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😁.
@Noire Fit 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! 😁
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!
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.
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!
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!!
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
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!
@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.
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
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.
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!
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!
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 ?
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
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 😩
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.
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
@Bella Garvin 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.
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?
Adrianna!!! I was so excited to see that you made a video! I’m currently a Pre- PA student and I look forward to the day where I can have those PA initials after my name! Thank you so much for the video! Quick questions, if you happen to know, are you able to be a PA in sports medicine specifically? 😄❤️ God bless you!
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 a Pre-PA student and I want to shadow a PA but it’s difficult to do that now because of the pandemic. Also, does shadowing count towards your hours?
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.
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.
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.
This is very insightful. I’m still torn between PHYSICIAN vs PA vs CRNA. The reason I bring up CRNA even though it isn’t mentioned is because I enjoy fast results. Although I’d prefer to have a few minutes to think. So my question is. Do either of you know of any or multiple professions in the medical field that lets you “ produce” (for lack of a better word) instant results yet allows a little time to think about it before hand? Something more cognitively based is preferable. Thank you and keep up the great work with these videos!
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.
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
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
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
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
Are there ways to climb the economic ladder while as a PA? For physicians they can make their own practice and do other things. Is there anything like this for a PA?
@studying and stuff 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
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.
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’m currently in my first year of college majoring in liberal arts and i really want to pursue my career in the medical field. but it’s so complicated for me, i’m so lost and i don’t know what exactly i want to do. :(
Absolutely love your wife she’s very articulate and has such a calmness about her that I really like! I have a question is there a difference between a PA and a nurse practitioner can they do the same things or just wanna have a higher degree than the other I’ve read a lot want it and I’m sort of confused can you please explain it would be greatly appreciate it sending my love from New Jersey like always God bless🇺🇸
We are both APPs (advanced practice practitioners). I personally believe PA school is more rigorous (as many NP students are able to work a full time job in NP school, while it’s very rare for a PA to be even have time to work PRN). NP school is less competitive than PA school as well to get into. But if you are at an office, NPs and PAs will be doing the same things. NPs want their doctorate for some weird reason as we PAs do not. I’m so glad I got my degree as a masters before it eventually goes to a doctorate because there is no point in that.
I forgot to mention one thing I love watching your videos you’re very interesting you seem like a very good doctor and very interesting keep up the good work God bless🇺🇸
In the UK we have a similar role called Physician’s Associate. That is a 2yr masters course where you study the last 3y of med school. I hope to apply as a mature student when I finish my degree. But I have worked with a lot of PA’s and student PA’s in the ED
Interestingly, PA school is actually even MORE competitive to get into than medical school now a days. Medical school acceptance rates average 41%, PA schools acceptance rates average 31%. Only other programs more competitive than PA schools are Certified Registered Nurse Anesthetist (CRNA) schools, whom the average acceptance rate is 24% and Veterinary schools, which average a mere 10% acceptance rate. 😭
Love her insight! But I think they mean competitiveness in school, not competitiveness in regards to getting into the program. Like med school, PA school is extremely competitive to get in to. However, when you're in school, I hear that most PA students help each other out and aren't super competitive in terms of grades. Whereas med students are competing for certain residency programs after graduation. EDIT: we can never be sure what the video actually meant! Just wanted to point out that it is competitive to get into a program, but once you're in, there's not as much competition between students as in med school.
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.
Great video! You should start your own You Tube channel! From my perspective (cost-benefit), as I was already investing the time, money and effort (and blood, sweat and tears) it would be worthwhile to expend the extra effort and focus on becoming a doctor. It brings to mind one of my favourite quotes by Norman Vincent Peale: Shoot for the moon. If you miss, you'll land amongst the stars.
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 KZclip channel, podcast, website, etc.
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.
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.
VERY INTERESTING, I AM 60 PLUS NOW, SO IT'S TO LATE NOW. I HAVE SPENT ALOT OF TIME AS A PAITENT IN THE HOSPITAL, I FIND IT VERY Fascinating. I am a big fan of your husband.Sometimes I feel sorry for him because of his long hours. But my Doctors always tell me, that's what they signed up for.😢 And I am sure it's the same for you. I must tell you, You are a beautiful woman.NOT TO WORRY, I HAVE BEEN GAY🌈SINCE I WAS 10!!! BUT NOW I AM JUST A OLD QUEEN 👑. LOL!! HAPPY HOLIDAYS TO BOTH OF YOU!! 🎄🌴
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)?
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.❤
@Sarza please post your statistics that PAs and NPs make more mistakes than MDs. Im sick of people saying this when there Arent any studies proving this assertion
@biden2024 there is a shortage of MDs/DOs who want to work in rural medicine or lower paying states. You dont make as much as a general surgeon in rural Alabama as you would in NYC
@Sherry Dawson guessing it has something to do with doctors in states with declining populations not listening to market demands and following the migration because they are comfortable and settled.
@biden2024 exactly I hear of both. In southern NV we have a huge shortage especially for internal medicine doctors. I geuss for good neurologists and endocrinologist s as my husband was just ref to both a 3 and half month wait once they get referrals they call u and even though they know how sick he is. That was the earliest they can do. Same for me I've been a established patient with my dermatologist described a sore on my mouth that was spreading not healing had to wait 3 mo sure enough it was bigger and spread to upper And lower lip. Had to be cut out! So no we sure don't have enough. Wish we lived in a area that had too many.
Maybe something like Physician Practitioner that would make the patient believe/understand that the PA is qualified to help diagnose and treat their condition?
I'm half a day old of discovering PA. I tried to learn more before changing my major. Question: Do I still have to attend medical school or a specific school for PA or just graduate as with a Master's degree and start applying for jobs?
Hello.I want to do my medical assistant from a community college.would be a good decision? What do I do if I want to be a Physician Assistant after studying Medical Assistant from Community College? Can you please guide me.
Do both of you see certain patients regularly? In other words do both of you set appointments with various patients on a regular basis with physicals , discussions of a patient's condition or problem ? I hope you can understand this and not too personal. If it is I apologize.
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.
PAs are great for what they can do but there still needs to be an available doctor, at the hospital I work at the trauma/surgery overnight team is mostly PAs with one resident, I had a patient who was in a pain crisis, the only person I could get ahold of was the PA, who was absolutely lovely but was not allowed to order narcotics, the resident was busy (rightfully so in several back to back traumas) but it was heartbreaking for me to see that patient in SO much pain with nothing to do to help them until the traumas were stabilized, and as I said the PA was lovely and totally felt for the patient but with only one doctor around it kind of sucked
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
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 think there is a difference between actual prestige and what people actually perceive. John Public might perceive MDs to be "more prestigious", but a good PA is many times an essential member of the medical team🤷🏾♀️
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.
@Sarza What level of training are you? I'm rather interested because you sound like an embittered resident trying to justify your existence through a KZclip comment page.
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
I'm watching this knowing I got a 66 and 63% on my first anatomy & physiology exams lmfaoooo. And it is fundamentals like what the nurses take so I am not even taking the right anatomy class for PA school uhmm okay my head is legit in pain rn
PA school is similar to med school in the way that you can major in anything. the only “requirement” is a 4yr degree, so after college u apply to PA school. so yes.
Hello I am a First year student at CSUSM and I am just taking GE classes. What would I need to do to get closer to getting into a PA school? I will take any answers, Thank you
Science classes. 1-2 semesters of chemistry, 1-2 semesters of organic chemistry, 1-2 semesters of biology, human anatomy, human physiology, and microbiology. It depends on the school you want, but these are typically prereqs
Hope you enjoy this video takeover 😉
OK Dr SIMPanzee....
I did enjoy it very much!! Thank you ANDRIANA!
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.
@tim darr 400 hours damn you're lucky you made it in.
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!
🥰
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!
Best of luck! I am also a PA and love it, it’s a great profession with so much growth potential
Good luck! #YouGotThis!
Pre-PA here! Can we get a day in the life from Andriana?
Yesss
I mean can I become a physicians
Can u become a physician when u did maths lit?
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😁.
@Noire Fit 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! 😁
@Howard Silver wow!!!!! Was the education requirements the same?
$12,000 in 1977.
Is it rude to ask how much you earned from start to where you are now?
Andriana needs a KZclip channel!! She’s awesome! I’m in PA school and would love to hear about the different specialties she’s worked in.
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!
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. :)
Thx so much!
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.
Ugh I just love her!! Such a treat to see her on your channel from time to time!
I do too!
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!
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!!
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
Andriana is so well spoken!! Love to see her on the channel! She is a great role model
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!
Hey man, I don’t see a lot of other guys doing PA, how’s it going for you?
Hi Kyle, how are you doing with PA school. Are you learning on Zoom or campus?
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!
AWESOME! Good luck! #YouGotThis!
@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.
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
Why PA vs NP just curious this is a question you will be asked in a PA school interview :-)
Yay! So glad you found it helpful
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.
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!
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!
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 ?
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
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 😩
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.
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
@8lackyj oh wow that's really interesting! Thank you for the input, and good luck to you!!
I just realized I didn’t answer one of your questions. I am going to attend George Mason University for Bioengineering this coming fall.
@Bella Garvin 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.
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?
Adrianna!!! I was so excited to see that you made a video! I’m currently a Pre- PA student and I look forward to the day where I can have those PA initials after my name! Thank you so much for the video! Quick questions, if you happen to know, are you able to be a PA in sports medicine specifically? 😄❤️ God bless you!
I’m halfway through my PA didactic! It’s hard but it’s so so great.
Andriana is awesome. Somebody get this woman her own channel. Thank you for the insight.
Great video! She is a great speaker and I wouldn’t be surprised to see her being in a leadership position for the PA profession in the future.
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.
As one who works with a lot of PAs I really enjoyed this video. What is your favorite specialty to work in as PA? :)
Thank you Adriana for such wonderful insight! 🥰 This video answered alot of questions for me!
We need her on this channel more! I love her😭 or maybe her own channel? 😊
I’m a Pre-PA student and I want to shadow a PA but it’s difficult to do that now because of the pandemic. Also, does shadowing count towards your hours?
It's always a pleasure to see any content that you or your wife upload✨
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.
Thank you for making this video Dr. Cellini. I did not know this much about PA's. I am definitely better informed now.
omg yay!! Thank you for doing this I have been considering becoming a PA and it's nice to get Andrianna'a outlook.
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.
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.
This is very insightful. I’m still torn between PHYSICIAN vs PA vs CRNA. The reason I bring up CRNA even though it isn’t mentioned is because I enjoy fast results. Although I’d prefer to have a few minutes to think. So my question is. Do either of you know of any or multiple professions in the medical field that lets you “ produce” (for lack of a better word) instant results yet allows a little time to think about it before hand? Something more cognitively based is preferable. Thank you and keep up the great work with these videos!
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.
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
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
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
Love how you Dr. Cellini work together sharing your expertise!!!
Hope you consider doing more videos! Wonderfully informative.
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
There are PAs in NZ. They are only recruiting US PAs right now but your healthcare system is doing a trial run with them
There are definetly PAs in NZ
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.
Are there ways to climb the economic ladder while as a PA? For physicians they can make their own practice and do other things. Is there anything like this for a PA?
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!!👌👌
@Dr. Cellini your the best sir!
Aw thx!!
Our Andrianna needed to make an appearance, glad we got your perspective on the PA route. xoxo❤️
Man I love these.. Can you do an actual day in the life as a PA?
LOVE seeing the interprofessional points of view on your channel! Thanks for all you do!
My PA class had nearly 3000 applicants for 30 seats. So only 1% of people who applied actually got a spot.
@studying and stuff 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
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.
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’m currently in my first year of college majoring in liberal arts and i really want to pursue my career in the medical field. but it’s so complicated for me, i’m so lost and i don’t know what exactly i want to do. :(
Shadow! That’s the best thing to do to see what you want to do :)
Absolutely love your wife she’s very articulate and has such a calmness about her that I really like! I have a question is there a difference between a PA and a nurse practitioner can they do the same things or just wanna have a higher degree than the other I’ve read a lot want it and I’m sort of confused can you please explain it would be greatly appreciate it sending my love from New Jersey like always God bless🇺🇸
We are both APPs (advanced practice practitioners). I personally believe PA school is more rigorous (as many NP students are able to work a full time job in NP school, while it’s very rare for a PA to be even have time to work PRN). NP school is less competitive than PA school as well to get into.
But if you are at an office, NPs and PAs will be doing the same things.
NPs want their doctorate for some weird reason as we PAs do not. I’m so glad I got my degree as a masters before it eventually goes to a doctorate because there is no point in that.
I forgot to mention one thing I love watching your videos you’re very interesting you seem like a very good doctor and very interesting keep up the good work God bless🇺🇸
In the UK we have a similar role called Physician’s Associate. That is a 2yr masters course where you study the last 3y of med school.
I hope to apply as a mature student when I finish my degree. But I have worked with a lot of PA’s and student PA’s in the ED
Love her!! Would she ever do a day in the life?!
Interestingly, PA school is actually even MORE competitive to get into than medical school now a days. Medical school acceptance rates average 41%, PA schools acceptance rates average 31%. Only other programs more competitive than PA schools are Certified Registered Nurse Anesthetist (CRNA) schools, whom the average acceptance rate is 24% and Veterinary schools, which average a mere 10% acceptance rate. 😭
We love when wifey makes an appearance
YES!
So happy to get a notif today about Andriana taking over, this is awesome PA representation!!🥳
Love her insight! But I think they mean competitiveness in school, not competitiveness in regards to getting into the program. Like med school, PA school is extremely competitive to get in to. However, when you're in school, I hear that most PA students help each other out and aren't super competitive in terms of grades. Whereas med students are competing for certain residency programs after graduation.
EDIT: we can never be sure what the video actually meant! Just wanted to point out that it is competitive to get into a program, but once you're in, there's not as much competition between students as in med school.
Wow Andriana was incredibly diplomatic in her response to the video.
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 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.
PAs actually do need malpractice coverage
Great video! You should start your own You Tube channel! From my perspective (cost-benefit), as I was already investing the time, money and effort (and blood, sweat and tears) it would be worthwhile to expend the extra effort and focus on becoming a doctor. It brings to mind one of my favourite quotes by Norman Vincent Peale: Shoot for the moon. If you miss, you'll land amongst the stars.
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?
@Stacey K wow thank you so much!
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 KZclip channel, podcast, website, etc.
She should have her own channel 🥰🤩🤩
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.
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.
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.
@Mrs. Derp AF yes, I remember the 60s... not everyone is as young as you.
Hi, I appreciate the clarification ! I am a Ugandan clinical officer (CO) student. Can I work as a PA after my study ? Let me know please !
Great content. Lots of valuable information. Thanks 🤞❤
If I want to be a Neuroradiologist, do you think med school or a PA school would be best?
VERY INTERESTING, I AM 60 PLUS NOW, SO IT'S TO LATE NOW. I HAVE SPENT ALOT OF TIME AS A PAITENT IN THE HOSPITAL, I FIND IT VERY Fascinating. I am a big fan of your husband.Sometimes I feel sorry for him because of his long hours. But my Doctors always tell me, that's what they signed up for.😢 And I am sure it's the same for you. I must tell you, You are a beautiful woman.NOT TO WORRY, I HAVE BEEN GAY🌈SINCE I WAS 10!!! BUT NOW I AM JUST A OLD QUEEN 👑. LOL!! HAPPY HOLIDAYS TO BOTH OF YOU!! 🎄🌴
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)?
I love this video so much, my dream is to become a physician assistant!
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.❤
@Sarza please post your statistics that PAs and NPs make more mistakes than MDs. Im sick of people saying this when there Arent any studies proving this assertion
@biden2024 there is a shortage of MDs/DOs who want to work in rural medicine or lower paying states. You dont make as much as a general surgeon in rural Alabama as you would in NYC
@Sherry Dawson guessing it has something to do with doctors in states with declining populations not listening to market demands and following the migration because they are comfortable and settled.
@biden2024 exactly I hear of both. In southern NV we have a huge shortage especially for internal medicine doctors. I geuss for good neurologists and endocrinologist s as my husband was just ref to both a 3 and half month wait once they get referrals they call u and even though they know how sick he is. That was the earliest they can do. Same for me I've been a established patient with my dermatologist described a sore on my mouth that was spreading not healing had to wait 3 mo sure enough it was bigger and spread to upper And lower lip. Had to be cut out! So no we sure don't have enough. Wish we lived in a area that had too many.
Maybe something like Physician Practitioner that would make the patient believe/understand that the PA is qualified to help diagnose and treat their condition?
I'm half a day old of discovering PA. I tried to learn more before changing my major.
Question:
Do I still have to attend medical school or a specific school for PA or just graduate as with a Master's degree and start applying for jobs?
thank you so much, this is very informational and helps a lot
Where do you work as far as working as a PA in a PA friendly environment? I’m from CA and do we have friendly locations that you would recommend?
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?
Apply for a new job ...
I'm in PA school. They teach you all the specialties and we also do our rotations in all the specialties.
Yes, every job as PA has a training/ on-boarding process so you can get accustomed to the specialty.
Does a PA have a lot of patient care time or is it kind of similar to the time a doctor has with a patient?
can we have a PA day in the life video with Andriana !
Hello.I want to do my medical assistant from a community college.would be a good decision?
What do I do if I want to be a Physician Assistant after studying Medical Assistant from Community College? Can you please guide me.
Do both of you see certain patients regularly? In other words do both of you set appointments with various patients on a regular basis with physicals , discussions of a patient's condition or problem ? I hope you can understand this and not too personal. If it is I apologize.
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!
What did you study and what degree did you get before applying for PA School?
Can I ask if it's possible to become a doctor at some point after working as a PA for a while?
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.
PAs are great for what they can do but there still needs to be an available doctor, at the hospital I work at the trauma/surgery overnight team is mostly PAs with one resident, I had a patient who was in a pain crisis, the only person I could get ahold of was the PA, who was absolutely lovely but was not allowed to order narcotics, the resident was busy (rightfully so in several back to back traumas) but it was heartbreaking for me to see that patient in SO much pain with nothing to do to help them until the traumas were stabilized, and as I said the PA was lovely and totally felt for the patient but with only one doctor around it kind of sucked
A PA should be allowed to order narcotics for a patient, in my opinion.
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
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 has so much potentials.
Dr. Cellini, can you please convince your wife on creating her own KZclip channel. She is amazing!
Awesome video. Thanks for the break down!
Yes! More PA content!!!
Deal!
I’m dead 😂😂
“I don’t think that Michael is more prestigious than me”
I think there is a difference between actual prestige and what people actually perceive. John Public might perceive MDs to be "more prestigious", but a good PA is many times an essential member of the medical team🤷🏾♀️
More prestigious and a lot of more knowledge.
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.
@Sarza What level of training are you? I'm rather interested because you sound like an embittered resident trying to justify your existence through a KZclip comment page.
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
Im studying to be a PA 💪 corona is holding me back but ill getter done
how is it?
You will be amazing! Don't let the challenges get to you! #YouGotThis!
Omg!!! Did Andriana low key mention her new job, an aesthetics PA?!? ❤
*_PA's are an integral part of the healthcare system. Thanks to all of our PA's!!_*
Four year program to PA right after high school 😳😳. That is impressive.
There’s no shortcuts to being good at medicine.
I'm watching this knowing I got a 66 and 63% on my first anatomy & physiology exams lmfaoooo. And it is fundamentals like what the nurses take so I am not even taking the right anatomy class for PA school uhmm okay my head is legit in pain rn
I have a question for Andriana. If my major is currently Psychology, is it still possible for me to go to PA school??
Yep! I was a psych major. I’m currently a PA-C :)
PA school is similar to med school in the way that you can major in anything. the only “requirement” is a 4yr degree, so after college u apply to PA school. so yes.
Hello I am a First year student at CSUSM and I am just taking GE classes. What would I need to do to get closer to getting into a PA school?
I will take any answers, Thank you
Science classes. 1-2 semesters of chemistry, 1-2 semesters of organic chemistry, 1-2 semesters of biology, human anatomy, human physiology, and microbiology. It depends on the school you want, but these are typically prereqs
Very informative video..
What degree is good for pa??