Making a decision: PA vs DO

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Sneakerdoc

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Hello there. I'm really stuck on this decision. I am currently a first year PA student and just recently got accepted to a DO school in a different state. I'm originally from California and I go to PA school in NY. I always wanted to go to med school, but I wasn't getting any younger and I was already on my fifth year trying to get in. I finally got accepted tho but I am almost done with my didactic year, but I am not sure if it is the right choice. Also, I am in 80k debt from PA school. Money is not the problem as I have support, but also everyone will eventually have loans to pay off. I feel like it is becoming an ego thing for me wanting the title. I always go on social media and get jealous of people graduating medical school or even finishing it. Now I have the chance to do that but I am worried about failing or wasting 7 years of my life and won't be a doctor till I am 36/37. I am also worried about not having a good friend support group in DO school as I currently have a strong support system at my PA school. Any guidance on this decision would be great as I am honestly just lost in what to do.

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If it’s only for your ego, don’t do it. Med school and training is too hard to go through for an ego boost. You really just need to answer for yourself if you want to be a PA or a physician.

Don’t worry about the support group from a friend standpoint. If you made good friends in PA school, you could do the same in med school.
 
You said you tried 5 cycles to get into medical school? That seems like someone who was determined to be a physician and only then settled for PA school.

Think about this, will you be happy 7 years from now as a PA? Or are you going to look back and say "Dang, if I would have took that acceptance I would be a physician now."

The time is going to pass regardless and shouldn't be a deterring factor to pursuing medicine. I will also say, dont switch because of your ego. You have to switch because you cant see yourself doing anything else.
 
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You said you tried 5 cycles to get into medical school? That seems like someone who was determined to be a physician and only then settled for PA school.

Think about this, will you be happy 7 years from now as a PA? Or are you going to look back and say "Dang, if I would have took that acceptance I would be a physician now."

The time is going to pass regardless and shouldn't be a deterring factor to pursuing medicine. I will also say, dont switch because of your ego. You have to switch because you cant see yourself doing anything else.
This is pretty spot on. When I was in college (20 years ago wow), I knew I wanted to do something medical and initially started pre med. Struggled a little as I got into more advanced classes and decided to switch to PA. My father gave me almost the exact same advice above (I hadn’t applied to school yet just that he inquired if I was settling on PA school). Ultimately I realized I was settling and acknowledged that yes, time would go on regardless and I’d get to the point in my life where’d I’d be done with med school and residency and I just knew I’d always look back and wish I’d applied myself to get into med school. I was about 20-21 at the time. Decided to suck it up, buckle down and push myself. Made great grades in those classes I struggled with before. Got into DO school (HPSP and served in the Air Force). Now I’m out, a practicing psychiatrist on the civilian side (separated from active duty last summer) and could not be happier with the decision I made and the wisdom my father shared with me back then. We still talk about it every once in a while to this day. I can’t say this is the exact same thing you’re experiencing but I agree, it does sound a little bit like settling. And that’s not a knock against PA’s. I just knew that wasn’t the best career path for me in the long run.
 
Hello there. I'm really stuck on this decision. I am currently a first year PA student and just recently got accepted to a DO school in a different state. I'm originally from California and I go to PA school in NY. I always wanted to go to med school, but I wasn't getting any younger and I was already on my fifth year trying to get in. I finally got accepted tho but I am almost done with my didactic year, but I am not sure if it is the right choice. Also, I am in 80k debt from PA school. Money is not the problem as I have support, but also everyone will eventually have loans to pay off. I feel like it is becoming an ego thing for me wanting the title. I always go on social media and get jealous of people graduating medical school or even finishing it. Now I have the chance to do that but I am worried about failing or wasting 7 years of my life and won't be a doctor till I am 36/37. I am also worried about not having a good friend support group in DO school as I currently have a strong support system at my PA school. Any guidance on this decision would be great as I am honestly just lost in what to do.


I was a former PT and started med school at age 30. Completed training (radiology residency and fellowship) at age 40...Was challenging but well worth it. Going to instate schools helped from a financial perspective...If you want to do primary care, then just stick with PA school. If you want to be an orthopod or neurosurgeon etc than go to med school and work your a$$ off knowing there are no guarantee that you match. If it's just an ego thing then apply to nursing school, become a RN, and take an online course and become a DNP🤣
 
You’re going to be 40 years old one day no matter what you do.

Do you want to be a doctor or a PA? Don’t drink the PA school Kool-Aid about how they’re the same thing because they’re not, at all.

I appreciate the contributions good midlevels make to patient care. But even as a resident, I see them routinely do things that anyone who went to med school would know is ridiculous.

And that’s perfectly fine if you’re comfortable with that. But you should realize that you’re on a doctor forum full of a bunch of people who are not, so you will get a bit of a biased answer here as well.

FWIW, I’ll be in my forties when I finish training. Every week of getting beaten down in med school I wished I’d stayed the course with my PA school app. But now I’m so glad I stuck it out because I think I would’ve hated being a PA.
 
OP, what does your heart tell you?
My heart honestly says to go to medical school. I'm not sure what is truly holding me back. Maybe cause I already invested a year in PA school. Moving to a whole new state again by myself. Possibly failing, but I know I have been doing well in PA school. But still I know that is not to a comparison. I guess I am also afraid if I do hate medical school I truly have nothing to fall back on to.
 
While a PA is much better than an NP, they are nowhere close to being a physician. Don't short-change yourself with becoming a PA
 
PA and physician are miles apart.
If you think you'll be satisfied as a PA, continue on your path. But if you go to MD school, you're taking on a big task with a much different/bigger/ life consuming outcome.

Personally, I would never settle for being a mid-level, I'd much rather do something else.
 
PA and physician are miles apart.
If you think you'll be satisfied as a PA, continue on your path. But if you go to MD or DO school, you're taking on a big task with a much different/bigger/ life consuming outcome.

Personally, I would never settle for being a mid-level, I'd much rather do something else.

Fixed that for you. 😉
 
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I was a former PT and started med school at age 30. Completed training (radiology residency and fellowship) at age 40...Was challenging but well worth it. Going to instate schools helped from a financial perspective...If you want to do primary care, then just stick with PA school. If you want to be an orthopod or neurosurgeon etc than go to med school and work your a$$ off knowing there are no guarantee that you match. If it's just an ego thing then apply to nursing school, become a RN, and take an online course and become a DNP🤣
Even for primary care, I would advise OP to go to med school.

I was a RN who almost went to NP school and I am glad I did not. The state that I work has restrictions for NP/PA and they are sometimes frustrated about things they are not allowed to do.

Also, my salary as a hospitalist is 2.7X of the salary the NP/PA I work with if that is important to OP.
 
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Even for primary care, I would advise OP to go to med school.

I was a RN who almost went to NP school and I am glad I did not. The state that I work has restrictions for NP/PA and they are sometimes frustrated about things they are not allowed to do.

Also, my salary as a hospitalist is 2.7X of the salary the NP/PA I work with if that is important to OP.
Also, primary care is harder than everyone not in primary care thinks. We get taught the most about it in med school so it seems easier than fields we get no exposure to. After seeing the way some mid levels manage even simple things like HTN, it’s clear that physician training has value.
 
So do you all advise I just take the offer and go to DO school? Or should I finish PA school since I finished the didactic year?
 
Is WCUCOM a good school? That is where my acceptance is.
Don’t know anything about the school except that it grants the same degree I use everyday to practice medicine. It’s not like you have any other options.


You have the opportunity to do what you want to do. Do it. It may never happen again. who knows? You may hate it. But you’ll always regret not shooting your one and only shot.
 
Don’t know anything about the school except that it grants the same degree I use everyday to practice medicine. It’s not like you have any other options.


You have the opportunity to do what you want to do. Do it. It may never happen again. who knows? You may hate it. But you’ll always regret not shooting your one and only shot.
Shooters shoot
 
I don't know if its worth it or not. I don't think I could take out another loan no matter what.

I still feel bad as interest rises during the grace period. I tried to waive it for SAVE, but the federal government is absolute trash at getting people on that program without making them wait for months after applying.

Once SAVE goes into effect, I can finally relax with the loan issues.

But ya, loans are a serious headache after you graduate school. Definitely a consideration.

They matter and don't matter at the same time. If you go to a non-profit hospital and work 10 years there, then boom, loans gone anyway. Or if you're unlucky you will have 500k loans and less options to deal with it.
 
I was a former PA who went through a similar process. I was not sure what to do so I applied to PA program, medical school and pHD program and ended up going to PA school initially and practiced for about 5 years… only to realize that I should’ve gone to med school in my late 30s and pursue that route.

I think being a PA takes certain personality. It’s a great career for many people but one has to realize that they will never be an expert no matter how long they work in that field. This was very hard for me. PAs will never have the medical knowledge that docs have no matter how many CME conferences they go to or how much they read - at one point when you are “comfortable” with what you do as a provider, your CME becomes a vacation and you will certainly stop reading/studying/consult. Going through residency is when you separate yourself from mid level providers. I consider mid level providers as PGY1.5. However, they give great flexibility in terms of switching the scope of practice and you can also make decent amount of money with a lot less liability. Im an anesthesiologist and I see this with my CRNA colleagues.

Nobody can tell you what to do. Any DO school in the country will prep you to take the board exams. However, if you want to work in very competitive surgical area such as neurosurg or CT surg, being a DO will be an uphill battle - much easier to get a job as a surgical PA and “participate” in those surgeries. Also, if you are planning to go into IM, FM or peds, being a PA is not a bad route ultimately. So it also depends on what field you want to pursue.
 
I don't know if its worth it or not. I don't think I could take out another loan no matter what.

I still feel bad as interest rises during the grace period. I tried to waive it for SAVE, but the federal government is absolute trash at getting people on that program without making them wait for months after applying.

Once SAVE goes into effect, I can finally relax with the loan issues.

But ya, loans are a serious headache after you graduate school. Definitely a consideration.

They matter and don't matter at the same time. If you go to a non-profit hospital and work 10 years there, then boom, loans gone anyway. Or if you're unlucky you will have 500k loans and less options to deal with it.
Definitely loan should be a consideration.

Almost all physicians can pay off their loan in 3 years if they are ok to live on a US median household income (~75k) for that period.

I don't know how easy it is for PA to work part time. For instance, I can wake up tomorrow and tell my employer that I am working 1 wk on and 3 wks off instead of 1 wk on/off and they will be ok with that. I am not sure that the PA/NP I work with can do that.

In my opinion, the only advantage that PA/NP have of MD/DO is the ability to change specialty.
 
My heart honestly says to go to medical school. I'm not sure what is truly holding me back. Maybe cause I already invested a year in PA school. Moving to a whole new state again by myself. Possibly failing, but I know I have been doing well in PA school. But still I know that is not to a comparison. I guess I am also afraid if I do hate medical school I truly have nothing to fall back on to.
Don't fall for the sunk cost fallacy. Follow your heart.
Shooters shoot
i feel like i freaked poor OP out on the wcucom thread as we discussed the remediation policies/course load/curriculum changes/etc haha and i'm sorry if that instilled fear in you! the reality is every single med school (especially DO schools) has remediation policies and course load that are incredibly similar to ours; and while i will always say things are subject to change, i just personally feel like its better to be aware up front and some of that is stuff i wish i would've known coming in! NOT that it would've changed my decision, it just would've been nice to know ahead of time!

but don't let that freak you out! chances are your PA school probably has some pretty strict remediation policies, but it seems like you're a good student so hopefully you haven't encountered them!

just a couple of pieces of encouragement based on some of your comments on this thread:

1) everyone hates medical school at some point. so don't be afraid of "hating med school." you will at some point! everyone does! but we're not in it to become med students. were in it to become physicians. and i think the general and very wise encouragement you've received is to look at *who* you want to be *when you're done with training*. look at the quality of life, pay, scope of practice, opportunities for innovation/income streams, compensation, roles, etc and make your decision based on that.

2) the other wise advice you've received is that WCUCOM will get you the degree you need to become a physician. you might not have as many resources at your fingertips as at a T20 MD lol but nothing WCUCOM will do will hold you back. you've got to be willing to put yourself out there, explore opportunities for networking, etc and i have had to do all of that, but as a pretty average student with no incredible academic background, i have thoroughly enjoyed my experience at Carey in preclinical and genuinely wouldn't change a thing in retrospect. yes, there are some first year curriculum changes coming and we'll see how those go, but i can tell you from personal experience the people who are at the helm are good people who have the very best intentions, with decades of experience, and are genuinely trying to give you the best experience possible. as a side note, anecdotally, i took comlex a few weeks ago, and it felt like a *breeze* in large part because of the stellar OPP curriculum at Carey, which is a very nice selling point in my opinion.

3) like others have said, this is your one shot to be a physician. even if you finish your PA degree and decide to reapply, med schools will now see you had a med acceptance that you declined and i believe the general knowledge is that that will make you pretty much DOA at a lot of schools if you were to reapply. i totally understand if you feel disappointed your app cycle didn't turn out the way you wanted, but ultimately you have the exquisite privilege of receiving a medical school acceptance in the US, which is a privilege tens of thousands of students every year don't receive.

finally, i would as objectively and honestly look at the pros and cons of PA vs MD/DO and decide which field more aligns with your vision of who you see yourself being in life. then make your decision. but please don't make a decision out of fear of failure! you will be given every single chance to succeed at Carey, you just have to decide if you want to!
 
i feel like i freaked poor OP out on the wcucom thread as we discussed the remediation policies/course load/curriculum changes/etc haha and i'm sorry if that instilled fear in you! the reality is every single med school (especially DO schools) has remediation policies and course load that are incredibly similar to ours; and while i will always say things are subject to change, i just personally feel like its better to be aware up front and some of that is stuff i wish i would've known coming in! NOT that it would've changed my decision, it just would've been nice to know ahead of time!

but don't let that freak you out! chances are your PA school probably has some pretty strict remediation policies, but it seems like you're a good student so hopefully you haven't encountered them!

just a couple of pieces of encouragement based on some of your comments on this thread:

1) everyone hates medical school at some point. so don't be afraid of "hating med school." you will at some point! everyone does! but we're not in it to become med students. were in it to become physicians. and i think the general and very wise encouragement you've received is to look at *who* you want to be *when you're done with training*. look at the quality of life, pay, scope of practice, opportunities for innovation/income streams, compensation, roles, etc and make your decision based on that.

2) the other wise advice you've received is that WCUCOM will get you the degree you need to become a physician. you might not have as many resources at your fingertips as at a T20 MD lol but nothing WCUCOM will do will hold you back. you've got to be willing to put yourself out there, explore opportunities for networking, etc and i have had to do all of that, but as a pretty average student with no incredible academic background, i have thoroughly enjoyed my experience at Carey in preclinical and genuinely wouldn't change a thing in retrospect. yes, there are some first year curriculum changes coming and we'll see how those go, but i can tell you from personal experience the people who are at the helm are good people who have the very best intentions, with decades of experience, and are genuinely trying to give you the best experience possible. as a side note, anecdotally, i took comlex a few weeks ago, and it felt like a *breeze* in large part because of the stellar OPP curriculum at Carey, which is a very nice selling point in my opinion.

3) like others have said, this is your one shot to be a physician. even if you finish your PA degree and decide to reapply, med schools will now see you had a med acceptance that you declined and i believe the general knowledge is that that will make you pretty much DOA at a lot of schools if you were to reapply. i totally understand if you feel disappointed your app cycle didn't turn out the way you wanted, but ultimately you have the exquisite privilege of receiving a medical school acceptance in the US, which is a privilege tens of thousands of students every year don't receive.

finally, i would as objectively and honestly look at the pros and cons of PA vs MD/DO and decide which field more aligns with your vision of who you see yourself being in life. then make your decision. but please don't make a decision out of fear of failure! you will be given every single chance to succeed at Carey, you just have to decide if you want to!
No you are good. Thank you again for your advice. I really do appreciate you taking the time to calm my fears one by one haha. My PA school does have a strict remediation policy, but I have not had to remediate anything. But I know medical school will be more in depth and just different. Haha. But I will make the push and go to DO school because it’s always been a dream and I can’t let this opportunity go by. I know I’ll have regrets if I don’t do it.
 
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