I was originally pre-pa and switched. All PAs that are < 5 years out loved their jobs. All the one > 5 years out seemed to hate it. They would work up patients and have the diagnosis and be ready to roll. BUT because they're a PA, they have to run it by the supervising doc. When a PA consults a doc, the doc always asks them to order some random lab and/or imaging. It never changed diagnosis or treatment. It always just wasted time and charged the patients more. I knew I couldn't stand an entire career of my diagnosis being challenged every day.
Also, I want to practice medicine for a lot of reasons. One of them is to stimulate my brain. I would hate to have to see only the BS and even then ask the supervising doc for help with even that.
It's nothing to do with pay, prestige, etc., and everything to do with a limited scope of practice.
Edit: go check out the PA forum. It's just thousands of pages of regret. Although, unlike NPs, they all seem to acknowledge that there is a difference between them and docs.
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