Quote from austinranch
I am a Nurse Practioner in Women's Health. If I had to do it over again, (Texas anyway), I would go PA. They have a far stronger lobby in the legislature, and overall make better money.
Really? As a PA, I thought NPs had the stronger lobby! :chuckle
Quote from ELKMNin06
I have also heard that NP's have perscriptive abilities and most PAs do not?
Nurse Ratched gave you the best link for getting the facts about the PA profession, www.aapa.org
. It's a huge site that will take a long time to go through! Here's a link to "Where PAs are allowed to prescribe"
from that site. You'll see that PAs write scripts in all states but two.
Quote from HeartsOpenWide
In california at least... PAs must have all of their charts reviewed and signed off by doctors, where FNPs do not.
Kinda... Here's a summary of California's "hinky"
"Physician must be available in person or by electronic communication at all times PA is caring for patients. Written guidelines for supervision must include one or more of the following
: same-day examination of patient by physician; countersignature of all medical records within 30 days; protocols for some or all tasks. [FONT=Times New Roman, Times, serif]Supervising physician must review, countersign, and date at least 10% of medical records within 30 days for patients treated by PA, for PAs working under protocols."
Arizona's laws are more relaxed: "Physician need not be present on site; weekly meeting required. Board approval needed for PA utilization in separate location." (no chart signatures)
And NC is probably the best for PAs: "Supervision continuous but physical presence of physician not required at all times. PA must meet with supervising physician monthly for first six months of employment and every six months thereafter to discuss clinical problems and quality improvement measures." (no chart signatures)
But I'll bet my NP colleagues will agree, what your state will let you do is not always what your employer will let you do. And in reality, new grads in both professions will probably need more supervision than the laws require. IMHO, the least restrictive laws should only apply to the more experienced PAs and NPs. Here's a link to the AAPA's summaries of State Regulation of PA practice
Quote from austinranch
One of the main differences is that I am on my own license and a PA is under an MD on the MD's license.
PAs are certified nationally, but 41 states grant PAs licensure. We get our own DEA numbers (in most states) and our own PINs in all states, and are required to be separately insured. PAs do practice under MD supervision, but not on the MD license. And while the definition of supervision varies from state to state, it is a fact of the PA life
... if you are uncomfortable with that, then you should not consider the PA profession.