ER Doctors

Started by Blue128K
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Blue128K

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Hi, I'm a senior in High school and I'm trying to decide between two health professions, Doctor or Physician Assistant. I just wanted some opinions from some who have been there. Is it worth the years of school to become a doctor? If you had to do it again would you choose med. school or take the quicker route with less responsibility of the Physician assistant. Any information you can provide would be alot of help. Thanks.
 
You are really young to have to decide now. Both fields require quite a bit of biology etc, so I would say you don't have to decide now.

I wouldn't go back and be a pa. I was older when I went to medical school and still would do it all over again. Being a physician is an amazing thing. IT is well worth it if you love it.

Try finding a private MD to shadow in clinic or in a hospital. This is one of the greatest ways to find out if you want to do medicine. You will see the good and the bad. And if the good outweighs the bad, you will know you have found your career.
 
I was a PT prior to Med School, and now I am a second year resident. To me, being an "assistant" just wasn't in my vocabulary...hell, it was hard to be a PT knowing there was more to learn and people who had undergone the hard work to be a Physician. For my personality it simply wouldn't fit.
Would I do it over again...in a heartbeat. I think being a Physician Assistant and being a Physician are VERY different. Sure the similarities are apparent, but the final decision making, the responsibilities foster a different attitude, a different type of leader. The Physician has undergone the most difficult academics in the health care field, medical school and residency are not meant to be easy and they are the gold standards. I wanted no less...and today I am incredibly proud and honored to be called "doctor".
Yes, I have no hesitation in saying I would do it all over again. It is and will be worth ALL of the hard work.
 
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also consider that to get into pa school at this point you still need a bs degree and a few years of medical experience. if you think you will be saving time going the pa route from high school you are wrong.....
consider:
md: 4 yrs college, 4 years med school, 3+ yrs residency=11 yrs
pa: 4 yrs college, 1-2 years to become paramedic/rn/resp. therapist/ 3+ years working to get recommended/required hours, 2 yr pa program= 11 years

yes, there are pa programs that will accept you with less than this, but not any good ones.....
 
many people I know went to PA school out of college. 4yrs + 2 yrs PA school = 6 yrs. They were easily able to get their EMT certification and required hours while in college. I think that both are worthwhile professions and each with a goal towards quality patient care. It just depends on your priorities in life. Many people I know became PA's because they didn't like the MD/DO lifestyle. They liked the 9-5 or shift work. Much of which can be had if you become an EM Doc (the shift work atleast).
First of all enjoy college. You have plenty of time to decide during college. You may find something else you love even more than medicine/biology in college and want to pursue that instead. It happens all the time.
 
it takes a decent amount of committment to get 2000-3000 hrs of meaningfull medical experience while in college( 10-20 hrs/week). most people do it over several years after they graduate as in the illustration above. also a number of programs want prior professional experience( rn/lpn/paramedic/resp. therapist/navy corpman etc and will not accept a basic emt cert + a few volunteer shifts/month. look at the programs you are applying to. if they accept less than 2000 hrs of professional experience or allow shadowing/low level volunteering to count toward these hours they most likely are not a quality program. also most pa's work the same hours as the docs they work wiith, so it is not a 9-5 job unless the whole practice is structured that way. pa's still take night call from home too, etc.


from a local pa program website:
Applicants applying in 2003 must meet or exceed all of these prerequisites:

Clinical Experience:


Minimum of two (2) years of recent, full-time equivalent, hands-on experience in the direct delivery of medical care to patients (approximately 4,000 hours); examples might be LPN, RN, Paramedic, Corpsman, OR
Current professional credentials and at least two (2) years of recent full-time experience in an allied health field, such as medical technology, X-ray technology, pharmacy, etc.
Clinical experience can be calculated up to the November 15th application deadline date. You must have the minimum two years fulltime equivalent experience by that date to be eligible to apply in this admission cycle. Experience must be from paid position(s), not volunteer work, and clinical experience gained through a training program as a student does NOT count toward satisfying the 4,000 hour requirement.
 
yeah, I've also got to say that I've got 3 close friends of mine who went 4 years for B.S. and got into the University of Iowa's Master's PA program right out of school. they just worked part time through college as a nursing assistant on the wards.

I would have to agree that PA is usually a shorter route that M.D. and often considerably.

there are exceptions however.


later
 
That is interesting to me that not all PA licenses are equal. If only the "good" ones require so much extra work, then what about the others. Do they have poor educations standards? Shouldn't there be a certification requirement that each school meets?

My friend went to law school, and I guess it is kind of the same thing. There are crappy law schools that you would not want to graduate from, when applying, he called them safety schools.

To Blue, I would suggest that if the road to becoming a physician seems to long or not your style, I would go with an RN. They have a defined practice and certifications are based on national standards. Plus, there is such a shortage right now, schools are giving away scholarships students in order to fill the gaps. As an RN, you definitely get more patient contact than most MDs (maybe equal to emergency physcians) and the road is much less strenuous.

Going to medical school is the best thing I have ever done in my life, next to getting married and having a baby. It is an amazing honor to be called a doctor, and as DocWagner stated, it is the gold standard of medical education. In fact, I'd go farther and add that because of our country being the democracy that it is, we are the gold standard for medical advancement and practice for the world. Pretty awesome responsibility.

Good luck in your decision.
 
It does all depend on what your priorities are, but I cant imagine a more rewarding career path. Admittedly, Im not even a resident yet, but I know Ive chosen correctly. However, I know a couple of travel nurses who make serious bank, only work about 9 months out of the year, and see a lot of the country while saving money / putting it into the stock market. Not a bad gig. Again, depends on what you are wanting out of the whole deal. My advice would be go to college and do as well as you can (within the context of having fun) so you have as many options as possible. The only thing I might do differently if I had it to do over again is I might major in something like history and still take the med school required prelims. An idea.
 
I wouldn't have gone any other route...period.
The weird thing with PA programs is that they aren't really even standardized (some are MS, some BS, some certificate)...I work with many PA students that are REALLY young with their "medical" experience being a hospital transporter.
THe days of all PA's being former EMT's and RN's are over... the applicant field has diluted a bit.
 
"THe days of all PA's being former EMT's and RN's are over... the applicant field has diluted a bit."

I would agree and also add that " a bit " is being generous.
there are still some good folks coming out of pa programs and they will rise to the top while a lot of other new grads end up doing insurance physicals and working at weight loss clinics....

there are probably enough quality applicants for about 60-70 pa programs. unfortunately, there are now 134 programs who need to fill seats. some will accept applicants with a bs in a science field and volunteering or shadowing hours only. a lot of these folks fail out in the didactic year or meet preceptors like me in their clinical year who fail them because they don't know squat about practicing medicine and are too lazy to put in the time to study at home after a full day in the e.d.

there are good and bad pa's/md's/do's/rn's out there. just learn how to tell the difference.

my advice to someone in high school at this point would be to get a bs degree that fulfills all pa school and md school prereqs while getting some medical experience. you have time to decide your final goal later. take the mcat and see how you do. talk to some md/do folk and a few pa's. follow each of these folks around at work for a few days to get a feel for what they do. you have plenty of time to decide what to do with your life. get good grades, have fun, and don't take life too seriously.....
 
Good to be thinking about things ahead of time! My wife is a PA and loves it...has no desire to be an MD..Good pay, great lifestyle, can change specialty later in life etc, etc. Hook up with some PAs and MDs to talk to them or shadow.
I love being (in 2 months) an MD. Would not change a thing. Nice thing is you can, at this point, head for both in college same pre-recs. etc. I know of a program at Eastern Kentucky University that is a BS in emergency medical care...gives all pre-recs for medschool or PA plus makes you a paramedic. You finish the program with almost 1000 hours of clinical exposure in lots of areas....Great for PA school or MD/DO GOOD LUCK!