Quote from djc1981
NPs seem to have cornered the market on neonatology. I've read that most NICUs prefer them because of their very specialized, concentrated training in the field, thus its a market you'll rarely see PAs in. According to the Advance survey, they are well compensated for this as well, being the second highest paid NPs after emergency NPs.
It's really just that there's a huge need for midlevels in neonatology period. We have one PA in our NICU. She was absolutely terrified at first, but is now getting the hang of it, which is completely understandable for someone who has not "grown up" in a NICU, like an NNP.
The need is created by there not being a huge number of pediatric residents to begin with these days, (which spend only 90 days in NICU) and even less neonatal fellows who have a 3-year program before becoming attendings (we have 3 start each year)
Couple that with an exploding fertility business, increasing numbers of multiples and premature births, and there you have it. An unlimited need for midlevels.