MD vs. NP vs. PA: Here's How the Number of Clinical Hours Compare
The nurse practitioner, physician assistant, and physician professions each have a unique approach to training. Understanding these approaches to education is important for both employers and individual providers themselves. The way healthcare providers are trained impacts the decisions they make, their legal scope of practice, and the way they are employed and integrated into the healthcare team. Aspiring healthcare providers also must review these different approaches. Which fits best with one's own career timeline?
At the most basic level, looking at the education differences between MDs, NPs, and PAs, starts with the length of education. Physician assistant, nurse practitioner, and medical programs consist of both didactic and clinical education. Looking specifically at the number of clinical hours included as part of each education path is also important. Hands-on patient care hours translate to experience related directly to one’s career. When it comes to length of education and clinical training, how do the NP, PA, and MD professions compare?
Length of Education
Overall, nurse practitioner and physician assistant programs are similar in the length. NP programs vary in length more than PA programs as both master’s and doctorate level tracks are available. Medical programs, of course, are significantly longer that NP and PA programs, requiring almost twice the amount of time to complete. The table below compares the length of education for nurse practitioners, physician assistants and physicians.
Number of Clinical Hours
Length of training is not the only component factoring in to scope of practice and the differences among healthcare providers in the clinical setting. Training in the patient care setting translates directly into experience relevant to employment for healthcare providers. The table below compares the estimated number of clinical hours completed as part of the nurse practitioner, physician assistant, and medical education. Note that he number of clinical hours completed in each program depends on the provider’s specialty and the college or university itself.
Overall, physicians spend significantly more time in the clinical setting during their education than do nurse practitioners and physician assistants.
Why Do These Numbers Matter?
Studies show that NPs and PAs can manage about 80% to 90% of the care provided by physicians in the primary care setting. It is essential that employers and providers understand, however, that with significantly less clinical training in school, there is a significant onboarding process associated with hiring nurse practitioners and physician assistants. Support during the new grad learning curve is essential.
Nurse practitioners and physician assistant themselves must also recognize the realities of this learning curve. Education does not end on graduation day. To reach one's full scope of practice, NPs and PAs must continue to learn, seeking to reach their maximum potential. It isn't easy, but with hard work and a few years of experience, you can reach the 80% to 90% benchmark.
Do you feel like the length of education and clinical requirements for NPs and PAs are appropriate? How do you think they should be changed?
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