Any thoughts on advantages/disadvantages of PA vs MD?

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SusGob711

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So I guess this thread is R/T my last one about career crises, lol. I've done some research and talked to a few people but I'm still torn. I hear a lot of PA's who wish they would've gone MD/DO but I also know a lot of unhappy docs who preach against med school. Aside from pay (which I feel is a pretty significant difference), what else should I take into consideration when making my decision. Does anyone have any insight they can share? I don't want to spend 11-15+ years of school/training pursuing MD and totally regret it...PA school is pretty tempting 😕

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So I guess this thread is R/T my last one about career crises, lol. I've done some research and talked to a few people but I'm still torn. I hear a lot of PA's who wish they would've gone MD/DO but I also know a lot of unhappy docs who preach against med school. Aside from pay (which I feel is a pretty significant difference), what else should I take into consideration when making my decision. Does anyone have any insight they can share? I don't want to spend 11-15+ years of school/training pursuing MD and totally regret it...PA school is pretty tempting 😕

The scope of practice for PAs is different from MDs; as a PA you will be working under the supervision of an MD and follow his treatment plans (although you MAY have liberty to change them as you see fit, but with his approval). There is clearly a significant reduction is salary and training. It is ultimately up to you--your personality and academic abilities will be huge determining factors--can you handle "being supervised by a doctor" and "can you succeed in medical school"?

A lot of doctors are unhappy in general, and a lot of it has to do with their expectations. Prior to entering medical school, some hold an expectation of "being able to do this and that" after you leave, and their jobs may not hold that sense of satisfaction they "expected". Some of these expectations may or may not be realistic, and that is probably going to contribute to their unhappiness. I'd take their unhappiness with a grain of salt, especially if you want a career in which you are going to have a significant impact on one's quality of life and derive great joy from knowing that you made a difference in that person's life.
 
I guess some of the pros of being a PA are that you can change specialties and get to experience many branches of medicine, and you can pick up extra days at various clinics/hospitals to beef up your paycheck.

Con: you'll always be working under someone else.
 
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So I guess this thread is R/T my last one about career crises, lol. I've done some research and talked to a few people but I'm still torn. I hear a lot of PA's who wish they would've gone MD/DO but I also know a lot of unhappy docs who preach against med school. Aside from pay (which I feel is a pretty significant difference), what else should I take into consideration when making my decision. Does anyone have any insight they can share? I don't want to spend 11-15+ years of school/training pursuing MD and totally regret it...PA school is pretty tempting 😕
LOL Im at work right now and was just talking to a PA that works in neurosurgery. He said and I quote "You (the PA) are basically the surgeons b!tch". Hey not my words. I dont think this is true for everywhere but hey Im not a PA. My advice would be for you to go the PA route you sound sooo unsure and thats a big risk your taking. Others including myself welcome all the "hoops" that come with becoming a doctor. If you feel more like :scared: than 🙂/😎 when thinking of being a doctor then I say go with your gut and save yourself the pain, time and money.
 
PA: pro- you have less schooling, less debt, and overall a less stressful lifestyle
con- you aren't an MD

MD: pro- you're an MD, you get to drop the MD in bars and pull hot tail, did i mention that you're an MD?
con- debt, debt, debt, debt, debt, debt, stress, debt, debt, and you guessed it....long hours!

HA! what a twist! take that, M. Knight Shamalan, you terrorist.
 
PA: more job flexibility (part-time, full-time, ability to switch specialties), shorter training (Marquette offers a BS/PA in 5 years), substantial income for hours worked, less liability.

MD: you don't have "assistant" in the name of your job 😀 a lot of responsibility, a lot of debt, a potentially much larger salary, much more time invested (I'm on year #9 of 13 or 14), much less job flexibility, a lot of liability in my specialty (70% of surgeons get sued).

I wouldn't have been happy stopping at PA, but depending on your life/career goals, it's definitely worth thinking about. It's much more conducive to taking time off or working part-time for family/personal reasons.
 
In my experience PA/NP do scut work. That or they work in some lame clinic handing out abx, excuses from work, and deferring all the interesting pts to the MDs. If this is up your alley then go for it.
 
LOL Im at work right now and was just talking to a PA that works in neurosurgery. He said and I quote "You (the PA) are basically the surgeons b!tch". Hey not my words. I dont think this is true for everywhere but hey Im not a PA. My advice would be for you to go the PA route you sound sooo unsure and thats a big risk your taking. Others including myself welcome all the "hoops" that come with becoming a doctor. If you feel more like :scared: than 🙂/😎 when thinking of being a doctor then I say go with your gut and save yourself the pain, time and money.


Actually that's why I'm so confused...I'm willing to jump through as many hoops as I need to to complete MD training...but I don't want to be jumping through hoops my whole life. Another issue is that I haven't found a specialty I could picture myself in yet. I know I'm still a pre-med but I'd like to be able to visualize myself doing something I enjoy. So far I've just been crossing off specialties 🙁 I also want to have the time to actually enjoy the extra money I'd make as an MD but realistically we will all be moderate to severe workaholics our whole lives won't we?
 
The PAs I've met are very satisfied with their career for the most part (many of the ones I have met though are in surgery and they put up with a lot of crap).

I read an article about a PA-DO bridge program that was going to be taking its first class in a few years. I think this will be something that will become more prevalent in the next decade or so. So it sortof offers you an out if you would like it. There is probably some info on SDN about bridge programs if you do a search.
 
Actually that's why I'm so confused...I'm willing to jump through as many hoops as I need to to complete MD training...but I don't want to be jumping through hoops my whole life. Another issue is that I haven't found a specialty I could picture myself in yet. I know I'm still a pre-med but I'd like to be able to visualize myself doing something I enjoy. So far I've just been crossing off specialties 🙁 I also want to have the time to actually enjoy the extra money I'd make as an MD but realistically we will all be moderate to severe workaholics our whole lives won't we?

I don't think you should be picturing yourself in a specialty or crossing out your options. It sounds wayyy to early.

I don't know about you but I don't think I'd be happy not keeping busy. Would feel like I'm wasting my life. Maybe that will change.
 
As a premed student I'm facing the same dilemma about whether or not I'm cut out to be a md / whether or not its worth the time/money. As of now I've decided to apply for medical school and learn/shadow as much as possible. If along the way I feel it's not worth it/ I'm not cut out for it(can't get into med school) I'll enroll in a p.a. program without (as much) guilt about not becoming a doctor. Correct me if I'm wrong but the path to become a P.A and a MD aren't that much different early on (you need a bachelor's degree and to take the mcat)...hope this helps =]
 
I'm not entirely sure on this, but I do not believe there is an entrance exam to attend PA school. It may be possible that they take the GRE.
 
As a premed student I'm facing the same dilemma about whether or not I'm cut out to be a md / whether or not its worth the time/money. As of now I've decided to apply for medical school and learn/shadow as much as possible. If along the way I feel it's not worth it/ I'm not cut out for it(can't get into med school) I'll enroll in a p.a. program without (as much) guilt about not becoming a doctor. Correct me if I'm wrong but the path to become a P.A and a MD aren't that much different early on (you need a bachelor's degree and to take the mcat)...hope this helps =]


idk... the paths are dramatically different. One you finish school, do two years of training and start working.

the other... you spend 4 years in school another 3-7 in residency and maybe another 1-2 in fellowship before you can start really "working"

that's quite a difference
 
PAs take the GRE, not the MCAT.

I've been considering PA. The path to entering many PA programs can be far more time-consuming than MD. A lot of PA schools have heavy experience requirements (I think Stanford requires 2000 or 3000 hrs of paid experience), but there are a lot of programs that don't.
Another annoying thing is that the pre-reqs aren't very standardized between programs. Just taking the pre-med prereqs won't cut it for a lot of places (where you'll need anatomy, physiology, microbio, genetics, upper-level bio electives, statistics, intro psych, etc), so look at the programs that interest you and plan in advance.

If you want to get the perspective of PAs and pre-PAs, take a look at www.physicianassistantforum.com. They have a lot more info specific to PA programs than sdn does.

I think the choice comes down to the sort of lifestyle you want, what you value, and what sort of personality you have.

I think that the choice would be a lot easier if there were bridging programs -- a way to transfer from PA to MD without starting from scratch and/or a way to complete med school, forgo residency, and do a short program to transition into a career as a PA
 
I think that the choice would be a lot easier if there were bridging programs -- a way to transfer from PA to MD without starting from scratch and/or a way to complete med school, forgo residency, and do a short program to transition into a career as a PA
That would just siphon people away from careers that a school had just spent 2-4 years training. Just like it's not usually a good idea to go to nursing school if you're planning on going right into med school, it wouldn't be a good idea to go to PA school if you're planning on being a physician.
 
I considered PA for some time, and now I'm set on medical school.

I think that many people assume that since PA means "physician assistant", the PA basically does what the physician tells them what to do, and does basic tasks. This generally is not true.

Yes, a Physician Assistant is a medical professional that is licensed to practice medicine with the supervision of a physician. What "supervision" means depends on the state, as well as the "supervising physician". This may mean that the physician sees the patient with the PA, that the physician signs off on all charts, that the physician signs off on only a few charts a month, etc. Typically, the MD/DO does not have to be physically present with the PA. In surgery, the PA will typically be the First Assistant. The PA may then follow up with the patient post-op.

PAs can do histories and physical exams, they can diagnose, they can perform various treatments and procedures, write orders, and they can prescribe medications. Again, the scope of practice of the PA is dependent on the state and the supervising physician. I work in a hospital, and when I'm bored, I read the protocols and procedures of some of the departments (yes, very nerdy). For the PAs in the Emergency Department, for example, they can see and treat to discharge the basic cases, without the physician seeing the patient (though the MD/DO has to sign off on the chart within 24 hours). With the more complex cases, the PA must present the patient to the attending before discharge. Again, this depends on the state, facility, and supervising physician.

Most PA programs are 2-3 year Masters programs. Some are still bachelors (though of course the material is at the same level). The first year includes didactic education, while the second year includes the clinical rotations. PAs then have to pass the certification exam, the PANCE (Physician Assistant National Certifying Exam). PAs also have optional 1 year residencies in certain specialties. Lake Erie DO school just announced a PA-DO bridge program, which takes out basically 1 year of med school (if I remember correctly).

Why did I stop thinking about pursuing PA school in favor of medical school? Because I didn't want to wonder "what if?" later on. I like that PAs are able to switch specialties without going through a residency, however I think that such an option may not be used by myself. While the level of autonomy of a PA can be good, depending on where you work and your SP, you will always have to have a supervising physician. In some ways, its like if you're a resident for your career.
 
Actually that's why I'm so confused...I'm willing to jump through as many hoops as I need to to complete MD training...but I don't want to be jumping through hoops my whole life. Another issue is that I haven't found a specialty I could picture myself in yet. I know I'm still a pre-med but I'd like to be able to visualize myself doing something I enjoy. So far I've just been crossing off specialties 🙁 I also want to have the time to actually enjoy the extra money I'd make as an MD but realistically we will all be moderate to severe workaholics our whole lives won't we?
I mean this with the upmost respect. I think your cutout for the PA route. Its sounds to me that you it will suite you better. I would hate for you to be a timid MD like the girl on Scrubs. *Frick,Frick,Frick!*
 
If you're worried about lifestyle, its not like you HAVE to work 80+ hours a week as a practicing physician. You have the option of cutting back, perhaps to the hours a PA would work. However, as a PA, its not like you have the option of increasing your autonomy to that of a physician's.
 
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