Saturday, May 28, 2022

Doctor vs PA vs NP | Which is Right for You?

Doctor nurse practitioner and physician assistant three different health care paths with three overlapping but distinct outcomes how can you know which is right for you i'll help you decide dr dubal med many students interested in healthcare and medicine find themselves deciding between becoming a physician with an md .

Or do versus going down the physician assistant or nurse practitioner path after all they all have substantial overlap however they're also substantially different if you're the type of person who would be happy being a physician you may not be as happy as a pa or np and vice versa do note that all three are fantastic professions and no .

Single one is better than the other you simply need to decide what you value most and choose accordingly this is a big picture overview of the three paths if you want to dive deeper into any single one we have so you want to be episodes for physicians pas and nps links in the description let's start with the different training paths as .

This is one of the biggest differentiators and a big reason many choose the mid-level path over the physician path the doctor training path whether md or do is the longest by far after your four pre-med years in college you'll complete another four years of medical school followed by three to seven years of residency in your .

Intended specialty if you want to further sub-specialize with a fellowship add one or more years after that both mid-level training paths whether pa or np are comparatively much shorter to become a physician assistant you'll enter physician assistant school after college which is two or two and a half years in duration whereas in medical .

School you spend two years focused primarily on didactics and two years focused primarily on clinic time in pa school you'll have just one year of didactics and the remaining 12 or 18 months focused on clinical exposure after that there's no residency and you're free to start practicing as a pa immediately to become a nurse .

Practitioner you can choose from two paths traditional or direct entry the traditional pathway involves first earning your bsn abn or msn to become an rn after taking your nclex exam next they attend a master's or doctorate program to become an np if you attend a full-time master's program it will generally take two years but if you are .

Undergoing a part-time dnp program it can take up to five if you were to major nursing in college and take your nclex you could become an rn soon after graduation and become a fully trained np just two years later the second pathway or direct entry nurse practitioner programs are for those who earned a bachelor's degree in something else .

These are three to five year programs where you will take both the nclex to earn your rn but also complete a master's or doctorate program to become an mp it's not just the duration of training but also the competitiveness and rigor of each path getting into medical school is by far the most competitive of the three at some schools .

Like at ucla when i was there over 80 percent of pre-meds on the first day of college are no longer pre-meds by graduation time and of those who do ultimately apply to medical school only 40 get accepted the average matriculant stats are 83rd percentile on the mcat and a 3.73 gpa after medical school pa school is next in the order of .

Competitiveness the average gpa for accepted pa students is 3.5 and they average around the 40th to 50th percentile on the gre note that they do have a lower average acceptance rate at 33 of all applicants and this sometimes confuses students into thinking pa school is more competitive when you consider the outcome if the average .

Pre-med with higher stats applied to pa school or the average pre-pa student with lower stats applied to medical school it generally clarifies any confusion do note that many pa schools also require over 1 000 hours of direct patient healthcare experience prior to matriculating this does not make it any more competitive but you will need to .

Spend considerable time putting in those hours while pre-meds don't need 1 000 hours of direct patient experience they do need to put in several hundreds of hours across multiple extracurriculars including clinical experience research volunteering leadership and others np school is the least competitive of the three and it has the loosest .

Requirements some programs require one to two years of prior nursing experience while others don't require any gpa isn't highlighted as a primary factor with most gpa cutoffs around 3.0 but this isn't a hard rule middle tennessee state university for example is reported to generally accept applicants with a gpa of 2.9 or greater when it comes to rigor .

Your clinical years in medical school and your residency years will be extremely trying the norm is to be working 70 to 80 hours per week but expect over 80 hours in most surgical specialties with the pa and np training paths you won't be expected to put in such long hours or for so many years in terms of cost medical school is the most .

Expensive followed by pa school followed by np school the average annual tuition for medical school is forty to sixty thousand dollars and graduates have an average debt burden close to two hundred thousand dollars the average annual tuition for pa school is about forty five thousand dollars with average graduating debt burden approximately one .

Hundred and ten thousand dollars np schools average between eighteen to thirty two thousand dollars per year with the average graduating debt burden between 40 and 60 thousand dollars depending on the source if you're finding the video helpful let me know with a thumbs up and consider gently tapping the subscribe button and .

Notification belt with surgical precision considering the training paths it's natural to assume that physicians have the deepest knowledge and expertise when it comes to the body and how to treat its various ailments if you assumed that then you would be correct not only do physicians spend the most time focusing on the foundations but .

They also spend several years focusing on their specific specialty in residency the knowledge of mid-levels is substantial but as the name describes is less than that of physicians nps and pas spend far less time in training than physicians and therefore don't have the same depth of expertise physician assistants follow the medical model .

Similar to physicians while nurse practitioners follow the nursing model but note that after completing pa school or np school you're fully trained and able to join the workforce without any required residency for specialty training pas and nps get a great deal of their specialty training on the job after joining a practice while this is .

Very useful in getting up to speed quickly with pattern recognition for common presenting concerns you won't be well equipped to identify and manage rare or complex conditions given the on-the-job training it's also much easier to change specialties later in your career if you get bored of one or want a change of pace that's not .

Feasible to do so for physicians who have to reapply to residency and complete another three to seven years of structured training pas are considered to have the most flexibility and are sometimes found in surgical specialties either handling pre or post-operative patient floor work or assisting in the operating room nps have flexibility as .

Well but you'll need to be intentional with which program you attend as each program trains you toward a specialization such as primary care acute care family women's health and so on if you are interested in surgery note that only surgeons with an md or do are qualified and have the sufficient knowledge and expertise to perform .

Surgery with the pa or np routes the most you'll be able to do in the or is be first assist helping the surgeon by retracting suctioning suturing and the like that's the level of responsibility of a medical student or junior resident which brings us to the hotly debated topic of scope of practice scope of practice refers to what each type of .

Professional is expected and allowed to do historically the np and pa training paths were created to address a shortage of primary care physicians and were to serve as an adjunct to physician-led care not as a replacement in this model nps pas and physicians all work together in harmony in service to the patient since physicians have the most robust .

Knowledge and training mid-levels were generally working alongside physicians and would easily be able to ask for assistance on more complex or rare presentations physicians and mid-levels have worked harmoniously as designed for several decades however in recent years there's been a growing power struggle between physicians and mid-levels over .

Scope of practice on one hand nps and pas are lobbying for greater scope meaning they want to do more things physicians traditionally do such as independent practice the primary arguments are two-fold first we have a shortage of primary care physicians and mid-levels can help alleviate that and second they argue that mid-levels .

Receive sufficient training to practice independently and safely on the other hand physicians are pushing back primarily focused on patient safety concerns after all nps and pas receive far less training my physician mentors and colleagues have shared they find the nps and pas in their practice are valuable in handling much of the bread .

And butter meaning the most common and simple cases however when it comes to a complex or rare presentation the training differences are starkly contrasted but are physicians really more qualified comparing the expertise and capabilities of someone who receives over 20 000 hours of supervised patient contact compared to just 500 to 2000 .

Seems like a no-brainer it would seem obvious that the physician with 20 000 hours will have greater clinical expertise than the pa or np with a small fraction of that the only way for all parties to be equally qualified despite the massive difference in training hours and rigor is if the following assumptions are true either medical .

School is massively less efficient and medical students massively less intelligent or capable or if mid-level training paths are massively more efficient and their students massively more intelligent or capable scope of practice creep is very much about money after all if you're able to do more and practice more independently similar to a .

Physician then you can make closer to a physician's salary the average primary care physician makes two hundred and forty thousand dollars per year and the average specialist physician makes three hundred and forty thousand dollars in comparison nps average approximately one hundred and ten thousand dollars per year and pas average approximately one .

Hundred thousand dollars note that laws governing the scope of practice for each type of healthcare professional vary from state to state which adds further complexity to the situation the reason this is important and you should care is because of patient safety if you or anyone you care about will ever receive any medical care then this is deeply .

Relevant to you the fields that are currently most significantly affected by scope creep include anesthesiology and primary care but go on reddit or med twitter and you'll see other specialties cropping up ultimately the surgical specialties are the safest from scope creep issues if scope creep is ultimately harmful to patients then why .

Has it gone so far two main reasons first in the current climate of prioritizing emotions over facts many organizations are focused on inclusion to a fault being equal as humans doesn't mean that we all have equal training and capabilities second and more importantly the double a np and double apa are much more effective at lobbying compared to .

The ama and physicians it's easy to point to the insanely demanding schedules of physicians to explain why they don't have time for advocacy work but that has to change if you are looking to learn more get involved and make a difference check out the physicians for patient protection link in the description in deciding between .

The three paths there is no correct answer you need to decide what is important to you are you willing to work extra hard as a pre-med and crush the mcat to get into medical school if not the pa and np paths are much more attainable do you prioritize shorter training and lifestyle or being the expert of your field at the expense of .

Your 20s and even early 30s do you want to perform surgery or would being first assist in the operating room be enough how important is income compared to these other factors i dive into all these details and more on my so you want to be a pa and so you want to be in np videos much love and i'll see you guys there .


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