Why Physician Assistant School May be Right for You

It's one of the fastest growing careers in the country. Learn about how to get into a top program.

August 6, 2010 RSS Feed Print

After graduating from Manhattan College in 2004, Jason Lightbody had aspirations to pursue a career in the medical field, but didn't want to sacrifice his personal life to the rigors of medical school, a residency, and life as a physician. He remembered being treated by a physician assistant for injuries he sustained as a soccer player at Methodist University during his first two years of school, and soon realized that pursuing a career as a PA would be rewarding while allowing him a full life outside of the one he lived in his scrubs. Lightbody graduated from the Yale School of Medicine Physician Assistant Program in 2007. "I never want to regret not living life to the fullest and I thought that if I were to go to med school then I wouldn't be able to do a lot of things in my life that I wanted to do," he says. "I'm still certain I made the right decision."

The decision between PA school and medical school is one that an increasing number of college graduates and young medical professionals are facing. With the economy tight in recent years, demand for physician assistants has increased, as they are capable of practicing medicine at roughly the same level as a full-fledged physician, but at a much lower cost, which makes them an appealing asset to medical providers looking to trim budgets. And, given that many programs are roughly two years, PA students amass far less debt than their counterparts in medical school. The American Academy of PAs estimates that there will be nearly 150,000 practicing PAs in the U.S. in 2020, up from 70,000 last year. Like Lightbody, more people are taking note of the profession. "Ten years ago when I introduced myself patients would ask, 'What's a PA?'" says Mary Jo Wiemiller, chair of physician assistant studies at Marquette University College of Health Sciences. "Now, when treating patients, they respond with something like, 'Oh, my niece or nephew is in PA school.'"

[See more about a career as a physician assistant.] 

But the appeal that is spurring job growth may make it tougher for aspiring PAs to get into school. According to Wiemiller, the number of applications to Marquette's PA program has quadrupled over the past year. Due to the increased interest, the school can only accept 10 percent of applicants. "With heightened awareness of the PA profession in the last decade, it has become increasingly more competitive to gain acceptance to a PA training program," says Wiemiller. 

Given the heightened competition, it's important for applicants to understand what matters most to PA admissions committees. These three top the list, according to officials at PA schools: 

1. Medical experience: Your life working in the medical field will not begin once you've graduated from a PA program; it should start well before that. For students hoping to jump directly from their undergraduate studies to a physician assistant program, it is imperative that they spend as many college summers as possible, or use their free time during school, working or volunteering at a hospital or doctor's office. For those students who wish to wait to attend PA school—the average age of people entering PA programs nationwide is 27—find a full-time job working in the medical field after earning your undergraduate degree. "We really are looking for—and I think a lot of other programs are, too—students who've had some previous healthcare experience where they've had some direct interactions with patients," says David P. Asprey, director of the Physician Assistant Program at the University of Iowa Caver College of Medicine, which is U.S. News's top-ranked PA program. "[It] adds a level of maturity." 

[See the top ranked physician assistant programs.] 

2. Science classes count most: Take as many core science classes—anatomy, biological sciences, and organic chemistry, to name a few—as you can and focus intensely on this coursework. PA programs not only look at your overall GPA—many schools require at least a 3.0 for admission—but give extra weight to your performance in science courses. "Obviously it would be a tragedy if we invited a student to join our program and we could anticipate that they would have difficulty with the academic rigors that are associated with it," says Asprey. "It's not for the faint of heart." 

3. Show compassion: Your GPA is stellar and you've amassed an impressive amount of medical work experience in the little spare time you have while keeping your grades pristine, but you still get that dreaded rejection letter. Why? You didn't do enough volunteer work. Volunteering exemplifies your desire to help your fellow man—the attribute identified by schools as one of the most integral to becoming a successful PA. "Students who have had experience in working with underserved populations, rural or diverse populations, performing volunteer service or disaster relief, or other experiences that illustrate a drive and compassion for others often stand out to the admissions committee," says Wiemiller.

 

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@ Christy. Hello my name is Ryan. Usually PA schools will accept applicants with hands on paid pt experience, where treatment, assessments, vital monitoring, med admin, is involved. I started out as a Emergency Medical Technician-Basic, worked on the ambulance assisting the Paramedic in a very busy EMS system. I continued my education and became a Paramedic where I am trained in Advanced Life Support treatment/skills (i.e. ET intubation, TTJI, IV/IM/IN/ET/IO med administration, chest decompression, etc.) I've worked codes, revived babies (tooting my own horn lol) and treated your ordinary, basic medical/trauma complaints. This is the type of experience PA schools look for.

EMT-Basic school is one semester long. You will learn Basic Life Support (BLS) medical/trauma care and assessment including treatments within your scope of practice. Add another 18-20 months for Paramedic education that included didactic, clinical rotaions in ER,OB/L&D,Respiratory,Burn, Trauma, Cardiac,and OR. They compare medic school to a condensed version of Emergency Physician Residency, it's intense but worth it. You will learn ALOT of medical/trauma knowledge and it will definitely help you with assessments, recognizing acute conditions, and will help with delegating with your subordinates. So I recommend EMT-Basic to get your paid patient contacts, then medic school if you want more education/responsibility. For EMT-B and Paramedic you must receive an 80% or better at course completion and then receive at least 80% or better for national/state/and local certification and licensing.

Other pt care jobs that are easy to get into, perhaps a CNA course, which minimal medical education is emphasized, Clinical Medical Assistant, and/or LVN school which is about 12 months longs. Also, earning your EMT-Basic cert, you are employable in emergency rooms, they are usually called ER Techs.

I hope this info helps you out a bit. I too want to go to PA school once I complete my bachelors. Take care!

Ryan Essepian of CA 4:08PM April 06, 2012

I have a BS and am hoping to get into a physician assistant program within the next couple of years and am trying to get a little more information about what PA schools admission boards are looking for. I fall into the unfortunate category of students who didn't realize they wanted to pursue PA school until after graduating from the university, so I didn't take any of the required classes while in school and I do not have a lot of experience in the medical field. The classes I can handle, but I am having trouble understanding exactly what kind of experience/work experience will fill the required medical experience that PA schools are looking for. Do I have to work directly with doctors and patients? Or is working in the reception area of a medical clinic sufficient? Are admission boards looking for specific experience or are many medical related positions applicable.

If there is anyone out there that could shed some light on this question, I would greatly appreciate it. I am willing to do what it takes to get the experience I need, but as I look for jobs, I realize that without prior medical experience or certifications, I am unlikely to be considered for most jobs that I think will apply to the requirements.

Thank you for any time you take to answer my questions.

Christy Hanamaikai of AZ 12:22AM April 03, 2012

Nicole,

Both physicians and physician assistants are trained to be generalists. It is only after school that each professional chooses a specialty. With regard to physicians, this takes place in the form of a residency; however, this is not the case with regard to PA's. Although residencies do exist for PA's, there are few of them, and the majority are not accredited. Therefore, most PA's that specialize learn as they go and gain responsibilities with time (sounds like a residency, although it does not bare the title). In terms of advanced practice nursing, the education is specific to a particular type of medical practice (although family practice NP's are trained as generalists as well). Furthermore, no residency options are available for nurses. I think you may be confusing a residency with clinical rotations; however, these are very different. In the 3rd and part of the 4th year of medical school, and the 2nd year of PA school, students rotate through several different medical specialties as well as general practice clinical experiences. Because nurse practitioners specialize within their curriculum, they do not rotate through specialty practice clinicals, but rather spend 3-4 months in one particular area of practice.

Jason of UT 12:46PM June 11, 2011

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