I see what you are trying to imply, but there are serious holes in your logic. PAs aren’t med school graduates-lite any more than a baby tyrannosaurus is an apex predator. Medical school already exists, and they take the “brilliantest” of scholars. Their apparatus has upwards from 7 years to mold their product through the crucible of rigorous, soul stretching residencies. Your theory falls flat in the face of that. And they don’t care about you guys. If PA schools are trying to meet med schools in the middle, they will be lonely when they get there, because med schools aren’t asking for that. If they are trying to be similar to medical school, then it’s a bunch of PA faculty trying to do that on their own, but it’s in their own minds to do that.
Like we’ve seen with the “bridge” programs, being a PA gets you out of nothing. A PA would be better suited going to NYUs MD (not DO) program that I reference because they would at least have the opportunity of matching to whatever they wanted to try for. At LECOM, half the class has to go into primary care. And LECOM still isn’t any shorter than NYU’s. That’s how much they respect your analogy of being “just like med school”.
No, what you are also seeing is each new PA program popping up opting to take low or no HCE applicants because it’s easier for them to carry on as an extension of undergrad. More uniform applicants mean easier recruitment, easier format to set up, more potential suitors for their programs, etc. Everyone is easier to teach because they all start out at the same base naïveté about healthcare. Blank slates. I had a Pa school program director tell me that when they said “We’ve read studies that show that students without HCE perform just as well as those that have it. I can take someone without HCE and make them into a competent provider, and have an easier time doing it.” So folks like yourselves who have significant healthcare experience slow them down a bit, I guess.
If PAs want to shoot themselves in the foot and turn their strength from being generalists and into specialists by pushing for a baby residency, I’m not going to stop them. That helps your employer more than you, and it pigeonholes you into a niche. Further, if you want the face of your profession to be someone with their first real job being a PA, then that doesn’t bode well for you guys or your pay scale either. Like I said, physician education can afford that kind of student because they have them for so long, and cram in so many hours that they beat the indiscretions of youth out of them. With PAs, you can add a residency (which actually isn’t happening on a wide scale either), and you’ll still have patients looking at a babe in the woods when they walk through the clinic door.
A prominent physician told my friend that in 10 years, PAs would be like nurses, making nursing wages or less. I didn’t believe it, but what that surgeon saw was what was coming out of school: Folks that think they just got out of med school lite. No experience, no confidence in their value due to no insight, and no independence.