- Joined
- Sep 24, 2012
- Messages
- 34
- Reaction score
- 3
The topic probably sounds troll-ish but please hear me out. I am currently on track to apply to med school in a week. My stats are good (3.8/34, good ECs) and I am confident I can be an MD. But my question is - why would I want to?
As I look at NP/PA more, I begin to wonder why I am trying to be an MD. In no particular order:
Money - For me, the amount of money I make is not all that important. Both NPs and PAs make far more than the average American and more than enough to live on. I don't want to be wealthy. Also, I am terrified of taking a $250k risk even if I am quite confident in my ability to succeed.
I may sound immature in this part of my post but I am a non-trad and do have some life experience. I've lived on my own, I've worked crappy jobs, I've made crap money. I am adaptable.
Impact - As far as my role in a healthcare environment, I plan on primary care as of now. I don't that it will be my final decision but I want to be in a field where I can help prevent disease. I don't want to just treat sick people, I want to keep people healthy. This is a role which I feel (in my experience), NPs and PAs actually have more of an impact than most physicians.
In addition, I think it is possible that primary care might be replaced by NPs in the future. I know that most people believe the prospects for primary care are good but I see no reason why NPs won't largely replace primary care. What role does a family medicine MD fill that an NP cannot, at 40% lower pay?
Obviously MDs have more training than NPs and PAs, however,
Flexibility - NP and PA take the cake here. MDs pick a specialty and are in forever. I realize that there is room to branch out to a certain extent but NPs and PAs, with some work, can work anywhere in the hospital. NPs even have the same late-game options as MDs as they can open their own practice and try the business aspect of medicine.
Respect - Obviously MD wins here, though NPs & PAs have, in my opinion, grown more respected.
Prospects - As a person working in medicine and as the son of medical professionals, it seems to me that prospects for doctors have grown worse and worse, while prospects for NPs and PAs have become better and better. To be fair, however, I have never heard of an unemployed MD nor an unemployed nurse.
Lifestyle - Other than a few medical specialties, I think that few people would argue that MDs have good lifestyle prospects. Most doctors I know work at least 60 hours/week. Meanwhile, most NPs I know work ~36 hours/week.
Schooling - I already have a BS in bio. Medical school will require 7-11 years of training (~4 years of schooling and 3-7 years of residency). NP will require 4-6 years (2 years for my BSN, then 2-4 years more for NP). PA school will require only 2 years.
I realize that my situation is not like others. Some people want to make $300k and some people want to be the most highly trained practitioner in the hospital. But in terms of my own future am I missing something? Because to me it seems foolish for me to go to medical school. Maybe someone can tell me what I am missing. I feel like I am clinging to the respect that being a doctor brings. I also feel like I am afraid to become an NP or PA because I KNOW I can be an MD. Anyone have any advice to offer?
Also, thank you for reading this mess.
As I look at NP/PA more, I begin to wonder why I am trying to be an MD. In no particular order:
Money - For me, the amount of money I make is not all that important. Both NPs and PAs make far more than the average American and more than enough to live on. I don't want to be wealthy. Also, I am terrified of taking a $250k risk even if I am quite confident in my ability to succeed.
I may sound immature in this part of my post but I am a non-trad and do have some life experience. I've lived on my own, I've worked crappy jobs, I've made crap money. I am adaptable.
Impact - As far as my role in a healthcare environment, I plan on primary care as of now. I don't that it will be my final decision but I want to be in a field where I can help prevent disease. I don't want to just treat sick people, I want to keep people healthy. This is a role which I feel (in my experience), NPs and PAs actually have more of an impact than most physicians.
In addition, I think it is possible that primary care might be replaced by NPs in the future. I know that most people believe the prospects for primary care are good but I see no reason why NPs won't largely replace primary care. What role does a family medicine MD fill that an NP cannot, at 40% lower pay?
Obviously MDs have more training than NPs and PAs, however,
Flexibility - NP and PA take the cake here. MDs pick a specialty and are in forever. I realize that there is room to branch out to a certain extent but NPs and PAs, with some work, can work anywhere in the hospital. NPs even have the same late-game options as MDs as they can open their own practice and try the business aspect of medicine.
Respect - Obviously MD wins here, though NPs & PAs have, in my opinion, grown more respected.
Prospects - As a person working in medicine and as the son of medical professionals, it seems to me that prospects for doctors have grown worse and worse, while prospects for NPs and PAs have become better and better. To be fair, however, I have never heard of an unemployed MD nor an unemployed nurse.
Lifestyle - Other than a few medical specialties, I think that few people would argue that MDs have good lifestyle prospects. Most doctors I know work at least 60 hours/week. Meanwhile, most NPs I know work ~36 hours/week.
Schooling - I already have a BS in bio. Medical school will require 7-11 years of training (~4 years of schooling and 3-7 years of residency). NP will require 4-6 years (2 years for my BSN, then 2-4 years more for NP). PA school will require only 2 years.
I realize that my situation is not like others. Some people want to make $300k and some people want to be the most highly trained practitioner in the hospital. But in terms of my own future am I missing something? Because to me it seems foolish for me to go to medical school. Maybe someone can tell me what I am missing. I feel like I am clinging to the respect that being a doctor brings. I also feel like I am afraid to become an NP or PA because I KNOW I can be an MD. Anyone have any advice to offer?
Also, thank you for reading this mess.