A physicians assistant could...
|Suture a child's knee wound after a bad fall from her skateboard.||Prevent disease outbreaks after a natural disaster by working as part of a mobile health clinic.|
|Determine when a broken arm is mended and the cast may be removed.||Order a chest x-ray to check for pneumonia, and interpret its results.|
Key Facts & Information
|Overview||Would you like to sew up a bad cut after fall? Order and interpret X-rays? Help with surgery? Conduct physicals? Prescribe medications? Physician assistants have many of the same duties as physicians, only they practice medicine under the supervision of a physician or a surgeon. In rural or inner-city areas, physician assistants might have considerable independence, since they might be the only healthcare provider available to these communities. Physician assistants can choose to study specialties, too, just like physicians, and work in surgery, pediatrics, emergency medicine, orthopedics, or other health specialties.|
|Key Requirements||Caring, observant, outgoing, patient, calm in an emergency, emotionally and physically strong, with outstanding communication skills|
|Minimum Degree||Master's degree|
|Subjects to Study in High School||Biology, chemistry, physics, geometry, algebra II, pre-calculus; if available, physiology, biomedical science|
|Projected Job Growth (2010-2020)||Much Faster than Average (21% or more) In Demand!|
Training, Other Qualifications
Requirements for admission to training programs vary; most applicants have a college degree and some health-related work experience. Commonly, nurses, EMTs, lab technicians, and paramedics apply to physician assistant programs. All states require physician assistants to complete an accredited, formal education program and pass a national exam to obtain a license.
Education and Training
Physician assistant educational programs usually take at least 2 years to complete for full-time students. Most programs are at schools of allied health, academic health centers, medical schools, or 4-year colleges; a few are at community colleges, are part of the military, or are at hospitals. Many accredited PA programs have clinical teaching affiliations with medical schools.
In 2008, 142 education programs for physician assistants were accredited or provisionally accredited by the Accreditation Review Commission on Education for the Physician Assistant. Eighty percent, or 113, of these programs offered the option of a master's degree, 21 of them offered a bachelor's degree, three awarded associate degrees, and five awarded a certificate.
Most applicants to PA educational programs already have a college degree and some health-related work experience; however, admissions requirements vary from program to program. Many PAs have prior experience as registered nurses, emergency medical technicians, and paramedics.
PA education includes classroom and laboratory instruction in subjects like biochemistry, pathology, human anatomy, physiology, clinical pharmacology, clinical medicine, physical diagnosis, and medical ethics. PA programs also include supervised clinical training in several areas, including family medicine, internal medicine, surgery, prenatal care and gynecology, geriatrics, emergency medicine, and pediatrics. Sometimes, PA students serve in one or more of these areas under the supervision of a physician who is seeking to hire a PA. The rotation may lead to permanent employment in one of the areas where the student works.
Physician assistants must have a desire to serve patients and be self-motivated. PAs also must have a good bedside manner, emotional stability, and the ability to make decisions in emergencies. Physician assistants should have an enthusiasm for lifelong learning, because their eligibility to practice depends on continuing education.
Nature of the Work
Physician assistants (PAs) practice medicine under the supervision of physicians and surgeons. They should not be confused with medical assistants, who perform routine clinical and clerical tasks. PAs are formally trained to provide diagnostic, therapeutic, and preventive healthcare services, as delegated by a physician. Working as members of a healthcare team, they take medical histories, examine and treat patients, order and interpret laboratory tests and X-rays, and make diagnoses. They also treat minor injuries by suturing, splinting, and casting. PAs record progress notes, instruct and counsel patients, and order or carry out therapy. Physician assistants also may prescribe certain medications. In some establishments, a PA is responsible for managerial duties, such as ordering medical supplies or equipment and supervising medical technicians and assistants.
Physician assistants work under the supervision of a physician. However, PAs may be the principal care providers in rural or inner-city clinics where a physician is present for only 1 or 2 days each week. In such cases, the PA confers with the supervising physician and other medical professionals as needed and as required by law. PAs also may make house calls or go to hospitals and nursing care facilities to check on patients, after which they report back to the physician.
The duties of physician assistants are determined by the supervising physician and by state law. Aspiring PAs should investigate the laws and regulations in the states in which they wish to practice.
Many PAs work in primary care specialties, such as general internal medicine, pediatrics, and family medicine. Other specialty areas include general and thoracic surgery, emergency medicine, orthopedics, and geriatrics. PAs specializing in surgery provide preoperative and postoperative care and may work as first or second assistants during major surgery.
Although PAs usually work in a comfortable, well-lit environment, those in surgery often stand for long periods. At times, the job requires a considerable amount of walking.
PA's work schedules may vary according to the practice setting and often depend on the hours of the supervising physician. The workweek of hospital-based PAs may include weekends, nights, or early morning hospital rounds to visit patients. These workers also may be on call. PAs in clinics usually work about a 40-hour week.
On the Job
- Examine patients to obtain information about their physical condition.
- Interpret diagnostic test results for deviations from normal.
- Obtain, compile and record patient medical data, including health history, progress notes and results of physical examination.
- Make tentative diagnoses and decisions about management and treatment of patients.
- Prescribe therapy or medication with physician approval.
- Administer or order diagnostic tests, such as x-ray, electrocardiogram, and laboratory tests.
- Perform therapeutic procedures, such as injections, immunizations, suturing and wound care, and infection management.
- Instruct and counsel patients about prescribed therapeutic regimens, normal growth and development, family planning, emotional problems of daily living, and health maintenance.
- Provide physicians with assistance during surgery or complicated medical procedures.
- Visit and observe patients on hospital rounds or house calls, updating charts, ordering therapy, and reporting back to physician.
- Supervise and coordinate activities of technicians and technical assistants.
- Order medical and laboratory supplies and equipment.
Companies That Hire Physician Assistants
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- Accreditation Review Commission on Education for the Physician Assistants: www.arc-pa.org
- American Academy of Physician Assistants Information Center: www.aapa.org
- National Commission on Certification of Physician Assistants, Inc.: www.nccpa.net
- O*Net Online. (2009). National Center for O*Net Development. Retrieved May 1, 2009, from http://online.onetcenter.org/
- YouTube. (2007, July 26). Career Spotlight: Physician assistant. Retrieved May 13, 2010, from http://www.youtube.com/watch?v=q3yFYnFakxM
- Health Jobs Start Here Staff. (n.d.) Day in the Life: Physician Assistant, Atul. Retrieved September 27, 2010 from http://www.minoritynurse.com/job-search/day-life-physicians-assistant
- Minority Nurse.com Staff (n.d.). A Day in the Life of a Physicians Assistant Retrieved September 27, 2010 from http://www.minoritynurse.com/job-search/day-life-physicians-assistant
- PennCollegeVideos. (2009, November 23). Physician Assistant with Jennifer Fritz . Retrieved May 13, 2010, from http://www.youtube.com/watch?v=b4GWgdWEjSE