physicals, than it is to lift patients, demonstrate exercise, perform manual therapy etc.
Money:
If I decide to apply to med schools, there are probably only a handful I'd be interested in applying to due to cost, which is huge risk. Hedging my bets and applying to both is tough- because the different requirements make the prerequisite phase even more time intensive. GPs make less money than many of the other specialities- I don't want to pick a school that gives 250k in debt just to become a GP. That leaves me with state schools, and of course- NYU which is free AND has a 3 year GP tract ( as does SUNY Stony Brook now- I'm in NYC). Med school is competitive, but NYU is extremely competitive. While my prerequisites GPA for PT school was not bad ( somewhere in the 3.8 - 3.9 range- overall undergrad GPA was 3.6-3.7 range) - I'd have have to maintain that with orgo/biochem/genetics, while preferably continuing to work at least part time, and do insanely well on the MCATs. Going down to part time work to take these courses and study for the MCATs is for some reason tough for me to mentally commit to.
By contrast, the NP route- I too would have to pursue an (accelerated) BSN first, and then look at my NP/certificate options after that- there are unfortunately no easy ways to transfer into the profession even with my license- even for PA school. The only direct entry program near me for nursing is Columbia, and it's 90 k roughly, and you only get your MSN. Would still need to shell out time and money for an FNP or whatever cert you are looking for. ABSN can be done in a year to a year and a half after a few prerequisites and cheaply through a state school. Many of the NP/cert courses are part time or hybrid online- good for money, probably intense time management skills required. But the salary of an FNP in a family practice is half that of a GP, from my understanding. A salaried PT position is often capped just before or just at the 6 figure mark- a small chunk below the average NP salary, and huge chunk below GP. I'm at my cap after 5 years, my only way to increase pay is to work multiple jobs (Per diem) or start my own business- which I've tried briefly, and did not enjoy.
To me- PA school isn't on the table anymore, too much time and money for too little return of money, with no real autonomy for your license. NPs can work towards having more autonomy.
The passion/calling bit:
Is probably the make or break one here. If I felt totally at peace with my scope and profession, I probably wouldn't be having these thoughts and considerations. I often am frustrated with my lack of scope to use the full extent of my knowledge, or my lack of knowledge due to my lack of scope haha. PT isn't sexy, no pharmaceuticals involved, as such a lot of the research on our interventions is lacking in quality, quantity, or both. Not saying PT doesn't work or help, but in certain areas we really lack the research- especially with prevention- we can't really prevent low back pain for instance of there are no real physical predictors ( only some psychosocial). Whereas Heart disease, cancer, type 2 diabetes etc have some pretty clear biomarkers and anthropomorphic measures to address.
Ultimately, I think I'm also leaning more towards NP due to reduced time in prerequisites and schooling/balance of lifestyle in the long run, and financial (less debt, with the exception of the NYU medical program which is a huge gamble). There is still that nagging bit of me that knows I could get into med school and grind it out, but I'm wary of the time commitment and sacrifice.
Again... long winded, but maybe some of these considerations help- even if they aren't directly pertinent to your situation.