I loved this video. It is very hard to get into a physician assistants program today. After I graduated from a medical assistants program And completed the 400 hours , I applied to a physician assistants school./ program and was accepted. I liked the way you pointed out that the video was a little ...”One sided”. And certain pa programs have a 6 month, or even a year for a “ residency program “ now. a
You are going to love being a pa. I work in pain management and I am completely autonomous. I call the doctor , from time to time, and ask him a question. But that is it. You will love it. If you have a question please ask.
I love watching Andriana on the channel!! She's inspired me to try and get into PA school! So smart and eloquent. We need more female role models like her!
Enjoyed your review of the Modern PA. After 40 years as a PA , now retired, I saw the major changes , Professionally , Legally, and Personally, in our Profession. It is disappointing to see persisting misperceptions, and disrespect for PAs, I had though those days were gone? What I learned , is even Physicians have to answer for what they do. As A PA the most important lesson to learn , is to know your limits. Both what you can do better then others, and what your should not do. But that is no different for MDs. I have seen both over reach. I stand tall as “ just an Assistant”. My goal has always been Patient care, not Ego gratification. To many MD mis understand what a PA is. Some perceive their roles in an Egotistical way, although there is no shortage of Ego driven PAs, most PAs understand their role. The PA is Legally, and Medically subordinate, but not Ethically, Morally, or Professionally. I don’t understand why the debate goes on. I don’t hear a similar discussion about RNs, PTs, Respiratory Techs , or others in Medicine. I am proud of my role in Medical care , and have always felt honored to have the privilege to medically care for others. By the way, the positive aspect of being a PA, is the flexibility , based on a common core knowledge base. Much of MD training, Basic Sciences, Zebras, Histology, plays a small role in Clinical Medicine. Not my opinion, but spoken by many MDs over the years, except for maybe academics. It was my honor to have worked in Neuro , Otho, Multiple Surgery Subspecialties , Addition Medicine, Occupational Medicine, Correctional Medicine , Mental Health, and Military Medicine. Most As Moonlighting jobs . PAs get to go where few have gone before😁.
@@noirefit5954 I passed the NationalExams, and all supplemental exams that were offered, Six times. My Grades got better with each one. Since at its inception, the founders of the PA Profession were over concerned with the potential of a shorter Educational training time would either be equated with incompetence, or perceived incompetence, and therefore ensured training , esp. Clinical, was integrated with Residence . On Rounds no punches were held. We had to answer and act no differently than any others in the learning role. Most instructions was provided by the same Instructors that taught the Medical Students . No so much during Non Hospital Clinical rotations. The First MD Private Office I clerked in , was reluctant to allow me to obtain BPs Independently. Since I had Phlebotomy experience I was comfortable at Obtaining Pt Blood samples, but resistance was present from the Doc. Did not take long before I was being asked to obtain the hard draws others could not. A minor task, but it helped open me up to greater responsibilities. I laughed when the Doc , at the end of the rotation said , tongue in cheek, He disliked that his Pt called asking to be seen by the PA. He said what are you trying to do take over my practice! The next rotation I was treated like a Resident, expecting performance way beyond my Knowledge, or abilities. I learned to speak up when placed in such situations, but more importantly It reminded me I was not a Dr., and never assumed that mental mind set. Unfortunately, I had seen more newer Grads, with that attitude, and it appears Independence is again being demanded . I would vote against that! As I do for any non MD’s Independent Practice. It was standard to screen PA Candidates ,ensuring that those that applied to the PA programs, were not rejected Medical applicants settling for, or trying to sneak in to a Pseudo MD role. So I have seen a change in PA Candidates, and am pleased that the training is keeping up with the goals of Being a PA , not a Mini MD . Like I said, I am pleased to be an Assistant in providing excellent Pt care . I leave my Ego at the Door way. Not so much when I leave! 😁
Just something to consider: the scope of a PA and what they can do depends greatly on the physician they work for. They will always have to work under supervision of a physician. 2 years master degree vs 4-12yrs of a physician is a trade off. Knowledge is limited as I have come to known from many encounters w PAs.
@@jenniferhernandez9360but if you compare actual medical training, PAs get 2-3 years whereas doctors get 7years minimum so it’s true physicians still have 3x the training.
Im a Pre-PA freshman in college right now and this is a really informative video! Thank you guys I love your videos as well Dr. Cellini! This has been a very rough first semester for me but I'm continuing to work hard for my dreams!
Definitely look into using Anki for flashcards. After using Anki, my semester GPAs went from 3.3 each semester to 3.85+ for all following semesters. If you take the time to watch videos and learn how to make your studying more efficient with it, the program really enables you to succeed! ☺️
@@fardowsa1762 omg I forgot I had even left this comment! I've had a lot of troubles but I'm currently graduating in 5 days and just so grateful and humble to be here. I'm getting my BS in Biological Science and I switched a few months ago from Pre-PA to Pre-med and taking the MCAT in a few months!
Current RN here... Love your videos and this was very informative as always! Currently working toward applying to PA school so this video was super helpful!
This is the job I would have loved to go for if I didn’t choose an engineering route. I like how her input really gave a great feel of the profession overall. Great vid
@@feat.shanika if you’re actually looking for yourself look up Kaynen brown. He is a RN and now in PA school. I’m a PA-C but never went nursing but I think his video on why he chose it is great.
I love these videos because I’m not sure if I want to be an MD, DO, or PA. I have some a good amount of time to decide and I’m not sure if it would be “out of the norm” for a guy to apply for PA school as well. I really appreciate all the effort out into these videos. Thank you!
Andriana, you were one of the first people that inspired me to pursue the PA field. I'm excited to say that I'm starting PA school in a month. Thank you for making these videos!!
Adrianna your so pretty. Im glad u did this. It's important. As a former Nurse, I was and still am constantly explaining this to people. I feel they should change the tittle but not sure how. Many pts think a PA is like a MA. OR offices should have a colorful poster explaining the role of a PA. In my state theirs such a shortage of Doctors we need PAs. This video not only will help those seeking the field but lay people as well. Good job! Thank you.❤
@@jeoboden hi not where I live. The Doctors are way over booked. They burn out or move to a different state. The state acknowledges how short we are here. We now have 2 resident programs so that helps. But then they graduate.leave😥
@@love_nyc_ I meant if its problematic. Like some patients just doesn't understand what a PA is and don't realize they get just as good of care. Geuss I didnt word it rt
@@sherrydawson6253 What state are you talking about, but yeah i guess BLS stats are nationwide so there could be oversupplied states and undersupplied that balance out.
@@love_nyc_ they have been trying to educate patients for decades but is not that simple. In England they are called Physician Associates. Absolutely nobody is saying a Physician Assistant needs to be called a doctor. Maybe watch the video again, people just want a change of title, that's it. Friends and families always think I want to be MA everytime I bring up PA. You can educate all you want but that title can be misleading and PAs don't want to be called doctors either!
This is the job I would have loved to go for if I didn’t choose an engineering route. I like how her input really gave a great feel of the profession overall. Great vid
I’m deciding between MD and PA (the part I don’t like about MD is constantly moving, for school, for residency etc.) because I’m an international. It scared me at first because I always wanted to be an MD and didn’t see anything else as serious as that. Now I’m exploring more and more PA content and realize that probably this is the path I’d like to take and that it is as serious as any other medical education!
I like the name, it means (in my opinion) that you are next-in-line behind the doctor. I think it denotes the PA's position as second-in-line, and very prestigious
I watched this video when it was 1st released, but now that I have decided to go to PA school at 46 years old I am watching it again. Yes it's better this time around!
Hey, have you made any progress with PA school? I’m currently in LPN school and plan on getting 2 years of work experience before giving PA school a shot. I’ll be 37 when I apply. A little older but still determined
I think the lifelong resident thing is extremely accurate. Residents also see patients almost completely independently, do management, prescribe, and everything after their first year in most programs, only under supervision of a physician (other than surgical fields). The main difference is that you make way more as a PA, you're not locked to a track or program, you don't get the formal learning, and you have bargaining rights.
We don’t have too many PA’s in my country but more practitioner nurses. No matter what your title is, ultimately it’s your clinical acumen + experience that makes you a good at your job.
Yeah you can't really compare PA applicant to med school applicants, very different people. For example there are ~500k highschool players and about 5k make it to division 1 college teams, that pretty good and about 1% rate like you said. But the competitiveness to get to from the 5k division 1 player player to the NBA with 500 players (so about 10%) is so much more than simple talent or hard work.
@@studyingandstuff435 but that comparison doesn’t make any sense either as you dont need to become a PA first before becoming an MD. If they made bridge programs more common then maybe, but currently it isnt. In fact most pre meds tend to reach for both since the only difference in entry requirements now a days in MCAT vs PA-CAT/GRE and 2 semesters of O chem vs 1 semester of general o chem(not to mention most south west PAs schools require 1 semester of psych and a year of Spanish). I would say the competition is still pretty similar and getting even more competitive as PA route is more affordable for many people
@@Confettifunno, not the same! Pre med, pre pharmacy, pre dentistry, pre optometry are the same which include 1 year or inorganic chem, 1 year of organic chem, 1 year of physics, bio classes, calculus, English…etc..1 course of chemistry is not the same.
Why have to compare MD to PA? Education wise is not quite the same, scope of practice is not exactly the same, salary is not the same either! If it is, why don’t people go to med school so they can do the same things and make more money?
I LOVE this!! As someone who is matriculating to medical school next fall, I love to hear about the other paths to practice medicine. Please do more takeovers!
11:42 Agreed, I don't see myself as a "lifelong resident." I see myself as a PA. I work in conjunction with a physician to see patients safely and efficiently.
Very nice critique. As a PA since 1987 I agree with pretty much everything you said. I think our professional title was a result of political compromise to overcome initial resistance by a large and skeptical portion of the physician community. I believe it is much more difficult to gain admission to the better established PA programs now even though there are many more than there were 40 years ago.
I’m only 15 so have a fair amount of time to figure things out. I’ve been considering Family Medicine and Psychiatry but the debt was scary and I wasn’t sure if I was ready for it/could handle it. I’ve recently started looking into PA and it is appealing but I will keep research. Thank you for this video
Hey, i can relate to this comment a lot right now and I'm wondering, since you said that comment 2 years ago, where you are now. Are you still wanting to be a PA?
@@bellagarvin9930 I am not anymore. The PA route I think is still great but I did some research into Bioengineering and decided that direct patient care might not be for me. I have asthma and bad lungs so I thought this would be safer. I also pivoted because I found out I could work with medical devices through this route, currently I’m leaning toward pacemakers. I spoke a lot with my brother and some professors about about the field so I think this route would better suit me and the work balance I want. Keep in mind Bioengineering/Biomedical Engineering are relatively small subsections of the engineering field but I think they will grow a lot as medicine incorporates more technology. I recommend you look for many different professions in the genre of work you want so you don’t tunnel vision. You may find something you like, like I have. Best of luck to you my friend.
@@Firesiren_ Because becoming physician requires a long period of education, high levels of debt with accompanying interest, and a high level of responsibility and working hours for the course of your career. For those sacrifices you get more prestige, depth of knowledge, and higher income. There are trade offs and sacrifices you have to be willing to make with both paths, and it's up to you which feels like a better fit.
That's what I was wondering, we don't have PAs but we have the clinical nurses, more trained nurses with doctorates that can prescribe(limited) and make certain procedures.
You have to be aware of the differences between ability and Guild mentality. Our culture is overly reliant on title and Diplomas . The example of RNs and Military Medics preforming at higher levels Than their societal titles, is supported by Mankind’s history of apprenticeship learning. Medical train is not unique in that sense, but it epitomizes Guild mentality. It is said that the B students make the Best Dr, but are routinely excluded from Medical School entrance. Unfortunately, PA schools are following the same pattern, and now exclude the same population that developed both the involvement in Medical , as well as a reputation for better communications with patients. Seems today Memory and test grades trumps ability at the bedside.
This is inspiring! Im want to change my career from being an engineer to being a PA! Ive ignored my medical calling for too long. I have a bachelors and a masters in civil engineering (age 26). I realized Id be very unfulfilled and disappointed if I didnt pursue the medical field.
This is so interesting, I had no idea what a PA was before watching this. I wish we had something like this in New Zealand. I think here, junior doctors would take on these roles
PAs functioned behind the scenes , till the Lawyers and Insurance Companies discovered us. Most of my Career , Malpractice was never a concern. If you follow recent trends , our pockets have gotten deeper, and if not legally Independent, our Credentialing, testing, and Certifications, place us in the sights of those who benefit from that! PAs are being directly sued for their actions, not as part of an MD suit.
Doctors understand the science way more than PAs. I dont understand why thats hard for PAs to admit. If they wanted to know more they could have went to med school
@@sara215 What level of training are you? I'm rather interested because you sound like an embittered resident trying to justify your existence through a RUclips comment page.
That PA they invented to avoid paying a salary to a general practitioner, an MD. They give you 2 years of generic preparation, and even controlled medications can be pre-written. Lack of respect for the patient, who always trusts in front of an MD. Playing with health.
Hi! I was also undecided but went the pre-PA, route. From my experience scribing and researching. When training for PA- training is done with the medical model (you are exposed to a lot of intense knowledge and depending on your program you will be able to work with cadavers) you gain a better understanding of the anatomy and disease and why certain courses of treatment work better not just what the guidelines are on “how to treat it”. You definitely have three years of intense training - and you will be trained to think like a doctor. Some people call it 3/4s of medical school. Also, extremely competitive. The NP route is the “caring or nurse model” it’s more holistically but also when it comes to depth of knowledge is just not there. You are taught how to treat through the “guidelines” but what ended up putting me off is that you can get an MSN online or even a direct entry MSN and it didn’t feel right to me that that is possible without actually practicing as a nurse for a couple of years. The entry barrier is too low and don’t know how much I want to trust an online program. PAs also respond to the American Medical Association.
I am so glad that you mentioned how you can work in 2 specialties like how you were a full time surgery P.A and part time dermatology P.A because I want to do 2 specialties as well but I'm curious if you would get paid for both jobs and how it would work, like had your schedule ever clashed because you work in 2 different specialties ?
As someone who has lived in many areas it's interesting to see the differences of PAs. At USC in Los Angeles PAs staffed urgent care but not the ED, now in a smaller city majority of patients staff by pa in the ED.
It's interesting how the video said you have to figure out what life you want. What are the ways that you can figure out whether the MD route is more or less suited for you + your personality rather than the PA route? Other than shadowing?
You're right on about shadowing! It's so much harder with COVID right now, but there seem to be lots of low key virtual shadowing opportunities available. The PA Platform was a huge resource for me when I was deciding whether or not to pursue the PA path. They have a really good RUclips channel, podcast, website, etc.
Can Andriana talk about the differences she sees as a PA working alongside any NPs? I know the work and pay is very similar, but wondered what differences she's noticed.
So I am a bit confused about PAs being a first assist in the OR. Aren't there already surgical first assistants that do all of those things (and probably at a cheaper rate)?
Love the medical field and how cool it can be. I am thinking about being a PA or Medical Doctor but its hard to not be motivated by the amount of money they both make. I want to be motivated more by the actual impact you can make as a PA or Doctor. I really would love to shadow some PA's and Doctors however during covid it's not really an option as far as I know being in California. Any tips to find more motivation on the impact you can make as a provider rather than focusing on money? Thanks.
Trust me, working as a doctor, it’s not the money that will motivate you to wake up at 1 or 2 in the morning to put your scrubs on and not knowing when you’ll be able to spend quality time with your family again
The time that you’ll start getting livable income and start saving money is when you’re already in your early 40s. Finishing your training at your early 30s will mean cutting off huge chunk from your income just to pay thousands of dollars of debt. Before getting into a specialty training, you’ll have to be evaluated with millions of applicants around the world and each interview will cost so much while you’re not yer earning anything
Shadowing an actual PA or MD in the country where you want practice in the future helps tremendously and talking to as many doctors from differing specialties as much as possible
Hello, in Africa we call it clinical officer,3 years of diploma and 1 year of internship, happy to get the similarities and I am a qualified and employed clinician ,
I appreciate video. I am a PA myself and I have to tell people who are interested in going into the PA profession NOT to go into it. Instead, consider NP. The reason why is because as a NP, if you graduate in Family Medicine, you can still go to almost any specialty or you have the advantage of being able to work for yourself and you don't need Physician oversight (which means you have more job opportunities than PAs.) There are businessmen getting into Medicine and they always will hire an NP over a PA or a Dr because they are cheaper than a Dr and, if you hire a PA, then you have to hire a Dr which equals more cost. Additionally, you take boards only once and never have to do them for the rest of your career. Whereas PA you will spend hundreds of dollars every two years to keep your certification up and take a test for hundreds of dollars every 10 years. You will be tested on all of medicine and if you don't pass, you will have other chances but if you ultimately fail, you are done. As a PA you will get treated like crap from most Drs (at least I have). I agree, you will be treated like a resident during your career, doing scut work for the Dr, handling people that the Dr doesn't want to handle and doing things Drs don't want to do. You will also be disregarded for your opinion because you don't have an "MD" behind your name. Oh, and did I mention that the AMA (Drs organization) has it out for us and belittles us for our profession. Granted they also pool in NP and CRNAs as well but it just goes to show that (most) Drs want to put us down and have us to carry their crap for them. Don't believe me? Here is an article from the AAPA having to respond to the AMA because of a campaign they created to keep patients "safe" from us. www.aapa.org/news-central/2020/11/aapas-response-to-amas-stopscopecreep-campaign/ If you are an NP, and hired by a Dr and treated this way then you can at least start your own practice. A PA has an extremely difficult time starting their own practice because they have to have physician oversight which means they are paying a Dr on top of trying to budget a clinic. Personally, I wish I became an NP but that would be 4 years of nursing school, and then 2 and a half years of NP school. I'm too old for that but, if you are young and in school, do NP if you don't want to be a Dr.
this was very helpful, thank you! im going to college next year and i plan on getting my BSN degree to become a registered nurse, but i was really debating whether i should get my MSN as either a NP or an PA. thanks for clearing things up! im definitely favoring NP right now😅
They put out that article because people are dying! You can’t ever be equal to a doc and practicing like one when you havent gone to med school is really scary! They were clarifying what your role is. That is the expert is in charge and you are under them. End of story. You yield to the expert bc you have limitations to your knowledge. You don’t ignore the expert. That is just dumb. Too many np/crna and pa’s do this and many patients have died! There are many articles stating so. The nursing practioner board and appa board is greedy. They want to make money like docs and they don’t care how many patients they kill Sorry a NP is even worse bc they are so unprepared. They kill patients all the time bc they are so unaware of their own inadequacies... you will def get less respect from a doc for a NP. Docs won’t even refer you FYI bc they think you will be negligent.
@@sara215 I would agree with your view. This is not a practice in other countries. I guess becoming a full pledged doctor entails looooonng study and practice, but I also believe you need it to get adequate knowledge to give proper diagnosis. Most doctor assistants would be interns who will be doctors themselves, eventually. But a physician assistant who has not undergone enough practice and internship is dangerous to the medical profession in general.
Just stop competing and comparing yourselves with physicians. When he said "want to avoid competition", it doesn't mean becoming a PA isn't competitive, it means it isn't as a competitive as become as becoming physicians. Lets have some humility and apply to med school if dissatisfied with the differences. If you can't, yhen ask yourselves why.
Hey Adrianna ! Can you make a video telling about how was your first day of PA school can you also tell all the hurdles you had to overcome while you were training in PA SCHOOL. What sorts of training you went.
Fellow PA here! PA pride!! Great video! Did she graduate from St. John’s? Also, I think she mentioned doing aesthetics now. Any tips for those wanting to get into aesthetics without an aesthetic or derm background or experience? Seems impossible 😩
PA literally train longer than nurse, yet nurses aren’t called physicians assistant. So it just feels very odd for them to often have more responsibilities. The name just feels misleading to those that don’t know about medicine
![Emergency Medicine vs Urgent Care [Physician Assistant Q&A]](http://i.ytimg.com/vi/ghHQHEsPKco/mqdefault.jpg)
Hope you enjoy this video takeover 😉
This was great! Thanks!
I loved this video. It is very hard to get into a physician assistants program today. After I graduated from a medical assistants program And completed the 400 hours , I applied to a physician assistants school./ program and was accepted. I liked the way you pointed out that the video was a little ...”One sided”. And certain pa programs have a 6 month, or even a year for a “ residency program “ now. a
@@sim_aware Thanks for for doing this video. I loved it.
@@timdarr8008 400 hours damn you're lucky you made it in.
Dr. Cellini do any of the PA's you work with have a background in ir before pa as an R.T? If so can you ask them how the transition was.
Pre-PA here! Can we get a day in the life from Andriana?
omg YES
Good luck with your studies! Our PA simulations are some of the most fun we do!
YESSS!!!!
You are going to love being a pa. I work in pain management and I am completely autonomous. I call the doctor , from time to time, and ask him a question. But that is it. You will love it. If you have a question please ask.
@@timdarr8008 could you talk more about pain management? Is it similar to anesthesiology?
Always LOVE seeing her on the channel. She is so articulate, I love hearing her view and opinions.
🥰
😍 And she's really easy on the eyes too!
If she was a Doctor she won't marry this guy, due to Hypergamy.
I love watching Andriana on the channel!! She's inspired me to try and get into PA school! So smart and eloquent. We need more female role models like her!
Good luck! #YouGotThis!
Best of luck! I am also a PA and love it, it’s a great profession with so much growth potential
We love when wifey makes an appearance
YES!
Enjoyed your review of the Modern PA. After 40 years as a PA , now retired, I saw the major changes , Professionally , Legally, and Personally, in our Profession. It is disappointing to see persisting misperceptions, and disrespect for PAs, I had though those days were gone? What I learned , is even Physicians have to answer for
what they do. As A PA the most important lesson to learn , is to know your limits. Both what you can do better then others, and what your should not do. But that is no different for MDs. I have seen both over reach. I stand tall as “ just an Assistant”. My goal has always been Patient care, not Ego gratification. To many MD mis understand what a PA is. Some perceive their roles in an Egotistical way, although there is no shortage of Ego driven PAs, most PAs understand their role. The PA is Legally, and Medically subordinate, but not Ethically, Morally, or Professionally. I don’t understand why the debate goes on. I don’t hear a similar discussion about RNs, PTs, Respiratory Techs , or others in Medicine. I am proud of my role in Medical care , and have always felt honored to have the privilege to medically care for others. By the way, the positive aspect of being a PA, is the flexibility , based on a common core knowledge base. Much of MD training, Basic Sciences, Zebras, Histology, plays a small role in Clinical Medicine. Not my opinion, but spoken by many MDs over the years, except for maybe academics. It was my honor to have worked in Neuro , Otho, Multiple Surgery Subspecialties , Addition Medicine, Occupational Medicine, Correctional Medicine , Mental Health, and Military Medicine. Most As Moonlighting jobs . PAs get to go where few have gone before😁.
Is it rude to ask how much you earned from start to where you are now?
$12,000 in 1977.
@@howardsilver8396 wow!!!!! Was the education requirements the same?
@@noirefit5954 I passed the NationalExams, and all supplemental exams that were offered, Six times. My Grades got better with each one. Since at its inception, the founders of the PA Profession were over concerned with the potential of a shorter Educational training time would either be equated with incompetence, or perceived incompetence, and therefore ensured training , esp. Clinical, was integrated with Residence . On Rounds no punches were held. We had to answer and act no differently than any others in the learning role. Most instructions was provided by the same Instructors that taught the Medical Students . No so much during Non Hospital Clinical rotations. The First MD Private Office I clerked in , was reluctant to allow me to obtain BPs Independently. Since I had Phlebotomy experience I was comfortable at Obtaining Pt Blood samples, but resistance was present from the Doc. Did not take long before I was being asked to obtain the hard draws others could not. A minor task, but it helped open me up to greater responsibilities. I laughed when the Doc , at the end of the rotation said , tongue in cheek, He disliked that his Pt called asking to be seen by the PA. He said what are you trying to do take over my practice! The next rotation I was treated like a Resident, expecting performance way beyond my Knowledge, or abilities. I learned to speak up when placed in such situations, but more importantly It reminded me I was not a Dr., and never assumed that mental mind set. Unfortunately, I had seen more newer Grads, with that attitude, and it appears Independence is again being demanded . I would vote against that! As I do for any non MD’s Independent Practice. It was standard to screen PA Candidates ,ensuring that those that applied to the PA programs, were not rejected Medical applicants settling for, or trying to sneak in to a Pseudo MD role.
So I have seen a change in PA Candidates, and am pleased that the training is keeping up with the goals of Being a PA , not a Mini MD . Like I said, I am pleased to be an Assistant in providing excellent Pt care . I leave my Ego at the Door way. Not so much when I leave! 😁
Yes! More PA content!!!
Deal!
If she was a Doctor she won't marry this guy, due to Hypergamy.
Just something to consider: the scope of a PA and what they can do depends greatly on the physician they work for. They will always have to work under supervision of a physician. 2 years master degree vs 4-12yrs of a physician is a trade off. Knowledge is limited as I have come to known from many encounters w PAs.
2 years of the program but 4 years of undergrad right?
@@jenniferhernandez9360but if you compare actual medical training, PAs get 2-3 years whereas doctors get 7years minimum so it’s true physicians still have 3x the training.
Ugh I just love her!! Such a treat to see her on your channel from time to time!
I do too!
@@DrCellini lol
Andriana needs a RUclips channel!! She’s awesome! I’m in PA school and would love to hear about the different specialties she’s worked in.
Im a Pre-PA freshman in college right now and this is a really informative video! Thank you guys I love your videos as well Dr. Cellini! This has been a very rough first semester for me but I'm continuing to work hard for my dreams!
Good luck! VERY excited for you! #YouGotThis!
Definitely look into using Anki for flashcards. After using Anki, my semester GPAs went from 3.3 each semester to 3.85+ for all following semesters. If you take the time to watch videos and learn how to make your studying more efficient with it, the program really enables you to succeed! ☺️
How are things going for you now?
@@fardowsa1762 omg I forgot I had even left this comment! I've had a lot of troubles but I'm currently graduating in 5 days and just so grateful and humble to be here. I'm getting my BS in Biological Science and I switched a few months ago from Pre-PA to Pre-med and taking the MCAT in a few months!
Current RN here... Love your videos and this was very informative as always! Currently working toward applying to PA school so this video was super helpful!
Yay! So glad you found it helpful
Why PA vs NP just curious this is a question you will be asked in a PA school interview :-)
This is the job I would have loved to go for if I didn’t choose an engineering route. I like how her input really gave a great feel of the profession overall. Great vid
@@feat.shanika if you’re actually looking for yourself look up Kaynen brown. He is a RN and now in PA school. I’m a PA-C but never went nursing but I think his video on why he chose it is great.
AWESOME! Good luck! #YouGotThis!
I start PA school in January. Can't wait to begin the grind and will look forward to more videos with Andriana in the future!
Hi Kyle, how are you doing with PA school. Are you learning on Zoom or campus?
Hey man, I don’t see a lot of other guys doing PA, how’s it going for you?
It's been 3 years now you should be done. How'd it go?
@@IC2II’m wondering the same thing
I love these videos because I’m not sure if I want to be an MD, DO, or PA. I have some a good amount of time to decide and I’m not sure if it would be “out of the norm” for a guy to apply for PA school as well. I really appreciate all the effort out into these videos. Thank you!
Thx so much!
Not out of the norm at all. 30% of my class are men and I shadowed male PAs. Also, half of my PA professors are men. :)
Andriana, you were one of the first people that inspired me to pursue the PA field. I'm excited to say that I'm starting PA school in a month. Thank you for making these videos!!
Andriana is so well spoken!! Love to see her on the channel! She is a great role model
Adrianna your so pretty. Im glad u did this. It's important. As a former Nurse, I was and still am constantly explaining this to people. I feel they should change the tittle but not sure how. Many pts think a PA is like a MA. OR offices should have a colorful poster explaining the role of a PA. In my state theirs such a shortage of Doctors we need PAs. This video not only will help those seeking the field but lay people as well. Good job! Thank you.❤
How is there shortage of doctors? I thought there was oversupply
@@jeoboden hi not where I live. The Doctors are way over booked. They burn out or move to a different state. The state acknowledges how short we are here. We now have 2 resident programs so that helps. But then they graduate.leave😥
@@love_nyc_ I meant if its problematic. Like some patients just doesn't understand what a PA is and don't realize they get just as good of care. Geuss I didnt word it rt
@@sherrydawson6253 What state are you talking about, but yeah i guess BLS stats are nationwide so there could be oversupplied states and undersupplied that balance out.
@@love_nyc_ they have been trying to educate patients for decades but is not that simple. In England they are called Physician Associates. Absolutely nobody is saying a Physician Assistant needs to be called a doctor. Maybe watch the video again, people just want a change of title, that's it. Friends and families always think I want to be MA everytime I bring up PA. You can educate all you want but that title can be misleading and PAs don't want to be called doctors either!
This is the job I would have loved to go for if I didn’t choose an engineering route. I like how her input really gave a great feel of the profession overall. Great vid
I’m deciding between MD and PA (the part I don’t like about MD is constantly moving, for school, for residency etc.) because I’m an international. It scared me at first because I always wanted to be an MD and didn’t see anything else as serious as that. Now I’m exploring more and more PA content and realize that probably this is the path I’d like to take and that it is as serious as any other medical education!
I’m halfway through my PA didactic! It’s hard but it’s so so great.
I like the name, it means (in my opinion) that you are next-in-line behind the doctor. I think it denotes the PA's position as second-in-line, and very prestigious
Im studying to be a PA 💪 corona is holding me back but ill getter done
You will be amazing! Don't let the challenges get to you! #YouGotThis!
how is it?
Our Andrianna needed to make an appearance, glad we got your perspective on the PA route. xoxo❤️
I watched this video when it was 1st released, but now that I have decided to go to PA school at 46 years old I am watching it again. Yes it's better this time around!
Hey, have you made any progress with PA school? I’m currently in LPN school and plan on getting 2 years of work experience before giving PA school a shot. I’ll be 37 when I apply. A little older but still determined
I think the lifelong resident thing is extremely accurate. Residents also see patients almost completely independently, do management, prescribe, and everything after their first year in most programs, only under supervision of a physician (other than surgical fields). The main difference is that you make way more as a PA, you're not locked to a track or program, you don't get the formal learning, and you have bargaining rights.
We don’t have too many PA’s in my country but more practitioner nurses. No matter what your title is, ultimately it’s your clinical acumen + experience that makes you a good at your job.
My PA class had nearly 3000 applicants for 30 seats. So only 1% of people who applied actually got a spot.
Yeah you can't really compare PA applicant to med school applicants, very different people. For example there are ~500k highschool players and about 5k make it to division 1 college teams, that pretty good and about 1% rate like you said. But the competitiveness to get to from the 5k division 1 player player to the NBA with 500 players (so about 10%) is so much more than simple talent or hard work.
@@studyingandstuff435 but that comparison doesn’t make any sense either as you dont need to become a PA first before becoming an MD. If they made bridge programs more common then maybe, but currently it isnt. In fact most pre meds tend to reach for both since the only difference in entry requirements now a days in MCAT vs PA-CAT/GRE and 2 semesters of O chem vs 1 semester of general o chem(not to mention most south west PAs schools require 1 semester of psych and a year of Spanish). I would say the competition is still pretty similar and getting even more competitive as PA route is more affordable for many people
@@Confettifunno, not the same! Pre med, pre pharmacy, pre dentistry, pre optometry are the same which include 1 year or inorganic chem, 1 year of organic chem, 1 year of physics, bio classes, calculus, English…etc..1 course of chemistry is not the same.
Why have to compare MD to PA? Education wise is not quite the same, scope of practice is not exactly the same, salary is not the same either! If it is, why don’t people go to med school so they can do the same things and make more money?
Wow Andriana was incredibly diplomatic in her response to the video.
omg yay!! Thank you for doing this I have been considering becoming a PA and it's nice to get Andrianna'a outlook.
I LOVE this!! As someone who is matriculating to medical school next fall, I love to hear about the other paths to practice medicine. Please do more takeovers!
11:42 Agreed, I don't see myself as a "lifelong resident." I see myself as a PA. I work in conjunction with a physician to see patients safely and efficiently.
Are PAs addressed as doctor or Hey! You in the scrubs!
Very nice critique. As a PA since 1987 I agree with pretty much everything you said. I think our professional title was a result of political compromise to overcome initial resistance by a large and skeptical portion of the physician community. I believe it is much more difficult to gain admission to the better established PA programs now even though there are many more than there were 40 years ago.
Thank you Adriana for such wonderful insight! 🥰 This video answered alot of questions for me!
LOVE seeing the interprofessional points of view on your channel! Thanks for all you do!
She's literally so pretty and sweet. You guys are such the dynamic duo😍
I’m only 15 so have a fair amount of time to figure things out. I’ve been considering Family Medicine and Psychiatry but the debt was scary and I wasn’t sure if I was ready for it/could handle it. I’ve recently started looking into PA and it is appealing but I will keep research. Thank you for this video
Hey, i can relate to this comment a lot right now and I'm wondering, since you said that comment 2 years ago, where you are now. Are you still wanting to be a PA?
@@bellagarvin9930 I am not anymore. The PA route I think is still great but I did some research into Bioengineering and decided that direct patient care might not be for me. I have asthma and bad lungs so I thought this would be safer. I also pivoted because I found out I could work with medical devices through this route, currently I’m leaning toward pacemakers. I spoke a lot with my brother and some professors about about the field so I think this route would better suit me and the work balance I want. Keep in mind Bioengineering/Biomedical Engineering are relatively small subsections of the engineering field but I think they will grow a lot as medicine incorporates more technology. I recommend you look for many different professions in the genre of work you want so you don’t tunnel vision. You may find something you like, like I have. Best of luck to you my friend.
I just realized I didn’t answer one of your questions. I am going to attend George Mason University for Bioengineering this coming fall.
@@8lackyj oh wow that's really interesting! Thank you for the input, and good luck to you!!
*_PA's are an integral part of the healthcare system. Thanks to all of our PA's!!_*
Starting PA school in May! I’ve been a pediatric and neonatal ICU Respiratory Therapist for 5 years. Super nervous about the program but excited.
You got this!!
Your videos are 🔥🔥. Really do enjoy the details that you put in your videos!!👌👌
Aw thx!!
@@DrCellini your the best sir!
Yyyyaaaaassssss Mrs Cellini!!!!! Can we make this a thing???? Please??????
It's always a pleasure to see any content that you or your wife upload✨
Honestly sometimes wonder why I didn't become a PA
Wait why?
@@Firesiren_ Because becoming physician requires a long period of education, high levels of debt with accompanying interest, and a high level of responsibility and working hours for the course of your career. For those sacrifices you get more prestige, depth of knowledge, and higher income. There are trade offs and sacrifices you have to be willing to make with both paths, and it's up to you which feels like a better fit.
I remember when the PA area was approved. It started with nurses that were basically doing everything a doctor did, but didn’t have the degree.
@@Lidia_AF yes, I remember the 60s... not everyone is as young as you.
That's what I was wondering, we don't have PAs but we have the clinical nurses, more trained nurses with doctorates that can prescribe(limited) and make certain procedures.
You have to be aware of the differences between ability and Guild mentality. Our culture is overly reliant on title and Diplomas . The example of RNs and Military Medics preforming at higher levels Than their societal titles, is supported by Mankind’s history of apprenticeship learning. Medical train is not unique in that sense, but it epitomizes Guild mentality. It is said that the B students make the Best Dr, but are routinely excluded from Medical School entrance. Unfortunately, PA schools are following the same pattern, and now exclude the same population that developed both the involvement in Medical , as well as a reputation for better communications with patients. Seems today Memory and test grades trumps ability at the bedside.
Yes we need to change the title. Way too many patients are confused about the level of training and education PA's have to go through.
We need her on this channel more! I love her😭 or maybe her own channel? 😊
This is inspiring! Im want to change my career from being an engineer to being a PA! Ive ignored my medical calling for too long. I have a bachelors and a masters in civil engineering (age 26). I realized Id be very unfulfilled and disappointed if I didnt pursue the medical field.
This is so interesting, I had no idea what a PA was before watching this. I wish we had something like this in New Zealand. I think here, junior doctors would take on these roles
The role has not really made it to NZ yet but there have been some discussions as the need for primary care in particular increases there.
There are definetly PAs in NZ
There are PAs in NZ. They are only recruiting US PAs right now but your healthcare system is doing a trial run with them
I'm under the strong assumption that PA's do not have to have malpractice insurance since the physician is ultimately responsible for all actions.
PAs actually do need malpractice coverage
PAs functioned behind the scenes , till the Lawyers and Insurance Companies discovered us. Most of my Career , Malpractice was never a concern. If you follow recent trends , our pockets have gotten deeper, and if not legally Independent, our Credentialing, testing, and Certifications, place us in the sights of those who benefit from that! PAs are being directly sued for their actions, not as part of an MD suit.
Thank you for making this video Dr. Cellini. I did not know this much about PA's. I am definitely better informed now.
Man I love these.. Can you do an actual day in the life as a PA?
Four year program to PA right after high school 😳😳. That is impressive.
There’s no shortcuts to being good at medicine.
I’m dead 😂😂
“I don’t think that Michael is more prestigious than me”
She would wrong there lol
@@sara215 what?
Doctors understand the science way more than PAs. I dont understand why thats hard for PAs to admit. If they wanted to know more they could have went to med school
@@sara215 What level of training are you? I'm rather interested because you sound like an embittered resident trying to justify your existence through a RUclips comment page.
That PA they invented to avoid paying a salary to a general practitioner, an MD. They give you 2 years of generic preparation, and even controlled medications can be pre-written. Lack of respect for the patient, who always trusts in front of an MD. Playing with health.
I'd be interested in hearing your thoughts on PA vs NP. I'm almost done with an accelerated BSN program and am debating between the two.
Hi! I was also undecided but went the pre-PA, route. From my experience scribing and researching. When training for PA- training is done with the medical model (you are exposed to a lot of intense knowledge and depending on your program you will be able to work with cadavers) you gain a better understanding of the anatomy and disease and why certain courses of treatment work better not just what the guidelines are on “how to treat it”. You definitely have three years of intense training - and you will be trained to think like a doctor. Some people call it 3/4s of medical school. Also, extremely competitive.
The NP route is the “caring or nurse model” it’s more holistically but also when it comes to depth of knowledge is just not there. You are taught how to treat through the “guidelines” but what ended up putting me off is that you can get an MSN online or even a direct entry MSN and it didn’t feel right to me that that is possible without actually practicing as a nurse for a couple of years. The entry barrier is too low and don’t know how much I want to trust an online program.
PAs also respond to the American Medical Association.
I am so glad that you mentioned how you can work in 2 specialties like how you were a full time surgery P.A and part time dermatology P.A because I want to do 2 specialties as well but I'm curious if you would get paid for both jobs and how it would work, like had your schedule ever clashed because you work in 2 different specialties ?
Aspiring PA here 3 12 hours shift and I will call it a day at that lol
Good luck! #YouGotThis!
As someone who has lived in many areas it's interesting to see the differences of PAs. At USC in Los Angeles PAs staffed urgent care but not the ED, now in a smaller city majority of patients staff by pa in the ED.
So happy to get a notif today about Andriana taking over, this is awesome PA representation!!🥳
@ 0:04, bruh she's not even a guest anymore, she's now a series regular....and yay to that!🖤
It's interesting how the video said you have to figure out what life you want. What are the ways that you can figure out whether the MD route is more or less suited for you + your personality rather than the PA route? Other than shadowing?
You're right on about shadowing! It's so much harder with COVID right now, but there seem to be lots of low key virtual shadowing opportunities available. The PA Platform was a huge resource for me when I was deciding whether or not to pursue the PA path. They have a really good RUclips channel, podcast, website, etc.
@@staceyk2274 wow thank you so much!
Andriana is awesome. Somebody get this woman her own channel. Thank you for the insight.
Here’s the decision: do you want a work life balance and 2 years of training or spend a decade to be a doctor and have less time for yourself.
Omg!!! Did Andriana low key mention her new job, an aesthetics PA?!? ❤
Great content. Lots of valuable information. Thanks 🤞❤
She’s beautiful and inspiring.🥰
Aw yay the beautiful Andriana
🥰🥰
Great review, Andriana!
can we have a PA day in the life video with Andriana !
Can Andriana talk about the differences she sees as a PA working alongside any NPs? I know the work and pay is very similar, but wondered what differences she's noticed.
As one who works with a lot of PAs I really enjoyed this video. What is your favorite specialty to work in as PA? :)
Awesome video. Thanks for the break down!
Love her!! Would she ever do a day in the life?!
Hope you consider doing more videos! Wonderfully informative.
Love how you Dr. Cellini work together sharing your expertise!!!
So I am a bit confused about PAs being a first assist in the OR. Aren't there already surgical first assistants that do all of those things (and probably at a cheaper rate)?
woooaaah, I'm glad I found this video, thanks a lot!!!
Love the medical field and how cool it can be. I am thinking about being a PA or Medical Doctor but its hard to not be motivated by the amount of money they both make. I want to be motivated more by the actual impact you can make as a PA or Doctor. I really would love to shadow some PA's and Doctors however during covid it's not really an option as far as I know being in California. Any tips to find more motivation on the impact you can make as a provider rather than focusing on money? Thanks.
Trust me, working as a doctor, it’s not the money that will motivate you to wake up at 1 or 2 in the morning to put your scrubs on and not knowing when you’ll be able to spend quality time with your family again
The time that you’ll start getting livable income and start saving money is when you’re already in your early 40s. Finishing your training at your early 30s will mean cutting off huge chunk from your income just to pay thousands of dollars of debt. Before getting into a specialty training, you’ll have to be evaluated with millions of applicants around the world and each interview will cost so much while you’re not yer earning anything
Shadowing an actual PA or MD in the country where you want practice in the future helps tremendously and talking to as many doctors from differing specialties as much as possible
Hello, in Africa we call it clinical officer,3 years of diploma and 1 year of internship, happy to get the similarities and I am a qualified and employed clinician ,
She is so sweet! ❤️
I appreciate video. I am a PA myself and I have to tell people who are interested in going into the PA profession NOT to go into it. Instead, consider NP.
The reason why is because as a NP, if you graduate in Family Medicine, you can still go to almost any specialty or you have the advantage of being able to work for yourself and you don't need Physician oversight (which means you have more job opportunities than PAs.)
There are businessmen getting into Medicine and they always will hire an NP over a PA or a Dr because they are cheaper than a Dr and, if you hire a PA, then you have to hire a Dr which equals more cost.
Additionally, you take boards only once and never have to do them for the rest of your career. Whereas PA you will spend hundreds of dollars every two years to keep your certification up and take a test for hundreds of dollars every 10 years. You will be tested on all of medicine and if you don't pass, you will have other chances but if you ultimately fail, you are done.
As a PA you will get treated like crap from most Drs (at least I have). I agree, you will be treated like a resident during your career, doing scut work for the Dr, handling people that the Dr doesn't want to handle and doing things Drs don't want to do. You will also be disregarded for your opinion because you don't have an "MD" behind your name. Oh, and did I mention that the AMA (Drs organization) has it out for us and belittles us for our profession. Granted they also pool in NP and CRNAs as well but it just goes to show that (most) Drs want to put us down and have us to carry their crap for them. Don't believe me? Here is an article from the AAPA having to respond to the AMA because of a campaign they created to keep patients "safe" from us.
www.aapa.org/news-central/2020/11/aapas-response-to-amas-stopscopecreep-campaign/
If you are an NP, and hired by a Dr and treated this way then you can at least start your own practice. A PA has an extremely difficult time starting their own practice because they have to have physician oversight which means they are paying a Dr on top of trying to budget a clinic. Personally, I wish I became an NP but that would be 4 years of nursing school, and then 2 and a half years of NP school. I'm too old for that but, if you are young and in school, do NP if you don't want to be a Dr.
this was very helpful, thank you! im going to college next year and i plan on getting my BSN degree to become a registered nurse, but i was really debating whether i should get my MSN as either a NP or an PA. thanks for clearing things up! im definitely favoring NP right now😅
very helpful thank you!
That was really helpful thank you💕
They put out that article because people are dying! You can’t ever be equal to a doc and practicing like one when you havent gone to med school is really scary! They were clarifying what your role is. That is the expert is in charge and you are under them. End of story. You yield to the expert bc you have limitations to your knowledge. You don’t ignore the expert. That is just dumb. Too many np/crna and pa’s do this and many patients have died! There are many articles stating so. The nursing practioner board and appa board is greedy. They want to make money like docs and they don’t care how many patients they kill
Sorry a NP is even worse bc they are so unprepared. They kill patients all the time bc they are so unaware of their own inadequacies... you will def get less respect from a doc for a NP. Docs won’t even refer you FYI bc they think you will be negligent.
@@sara215 I would agree with your view. This is not a practice in other countries. I guess becoming a full pledged doctor entails looooonng study and practice, but I also believe you need it to get adequate knowledge to give proper diagnosis. Most doctor assistants would be interns who will be doctors themselves, eventually. But a physician assistant who has not undergone enough practice and internship is dangerous to the medical profession in general.
thank you so much, this is very informational and helps a lot
I was wondering how you can just switch specialties as a PA? How do you learn the new procedures and management plans? Do you just learn-by-doing?
Yes, every job as PA has a training/ on-boarding process so you can get accustomed to the specialty.
I'm in PA school. They teach you all the specialties and we also do our rotations in all the specialties.
Apply for a new job ...
Just stop competing and comparing yourselves with physicians. When he said "want to avoid competition", it doesn't mean becoming a PA isn't competitive, it means it isn't as a competitive as become as becoming physicians. Lets have some humility and apply to med school if dissatisfied with the differences. If you can't, yhen ask yourselves why.
we loveeeeee andriana!!!!
The PA profession in Canada is extremely limited. Most PA positions are restricted to the military.
I do expect that will change as the need for more primary care increases.
Great Video!!
We need her skin care routine asap
Everybody loves Andriana ❤️
Thank you both”
She should have her own channel 🥰🤩🤩
omg shes so gorgeous 🥺
I love this video so much, my dream is to become a physician assistant!
My husband is a Ortho PA( x35 years) he has had an amazing career.
I know my neurosurgery practice would be dead without our PA/NA assistance. Is he doing a ton of spine or other?
Hey Adrianna ! Can you make a video telling about how was your first day of PA school can you also tell all the hurdles you had to overcome while you were training in PA SCHOOL. What sorts of training you went.
Fellow PA here! PA pride!! Great video! Did she graduate from St. John’s? Also, I think she mentioned doing aesthetics now. Any tips for those wanting to get into aesthetics without an aesthetic or derm background or experience? Seems impossible 😩
Thank you I enjoyed it 💕
PA literally train longer than nurse, yet nurses aren’t called physicians assistant. So it just feels very odd for them to often have more responsibilities. The name just feels misleading to those that don’t know about medicine
I would love to see her with a channel
At 12:15 it looks like Adriana is looking at a cartoon version of herself
Awesome video!!
YES I NEEDED THIS EPISODE