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Physician Assistant vs. Nurse Practioner

Not sure if you want to become a Nurse Practitioner or a Physician Assistant? Here are some similarities and differences:

Educational Differences

Path to Become a PA:

  • Earn a Bachelors degree in any area, which takes four years to complete

  • Earn your Master of Science in Physician Assistant Studies, which takes roughly 24-30 months

  • Pass the Physician Assistant National Certifying Examination (PANCE)

Path to Become a NP:

  • Earn a Bachelor of Science in Nursing (BSN), which takes four years to complete

  • Pass the NCLEX to become a registered nurse (RN)

  • Earn a graduate degree, which in addition to coursework, includes a clinical practicum of 500-650 hours and is roughly 2-4 years long

  • Take a National Certification Exam to become a licensed Nurse Practitioner

Specialization Differences 

  • Physician Assistants are trained as generalists, which means they can switch specialities without the need to go back to school and get additional training

  • Nurse Practitioners earn formal education in a specialized field, so if an NP wanted to switch specialties, they would need formal education and licensing to do so

Training and Responsibilities

Physician Assistant:

  • Trained in the medical model, so has the ability to provide many of the same clinical services of physicians 

  • Key responsibilities include interpreting lab tests, performing physical exams, diagnosing and treating patients, assisting in surgery, and more

Nurse Practitioner:

  • Trained in the nursing model, following a patient-centered model of care 

  • Key responsibilities include recording histories, providing physical examinations, diagnosing and treating patients, and prescribing medications

  • Nurse Practitioners have full autonomy in 27 states, and can practice independently without physician supervision

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