A career as a Physician Assistant (PA) is both rewarding and challenging, offering opportunities to work in various medical fields while maintaining a work-life balance. This guide will walk you through the Physician Assistant career journey, covering education, certifications, job responsibilities, career growth, and salary prospects.
What Is a Physician Assistant?
A Physician Assistant (PA) is a licensed medical professional who diagnoses illnesses, prescribes medication, and develops treatment plans under a physician’s supervision. PAs play a vital role in healthcare, bridging the gap between doctors and patients to provide efficient care.
Step 1: Educational Requirements
To become a PA, you must follow a structured educational path:
1. Obtain a Bachelor’s Degree
A bachelor’s degree in a health-related field (e.g., biology, chemistry, or pre-med) is the first step. While some PA programs accept students from non-science backgrounds, strong coursework in anatomy, physiology, and microbiology is essential.
2. Gain Healthcare Experience
Most PA programs require 1,000–4,000 hours of healthcare experience. You can gain this through roles such as:
- Medical assistant
- Emergency medical technician (EMT)
- Paramedic
- Nurse
- Clinical researcher
3. Enroll in a PA Master’s Program
A Master of Physician Assistant Studies (MPAS) or a similar graduate program is mandatory. These programs typically take two to three years and include coursework in:
- Pharmacology
- Pathophysiology
- Medical ethics
- Clinical procedures
4. Complete Clinical Rotations
During the final year of PA school, students must complete 2,000 hours of clinical rotations in areas such as:
- Internal medicine
- Pediatrics
- Surgery
- Emergency medicine
- Psychiatry
Step 2: Certification and Licensure
1. Pass the PANCE Exam
After graduation, you must take the Physician Assistant National Certifying Exam (PANCE) administered by the National Commission on Certification of Physician Assistants (NCCPA). This exam tests medical knowledge and problem-solving skills.
2. Obtain State Licensure
Every state in the U.S. requires PAs to have a valid license. This process includes:
- Passing the PANCE exam
- Submitting an application to the state medical board
- Passing background checks
3. Maintain Certification
PAs must complete 100 hours of continuing medical education (CME) every two years and recertify every 10 years by passing the Physician Assistant National Recertifying Exam (PANRE).
Step 3: Entering the Workforce
1. Choose a Medical Specialty
Physician Assistants can work in various medical fields, including:
- Primary Care – Family medicine and internal medicine
- Emergency Medicine – Working in trauma centers and ERs
- Surgery – Assisting in general or specialized surgeries
- Dermatology – Treating skin disorders and cosmetic concerns
- Psychiatry – Supporting mental health patients
2. Apply for Jobs
When applying for jobs, highlight:
- Your clinical rotation experience
- Certifications and licenses
- Specialized training
3. Gain Experience and Advance Your Career
With experience, PAs can move into:
- Supervisory roles
- Specialized fields (e.g., cardiology, oncology)
- Academic teaching positions
Mattese Lecque’s Journey as a Physician Assistant

Mattese Lecque is a remarkable example of a dedicated Physician Assistant who has made significant contributions to the medical field. She holds a degree from the College of Allied Health Sciences as a Physician’s Assistant at the Medical University of South Carolina (MUSC). Throughout her career, she has demonstrated exceptional expertise in patient care, bridging her medical knowledge with real-world applications. With a strong academic background, including Bachelor’s and Master’s of Science from St., she has contributed to the United States Army Reserves as a Major O-4 and later served as an Executive Staff member in the Department of Justice. Her journey highlights the resilience, dedication, and passion needed to excel in the Physician Assistant profession.
Salary and Job Outlook
According to the U.S. Bureau of Labor Statistics (BLS):
- Median annual salary: $126,010 (as of 2023)
- Projected job growth: 27% from 2022 to 2032 (much faster than average)
Frequently Asked Questions (FAQs)
1. How long does it take to become a Physician Assistant?
The journey to becoming a PA typically takes six to eight years, including four years for a bachelor’s degree, two to three years for a PA master’s program, and additional time for gaining clinical experience.
2. What is the difference between a Physician Assistant and a Nurse Practitioner?
While both PAs and Nurse Practitioners (NPs) provide medical care, PAs follow a medical model similar to physicians, working under a doctor’s supervision. NPs, on the other hand, follow a nursing model and often have more autonomy in patient care, depending on state regulations.
3. Can a Physician Assistant specialize in a particular field?
Yes, PAs can specialize in areas like cardiology, dermatology, orthopedics, and surgery. Specialization often requires additional training, certifications, and experience in the chosen field.
Conclusion
The Physician Assistant career journey requires dedication, but it offers high earning potential, job security, and professional growth. Whether you’re a student or career changer, pursuing this path can be a fulfilling way to contribute to the healthcare industry.