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Physician assistant, nurse practitioners roles blurring

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Despite the fact that the two have different types of training, in practical situations, nurse practitioners and physician assistants are increasingly being called upon to do similar work (particularly when the physician assistant has a master's degree). In many practices, the two are both conducting physical examinations, diagnosing illness and prescribing drugs. And in truth, the two take many of the same courses, though nurse practitioner training is focused on nursing, and PAs on the medical model. All of this is convenient for busy practices who need as much flexibility as possible in deploying their staff.

That being said, each have their own limitations. At least in Pennsylvania, nurse practitioners are supervised by doctors and available to respond to questions. However, PAs work directly for doctors and provide a limited scope of specified services. That's because their training differs meaningfully. To become an NP, one must have a bachelor's degree in nursing, then go on to get a master's in a subspecialty area. They also must get nationally-certified and state-licensed in their specialties, plus undergo periodic recertification--which includes the needs for continuing education credits. PAs, for their part, may not end up with a bachelor's degree, much less a masters, though such programs are available.

To learn more about this trend:
 - read this Pittsburgh Post-Gazette piece

Related Articles:
PA law will expand nurse practitioner role. Report

Comments

Obviously bias.

PAs have more stringent certifiction requirements and continuing medical education requirements than NPs.

PAs are required to pass an initial certification exam (the PANCE) and then retake the exam (the PANRE) every six years. There is only one exam for PAs to take and pass. No excuses. In addition, PAs must get 100 total continuing medical education hours every two years with 50 of those having to be Category I hours. These hours must be approved by the same organizations that approve medical doctor's continuin education or by the AAPA.

In comparison, NPs never have to take another single exam after passing their first exam. They get to pick and choose which exam they would like that to be as well since there are numerous certification companies that certify NPs. They also require only 30 hours of continuing nursing education that must be approved by those who approve registered nurse hours.

The choice is only evident when given the valid information. Choose a PA if you want to know what you are getting. Someone who has been through a standrdized process of classroom and extensive clinical training and is required to pass the same test as every other PA while maintaining the most stringent CME reuirements and re-certification requirements in healthcare.

Or, you can chose a nurse who could be an amazin provider from a reputable school or could be someone who took some online classes and did 600 hours of clinical rotations who chose the easiest test to take and only gets 30 hours of CEs every two years.

Your decision, now that you have the real facts.

Wow! I think that was probablly the most insightful and unbiased reply regarding NP's & PA's Iv'e ever had the privilege of stumbling on Viva la revolution! Let's see PA's are superior in every way possible, and NP's well they just can't compare, yet both are qualified for the exact same job. Hey sucks to be a PA! Anyway no after second thought those comments still sound like the same ol tired sh!t.

I have worked for many years in the medical field. PA's and NP's serve the same purpose almost all of the time. I think a good comparison of the two would be a DO and an MD. They both fill the same role with a slightly different approach. Which is better suited depends on what you prefer. There is now the American College of Clinicians, an organization for NP's and PA's TOGETHER!!! Go figure! I think this is a great idea and instead of arguing about who's better, NP's and PA's should put their brilliant heads together to better the mid-level position.

HI, i'm in PA school right now and I can say that the process is more difficult than that for a NP. You do require a all of the prerequisite classes needed to get into med. school, medical experience, shadowing, volunteer, GRE, and not to mention a really high GPA. I had a 3.9 in college and didn't get into my top two programs. The days are longer than the DOs. We get done at just about 5PM daily and then go home and study all night. (no life for the didactic year) I'm sure the clinical year coming up will be equally challenging. also, there is a final masters project and we are board certified every six years (PANCE exam). Also, the DO's required to have a 70% total to pass we need an 80% cummulative and we are required to attend every class unlike the DO's and DPM's.

Biased report. NPs DO have to have first a bachelor degree, and the NP is a masters. However, while there are Associate degree PAs, 95% of them are Master's degrees. 4% are Bachelor, and 1% are Associate. So don't think that the Master's degrees are rare. In fact, it's now becoming the norm to get a Doctorate in Physician Assistant Studies.

The lack of research into this so called article is disgusting. Is there no accountability for lazy authors trying to fill their writing allotment? This level of misinformation is more harmful than any good that may have been intended. I have been a PA for 14 years and have a Master's degree as do most of my fellow PA's. I question the level of education the author of this drivel has though.

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