while this is true, many programs that don't "require" experience will give applicants extra brownie points for having some. if 2 applicants are identical in every way(gre, gpa, good interview, etc) but one has 2 yrs of health care experience guess who gets the seat.....
yes, change is happening in the profession. more folks without experience are applying. that doesn't mean it's a good thing.....in fact I believe it to be the worst thing to ever happen to the pa profession. only time will tell if it proves our undoing.....
I would generally agree that its going to limit the student in terms of programs. I would also agree that I would generally prefer students with HCE over those who don't have any, but neither of us are adcoms. I know of at least one "top ten USN&WR school" that actively discourages students with HCE. I have precepted students from HCE and non HCE programs. There are differences but they seem to be more program specific than HCE or not specific. My only firm and fast rule is that I won't precept MEPN students.
As far as change happening in the profession, statistically that doesn't seem to be the case. Looking at CASPA data (which is limited) the amount of average HCE seems to be approximately the same. What is obvious is that the student profile now looks much different than it did 10 years ago. This is not confined to the PA profession but also applies to medical school or pharmacy school for example.
I would suggest to the OP that you find out if this is what you want to do. You are early enough in your education that you have a number of options including medical school. Shadow some PAs and Physicians to see what they like about their job and what they do. Understand the profession. Take a look around here:
http://www.physicianassistantforum.com/forums/forumdisplay.php?f=139
You also have some options for HCE. As an exercise physiology major it should be pretty easy to get athletic trainer certification. Some programs may give you credit for time spent working with athletes. Also CNA and EMT are pretty easy to get even while a full time student. 100-200 hours while not perfect will open up more options. It will also give you a back up if you do not get in on your first try (which happened to 50% of applicants last year). Finally as has been suggested cardiac rehab will be accepted as HCE by some programs.
David Carpenter, PA-C