Myths and Facts about Physician Assistant Career

PA Coaching, PA School • November 15, 2023

The decision to pursue a career as a Physician Assistant (PA) is often accompanied by various expectations and assumptions. We will explore the myths and facts about physician assistant career, shedding light on both the advantages and challenges it presents. Michele Neskey, an experienced PA, provides valuable insights into the profession, offering a nuanced perspective on whether being a PA is truly as fulfilling as it is often portrayed.

Myths and Facts about Physician Assistant Career

Advantages of Being a PA

Fulfilling Career

There are intrinsic rewards of being a physician assistant, as the profound satisfaction derived from helping others through illness. The dynamic nature of medicine and the impact on patients’ lives create a sense of fulfillment that is both heartwarming and invigorating.

Versatility in Specialization

One of the standout advantages of the physician assistant profession is the ability to change specialties. Unlike many healthcare professions, PAs can transition from one specialty to another without undergoing extensive additional training. This flexibility allows for career evolution and adaptation to personal interests and changing circumstances.

Collaborative Environment

Physician assistants work in a highly collaborative environment, fostering teamwork with nurses, physicians, medical assistants, and other healthcare professionals. While PAs can practice autonomously, the emphasis on teamwork and shared responsibilities contributes to a supportive and collaborative work culture.

Shorter Training Period

Compared to some other healthcare professions, the training period for physician assistants is relatively short. The actual training program spans 24 to 36 months, making the overall time investment approximately five years, including pre-PA training. This shorter timeframe makes the PA profession an attractive option for those seeking a quicker entry into healthcare.

Job Security

The PA profession consistently experiences high demand and rapid growth. The job security that comes with being a PA, makes it an appealing choice for individuals considering long-term career stability in the healthcare industry.

Disadvantages and Challenges

Scope of Practice Variability

One significant challenge faced by PAs is the variability in scope of practice regulations across states. Depending on the state, PAs may experience restrictions related to the need for a supervising physician agreement, especially in conservative states. This can impact autonomy and prescription privileges, introducing a layer of complexity to the profession.

Emotional and Physical Stress

There is emotional and physical stress associated with caring for sick patients, particularly in specialties like emergency medicine, critical care, and oncology. Developing emotional resilience is crucial for PAs, as the nature of their work often involves difficult conversations and managing the emotional toll of dealing with serious illnesses and death.

Work-Life Harmony

Contrary to the myth that PAs inherently have better work-life harmony, achieving a healthy work-life balance is a personal responsibility. Prospective PAs should carefully consider factors such as working hours and call schedules when evaluating job opportunities to ensure compatibility with their lifestyle and priorities.

Bureaucratic Challenges

Healthcare is a business, and PAs may encounter bureaucratic challenges related to paperwork, authorizations, and dealing with insurance companies. While these administrative tasks are part of patient care, they can be frustrating and add an additional layer of complexity to the profession.

Personalizing Your PA Career

Physician assistants have to think of the importance of actively shaping your career to align with personal goals and life changes. Whether it’s adapting to different specialties, adjusting work schedules, or navigating through bureaucratic challenges, PAs have the capacity to mold their careers to suit their preferences.


In evaluating the myths and facts about a career as a Physician Assistant, it becomes evident that the profession offers a mix of advantages and challenges. While the intrinsic rewards of helping others and the flexibility to switch specialties make it an appealing choice, PAs must navigate scope of practice variations, emotional stress, and administrative hurdles. Ultimately, the key lies in understanding that being a PA is what you make of it—personalizing your career to achieve the work-life harmony and fulfillment you desire.

Also read: 6 Essentials Every PA Student Should Buy Used!

About me:

I’m Michele Neskey, aka The Posh PA. Welcome to my YouTube channel! My mission is to provide personalized guidance, education, and motivation to build confidence and promote wellness for aspiring physician assistants and beyond.   

Having been a PA for 17+ years and helped hundreds of students gain acceptance into PA school,  I understand the admissions process. I know what they are looking for, and I can help you tailor every component to make you shine, giving you the BEST chance of getting accepted to a program.  But it doesn’t end there. I create personalized plans for PA students and practicing PAs including test-taking strategy for the PANCE, contract negotiations, and tools to overcome and prevent provider burnout. 

My goal is to get you into a physician assistant (PA) school & survive the rigorous program, help you prevent burnout as a practicing PA, and help you take care of yourself so you can be the best version of YOU for your patients, family, and most importantly YOU!