What is a physician assistant? Physician assistants (PAs) are health care providers who work in a variety of settings, from clinics, colleges and private medical practices to outpatient surgery centers and hospitals. While PAs practice under the guidance of a physician and collaborate with other health care providers, many PAs maintain a significant amount of professional independence. A physician assistant’s day-to-day work may include documenting patient histories, diagnosing illnesses, developing treatment plans and prescribing medications for patients.
There are more than 131,000 certified physician assistants practicing in 23 specialties and subspecialties in the United States, according to the 2018 Statistical Profile of Certified Physician Assistants by Specialty report (PDF, 4.4 MB), published by the National Commission on Certification of Physician Assistants.
Six Steps to Becoming a Physician Assistant
The path to becoming a PA takes hard work, commitment and a genuine desire to help others. The American Academy of PAs (AAPA) recommends the following six steps to becoming a physician assistant:
Complete your bachelor’s degree and PA school prerequisite coursework. AAPA indicates that majoring in a science, such as biology or chemistry, is a plus.
Fulfill PA school requirements. To get into PA school, you may need to take additional courses such as statistics to qualify for a PA program, even if your college major does not require them.
Obtain real-world work experience: HCE and PCE. PA schools look highly upon applicants who have had health care experience (HCE) and patient care experiences (PCE). PA programs typically require at least 1,000 hours of experience in one or both of these areas, AAPA notes.
Types of work experiences may include volunteer or paid positions (e.g., working as a medic or emergency medical technician, Peace Corps experience, or a summer internship in a medical office). Health care certifications are desirable.
Apply to and attend an accredited PA program.To get started, explore and select the PA programs you wish to apply to. You may select schools based on location and cost or consider the flexibility of an online physician assistant program.
Then, gather your materials: school transcripts, records of certification, letters of recommendation, a list of health care and patient care volunteer and work experiences.
Next, write an essay (most schools recommend 5,000 words) on why you want to become a PA. The essay is required by CASPA and is considered a key element of your application to PA school.
Obtain/maintain state licensure and certification. In order to become a practicing PA, you will need to become licensed in your state. All states require that PAs graduate from an accredited PA program and pass the PANCE exam, according to AAPA website page on state licensing, which provides a link to a list of all 50 states’ licensing boards. To maintain national certification, you need to complete additional hours of continuing medical education based on your state’s requirements.
There are several different ways to pursue a physician assistant degree, including full-time, part-time, on-campus, and PA online degree programs. There are 246 accredited physician assistant programs in the United States, and you can explore PA programs by state on the Physician Assistant Education Association’s website (PAEA).
Online PA Programs
The benefits of an online physician assistant program include the flexibility to continue working and earning a degree at the same time, and then to go on to practice in your own community. Students are able to earn a degree from the university without relocating.
Physician Assistant Degree Comparison
Many would-be applicants have questions regarding the various career paths to becoming a PA versus other health care professions. Below is a comparison of PA, nurse practitioner (NP) and doctor of medicine (MD) job fields.
What is a PA-C?
PA-C stands for physician assistant—certified and means an individual has attended an accredited program for PAs and has put thousands of hours into the classroom instruction and clinical rotations required to practice as a PA. Additionally, PA-Cs have passed tests required by the National Commission on Certification of Physician Assistants (NCCPA). PA-Cs are recognized Medicare and Medicaid providers.
Physician Assistant vs. Nurse Practitioner
What is the difference between a PA and a nurse practitioner (NP)? Both career fields require intensive education, including a master’s degree, as well as extensive clinical hours working with patients and collaborating with other health care providers in medical settings. Both fields of patient care must obtain certification and a license to practice in their state.
PAs and NPs may also choose to specialize in a certain area of expertise. PAs are certified through the NCCPA and must pass a national certification exam. NPs obtain certification in a specific patient population focus, such as midwifery, acute care or pediatrics. However, NPs and PAs may obtain additional certifications and sub-specialize in a variety of areas such as neurology, dermatology and cardiology.
Training and scope of practice for nurse practitioners and physician assistants differ in several ways. A Master of Science in Nursing (MSN) is the minimum requirement to become a nurse practitioner. Physician assistants typically obtain a Master of Science in Physician Assistant Studies by completing a three-year, ARC-PA-accredited graduate program. NP training is based on a nursing model of care, while PA training is based on a medical model of care.
PAs and NPs have some autonomy when it comes to their practices, with oversight by a physician, but some state laws allow NPs to practice independently.
There are several major differences between physician assistants and doctors. One of the biggest differences between PAs and MDs begins at the education and training levels. Before a degree has been conferred, MDs must go through a four-year medical school training and another three to four years (at least) of specialty training in their area of choice, such as pediatrics, orthopedics or neurosurgery. Sub-specializing in pediatric heart surgery, for example, will require even more years of training. MDs with very specialized medical expertise may end up in training for a decade or more.
PAs, on the other hand, are required to go through a 27-month full-time program. Online PA programs may take longer.
One reason to consider becoming a PA over other health careers is physician assistant jobs are expected to be plentiful, and the physician assistant job outlook and salaries are positive. What’s more, the required training time and years in school, while rigorous, are less than those required of physicians or surgeons.
Popular YouTuber James Kim, who shares “a day in the life” advice and information about his PA education and career path, says one reason he chose PA school instead of medical school is that PAs get to spend quality time with patients.
He advises working with or shadowing PAs and MDs if you’re on the fence about which career to pursue—doing so helped him decide which field was right for him.
Physician Assistant Work-Life Balance
“A last reason I chose physician assistant is family,” Kim said, explaining that becoming a PA seems conducive to having work-life balance yet still offers the ability to practice medicine and the reward of getting to know and help patients.