I just read an article about a high school senior who will also graduate as a RN prior to her hs graduation. In her case she could also likely achieve PA or NP by 21/22. Thats impressive indeed!!
One of my friends was a practicing PA at the age of 21, she got in to a direct 4 year PA program after HS and graduated in May and started working 2 months later
I go to Hofstra university right now and they have a program for high school seniors where it’s a pre-Pa track. it’s 5 years all together that’s includes undergrad and masters degree. I wish I had know about this program in high school, I would’ve done it that way instead.
It is easier to be married with another medical professional as a medical professional. A lot of the time people from another careers don't understand the schedule.
I’m an Accountant and I understand my husband’s schedule just fine. He also loves explaining medical situations to me. I’m always so impressed by his knowledge. I’ve learned so much, I feel like I can diagnose people myself sometimes...lol However, I know that the medical field is much more complicated than the little I know.
The same goes with any career Like cops and doctors etc The schedules are similar when it comes to timing and shit. As well as what the jobs entail Helping people out
@@rosebing4707 I meant understanding the medical / health field as a nurse you know what happens in a hospital. So you can understand better his schedule.
Don't take my comment personally, I am aware that there are plenty of relationships with health workers and people from other careers that are healthy and work well. What I meant was that if you are a health worker married to a health worker it is easier to understand the weird schedules and the emergencies. Getting bad cases and so on. I am truly sorry if sounded wrong somehow, or if I offended anyone with my comment. It was not my intention.
You guys do not know how helpful this is! I am a senior in High-school and was trying to decide if I wanted to go the PA or MD route, as I have always wanted to be a pediatrician, and have just learned about how capable PA's are! Thanks so much for this!
What did you decide?? I’m a freshman in college right now and I’m in the exact same boat. I’ve always wanted to be a pediatrician as well, but I’ve been looking a lot into PA now!
I can’t imagine having “full autonomy” as a provider at 21 years old... I decided to go to med school instead of becoming an NP so I could have the extra schooling.
All these men in the comments talking about “she’s scary” No. 🙄 Seems like you weak males are just intimated by a strong, assertive woman. Ignore the losers, love you two as a couple!! 💪💕
I thought she was awesome. But i'm gonna let you in on a little secret. No man is "intimidated" by a strong assertive woman. That is something you girls tell yourselves hahaha. They just prefer easy dummies.
My husband and I are both in the legal field. He's and attorney and I am a paralegal assistant finishing school to become a paralegal. Its great to be able conversations and both understand the lingo and actual laws. We at times will debate the outcome of certain high profile cases. And our family is always calling for legal advice. But I am planning to go to PA school.
@@Hannah-ef6sg I'll speak for myself. Right now I am in a "law clerk" program, right after I finish this 2 year program I can transfer to "paralegal" program. It's doable! Go for it if you are fascinated with legal field
I'm currently a Pharmacy Technician. I do not want to become a pharmacist but still want to be in medicine. This is playing a big part on me deciding what I want to do. Thank you, it was very helpful and informative!
I am premed and had my first baby 4 months ago. After being with him, realizing that med school, residency, and fellowship for ortho surgery (my passion) is going to take me away from my family for so many years at a time. I am 100% going into medicine as a provider, but I’m heavily leaning towards PA so I can have much better hours and actually start practicing pretty soon. Thank you for uploading this video!
Im doing PA because although i love med, im also really looking forward to being a mom when i do have children. And i want that flexibility in the future. Its a great option!!
I'm looking at becoming a PA but I feel like I've had some questions that you can't look up on google and you guys helped answer those for me. Thank you! I hope you guys continue to make videos like these.
On the day that I went to orientation at my school, one med student and one resident intern committed suicide and the whole school was in panic because it was the same day and to be quite honest, all of the new incoming students and parents were frightened and the school had to really "bullshit" their way out of it.
This video is awesome!! I am on my way to becoming a PA as well. Love that you're helping people become more informed of the role and life of a PA! It's crazy to me how many people are still in the dark. Your wife is incredible and if she ever wanted to start her own youtube channel I would TOTALLY watch every episode! PLEASE post more videos with her.
I'm also a PA and I love when another fellow PA steps up to increase awareness of our awesome profession! I work in family medicine in Pennsylvania. I would like to add: yes, combination programs for undergrad and PA school still exist. I did a 5 year combined undergrad and master's program and at 23, I had my MS and sat for my PANCE.
Greetings from Canada 🇨🇦! Your channel is the first realistic and down to earth medical channel I have encountered so far. No exaggerating and fake talks here! I love it! I'm a premed student right now and I was wondering if you can make a video about your premed journey!!! Thanks a lot! 😊
One nurse that is working on my floor is getting her NP online in 2.5 years while she is working full time. That should tell you how much of a joke NP is compared to a PA.
I have been a RN for just shy of 20 years and am in nursing management I have supervised PAs and NP’s. There is very little difference in skill level... different approaches yes but overall the experience, age, and personality matter more. You will have a great career no matter which path you choose. I am glad I chose nursing on a personal level as I have a job with a lot of physician contact and conflict and get to dish it out (to be blunt) and would be very difficult if not impossible as a PA. For the eye rollers I am the UM/UR director for over 600 inpatient beds.
Aiden W they still are getting hands on clinical experience though. And they may still have clinical rotations their last year in NP school just like PA’s. How is that a bad thing?
My 62 year old aunt was treated by a PA without an MD consultation. She dropped dead 6 hours later. When our family complained about this, the MD withheld his signature from the death certificate unless we agreed NOT to file a complaint with the CA medical board.
ayyyy y'all answered my question! Lol, awesome video, my girlfriend is in PA school right now and i'm in medical school pursuing IR in my 3rd year. Weird, I know. Love your videos!
Y'all are awesome! My husband and I have recently been at a crossroads for whether he should choose the pediatrician or PA route and this video was super helpful! Not only did I love the fact that y'all are married too but also that you both provided insight from both physician and PA perspectives. Good luck with your residency and I hope God blesses y'all with beautiful baby Cellinis! I look forward to watching more videos!
My 2 cents- General Surgeon here- if I send a patient to be evaluated by a specialist, I expect a specialist. Not a person who did 4 years undergrad and 2.5 of “med school” with what can only be described as “circumstantial experience”, evaluating said patient. If I find out this happened, I will never send another patient to you. I’m looking at you dermatology.
A new video great. I am currently a 2 years radiologist student in Italy. You help me so much with your videos and I’m improving my English thank to you. I really like both of you, amazing couple.
Woah. I didn’t know PA’s existed. I thought the only way to get a job where your medically helping people was to go to med school and become a doctor. It’s actually really cool to know there is a financial option I can afford to do instead. Coool.
There are also ways you can become a PA after than the typical route. I'm going to a 5 year accelerated program to be a PA. Here's a website of schools that offer that program if you're interested :) www.thepalife.com/direct-entry-and-dual-degree-bsms-physician-assistant-programs/
I also went to college thinking I would be a pediatrician. My first semester a friend told me about PA. I researched it and ever since that has been my goal. I am currently in my second year of PA school. I graduate August 2020. It’s definitely rough. They fit so much info into a short amount of time. But it’s great to not have to go to school as long and have lateral mobility unlike MDs.
@@MHSMagicLuver Did you go to a 4 year college and how did your route go to get in? was it hard. Im very worried about my gpa and all sorts. How many schools did u apply to
Firstly to become a Physician Assistant (PA), you must obtain a bachelors degree from an undergraduate education. This is non-specific but largely people tend to choose degrees in the sciences as the prerequisites for PA school are heavily science based (Bio 1,2 Chem 1, 2 Organic 1, Biochemistry 1, Genetics, Microbiology, Anatomy and Physiology 1, 2). Next all PA schools require direct patient care hours to apply. The AVERAGE ACCEPTED APPLICANT has ~2000 hrs. Examples of obtaining direct patient care hours is through Nursing, Athletic Training, Physical therapy, medical scribe, etc. Once accepted to PA school there is two years. PA's are taught under the medical model which is the same model of medicine as Physician's. This is different then the nursing model which only nurses follow, such as NP's. The curriculum for PA school is a similar curriculum to accelerate doctors during World War 2. PA's first year is called the didactic phase. This is heavy book learning of medicine. The second year is called the clinical year. This is where PA's get 2,000 hrs in multiple specialties (Primary care, Orthopedics, OB/GYN, General Surgery, etc). To draw a comparison Doctors have two didactic years and 2 clinical years. Follow similar frame work for learning medicine but PA's have a generalist approach and MD's have a more thorough approach. After completing all of the requirements during PA school, PA students must pass the PANCE exam to become certified. The PANCE exam is a nationally certified exam. PA must retake the exam every 10 years to re-certify to practice as a PA. PA's are required to get 100 hours of CME units, which is similar to physicians. PA's and NP's have similar lengths in terms of schooling and I can delve more in depth of the differences if you like.
Thank you for this, it’s very helpful!! I am a senior in hs and have no clue what I want to be. Right now, becoming a PA is starting to sound like something I might be interested in doing.
caesura literally. I want to be a teacher in secondary education but I think that's too easy for me and I really want to do something medical related :) pa seems like the way to go!
Caitlyn yea true it seems to be a career that doesn’t get too repetitive like what I was looking at before which was a medical laboratory scientist. I have so much respect for teachers but I could never be one, it seems like there’s not enough support for them even though they dedicate soo much :(
Why is America downgrading the health care to NP and PA instead of qualified doctors? In future, lets allow 5 year experienced MA to work like NP, they know equally. NP who has 17 month of training is not F*ing touching me. WannabeDoctor pretenders!!!@@mughira1012
What does that have to do with anything? I'm an IMG btw and I think this whole PA/NP BS is just a bunch of PC garbage. I went through 6 years of ked school and hopefully next year 3 years of residency, how can you equate me with a PA/NP?
Really enjoyed this. I'm in my mid 20's and strongly leaning towards PA school. I absolutely love the idea of doing what physicians do. I really hate being in school though. It took me awhile to settle on the medical field, and even longer on the PA path. Unfortunately I'm trying to play catch up with my undergrads. Honestly I'm really jealous of the people my age in PA school or even graduating right now. I kick myself every day knowing that could have been me if I had played my cards differently. Sometimes I feel like I'm too far behind to start this path. After all, my 20's will be long gone before I can even think about working as a PA... I generally see consistent job satisfaction with PAs though, and that's really motivating to me. I know they make WAY less than MD's, but if it means I can get to work quicker as a professional, I'm all for it. I can see myself as a great psychiatric PA. But I've still got a long road ahead and that brings me down sometimes. I really appreciate videos like this though. Please keep it up. Its just the sort of thing people like me need to hear once in awhile.
This hits home. Although I'm still young (18) and still experiencing things. I wish I had more guidance before I entered my university. There were factors that made me choose my university, but those decisions were solely based on other people and not myself. I'm stuck on the 4 years undergrad and ~2 years PA school. However, I was lucky that my school has a major with an option in pre-PA. I wish you luck on your journey and keep your head up!
Excellent video ! I am a physician and work with Excellent PA's and NP's, These 2 groups are physician extenders: meaning they are supervised by physicians and SIGNIFICANTLY increase a physician's ability to provide quality care for more patients at the same time. Physicians do have more training. Generally PA's and NP's make very good money and have better hours
He humbly defers to her, his wife but Humility doesn't seem to be her strongest quality. meantime this is light-hearted and uplifting and fun to watch thanks for the video.
I would think that your hours could be different in the medical professions and that could be a problem with seeing each other? This is not a 8-5 job right?
@@Randy-us1uf that's definitely not a good mindset whatsoever. If you want to specialize in one thing, go to med school. If you prefer the lateral mobility, go to PA school.
Y'all are so cute!! I love how you guys finish each other sentences omg. This video is so helpful! I'm still deciding with path I want to take, so this is great information to know about both PA and MD! :)
You guys are adorable !.. I was considering being a PA but I’m too hands on ... I want to be a surgeon 🙏🏾 hopefully that’s in the cards for me because I don’t see myself doing anything else 😭
haha... Yeah don't listen to that guy, if you are serious about surgery and wanna be at the top of your craft, for the sake of your future patients as well go to medical school
I love how you both respect each other’s career and roles in medicine. I am in PA school right now and I have a fear that some doctors will not respect me as a provider.
Here in New Zealand we don’t have PAs , Practicing medicine is exclusively done by a medical doctor , now NP too (with some restrictions ) It’s unusual for the Medical Council to register a degree with the name of “assistant “ and also without 6 year medical school and at least two years of postgraduate internship before going to a residency program. I ve heard in the UK there as some PAs. I hope one day we get PAs here in New Zealand.You guys are pretty much needed.You do a great job!!!
Hi, I'm Italian. We do not have PAs. So I wonder, how can someone that has attended a 3 year school make diagnosis where you need to do 4+5 years med school and residency to be a doctor? I'm not getting the concept of the PA job...
Firstly to become a Physician Assistant (PA), you must obtain a bachelors degree from an undergraduate education. This is non-specific but largely people tend to choose degrees in the sciences as the prerequisites for PA school are heavily science based (Bio 1,2 Chem 1, 2 Organic 1, Biochemistry 1, Genetics, Microbiology, Anatomy and Physiology 1, 2). Next all PA schools require direct patient care hours to apply. The AVERAGE ACCEPTED APPLICANT has ~2000 hrs. Examples of obtaining direct patient care hours is through Nursing, Athletic Training, Physical therapy, medical scribe, etc. Once accepted to PA school there is two years. PA's are taught under the medical model which is the same model of medicine as Physician's. This is different then the nursing model which only nurses follow, such as NP's. The curriculum for PA school is a similar curriculum to accelerate doctors during World War 2. PA's first year is called the didactic phase. This is heavy book learning of medicine. The second year is called the clinical year. This is where PA's get 2,000 hrs in multiple specialties (Primary care, Orthopedics, OB/GYN, General Surgery, etc). To draw a comparison Doctors have two didactic years and 2 clinical years. Follow similar frame work for learning medicine but PA's have a generalist approach and MD's have a more thorough approach. After completing all of the requirements during PA school, PA students must pass the PANCE exam to become certified. The PANCE exam is a nationally certified exam. PA must retake the exam every 10 years to re-certify to practice as a PA. PA's are required to get 100 hours of CME units, which is similar to physicians. PA's and NP's have similar lengths in terms of schooling and I can delve more in depth of the differences if you like.
Why is America downgrading the health care to NP and PA instead of qualified doctors? In future, lets allow 5 year experienced MA to work like NP, they know equally. NP who has 17 month of training is not F*ing touching me. WannabeDoctor pretenders!!!
radiology makes 350k ish. after taxes, it's like 210k live like a resident (50-70K) pay it off in 2-3 years max. or live off her salary alone and pay it off faster. its pretty easy to pay off med school debt in any specialty just do the math. Most of the time you can pay it back in 5 years or so.
What I like about P.A.s and often prefer them to doctors, is because they're not as desperately cranking the money wheel to pay off their student debts. So they spend more time listening and paying attention to your problem than doctors do. And are usually much more easily accessible than doctors. I use my judgement and sometimes will see both a doctor and a PA for the same problem to get 2 different approaches to it.
I enjoyed your video and welcome as much info as possible to explain the PA profession to the public. Very helpful! Even now they are jimmying around with our name! I hope it starts with "His Veritable Eminence, but it probably won't. Still, I wish I had a dime for every time a patient asked me "Why didn't you just become a doctor?!" I met Dr. Stead personally and worked with a psychiatrist colleague of his for years. So, as an experienced PA for several decades, I would like to add this comment: Each and every PA is governed by the medical laws of the state they are licensed and work in. It varies from state to state. I say "work in" because in my state (NC) a PA does not technically "practice" medicine. The NC Medical Act defines a PA as "performing medical acts, tasks, and functions." Nurse practitioners, on the other hand, are listed as being able to "practice" medicine. This is huge oversight, but makes a crucial difference. Why? For a number of reasons, but mostly reimbursement and autonomy. By not being able to "practice medicine," PAs are not allowed to be individually credentialed with Medicare, Medicaid, and some other insurance companies for reimbursement. Therefore, they must bill those services under their supervising physician's NPI, and he/she must be physically present at the practice. So if a PA happens to own and operate her own clinic (a medical practice?) she still cannot legally bill under her group or individual NPI, if her supervising physician isn't inda house. A Nurse Practitioner, on the other hand, may practice independently. Not fair? Well, it has to do with the semantics in the various Medical Acts - usually enacted by non-medical wise guys, and the folks who take them out to dinner. There are many other State differences too, that was just an example. Some states still don't allow PAs to prescribe controlled substances. My state will not allow me to prescribe a controlled substance (or change a prescription for one) after three months without consulting my supervising MD and gaining his approval. So if I work in psychiatry, I can't refill your Adderall on month four, regardless of whether you have been stable on it for years, unless I consult my MD. Very dumb. If I want to decrease your pain medication, gotta ask the doc! I will say that most supervisors are awesome, but even a detailed, generous collaborative practice agreement cannot undermine the applicable medical statute. I could go on but you get the point. Years ago, I worked a locum tenens job in the Aleutian Islands of Alaska (Yes, it was a blast BTW!) but I was unable to suture fishermans' laceration (90 percent of the job) until I obtained permission from an MD who also was required to sign the note. I hope it's not like that anymore... ...but it depends on the state! On the other hand, I was trained in the Air Force, and because you can't sue Uncle Sam, I was doing vasectomies on day two (an exaggeration, sort of) and zapping vocal cord nodules on day three. On the outside, it's up to the fat cats at the state capitol. In Mississippi, not long ago, a monkey on an organ grinder could practice more medicine than a PA. In conclusion, if you want to know what the limitations are on a PA versus an MD, please consult your state's medical statute. The best docs and PAs practice medicine in community with each other, and other providers, because they love people, and love to help them feel better. And then there are others... ; ) Thank you for what you do! Amen. JD.
@@DrCellini I'm sure it has happened without me being aware, but if I can help it I'll avoid that situation as much as I can. Already had a family member suffer from NP trying to play doctor, don't need another APP who think's they "know everything" doing the same thing.
I get where you're coming from but some of the worst providers I have encountered were MDs too. I have encountered some bad PAs and NPs too. When I choose a provider, I just find whoever is highly rated and competent. If I was randomly choosing a provider, I would want an MD. If I was in the ICU or inpatient with a serious medical issue, I'd want an MD. With that being said, for outpatient services, I have encountered some very competent PAs and NPs.
@@DrCellini Is the fact that this is commonplace in US healthcare supposed to be reassuring? Have you seen our health outcomes? We don't invest in enough primary care PHYSICIANS. we trail other high income countries in this and many other important metrics.
You guy are so cute!!!! PA was my major I left school to have my daughter. I also have a back ground in medicine. I wouldn’t totally love to find a husband in the medical field. You guys get each other’s passions. I’m so going back💕
Hey I thought this video was great, I am currently in PA school now so being able to hear both your views on the medical field was awesome and will help me in the future understanding what I will be responsible for vs. a doctor. I would love to see more on both you in videos! :)
I am in the medical profession and I for one cannot imagine marrying someone in medicine..I definitely wanted to find someone in a diff field one that I even thought would be not feasible for me such as engineering, architecture or even IT! My husband is a software engineer, and to hear his work stories is like a breath of fresh air! I have colleagues that are on the opposite side of the spectrum who definitely love the fact they are both in medicine and have a different understanding of each other. However I did find that when both spouses are Physicians life is definitely different and often I see fellow female physicians sacrificing their profession to stay at home for a while with the children and resentment starts to grow. Just an observation I made in the last 3 years during my residency and hearing all of the stories.
KingOfAllLamas PA’s and Nurse Practitioners are two different things in the U. S., with different capabilities & duties for each, despite being similar.
As a med school graduate, never go into primary care as salaries are very low. Most are unable to match in order to specialize. I would estimate that 40% of my colleagues matched with primary as their grades were not competitive. If you wish to pursue primary care, do not waste time nor money and become an NP or PA. Pay is similar.
@@Beck-Stein Always interesting to hear perspectives from those in the field. I worked as a scribe at an ophthalmology clinic last year, which was enlightening. I loved learning more about eye anatomy and pathophysiology and observing the work of ophthalmologists.
@Ay-yoo lol no, it's probably because you don't have a medical background, so you don't understand the vast difference in medical knowledge between a resident and a PA
Great video! My boyfriend is currently a medical student and I am pre-PA..would love to see more videos of Andriana talking about her career as a physician assistant and any recommendations she may have for pre-PA applicants :)
I'm a Pharmacy Technician currently, but hope to go to PA school to be a PA. I don't think people understand how rigorous it is, and also how hard it is to get in. But according to a lot of people's comments I've seen on here, I guess Pharmacy Technicians shouldn't exist, either. Only Pharmacists. People don't understand that there is a varying degree of skill and knowledge that's appropriate for what they do.
from Joel: Excellent discussion! After a career as an Army officer (Signal Corps), I became a PA at age 42 in 1980. I started at $15K/year (!) and retired after 30 years, all of it in an inpatient psychiatric hospital. Back then a PA was a bachelor's-level degree; now it's a master's. I particularly liked your touching on the fact that a PA is trained as a generalist and can seamlessly transition from one specialty to another, whereas an MD cannot do so without going back through a second (3+ year) residency. Over time, I've had a number of older docs tell me that if PA had been an option when they finished college, they'd have gone the PA route rather than going to med school. (The first PA's graduated from Duke in 1967.) And, in the same vein, I've met a number of PA's whose parent(s) were docs; those parents urged their offspring to become a PA, and none of those involved regretted that choice.😀
I graduated 2017 DPT, I'm 28 y/o. I've been practicing for 2 years and I'm thinking of maybe going back to school to be a PA. I just find PT to be underpaid and overworked. We have a doctorate but I feel we're not respected or treated like we have one. And for the better paying jobs (SNFS) the productivity is so high we can't really treat as well as we'd while being over PTAs, collaborate with OTs/RNs and perform all the additional paper work etc. I'm really nervous about thinking of going back to school but I just see myself getting so burnt out and overworked as a PT.
I am a chemical engineer(2007) , had my master degree in chemical enginner (2012) from Turkey. And after graduate I moved to US. After all those years, i am thinking to study PA. I know it is crazy but why not? I saw there is a special program, and you can be a PA in 4 years! And costs 70k. After 4 -5 years i can start making 100k and most important think I will do what I like to do. I have never enjoyed being a chemical engineer.
Thank you so much for this video! I am actually torn between both medical school and PA school routes. However, in the end, I needed to hear that a PA-C's schedule and their utilization as far as specialties are what I'm looking for. 🙌🏼 Best of luck for the both of you on continuing your careers and later enjoying a family along the way. 👌🏼
I'm a Firefighter/Paramedic and would love to either go to Med School or PA/NP school. I LOVE medicine. I got into this career field COMPLETELY by accident and I love it. The only problem is, is that you need to take certain math classes to get into these programs. Ie. Physics, Calculous, etc. and I would NEVER pass these classes (if I did, I would BARELY make it). Kinda sucks... I'm horrible at math and its been almost 10 years since High School, so I pretty much forgot everything LOL.
Seriously, my AMAZING PA is such a "Hero" in my life☆~She listens SO well, takes all my concerns & symptoms very seriously, while dealing with Lupus, Hashimotos, Heart/HBP, etc♡!!
You two are super cute! Just found your channel and my daughter has been trying to decide which route to take. Sharing your video with her now. Best of luck to you both! God bless. 💕
Your wife is GORGEOUS!!! I always enjoy watching your videos. I am hopefully going to become a physical therapist once I finish my undergrad in kinesiology and it's nice to see things from a different perspective than I usually see them in.
Why are people conflating MD and PA you ask? There is really no comparison in education and training, so what is it? Why? Follow the $$$. A PA (or NP) is far cheaper for our increasingly corporatized healthcare system to employ. Patients are being sold out by politicians and healthcare executives that are looking to cut corners.
@@OregonDux Doctors in the United States are way overpaid. Why not make medical school free with more spots and cut their salaries significantly? That would solve all the issues and eliminate the need for PAs and NPs. Where I am from, a patient may have to wait months to see an MD or they can see a PA in a week...
@@billr5842 Doctors, dedicate 11+ years of their lives to education and training, making them the HIGHEST trained professionals in the healthcare system. Where is their compensation relative to others? Barely in the middle of the pack. Hospital executives, hopsital admin, and insurance executives have less education and training, yet make FAR FAR more than physicians. The CEO of unitedhealthcare makes, in 1 day, the amount a surgeon makes in a year. Over 1/3 of our healthcare spending is on bureaucracy and administration--less than 10% is spent on physician salaries. I agree that we need to invest more in educating and training physicians, rather than cutting corners by replacing physicians with midlevels that have 1/10 the hours in training. However, i strongly disagree that "paying physicians less" would solve our healthcare spending issues. If you look at WHERE we are spending exorbitant amounts of money, it's not physician salaries. In fact, of developed countries, we spend among the least amounts of total healthcare spending on physician salaries. www.reuters.com/article/us-health-costs-administration/more-than-a-third-of-u-s-healthcare-costs-go-to-bureaucracy-idUSKBN1Z5261 www.beckershospitalreview.com/compensation-issues/physician-pay-accounts-for-86-of-total-healthcare-expenses.htmlz www.nytimes.com/2014/05/18/sunday-review/doctors-salaries-are-not-the-big-cost.html
@@OregonDux Welcome to capitalism my friend. Good luck trying to solve the issue of overpaid CEOs and admin. Also, NPs and PAs are not going anywhere unless they are found to be truly dangerous and incompetent. I do see where you're coming from with Doctor salaries but they still make more than any other doctor in other countries.
@@billr5842 There are some great solutions that would reduce our healthcare spending. Targeting a minor healthcare expenditure by outsourcing care to less qualified individuals isn't one of them. "NPs and PAs are not going anywhere unless they are found to be truly dangerous and incompetent"--as physician extenders with appropriate oversight, they shouldn't go anywhere--they're great. Practicing medicine independently? The evidence supporting similar outcomes is scarce and poor quality. Time will tell. Common sense also helps. The minimum required training hours of a Nurse Practitioner is ~5% of the required hours of a family physician throughout their training. The standards aren't the same. It's like trying to cut airline costs by putting flight attendants through an online pilot program for 1 month then having them fly independently. Go ahead and get on that plane if you wish--as long as you're making an informed decision. Conflating NP/PA's with MD/DO's is not allowing patients to make an informed decision. Cutting corners in the actual delivery of care is not the solution to reigning in healthcare spending. Cut the bloat! "In 2018, the U.S. spent 16.9 percent of gross domestic product (GDP) on health care, nearly twice as much as the average OECD country" "The U.S. Has Among the Highest Rates of Hospitalizations from Preventable Causes Like Diabetes and Hypertension" "Americans Visit the Doctor Less Frequently and Have Fewer Physicians" source: www.commonwealthfund.org/publications/issue-briefs/2020/jan/us-health-care-global-perspective-2019 Invest in more physicians!
Very helpful video as someone who is choosing between different fields (pharmacy school and PA school) thank you guys for explaining in depth and with such fun attitudes!
For some PA programs they require you to take the PCAT. Which of course is the pharmacy entrance exam. Thought I'd like to share that. But nonetheless do you want more patient care or are you more fascinated with the pharmaceutical aspect of things?
Good luck !!! Stay focused and have fun ! You will learn a lot !!! I love being a PA and have been one since 1996 . It's not easy but you can do it!!! Congratulations for getting in !!!
Why did your wife move from Derm to urgent care? I am about to enter freshman year of college and I am also interested in PA. Derm is something I’m interested in as well! Also, what did she minor and major in?
Stella Janas As a PA you can change specialties as long as you have a spot available . I have been a PA for 23 years And I have done about 5 different specialties by choice and I love it !
Ihionkhan ehijie You can major in anything as long as you get the PA school pre reqs. You could be a theater major as long as you have the pre-reqs. Those pre reqs depend on the school you’re applying too
Valentina C. M. If you think about it the MBBS degree is almost the equivalent of PA. Because they’re both a masters level degree. Where’s the MD is a doctoral degree. But then with the MBBS you can specialize to become anything
@@vans4lyf2013 you are correct. I do not mean that they are the same entirely. I am building a parallel based on: level of training, schooling, base pay. MBBS system makes more sense to me. You do not need an unnecessary undergrad. And you can start practicing as a general physician once you’re done with it. Unlike here in the U.S., where you need to do an undergrad and residency, even to work as a generalist
@@elviratornay2070 is that the house job? That is also another point that my initial statement didn’t take into account. It was broad generalized statement. I was comparing how even FM, or internist physician in the US goes through 3-4 years of residency. That’s after 4 years of medical school, which is after 4 years of university.
My ex is a PA-C of neurosurgery and one thing she told me that always kind of made me go hmm is that she claimed she could do all the surgeries by herself, and her surgeons did not know as much as her. The one time I did mention that she was not an MD she nearly slit my throat in anger! Definitely some narcissistic traits in the woman, but I want to just confirm a PA-C is not allowed to do spine and brain surgeries without being supervised by a doctor correct? I would pretty upset if I found out a PA was doing delicate spinal surgery on me unsupervised.
pretty sure they're not from what i've researched. they can do some procedures but a physician makes the final decision and does bigger procedures like surgeries (although PAs can participate but definitely not on their own)
They can participate in the work as first-assist to the surgeon. Doing things such as moving muscle, help placing screws if it’s spinal surgery, etc. They cannot work solely by themselves. Nope not at all. Ex definitely has an ego.
They can perform less than major sections in a surgical case, as long as they are supervised or accompanied by a resident. Provided a doctor is present, a PA-C can help when NEEDED as an assistant. At the end of a case , an attending physician might leave, allowing the PA-C and the resident (junior doctor) to close up, but never exclusively a PA-C; that would constitute as medical malpractice. Her attending physician and she would be in a serious predicament if she had performed neurosurgical cases independently of a physician (it would be different if it was a less invasive procedure in a different field such as Dermatology). Surgical PA- Cs can assist with intricate parts of surgery , such as vein harvesting, closing surgical sites, and setting up ECMO . Essentially , they can be quite hands-on in surgery but with not as much autonomy as your ex is describing. They are somewhat like perpetual interns. They are meant to assist the physician and alleviate stress with less taxing work load, like paper work and monotonous tasks.
@jesusthesaviorof Thank you for clarifying. I really think her narcissism was doing the talking when she was making those claims. I'm more fascinated by the history of PA-C's. The Korean War connection etc.
It’s really sad to see how some of these people in the comments are bashing her just because of her profession. As a premed student I learned pretty quickly that while not all healthcare professionals are the the same they have the same end goal and that is to give quality care based on their training and capabilities. Not to mention I don’t think they want to get hit with a malpractice issue. I highly doubt that an NP, PA, CRNA, or any other healthcare provider is trying to steal a physician’s job. If these prestigious and highly qualified physicians can trust them why can’t you?
![So You Want to Be a PHYSICIAN ASSISTANT [Ep. 17]](/img/1.gif)
Hope you guys enjoy my special guest!! 😍
Dr. Cellini She is stunning pretty lady
Yea it was really nice! You should do more collabs together ♡
This is great content! My wife and I are also a physician and PA pair!!
Love it and her accent!
I love Andriana !! Have her on all the time !
So we are just going to ignore the fact that she was a practicing PA at the age of 21!!!
Mind me asking how? Is there high school to PA school?
I just read an article about a high school senior who will also graduate as a RN prior to her hs graduation. In her case she could also likely achieve PA or NP by 21/22. Thats impressive indeed!!
One of my friends was a practicing PA at the age of 21, she got in to a direct 4 year PA program after HS and graduated in May and started working 2 months later
@@indianchika123 wow. That's pretty cool:)
I go to Hofstra university right now and they have a program for high school seniors where it’s a pre-Pa track. it’s 5 years all together that’s includes undergrad and masters degree. I wish I had know about this program in high school, I would’ve done it that way instead.
Is anyone else physically blown away by her hair?
nic_a _bic Yesss!!! Her scrubs also compliment her skin very well. She just looks good!!!
No. No one was physically blown away by her hair. That is not possible through RUclips, until augmented reality becomes much more augmented.
I’m just physically blown away by how gorgeous she is. Lucky man 👌
Whatyo momma_said well he is good looking as well!
Meeeee 😍
It is easier to be married with another medical professional as a medical professional. A lot of the time people from another careers don't understand the schedule.
I’m an Accountant and I understand my husband’s schedule just fine. He also loves explaining medical situations to me. I’m always so impressed by his knowledge. I’ve learned so much, I feel like I can diagnose people myself sometimes...lol However, I know that the medical field is much more complicated than the little I know.
The same goes with any career
Like cops and doctors etc
The schedules are similar when it comes to timing and shit. As well as what the jobs entail
Helping people out
Sawyer R im pre pa ! and a guy
@@rosebing4707 I meant understanding the medical / health field as a nurse you know what happens in a hospital. So you can understand better his schedule.
Don't take my comment personally, I am aware that there are plenty of relationships with health workers and people from other careers that are healthy and work well. What I meant was that if you are a health worker married to a health worker it is easier to understand the weird schedules and the emergencies. Getting bad cases and so on.
I am truly sorry if sounded wrong somehow, or if I offended anyone with my comment. It was not my intention.
So your wife doesn't do RUclips? I would love to watch videos PA life.
FEARLESSly MIACAMICHELLE I second this!
FEARLESSly MIACAMICHELLE Agreed!
I agree
FEARLESSly MIACAMICHELLE I agree!!
Yess me too!!
Fantastic video! Great synergy. Cool to see the parallel of the collaborative relationship between a husband and wife and a Doctor and PA.
How are you doing today my name is Eric moore
You guys do not know how helpful this is! I am a senior in High-school and was trying to decide if I wanted to go the PA or MD route, as I have always wanted to be a pediatrician, and have just learned about how capable PA's are! Thanks so much for this!
What did you decide?? I’m a freshman in college right now and I’m in the exact same boat. I’ve always wanted to be a pediatrician as well, but I’ve been looking a lot into PA now!
I get female cop vibes from her
@Danielle Bridgeman wtf are you on about?
Danielle Bridgeman wtf dude wtf...
She definitely has a strong personality! Sagittarius? Leo? Aries? Capricorn ?
so like badass vibes?
Hahaha!
I can’t imagine having “full autonomy” as a provider at 21 years old... I decided to go to med school instead of becoming an NP so I could have the extra schooling.
good decision!
@@jayshah1794 May I ask why you feel PA is a better choice than NP. I’m a Sophomore in high school and these two jobs are my top options thus far.
@@arielfarra7979 same
All these men in the comments talking about “she’s scary” No. 🙄 Seems like you weak males are just intimated by a strong, assertive woman. Ignore the losers, love you two as a couple!! 💪💕
A W I really enjoyed spotting this comment. Omg! Yes!
I thought she was awesome. But i'm gonna let you in on a little secret. No man is "intimidated" by a strong assertive woman. That is something you girls tell yourselves hahaha. They just prefer easy dummies.
Where do you spot these comments I call bullshit
Lmao bruh
@@leejay6460 And the divorce settlement later
My husband and I are both in the legal field. He's and attorney and I am a paralegal assistant finishing school to become a paralegal. Its great to be able conversations and both understand the lingo and actual laws. We at times will debate the outcome of certain high profile cases. And our family is always calling for legal advice. But I am planning to go to PA school.
What type of classes did you have to undergo to become a paralegal? And do you think its worth becoming one?
@@Hannah-ef6sg I'll speak for myself. Right now I am in a "law clerk" program, right after I finish this 2 year program I can transfer to "paralegal" program. It's doable! Go for it if you are fascinated with legal field
The Doctor and PA should be a regular session. It is so nice to hear both perspectives.
I'm currently a Pharmacy Technician. I do not want to become a pharmacist but still want to be in medicine. This is playing a big part on me deciding what I want to do. Thank you, it was very helpful and informative!
I am premed and had my first baby 4 months ago. After being with him, realizing that med school, residency, and fellowship for ortho surgery (my passion) is going to take me away from my family for so many years at a time. I am 100% going into medicine as a provider, but I’m heavily leaning towards PA so I can have much better hours and actually start practicing pretty soon. Thank you for uploading this video!
Im doing PA because although i love med, im also really looking forward to being a mom when i do have children. And i want that flexibility in the future. Its a great option!!
You were Premed and got pregnant? Good Lord!
@@noggaboo how are you doing today my name is Eric moore
@@noggaboo okay cool
@@noggaboo so where are you from
I'm looking at becoming a PA but I feel like I've had some questions that you can't look up on google and you guys helped answer those for me. Thank you! I hope you guys continue to make videos like these.
Wow. She is such a beauty. Would love to see her more!!! Also it's super cute to see you two together
This was super informative, thanks guys! She’s so lucky to have gone to a school that allowed her to get that all done in four years!!!!
Could you talk about the increase rates in med students and physician suicide. It’s a huge unspoken issue in the medical field.
RE0 wow. I didn’t know about that. Is it med students or when they finish school?
@@aidanvaughan2233 during residency or md
A student committed suicide my first sem of med school 😔
Mental illness and suicides are caused by abuses.
On the day that I went to orientation at my school, one med student and one resident intern committed suicide and the whole school was in panic because it was the same day and to be quite honest, all of the new incoming students and parents were frightened and the school had to really "bullshit" their way out of it.
Very nice collaboration! PAs are almost non-existent here in Nigeria. It was great getting to learn more about you guys (PAs).
This video is awesome!! I am on my way to becoming a PA as well. Love that you're helping people become more informed of the role and life of a PA! It's crazy to me how many people are still in the dark. Your wife is incredible and if she ever wanted to start her own youtube channel I would TOTALLY watch every episode! PLEASE post more videos with her.
more to come, don't worry!
You got the most stunning lady as your better half😍🥰 you both look good together👌🏾
Aw thanks! I know I definitely got lucky 🙃
Super madam
I live for the woman’s confidenceeee ✨✨✨✨✨
I'm also a PA and I love when another fellow PA steps up to increase awareness of our awesome profession! I work in family medicine in Pennsylvania.
I would like to add: yes, combination programs for undergrad and PA school still exist. I did a 5 year combined undergrad and master's program and at 23, I had my MS and sat for my PANCE.
Andie Bunker where can we find these schools?
Leen A google
Hey can Canadian undergrads become PA in USA ???
@@karand1746I would research it but yes I believe so!
Greetings from Canada 🇨🇦!
Your channel is the first realistic and down to earth medical channel I have encountered so far. No exaggerating and fake talks here! I love it!
I'm a premed student right now and I was wondering if you can make a video about your premed journey!!!
Thanks a lot! 😊
How are you doing today my name is Eric moore
PA vs nurse practitioner video if possible plz. Thanks
velaudankutty practically the same
NP>PA.
One nurse that is working on my floor is getting her NP online in 2.5 years while she is working full time. That should tell you how much of a joke NP is compared to a PA.
I have been a RN for just shy of 20 years and am in nursing management I have supervised PAs and NP’s. There is very little difference in skill level... different approaches yes but overall the experience, age, and personality matter more. You will have a great career no matter which path you choose. I am glad I chose nursing on a personal level as I have a job with a lot of physician contact and conflict and get to dish it out (to be blunt) and would be very difficult if not impossible as a PA. For the eye rollers I am the UM/UR director for over 600 inpatient beds.
Aiden W they still are getting hands on clinical experience though. And they may still have clinical rotations their last year in NP school just like PA’s. How is that a bad thing?
My 62 year old aunt was treated by a PA without an MD consultation. She dropped dead 6 hours later. When our family complained about this, the MD withheld his signature from the death certificate unless we agreed NOT to file a complaint with the CA medical board.
Why didn't you sue them ?
ayyyy y'all answered my question! Lol, awesome video, my girlfriend is in PA school right now and i'm in medical school pursuing IR in my 3rd year. Weird, I know. Love your videos!
we're basically the same person lol
@@DrCellini hahaha, you're definitely taller than me
Y'all are awesome! My husband and I have recently been at a crossroads for whether he should choose the pediatrician or PA route and this video was super helpful! Not only did I love the fact that y'all are married too but also that you both provided insight from both physician and PA perspectives. Good luck with your residency and I hope God blesses y'all with beautiful baby Cellinis! I look forward to watching more videos!
what did you guys decide?
I love her! She seems like a outgoing fun person. You too are so great for each other
My 2 cents- General Surgeon here- if I send a patient to be evaluated by a specialist, I expect a specialist. Not a person who did 4 years undergrad and 2.5 of “med school” with what can only be described as “circumstantial experience”, evaluating said patient. If I find out this happened, I will never send another patient to you. I’m looking at you dermatology.
Dermatology is sadly notorious for that. Very disrespectful to the referring doc
Thank you
Bro shut the fuck up.
@@cheesy-hamburger3220 PA/NP detected
Lame cents there.
A new video great.
I am currently a 2 years radiologist student in Italy.
You help me so much with your videos and I’m improving my English thank to you.
I really like both of you, amazing couple.
happy to hear it!
Woah. I didn’t know PA’s existed. I thought the only way to get a job where your medically helping people was to go to med school and become a doctor. It’s actually really cool to know there is a financial option I can afford to do instead. Coool.
There are also ways you can become a PA after than the typical route. I'm going to a 5 year accelerated program to be a PA. Here's a website of schools that offer that program if you're interested :) www.thepalife.com/direct-entry-and-dual-degree-bsms-physician-assistant-programs/
I also went to college thinking I would be a pediatrician. My first semester a friend told me about PA. I researched it and ever since that has been my goal. I am currently in my second year of PA school. I graduate August 2020. It’s definitely rough. They fit so much info into a short amount of time. But it’s great to not have to go to school as long and have lateral mobility unlike MDs.
NightlyThoughts thank you so much!!!
Only in US it seems.........
@@MHSMagicLuver Did you go to a 4 year college and how did your route go to get in? was it hard. Im very worried about my gpa and all sorts. How many schools did u apply to
Firstly to become a Physician Assistant (PA), you must obtain a bachelors degree from an undergraduate education. This is non-specific but largely people tend to choose degrees in the sciences as the prerequisites for PA school are heavily science based (Bio 1,2 Chem 1, 2 Organic 1, Biochemistry 1, Genetics, Microbiology, Anatomy and Physiology 1, 2).
Next all PA schools require direct patient care hours to apply. The AVERAGE ACCEPTED APPLICANT has ~2000 hrs. Examples of obtaining direct patient care hours is through Nursing, Athletic Training, Physical therapy, medical scribe, etc.
Once accepted to PA school there is two years. PA's are taught under the medical model which is the same model of medicine as Physician's. This is different then the nursing model which only nurses follow, such as NP's. The curriculum for PA school is a similar curriculum to accelerate doctors during World War 2. PA's first year is called the didactic phase. This is heavy book learning of medicine. The second year is called the clinical year. This is where PA's get 2,000 hrs in multiple specialties (Primary care, Orthopedics, OB/GYN, General Surgery, etc). To draw a comparison Doctors have two didactic years and 2 clinical years. Follow similar frame work for learning medicine but PA's have a generalist approach and MD's have a more thorough approach. After completing all of the requirements during PA school, PA students must pass the PANCE exam to become certified. The PANCE exam is a nationally certified exam. PA must retake the exam every 10 years to re-certify to practice as a PA.
PA's are required to get 100 hours of CME units, which is similar to physicians.
PA's and NP's have similar lengths in terms of schooling and I can delve more in depth of the differences if you like.
Thank you for this, it’s very helpful!! I am a senior in hs and have no clue what I want to be. Right now, becoming a PA is starting to sound like something I might be interested in doing.
caesura me too lmao
Caitlyn It do be hard out here, choosing our future so young and all 😫😅😭
caesura literally. I want to be a teacher in secondary education but I think that's too easy for me and I really want to do something medical related :) pa seems like the way to go!
Caitlyn yea true it seems to be a career that doesn’t get too repetitive like what I was looking at before which was a medical laboratory scientist. I have so much respect for teachers but I could never be one, it seems like there’s not enough support for them even though they dedicate soo much :(
Day in the life of a PA!!
Becca ohhhhh yesssssssss
Why is America downgrading the health care to NP and PA instead of qualified doctors? In future, lets allow 5 year experienced MA to work like NP, they know equally. NP who has 17 month of training is not F*ing touching me. WannabeDoctor pretenders!!!@@mughira1012
Aw this was great. I'm in PA school while my hubs is starting residency soon so it's awesome to see you guys!
You should collab with DR. Mike
Shanika Elizabeth OMG YESS ID DIEEEE
Shanika Elizabeth YESSSS
Shanika Elizabeth it’s like Jesus collaborating with that pilot guy. It just can’t happen
Is it just me or is this guys girl dominating the relationship🤔?
couple goals :)
Awesome video guys, giving some recognition to PA-Cs!
Thanks a lot!
Indeed, it was a great video!
she lowkey sound like Janice from Friends lmao
loooool! That New York accent...
you know youre young when you believe janice was from friends and not from the nanny.
adriane a LMFAOOOOO
Ohh MY GOD!
malibuluv209 but they’re two different characters portrayed by two different actresses
"full autonomy" is how scope creep starts. Thus is a disgrace to your oath and patient safety but congrats on the views.
Do you work in US healthcare?
What does that have to do with anything? I'm an IMG btw and I think this whole PA/NP BS is just a bunch of PC garbage. I went through 6 years of ked school and hopefully next year 3 years of residency, how can you equate me with a PA/NP?
@@ahmedabdellatif6436 no one is doing that
Nice comment
@@DrCellini Jon is clearly pointing to a problem in US healthcare, you don't have to be part of it to know it exists.
Really enjoyed this. I'm in my mid 20's and strongly leaning towards PA school. I absolutely love the idea of doing what physicians do. I really hate being in school though. It took me awhile to settle on the medical field, and even longer on the PA path. Unfortunately I'm trying to play catch up with my undergrads. Honestly I'm really jealous of the people my age in PA school or even graduating right now. I kick myself every day knowing that could have been me if I had played my cards differently. Sometimes I feel like I'm too far behind to start this path. After all, my 20's will be long gone before I can even think about working as a PA...
I generally see consistent job satisfaction with PAs though, and that's really motivating to me. I know they make WAY less than MD's, but if it means I can get to work quicker as a professional, I'm all for it. I can see myself as a great psychiatric PA. But I've still got a long road ahead and that brings me down sometimes. I really appreciate videos like this though. Please keep it up. Its just the sort of thing people like me need to hear once in awhile.
This hits home. Although I'm still young (18) and still experiencing things. I wish I had more guidance before I entered my university. There were factors that made me choose my university, but those decisions were solely based on other people and not myself. I'm stuck on the 4 years undergrad and ~2 years PA school. However, I was lucky that my school has a major with an option in pre-PA. I wish you luck on your journey and keep your head up!
don't feel down about ur wrong choice ur young age u can do what u want pursue don't give up
Excellent video ! I am a physician and work with Excellent PA's and NP's, These 2 groups are physician extenders: meaning they are supervised by physicians and SIGNIFICANTLY increase a physician's ability to provide quality care for more patients at the same time. Physicians do have more training. Generally PA's and NP's make very good money and have better hours
What school did you go to that had a combined undergraduate with a PA program?
On my rehab unit the PA corrects all the mistakes the MD makes and also corrects all the “mental” harm he does to his patients. Thank god for PA’s.
He humbly defers to her, his wife but Humility doesn't seem to be her strongest quality. meantime this is light-hearted and uplifting and fun to watch thanks for the video.
Side note to her being ridiculously smart and amazing her hair is AMAZING
I would think that your hours could be different in the medical professions and that could be a problem with seeing each other? This is not a 8-5 job right?
Correct. 😊
More Adriana please . More about PA school. How to know if you should go to Pa or MD school?
SuperMendii ruclips.net/video/53pLNxbgCls/видео.html
This should help:)
Take the Mcat and Gre and see your scores
If you get a good Mcat, go to med school if your mcat is not as good as your gre do pa school. Pa school is faster tho its just 2 years.
@@Randy-us1uf that's definitely not a good mindset whatsoever. If you want to specialize in one thing, go to med school. If you prefer the lateral mobility, go to PA school.
If you are serious about practicing medicine and being at the top of your craft, go to med school
That’s sick how you guys are both have a solid career and it’s something you both are connected to.
And no, PAs are not "just as qualified". There's a reason no other country does this crap.
Im glad I was born in Germany, gonna be a medical student next year and these "np/pa/CRNA" etc. you guys have with full autonomy honestly scare me
power of the P
@@gustavgurke3389 thanks for your opinion college grad who has yet to even start Med school
who said they were
If PA's are just as qualified then why are there med schools lmao everyone wants to be a doctor but nobody wants to go med school
Who else is here during this pandemic now discovering this channel and may I say they are so cute together 🙏🏽, May God Bless them two
Your wife should do a video on how she became a practicing PA at age 21! It would be super helpful!
How are you doing today my name is Eric moore
She said she did a four year program.
Y'all are so cute!! I love how you guys finish each other sentences omg. This video is so helpful! I'm still deciding with path I want to take, so this is great information to know about both PA and MD! :)
I watched while doing my chem hw ! now I want this degree more than ever thank you guysssssss 💛
You guys are adorable !.. I was considering being a PA but I’m too hands on ... I want to be a surgeon 🙏🏾 hopefully that’s in the cards for me because I don’t see myself doing anything else 😭
there are PA-Cs which are PAs that do surgery
Yo man I hope you get to be a surgeon in the future. Work hard and smart
@@annavitalia They first-assist, they do not do actual surgery and the few that do are either lying to you or are in the extreme minority.
haha... Yeah don't listen to that guy, if you are serious about surgery and wanna be at the top of your craft, for the sake of your future patients as well go to medical school
PAs do surgery
I love how you both respect each other’s career and roles in medicine. I am in PA school right now and I have a fear that some doctors will not respect me as a provider.
Yes, of course, you can definitely expect that. Just look at a physician forums online. It’s unfortunate but it’s reality.
But they do. PAs now do what doctors used to do.
Here in New Zealand we don’t have PAs , Practicing medicine is exclusively done by a medical doctor , now NP too (with some restrictions )
It’s unusual for the Medical Council to register a degree with the name of “assistant “ and also without 6 year medical school and at least two years of postgraduate internship before going to a residency program. I ve heard in the UK there as some PAs. I hope one day we get PAs here in New Zealand.You guys are pretty much needed.You do a great job!!!
Hi, I'm Italian. We do not have PAs. So I wonder, how can someone that has attended a 3 year school make diagnosis where you need to do 4+5 years med school and residency to be a doctor? I'm not getting the concept of the PA job...
That’s exactly why they work with a doctor
Firstly to become a Physician Assistant (PA), you must obtain a bachelors degree from an undergraduate education. This is non-specific but largely people tend to choose degrees in the sciences as the prerequisites for PA school are heavily science based (Bio 1,2 Chem 1, 2 Organic 1, Biochemistry 1, Genetics, Microbiology, Anatomy and Physiology 1, 2).
Next all PA schools require direct patient care hours to apply. The AVERAGE ACCEPTED APPLICANT has ~2000 hrs. Examples of obtaining direct patient care hours is through Nursing, Athletic Training, Physical therapy, medical scribe, etc.
Once accepted to PA school there is two years. PA's are taught under the medical model which is the same model of medicine as Physician's. This is different then the nursing model which only nurses follow, such as NP's. The curriculum for PA school is a similar curriculum to accelerate doctors during World War 2. PA's first year is called the didactic phase. This is heavy book learning of medicine. The second year is called the clinical year. This is where PA's get 2,000 hrs in multiple specialties (Primary care, Orthopedics, OB/GYN, General Surgery, etc). To draw a comparison Doctors have two didactic years and 2 clinical years. Follow similar frame work for learning medicine but PA's have a generalist approach and MD's have a more thorough approach. After completing all of the requirements during PA school, PA students must pass the PANCE exam to become certified. The PANCE exam is a nationally certified exam. PA must retake the exam every 10 years to re-certify to practice as a PA.
PA's are required to get 100 hours of CME units, which is similar to physicians.
PA's and NP's have similar lengths in terms of schooling and I can delve more in depth of the differences if you like.
Thank you for the video on the differences between Doctor vs. PA. Your information is truly helpful!
Keep up the PA input.
Why is America downgrading the health care to NP and PA instead of qualified doctors? In future, lets allow 5 year experienced MA to work like NP, they know equally. NP who has 17 month of training is not F*ing touching me. WannabeDoctor pretenders!!!
My question is how well are you guys handling the debt? That is the main thing preventing me from diving into healthcare.
radiology makes 350k ish. after taxes, it's like 210k live like a resident (50-70K) pay it off in 2-3 years max. or live off her salary alone and pay it off faster. its pretty easy to pay off med school debt in any specialty just do the math. Most of the time you can pay it back in 5 years or so.
What I like about P.A.s and often prefer them to doctors, is because they're not as desperately cranking the money wheel to pay off their student debts. So they spend more time listening and paying attention to your problem than doctors do. And are usually much more easily accessible than doctors. I use my judgement and sometimes will see both a doctor and a PA for the same problem to get 2 different approaches to it.
I can’t wait to be a PA! I’m an EMT now and my goal is to become an OBGYN PA!
I enjoyed your video and welcome as much info as possible to explain the PA profession to the public. Very helpful! Even now they are jimmying around with our name! I hope it starts with "His Veritable Eminence, but it probably won't. Still, I wish I had a dime for every time a patient asked me
"Why didn't you just become a doctor?!"
I met Dr. Stead personally and worked with a psychiatrist colleague of his for years. So, as an experienced PA for several decades, I would like to add this comment:
Each and every PA is governed by the medical laws of the state they are licensed and work in. It varies from state to state. I say "work in" because in my state (NC) a PA does not technically "practice" medicine. The NC Medical Act defines a PA as "performing medical acts, tasks, and functions." Nurse practitioners, on the other hand, are listed as being able to "practice" medicine. This is huge oversight, but makes a crucial difference. Why? For a number of reasons, but mostly reimbursement and autonomy. By not being able to "practice medicine," PAs are not allowed to be individually credentialed with Medicare, Medicaid, and some other insurance companies for reimbursement. Therefore, they must bill those services under their supervising physician's NPI, and he/she must be physically present at the practice. So if a PA happens to own and operate her own clinic (a medical practice?) she still cannot legally bill under her group or individual NPI, if her supervising physician isn't inda house. A Nurse Practitioner, on the other hand, may practice independently. Not fair? Well, it has to do with the semantics in the various Medical Acts - usually enacted by non-medical wise guys, and the folks who take them out to dinner.
There are many other State differences too, that was just an example. Some states still don't allow PAs to prescribe controlled substances. My state will not allow me to prescribe a controlled substance (or change a prescription for one) after three months without consulting my supervising MD and gaining his approval. So if I work in psychiatry, I can't refill your Adderall on month four, regardless of whether you have been stable on it for years, unless I consult my MD. Very dumb. If I want to decrease your pain medication, gotta ask the doc! I will say that most supervisors are awesome, but even a detailed, generous collaborative practice agreement cannot undermine the applicable medical statute. I could go on but you get the point.
Years ago, I worked a locum tenens job in the Aleutian Islands of Alaska (Yes, it was a blast BTW!) but I was unable to suture fishermans' laceration (90 percent of the job) until I obtained permission from an MD who also was required to sign the note. I hope it's not like that anymore... ...but it depends on the state! On the other hand, I was trained in the Air Force, and because you can't sue Uncle Sam, I was doing vasectomies on day two (an exaggeration, sort of) and zapping vocal cord nodules on day three. On the outside, it's up to the fat cats at the state capitol. In Mississippi, not long ago, a monkey on an organ grinder could practice more medicine than a PA.
In conclusion, if you want to know what the limitations are on a PA versus an MD, please consult your state's medical statute. The best docs and PAs practice medicine in community with each other, and other providers, because they love people, and love to help them feel better. And then there are others... ; )
Thank you for what you do!
Amen.
JD.
Autonomy by 21 y/o and less than half the training of a physician..... wooooo buddy I'll make sure to never go to that practice.
You must have never stepped foot in any healthcare system in the US
@@DrCellini I'm sure it has happened without me being aware, but if I can help it I'll avoid that situation as much as I can.
Already had a family member suffer from NP trying to play doctor, don't need another APP who think's they "know everything" doing the same thing.
I get where you're coming from but some of the worst providers I have encountered were MDs too. I have encountered some bad PAs and NPs too. When I choose a provider, I just find whoever is highly rated and competent. If I was randomly choosing a provider, I would want an MD. If I was in the ICU or inpatient with a serious medical issue, I'd want an MD. With that being said, for outpatient services, I have encountered some very competent PAs and NPs.
@@DrCellini Is the fact that this is commonplace in US healthcare supposed to be reassuring? Have you seen our health outcomes? We don't invest in enough primary care PHYSICIANS. we trail other high income countries in this and many other important metrics.
@@OregonDux good point
You guy are so cute!!!! PA was my major I left school to have my daughter. I also have a back ground in medicine. I wouldn’t totally love to find a husband in the medical field. You guys get each other’s passions. I’m so going back💕
Hey I thought this video was great, I am currently in PA school now so being able to hear both your views on the medical field was awesome and will help me in the future understanding what I will be responsible for vs. a doctor. I would love to see more on both you in videos! :)
Hello baby
I am in the medical profession and I for one cannot imagine marrying someone in medicine..I definitely wanted to find someone in a diff field one that I even thought would be not feasible for me such as engineering, architecture or even IT! My husband is a software engineer, and to hear his work stories is like a breath of fresh air! I have colleagues that are on the opposite side of the spectrum who definitely love the fact they are both in medicine and have a different understanding of each other. However I did find that when both spouses are Physicians life is definitely different and often I see fellow female physicians sacrificing their profession to stay at home for a while with the children and resentment starts to grow. Just an observation I made in the last 3 years during my residency and hearing all of the stories.
PAs don't really exist in Australia, they're only barely legal in one state. I think being a PA is the perfect job for me but its not a thing 😭😭
U should become an NP or move to America with a student Visa for PA
Don’t take my word for it, but Nurse Practioner sounds like the Australian equivalent of PA.
KingOfAllLamas PA’s and Nurse Practitioners are two different things in the U. S., with different capabilities & duties for each, despite being similar.
As a med school graduate, never go into primary care as salaries are very low. Most are unable to match in order to specialize. I would estimate that 40% of my colleagues matched with primary as their grades were not competitive. If you wish to pursue primary care, do not waste time nor money and become an NP or PA. Pay is similar.
@Tess T. Culls Great advice! What specialty did you choose, and have you enjoyed your work?
@@kristenturner1222 im in optho. Its rewarding but like anything it has its pros and cons. The cons would be more in regards to the work environment.
@@Beck-Stein Always interesting to hear perspectives from those in the field. I worked as a scribe at an ophthalmology clinic last year, which was enlightening. I loved learning more about eye anatomy and pathophysiology and observing the work of ophthalmologists.
Mrs. Celini, Which school did you go to as an undergrad ?
This has been so helpful!! I was deciding between physican vs pa route 🎉
So a PA is like a forever resident? Since it’s under the doctor his/her whole life?
@Ay-yoo -- Not even a resident.
@Ay-yoo an anecdote is not the plural of stat
@Ay-yoo lol no, it's probably because you don't have a medical background, so you don't understand the vast difference in medical knowledge between a resident and a PA
More like a forever 2nd year med student on rotations
Like a perpetual intern.
Great video! My boyfriend is currently a medical student and I am pre-PA..would love to see more videos of Andriana talking about her career as a physician assistant and any recommendations she may have for pre-PA applicants :)
I’m currently studying as a pa at 20 in the UK and I’m loving it, I can’t wait to Graduate next year and start working!
How is it now? I’m in high school and I’m thinking about this for a career option
Yeah I agree it’s nice to have someone who understands health care because it’s such a different field than others experience
I'm a Pharmacy Technician currently, but hope to go to PA school to be a PA. I don't think people understand how rigorous it is, and also how hard it is to get in. But according to a lot of people's comments I've seen on here, I guess Pharmacy Technicians shouldn't exist, either. Only Pharmacists. People don't understand that there is a varying degree of skill and knowledge that's appropriate for what they do.
from Joel: Excellent discussion!
After a career as an Army officer (Signal Corps), I became a PA at age 42 in 1980. I started at $15K/year (!) and retired after 30 years, all of it in an inpatient psychiatric hospital. Back then a PA was a bachelor's-level degree; now it's a master's.
I particularly liked your touching on the fact that a PA is trained as a generalist and can seamlessly transition from one specialty to another, whereas an MD cannot do so without going back through a second (3+ year) residency.
Over time, I've had a number of older docs tell me that if PA had been an option when they finished college, they'd have gone the PA route rather than going to med school. (The first PA's graduated from Duke in 1967.) And, in the same vein, I've met a number of PA's whose parent(s) were docs; those parents urged their offspring to become a PA, and none of those involved regretted that choice.😀
You retired from being a PA at 72 years old?
I graduated 2017 DPT, I'm 28 y/o. I've been practicing for 2 years and I'm thinking of maybe going back to school to be a PA. I just find PT to be underpaid and overworked. We have a doctorate but I feel we're not respected or treated like we have one. And for the better paying jobs (SNFS) the productivity is so high we can't really treat as well as we'd while being over PTAs, collaborate with OTs/RNs and perform all the additional paper work etc. I'm really nervous about thinking of going back to school but I just see myself getting so burnt out and overworked as a PT.
Did you do it?
I am a chemical engineer(2007) , had my master degree in chemical enginner (2012) from Turkey.
And after graduate I moved to US. After all those years, i am thinking to study PA. I know it is crazy but why not? I saw there is a special program, and you can be a PA in 4 years! And costs 70k. After 4 -5 years i can start making 100k and most important think I will do what I like to do. I have never enjoyed being a chemical engineer.
Thank you so much for this video! I am actually torn between both medical school and PA school routes. However, in the end, I needed to hear that a PA-C's schedule and their utilization as far as specialties are what I'm looking for. 🙌🏼 Best of luck for the both of you on continuing your careers and later enjoying a family along the way. 👌🏼
Cute! Loved it! Thank you for your care and dedication. Best of luck to you!
I wish she could be my pa. I love her personality and she is so smart and pretty!!
That's awesome you are patient with your family with medical needs.
I'm a Firefighter/Paramedic and would love to either go to Med School or PA/NP school. I LOVE medicine. I got into this career field COMPLETELY by accident and I love it. The only problem is, is that you need to take certain math classes to get into these programs. Ie. Physics, Calculous, etc. and I would NEVER pass these classes (if I did, I would BARELY make it). Kinda sucks... I'm horrible at math and its been almost 10 years since High School, so I pretty much forgot everything LOL.
I'm sure u will do good don't give up follow your vision
Yes do it! There are a couple ex-paramedics in my medical school and they love it!
Seriously, my AMAZING PA is such a "Hero" in my life☆~She listens SO well, takes all my concerns & symptoms very seriously, while dealing with Lupus, Hashimotos, Heart/HBP, etc♡!!
Gorgeous wife! Proverbs 18;22 "He who finds a wife finds a treasure, and is favored by the Lord." This couple is living proof of this truth.
Careful now. Remember that part in the bible regarding coveting? You sir just coveted. Enjoy your afterlife down there.
Amen 🙏
“direct extension of the physician “ i like that , thank you for sharing 🙏🏻
You two are super cute! Just found your channel and my daughter has been trying to decide which route to take. Sharing your video with her now. Best of luck to you both! God bless. 💕
How are you doing today my name is Eric moore
Your wife is GORGEOUS!!! I always enjoy watching your videos. I am hopefully going to become a physical therapist once I finish my undergrad in kinesiology and it's nice to see things from a different perspective than I usually see them in.
Why are people conflating MD and PA you ask? There is really no comparison in education and training, so what is it? Why? Follow the $$$. A PA (or NP) is far cheaper for our increasingly corporatized healthcare system to employ. Patients are being sold out by politicians and healthcare executives that are looking to cut corners.
Politicians and healthcare execs sell out patients, while Med influencer Docs sell out both their profession AND patients! fun.
@@OregonDux Doctors in the United States are way overpaid. Why not make medical school free with more spots and cut their salaries significantly? That would solve all the issues and eliminate the need for PAs and NPs. Where I am from, a patient may have to wait months to see an MD or they can see a PA in a week...
@@billr5842 Doctors, dedicate 11+ years of their lives to education and training, making them the HIGHEST trained professionals in the healthcare system. Where is their compensation relative to others? Barely in the middle of the pack. Hospital executives, hopsital admin, and insurance executives have less education and training, yet make FAR FAR more than physicians. The CEO of unitedhealthcare makes, in 1 day, the amount a surgeon makes in a year. Over 1/3 of our healthcare spending is on bureaucracy and administration--less than 10% is spent on physician salaries. I agree that we need to invest more in educating and training physicians, rather than cutting corners by replacing physicians with midlevels that have 1/10 the hours in training. However, i strongly disagree that "paying physicians less" would solve our healthcare spending issues. If you look at WHERE we are spending exorbitant amounts of money, it's not physician salaries. In fact, of developed countries, we spend among the least amounts of total healthcare spending on physician salaries.
www.reuters.com/article/us-health-costs-administration/more-than-a-third-of-u-s-healthcare-costs-go-to-bureaucracy-idUSKBN1Z5261
www.beckershospitalreview.com/compensation-issues/physician-pay-accounts-for-86-of-total-healthcare-expenses.htmlz
www.nytimes.com/2014/05/18/sunday-review/doctors-salaries-are-not-the-big-cost.html
@@OregonDux Welcome to capitalism my friend. Good luck trying to solve the issue of overpaid CEOs and admin. Also, NPs and PAs are not going anywhere unless they are found to be truly dangerous and incompetent. I do see where you're coming from with Doctor salaries but they still make more than any other doctor in other countries.
@@billr5842 There are some great solutions that would reduce our healthcare spending. Targeting a minor healthcare expenditure by outsourcing care to less qualified individuals isn't one of them. "NPs and PAs are not going anywhere unless they are found to be truly dangerous and incompetent"--as physician extenders with appropriate oversight, they shouldn't go anywhere--they're great. Practicing medicine independently? The evidence supporting similar outcomes is scarce and poor quality. Time will tell. Common sense also helps. The minimum required training hours of a Nurse Practitioner is ~5% of the required hours of a family physician throughout their training. The standards aren't the same. It's like trying to cut airline costs by putting flight attendants through an online pilot program for 1 month then having them fly independently. Go ahead and get on that plane if you wish--as long as you're making an informed decision. Conflating NP/PA's with MD/DO's is not allowing patients to make an informed decision. Cutting corners in the actual delivery of care is not the solution to reigning in healthcare spending. Cut the bloat!
"In 2018, the U.S. spent 16.9 percent of gross domestic product (GDP) on health care, nearly twice as much as the average OECD country"
"The U.S. Has Among the Highest Rates of Hospitalizations from Preventable Causes Like Diabetes and Hypertension"
"Americans Visit the Doctor Less Frequently and Have Fewer Physicians"
source: www.commonwealthfund.org/publications/issue-briefs/2020/jan/us-health-care-global-perspective-2019
Invest in more physicians!
Very helpful video as someone who is choosing between different fields (pharmacy school and PA school) thank you guys for explaining in depth and with such fun attitudes!
For some PA programs they require you to take the PCAT. Which of course is the pharmacy entrance exam. Thought I'd like to share that. But nonetheless do you want more patient care or are you more fascinated with the pharmaceutical aspect of things?
going to pa school in the fall and i am so excited! i loved this video, you guys are so cute together!
A. M. I. Good luck! I just finished my first year and it’s definitely the hardest thing I have ever done. Just keep thinking of the end goal.
Good luck !!! Stay focused and have fun ! You will learn a lot !!! I love being a PA and have been one since 1996 . It's not easy but you can do it!!! Congratulations for getting in !!!
how difficult was it to get in, did you take a more traditional route? or
Congrats Dr. Cellini and Andriana. Good vid.
Why did your wife move from Derm to urgent care? I am about to enter freshman year of college and I am also interested in PA. Derm is something I’m interested in as well! Also, what did she minor and major in?
Stella Janas As a PA you can change specialties as long as you have a spot available . I have been a PA for 23 years And I have done about 5 different specialties by choice and I love it !
bcaiqs so does that mean you can just switch without having a certification in that specific field that you’re interested in ?
@@lucerosutton6753 you can switch whenever no certification as long as you are a board certified PA.
Pls what course will be likely to major in to get into into PA
Ihionkhan ehijie You can major in anything as long as you get the PA school pre reqs. You could be a theater major as long as you have the pre-reqs. Those pre reqs depend on the school you’re applying too
PAs are great, and a real contribute to the medicalworld in general!
could not agree more!
its PAs not PA's
@@akimbo5u ok, thanks!
Physician assistants are non existent in my country. But if we had it, i would definetely become one! Thank you for this great information
Valentina C. M. If you think about it the MBBS degree is almost the equivalent of PA. Because they’re both a masters level degree. Where’s the MD is a doctoral degree. But then with the MBBS you can specialize to become anything
@@omerfawadrauf7369 lol no the MBBS is equivalent to an MD, it's an allopathic medical degree.
@@vans4lyf2013 you are correct. I do not mean that they are the same entirely. I am building a parallel based on: level of training, schooling, base pay.
MBBS system makes more sense to me. You do not need an unnecessary undergrad. And you can start practicing as a general physician once you’re done with it. Unlike here in the U.S., where you need to do an undergrad and residency, even to work as a generalist
@@omerfawadrauf7369 In most cases you need a FM residency in order to be gp at least in Europe
@@elviratornay2070 is that the house job?
That is also another point that my initial statement didn’t take into account.
It was broad generalized statement.
I was comparing how even FM, or internist physician in the US goes through 3-4 years of residency. That’s after 4 years of medical school, which is after 4 years of university.
My ex is a PA-C of neurosurgery and one thing she told me that always kind of made me go hmm is that she claimed she could do all the surgeries by herself, and her surgeons did not know as much as her. The one time I did mention that she was not an MD she nearly slit my throat in anger! Definitely some narcissistic traits in the woman, but I want to just confirm a PA-C is not allowed to do spine and brain surgeries without being supervised by a doctor correct? I would pretty upset if I found out a PA was doing delicate spinal surgery on me unsupervised.
pretty sure they're not from what i've researched. they can do some procedures but a physician makes the final decision and does bigger procedures like surgeries (although PAs can participate but definitely not on their own)
They can participate in the work as first-assist to the surgeon. Doing things such as moving muscle, help placing screws if it’s spinal surgery, etc. They cannot work solely by themselves. Nope not at all. Ex definitely has an ego.
They can perform less than major sections in a surgical case, as long as they are supervised or accompanied by a resident. Provided a doctor is present, a PA-C can help when NEEDED as an assistant. At the end of a case , an attending physician might leave, allowing the PA-C and the resident (junior doctor) to close up, but never exclusively a PA-C; that would constitute as medical malpractice. Her attending physician and she would be in a serious predicament if she had performed neurosurgical cases independently of a physician (it would be different if it was a less invasive procedure in a different field such as Dermatology). Surgical PA- Cs can assist with intricate parts of surgery , such as vein harvesting, closing surgical sites, and setting up ECMO . Essentially , they can be quite hands-on in surgery but with not as much autonomy as your ex is describing. They are somewhat like perpetual interns. They are meant to assist the physician and alleviate stress with less taxing work load, like paper work and monotonous tasks.
@jesusthesaviorof Thank you for clarifying. I really think her narcissism was doing the talking when she was making those claims. I'm more fascinated by the history of PA-C's. The Korean War connection etc.
It’s really sad to see how some of these people in the comments are bashing her just because of her profession. As a premed student I learned pretty quickly that while not all healthcare professionals are the the same they have the same end goal and that is to give quality care based on their training and capabilities. Not to mention I don’t think they want to get hit with a malpractice issue. I highly doubt that an NP, PA, CRNA, or any other healthcare provider is trying to steal a physician’s job. If these prestigious and highly qualified physicians can trust them why can’t you?
Thank y’all for sharing your jobs and explaining them. It’s very interesting to hear what you do. Good luck on your new jobs.
How are you doing today my name is Eric moore
This video was awesome! You two are amazing :)