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The Physician Assistant Life

Physician Assistant School and Program Directory eBook

Physician Assistant Programs eBook

Are you Looking for a good end of the summer read?

I am so happy to offer my newly compiled PA Programs eBook to you for FREE.

The Physician Assistant School and Program Directory is a complete list of every accredited Physician Assistant Programs in the United States.

And best of all: It’s been fully updated for 2015!

This eBook will help make your search for the right PA school painless.

The 2015 PA Programs eBook includes the most pertinent and up-to-date information on tuition, fees, application deadlines, GRE requirements, GPA requirements, medical experience requirements and CASPA participation.

This interactive PDF document includes direct links to each corresponding PA program website so you can search and explore every school in depth, and with a click of your mouse.

Oh, and did I mention, I am giving it away for free?

You can download the book here.

PA PRGRAMS eBOOK

Why the eBook?

In 2001 I left my hometown of Seattle, WA and ventured 3,000 miles across country to Piscataway, New Jersey.

I had been accepted to the Rutgers Physician Assistant Program and I was ecstatic.

In those days, I don’t remember searching the internet much to find a PA program that fit my application requirements and if I did, it was incredibly slow over dial-up internet.

Instead I opened a book, sent letter’s to each school and waited patiently to receive the application packet in the mail. It was painful.

Now, 13 years later, things are a little bit different.

I dreamed of an online directory where I could perform a categorical search to find a program that not only fit my geographical preferences but also was affordable, didn’t require the GRE and met my GPA requirements.

I built the Physician Assistant Schoolfinder Directory with this in mind.

That being said, many people have emailed me asking for a print version of the directory.

And now, it’s all yours for free.

I hope you find this to be a useful resource and a valuable companion to the paschoolfinder website.

You can download the eBook through Noisetrade.

This book is available FREE, but if you like what you find, please leave a tip. A little generosity goes a long way. 

FREE-DOWNLOAD-BUTTON

And if you haven’t already, make sure to sign up for my free email newsletter where you can receive updates from the blog and notification of new releases by email.  Just enter your info over there in the sidebar or below this post.

Have a great day, and best of luck on your PA School search.

Stephen Pasquini PA-C

Do You Recognize These 7 Common Mistakes in Your Personal Statement?

7 Common Mistakes People Make on Their PA School Essay and How to Correct Them

You’ve written your essay.

You know what you want to say.

But will the admissions committee get your message?

You’ve chopped and changed the order of the paragraphs. You’ve polished each sentence.

After all that hard work, you’re still not sure whether your essay flows along nicely. Will readers stumble over a paragraph? Or effortlessly glide through your text?

Creating a hypnotic flow doesn’t have to be so difficult.

Let’s have a look at 7 of the most common mistakes I see people make while reading and editing PA school applicants’ essays.

We will also discuss how to correct them.

1.  Most Essays are too long

You want to tell everything about your life and you hate leaving anything you think is important out.

How to correct this:  If you are on the admission committee and are reading your 75th essay in three days, would you rather read a short concise essay or a long rambling one?  I think you already know the answer.  I refer to this as “Don’t get lost in the library.”  You don’t want who you are to get lost in too many details.  You don’t want to be just another book on the library shelf.

2.  Paragraphs are too Long

How to correct this: Always put yourself in the admission committees place.  If you look at an essay and see large blocks of text, are you inclined to think, “Oh, this will be an easy read.”  OR  “This is going to be a hard read.  Look at all those words crammed into two or three long paragraphs.”   You want to make a good first impression on the reader before they ever begin reading your essay.   Create more open space by using shorter paragraphs.  Break long paragraphs into shorter ones.

3. Applicants Prefer Telling

You want to tell the reader every wonderful thing you’ve done in a long list of accomplishments rather than showing them.  This is similar to number 1, but let me explain further.

How to correct this:  A picture is worth a thousand words.  You need to paint a picture for the reader that will make them identify with you and the patient.  This requires an anecdote.  Tell them about Johnny (be sure to use his or her name) who came into the hospital unconscious.  You came into his room every day and said a few words to him and one day you came in and he was awake or he died or moved his fingers or toes or whatever.  Tell us what Johnny looked like and how you felt when he awakened or died.  Did you feel like you failed him or that it was the first time you faced death.  All these things will grab the admission committee’s attention.  Always remember the admission committee has read a lot of these essays and you want yours to stand out from the rest.  Refer to #5 below for a more detailed example.

4. Applicants Love to Talk in Glowing Platitudes

What is a platitude?  A platitude is a remark or statement, especially one with a moral content, that has been used too often to be interesting or thoughtful.

Synonyms:  clichétruismcommonplace -  trite, hackneyed, stock phrase.

Here are a couple examples:

The first is a statement by a teacher who is applying for a teaching certificate.  Sometimes is it easier to recognize platitudes in a field other than your own.

The second is an example of a statement filled with platitudes from one of our PA School applicants.

Example 1: 

The example below is from someone who wants to be a teacher.  I’m using it because I think it’s a great example of what I’m talking about.  You probably won’t want to finish reading it.  The point is, don’t write like this when you’re writing your PA essay.

My goals are to consistently and constantly better myself as a teacher.  To help achieve this goal, I am constantly looking to my peers for suggestions and will continue my personal strategy to their emulate creativity, procedures, methods, and techniques that I witness or hear of; my current master teacher serves well as an example of how much there is that I can learn.  My desire is to be the most effective and proficient teacher I can be.  Charged with curriculum that is extensive in classroom time that is limited, I commit myself to achieve the best functioning classroom possible and through my experience as a student teacher, I have seen the benefits of this; through my experiences as a substitute teacher, I have witnessed the deterrents to learning in environments with discipline and behavior are not properly handled with effective routines and procedures.  The classroom is a learning community and needs to be addressed as a joint effort of students and teacher.  The developmental ages of the students being taught needs to bear great consideration when implementing instruction, I will continue my efforts to understand my students, their motivations, and their shortcomings to the best of my ability.  I will continue educating myself, not just in content, but in strategies and means to differentiate and modify so that each individual child placed in my care stands the best opportunity to learn to their maximal abilities.

Example 2:

I have always wanted to be a PA since I was a child.  It is the type of profession that will allow me to help people and helping others is the highest calling anyone can have.  I have had this desire in my heart for many year beyond my childhood.  The medical field offers a person a chance to make a difference in a person’s life.  The PA is given a chance to feel like they have made a positive difference in a patient’s life every day.  This is why I want to be a PA.  PAs also have the advantage of working as a team member with a doctor.  I like the idea of having a mentor to guide me.  I am a willing learner.  Patients need someone with patience.  This is something I have in spades.  If given the chance to become a PA, I will bring enthusiasm, love, and a caring heart to the job.

Note:  All this may sound great to the writer, but there isn’t one example that would lead the reader to believe the applicant is capable of doing any of what he/she says they can do or shows they actually believe in the statement they wrote.  They are just generalizations that sound good but mean nothing.

As Shakespeare said in the final soliloquy in Macbeth, It is “a tale… full of sound and fury signifying nothing”

Life’s but a walking shadow, a poor player,
That struts and frets his hour upon the stage,
And then is heard no more. It is a tale
Told by an idiot, full of sound and fury,
Signifying nothing.

Macbeth Act 5, scene 5, 19–28

How to correct this:  If you are on the admissions committee, would you ask this person to come in for an interview?  Did they create any images in your head or show you how they will do all the things they say they will do?  No, they just put a bunch of words on the paper that sound good, but in the end, makes the reader believe they’re just trying to impress them with glowing platitudes that say nothing.  What the reader will probably ask is so what?  And who cares?

5.  Poor First Paragraphs

The first paragraph has to grab the reader’s attention and give them some idea of what will follow.  It is great if you can lead with an anecdote that summarizes what is in the rest of your essay.

Here’s a bad example.  “I want to help people and save lives.  Becoming a PA will give me a chance to do that.  One of my best qualities is that I take initiative and don’t stand back and wait for someone else to do what needs to be done.  As a PA I will also be helping families who could have lost a loved one if I hadn’t been there to help.”  This is filled with platitudes.

Here’s a good example of an anecdote that shows the same thing.  “I heard a car crash and ran out of the restaurant to see what happened.  A man was lying on the ground and wasn’t breathing.  His wife had her arms around their two little boys and was screaming, “Someone please help.”    People gathered around but no one did anything.  I ran to him, gave him chest compressions, and mouth to mouth resuscitation.  I had never done this before, but I kept him alive until the ambulance arrived, they restarted his heart, and took him to the hospital.

Let’s examine what the anecdote tells us:

  1. There is an accident.
  2. No one did anything.
  3. You take the initiative to do something.
  4. You saved the man’s life.
  5. You kept a woman from becoming a widow.
  6. You kept the children from losing their father.

You said all of that in the anecdote.  Your theme for the rest of the essay could easily be how you take initiative (shown through other examples) and how by being a PA you can save lives and help families.

The bad example paragraph said the same thing, but what a difference.  Which one would grab your attention?  Which applicant would you call in for an interview?

6.  Incorrect use of the Word I:

How to correct this:  You want to avoid the use of the word I in most cases, but not in all cases.  You don’t want to say “I did this” and “I did that.”  “I am a dedicated person who will give everything to the job.”  “I am hard working and resourceful.”  “I inspire my co-workers with my dedication to my job.” etc.  What you want to say is “I spent three months working in an orphanage and the children inspired me with their cheerfulness.”  OR  “I had no idea the experience would change my life.”  OR “I have often failed, but failure has made me better at what I do.”

 7. Incorrect use of Contractions, Poor Grammar, Punctuation, or Spelling

How to correct this:  It is only acceptable to use these when you quote someone.  For example:

Johnny said, “And I ain’t going to eat none of this hospital food cus I didn’t ask for it, don’t want it, and won’t eat it even if you force me to.”

We used “ain’t, began the sentence with a conjunction, ended the sentence with a preposition, shortened because to cus, and used the contractions didn’t and don’t.”  This is acceptable in a quote but never in the body of your essay.

As you can see, I’ve broken many of these rules myself, but I have the freedom to do so because I’m not applying to PA school.

I wouldn’t call these the seven deadly sins of writing the PA essay, but they are the most common and often fatal mistakes I’ve found in reading and editing essays. 

This was a guest post by Duke Pasquini –  If you are struggling to write an effective personal statement or you have an essay that is in desperate need of help please consider signing up for our Physician Assistant personal statement collaborate.  We have worked with over 50 applicants to date and the results have been amazing.

 If you are interested, you can read more about the essay collaborative or submit your essay for review here.  We have helped many applicants not only complete their essay’s, but actualize their dream of admissions to PA school. Which is why we do this in the first place.

Best,

Stephen Pasquini PA-C

The Daily Eponym – A FREE Email Series That Will Impress Your Preceptor and Save Lives – All From Your Inbox!

Sign Up For The FREE Daily Eponym

An invaluable daily email series with a short description of the most common medical eponyms. Impress your preceptors with your vast abundance of medical knowledge :-)

 

The Case of The Missing Eponym

A Clinical Case: by Eve Purdy

An otherwise healthy 44 y/o male presents with R ankle pain and inability to weight-bear after falling off a horse. The exact mechanism of injury (external/internal rotation or pronation/supination) is unclear. R ankle is diffusely swollen with tenderness over the tip of the medial malleolus. Neurovascular intact. He has no other injuries.

The important historical fact that this man was thrown off a horse and positive screening with the Ottawa ankle rules which make me think that he needs an x-ray. I present to the attending with this plan.

screen-shot-2013-03-03-at-3-22-13-pmAfter discussing our fear of horses, she agrees and we order the ankle series. This is more or less what we get back.

A perfectly normal looking ankle…on x-ray at least →

There is no way- I don’t believe it. I express my surprise at the negative x-ray given the patient’s presentation to the attending and she asks, “well did he have any proximal fibula tenderness?”. I had checked, and he did.

screen-shot-2013-03-03-at-3-31-00-pm← So we order an AP proximal fibula. This is what we get next.

A spiral fracture of the proximal fibula. So now we are working with: medial malleolar tenderness, bruising and swelling and a fibula fracture.

With the new knowledge in mind we review the original ankle films and are able to convince ourselves (maybe with a little confirmation bias) that the joint space might be a tiny bit wide.

screen-shot-2013-03-03-at-5-57-59-pmNothing like some more impressive Maisonneuve’s that look like this  →

We consult ortho and sure enough they agree. He is scheduled for follow up, and likely surgery (necessary for most Maisonneuve fractures) the next day.

A discussion of the treatment is beyond the scope of this article but a nice review of evidence-based management of this injury can be found here.

So what about the Eponym? 

This whole clinical encounter would have been much smoother if I had just known the eponym.

At the time I didn’t know what a Maisonneuve fracture was. I knew enough to look for proximal fibula tenderness in my initial physical exam because I had remembered learning something about energy transfer through the interosseous membrane in ankle injuries, but I couldn’t put it all together. I didn’t know the words to describe what I was worried about. The word Maisonneuve would have really helped me express what I was thinking.

In the online Clinical Problem Solving course through Coursera you can learn about the importance of problem processing. The importance of taking a patient’s complaint and turning it into medical language that triggers our memory about the condition and that allows us to communicate efficiently.

I know they are a hot subject but like it or not in this case and for many other conditions eponyms are an important part of problem processing.

Instead of sending the patient back and forth to x-ray and taking up time and space in a busy ED if I had said the first time, “I am worried about a Maisonneuve fracture” he could have had both x-rays at once.

Sign Up For The FREE Daily Eponym

What is an Eponym?

If you are, or ever have been a PA student and you are not familiar with eponyms then you just may be living under a rock.

“Eponyms” is best known as an app that gives a short description of more than 1,700 common and obscure medical eponyms.

Medical eponyms are terms used in medicine which are named after people (and occasionally places or things). New discoveries are often attached to the people who made the discovery because of the nature of the history of medicine. This has produced a large number of medical eponyms:Wikipedia

Why are Eponyms Important?

The case above gives a beautiful demonstrations of why knowing medical eponymous can save dollars, unnecessary testing and even lives.

The Daily Eponym

The Daily Eponym on your iPhone

Eponyms come up all the time, they are hot topics during preceptor pimping sessions on your PA school rotations and they make excellent post rotational and PANCE or PANRE exam questions.

In the old days when I was toting around my beloved palm zire 71 eponyms was one of the most talked about and downloaded (or “beamed” – shout out to my fellow gen X’ers out there) of every medical students arsenal. Well that, and the infamous Palma Sutra :-)

The problem with eponyms is that there really are only a handful of those 1,700 medical  terms that are important to know and seem to come up all the time.

So, in the spirit of the daily PANCE and PANRE I wanted to do something for all you hard working, nose to the grindstone PA students out there (and maybe even help save a life along the way).  And with this intention I am delighted to bring to you The Daily Eponym.

This is an email series designed to do exactly what it sounds like, send you an eponym a day to your inbox for the rest of your life. (ok not really, but until I run out of good ones to send you)

Who knows, you might wake up one day to the answer that will save you from your next surgical rotation pimp session (read the section about “ego dementor’s” and doctor Dick) or make that inspirational diagnosis that you can tell at dinner parties.

Better yet, it is FREE!

You can sign up to start the series using the form at the top of this post.

When you know everything, or you are just sick of it, cancel your subscription, I won’t be hurt although don’t blame me if you miss that surprise question about The Apley Scratch Test.

Sign Up For The FREE Daily Eponym

My PA School Rejection Letters – How to Turn Your “Set Back” into a “Set Up”

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“If I fail more often than you, I win.” – Seth Godin

I have written before about the importance of becoming an epic failure and how this is a fundamental part of becoming an epic success.

I was cleaning out some of my old file cabinets today and came across my PA school application documents from 2001.

I will be sharing three of them below.

If you are experiencing setbacks on your path to becoming a Physician Assistant I want you to know that this is a normal part of the process.

Do not be discouraged: failure, met with perseverance, is the key to long-term, sustainable success.

My PA School Rejection Letter #1 (Ouch!)

PA-Rejection-Letter-1-500-highq

In order to help you reach your goals it is important that you see my failures along with my successes.

Otherwise, you will be fooled into believing that success is a simple, pain-free process, when in reality the path to each of my successes has been lined with the road kill of my many epic failures.

Got a Moment for Some Inspiration?

Weather it is God or otherwise, how we perceive a setback matters!  (Listen 25 minutes)

This week, I won two free tickets as part of my daughters kindergarten raffle to see James Durbin, an American Idol “outcast”, play here on our shared home town stage of Santa Cruz, California.

Although I am not that familiar with all of James’ music, last night as he stood on stage I realized just how much I respected this 25-year-old rocker.

Knowing all the public criticism he had to endure during his time on the Idol stage, the sting of being “voted off” and rejected by his peers, not to mention the many obstacles he had to overcome in a lifelong battle with Tourette’s and Asperger’s syndrome.

Last night, he spoke to the sold out crowd (many of whom were young, screaming teenage girls) and divulged his story of how his pediatrician told his parents to keep their expectations low. Just goes to show what you can do with a dream and a whole lot of grit.

Don’t even get me started on the Olympics!

It may sound cliché to say that we learn more from our failures than from our successes, but nevertheless this is true.

Because life is a process of trial and error, and error, and even more error until finally you succeed!

The key is to hang in their long enough, don’t give up with the struggling masses, there is light at the end of the tunnel no matter how dim and distant it may seem.

PA Rejection Letter #2 (Your Killing me)

PA-Rejection-Letter-2-500

So success is simply the end result of a long series of epic failures if you have done things right.

Reading the above rejection letter so many years later I am almost embarrassed to admit that I didn’t have a 3.0 GPA, but there is a back-story not written on this rejection letter. This proves the point that an isolated number outside of any context is just a point along a curve that when seen alone is pretty much useless.

Don’t become a point on a curve, the trend is what matters! In what direction are you trending?

And just when you thought the pain and suffering couldn’t go on…

My Rejection Letter to the National Health Service Corps (The kick in my proverbial balls)

NHSC-Rejection-Letter-3-500

Yes, I was even rejected by the National Health Service Corps the first time I applied. Although not the second

And yes, I received even another rejection letter from OHSU, but I must have thrown that one into the fire.

My Acceptance Letter to PA School

At first it seemed odd to me that among this stack of failed attempts I could not find my acceptance letter into pa school.

I remember it so well, that simple single sheet of white paper with red and black-ink letterhead, about 4 sentences long sporting an official UMDNJ seal.

I read it in the rain, on a cold Seattle evening by streetlight, heart beating, exhausted after a long day of work. The feeling of nausea rose to my chest as I held the two corners of that letter, and I said a short prayer before I tore it open.

I made a promise to God and myself that if this dream would come true I would use my training always to relieve the suffering of others and to make the world a better place.

Spoiler alert… I was accepted and I am still working hard to keep my promise.

My Message to You

If you have received a rejection letter fear not my fellow epic failures, I too have stood demoralized in your shoes.

But do not let that define you, let it guide you, let it be the road kill that you can look back upon with pride years later when you are writing a blog post hanging out your dirty underwear with pride for all the world to see.

Here are my rejection letters. I am posting them as a reminder of what should make you stronger. I saved them because they gave me motivation, and I hope they can be a part of yours as well.

If you can learn to see adversity as a tool to help you reach your goals you can turn what seemed to be a “set back” into a “set up” for something truly wonderful.

Thank you for reading, and I wish you the best wherever you may be on your journey to PA-C.

-  Stephen

photo credit: venspired

MD Versus PA Showdown Round 1 – Show Me The Money!

show-me-the-money-tom-cruise

Before you read this post I want you to take a quick survey.

What do you think?

Physician Assistant vs. MD – Show Me The Money

Often the decision between PA and MD is considered a difficult one, but should it be?

Today I am posting the first in a series of posts to help prove to you why this age-old debate is not a debate at all.

And since the biggest search phrase in Google following the word “Physician Assistant” is “Salary” I thought I would start by addressing the elephant in the room and show you the numbers.

Annual salary numbers themselves are useless, as they are not a good representation of salary in relation to all the hidden variables such as time spent in training, debt, residency, and average hours worked per week.

This post is going to address all of these variables using an elegant equation and we will calculate a more important indicator:

True Hourly Wage!

This post is heavy with numbers so you may need to grab your glasses (and a calculator), but as you will see the results are interesting!

So lets get going…

doctor-counting-money-copy

Medical Doctors (MD) – True Hourly Wage

Becoming a physician is expensive!

For the 2013-2014 academic year, the average total student budget for public and private undergraduate universities was $19,338 and $39,028, respectively.

If one attends an average priced institution, receives subsidized loans and graduates in four years they will have about $100,000 of student loan debt from undergraduate college.

For the 2013-2014 academic year, the median cost of tuition and fees for public and private medical schools was $24,384 and $43,002 per year, respectively.

This does not include the cost of rent, utilities, food, transportation, health insurance, books, professional attire, licensing exams fees or residency interview expenses.

Therefore, the average medical student budget is about $45,000 per year; $30,000 for tuition and $15,000 for living expenses.

If one attends an average priced medical school, receives 1/3 subsidized loans and graduates in 4 years; at a 7% APR they will have $200,527 of debt from medical school at graduation.

If one borrows $22,500 bi-annually and two-thirds of this accrues interest compounded bi-annually at 3.5% – their total student loan debt for both college and medical school will then be $300,527. Forbearing this debt through 5 years of residency and paying it off over 20 years will cost about $788,880 of one’s net income.

Loan repayment programs such as those offered by the military are not a solution for the majority. Each year, about 22,000 medical students graduate from U.S. allopathic and osteopathic medical schools. Each year the military matches 800 students into its residency training programs, because that is the military’s anticipated future need for physicians.

The U.S. tax code allows taxpayers to deduct a maximum of $2,500 per year of student loan interest paid to their lender.

This deduction is phased out between incomes of $115,000 and $145,000. Therefore, this benefit is of no help to most physicians.

If one were to start a business, they could deduct nearly all of their expenses. Yet for unclear reasons, one cannot deduct the cost of becoming a physician; not the tuition or even the interest on the money they borrowed to pay their tuition.

During residency, if one makes payments of $1,753 per month, or $21,037 per year, to pay off the accruing interest, their debt will be still be $300,527 at the end of residency.

However, they will have spent $63,111 over the course of a 3 year residency or $126,222 over the course of a 6 year residency to keep their debt from growing.

Though paying off the interest during residency is the responsible thing to do; coming up with $21,037 each year from one’s net pay of $40,000 may be quite difficult.

Time spent training, student loan debt and the U.S. tax code makes the income of physicians deceiving. A board certified internal medicine physician who is married with 2 children, living in California and earning the median internist annual salary of $205,441 will be left with $140,939 after income taxes and $106,571 after student loan payments.

This is assuming a federal Income tax rate of 28%, California state income tax rate of 6.6%, Social Security tax rate of 6.2% and Medicare tax rate of 1.45%.

You can go to paycheckcity.com to get an idea of what one’s net pay would be for different incomes, states of residence, marital status, number of children, etc. Paying off a debt of $369,425 over 20 years at a 7% APR will require annual payments of $34,368.

Those student loan payments will continue to consume about $34,000 of their net income for 20 years until they are finally paid off.

What started off as $300,527 in student loan debt will end up costing $687,360. This debt that consumes one-fourth of their net income for 20 years wasn’t accrued because they bought a house they couldn’t afford – it is because they chose to become a physician.

Believe it or not, the amount of money reaching a physician’s personal bank account per hour worked is only a few dollars more than that of a high school teacher.

net-hourly-wage-doctor

In order to make this calculation we will neglect inflation of the U.S. dollar by assuming that inflation will increase at the same rate as the purchasing power of the U.S. dollar decreases.

We will also assume that physician incomes keep pace with inflation. We will also assume that tuition costs, student loan interest rates, resident stipends, physician reimbursements and the U.S. income tax structure are as described above and do not change.

The median gross income (income before taxes) among internal medicine physicians is $205,441.

The median net income (income after taxes) for an internist who is married with two children living in California is then $140,939.

Internal medicine is a three-year residency, so throughout residency they will earn a total net income of about $120,000 and spend about 34,000 hours training after high school.

The total cost of training including interest, forbeared for three years and paid off over 20 years as explained above is $687,260.

One study reported that the average hours worked per week by practicing Internal Medicine physicians was 57 hours per week. Another study reported the mean to be 55.5 hours per week. We will use 56 hours per week and assume they work 48 weeks per year.

If they finish residency at 29 years old and retire at 65 years old they will work for 36 years at that median income.

Lets Run The Numbers:

True Hourly Wage for a Medical Doctor

[(140,939 x 36) + (120,000) – (687,260)] / [(56 x 48 x 36) + (34,000)] = $34.46

The adjusted net hourly wage for an internal medicine physician is then 

$34.46 per hour

 

And Now The Moment You Have All Been Waiting For…

doctor-and-money

Physician Assistant – True Hourly Wage

The median gross income (income before taxes) among Physician Assistants is $100,000

The median net income (income after taxes) for a Physician Assistant who is married with two children living in California is then $76,277

Physician Assistants do not have a residency. They spend about 6,400 hours training after high school plus they will need roughly 2,000 hours of direct patient care experience prior to applying to PA School. PA school is roughly 4,300 hours of training. This is made up of 2,000 hours of didactic and 2,000 hours of clinical hours plus the amount of time it takes to get a bachelor’s degree.

The total hours of training for a Physician Assistant is roughly 12,400 hours of training after high school.

The total cost of training if one attends an averaged priced institution and pays off their debt over 20 years at a 6.8% interest rate is roughly $197,176. You can estimate your own payments here.

One study reported that the average hours worked per week by a practicing Physician Assistant was 40 hours per week. Another study reported the mean to be 42 hours per week. We will use 41 hours per week and assume they work 48 weeks per year.

If they finish PA School at 27 years old and retire at 65 years old they will work for 38 years at that median income.

Since most PA’s do not receive a pension we will say our hypothetical PA will get a 3% employer match for 38 years and I am going to ignore interest on this income so it is about $114,000.

Lets Run The Numbers:

True Hourly Wage for a Physician Assistant

[(100,000 x 38) + (114,000) – (197,176)] / [(41 x 48 x 38) + (12,400)] = 42.63

The adjusted net hourly wage for a Physician Assistant is then 

$42.63 per hour

 

And Just For The Fun of it Because Both of My Parents are Teachers

Rich-Teacher

True Hourly Wage – High School Teacher

The median gross income among high school teachers, including the value of benefits but excluding their pension, is about $50,000.

The median net income for a high school teacher who is married with two children living in California is then $42,791.

This is assuming a federal Income tax rate of 15%, California state income tax rate of 6.6%, Social Security tax rate of 6.2% and Medicare tax rate of 1.45%. You can go to paycheckcity to get an idea of what one’s net pay would be for different incomes, states of residence, marital status, number of children, etc.

Teachers spend about 6,400 hours training after high school, the amount of time it takes to get a bachelor’s degree.

The total cost of training if one attends an averaged priced institution and pays off their debt over 20 years at a 7% interest rate is $186,072.

At this income one would be able to deduct the interest on their student loans from their income taxes; however, those savings are not accounted for in the calculation below.

High school teachers have about 10 weeks off each summer, 2 weeks off during Christmas, 1 week off for spring break and 1 week of personal paid time off. Therefore, high school teachers who work full time average of 40 hours per week for 38 weeks each year.

Yes, teachers spend time “off the clock” preparing for class, correcting papers, etc. However physicians also spend time “off the clock” reading, studying, going to conferences, etc. If a high school teacher finishes college at 22 years old and retires at 65 years old, they will work for 43 years.

Most teachers also receive a pension. We will assume their gross annual pension including the value of benefits is $40,000 which is a net pension of $35,507. If they die at 80 years old they will receive this pension for 15 years.

Lets Run The Numbers:

True Hourly Wage for Teacher

[(42,791 x 43) + (35,507 x 15) – (186,072)] / [(40 x 38 x 43) + (6,400)] = $30.47

The adjusted net hourly wage for a high school teacher is then

$30.47 per hour

For The Love of Money

The median gross income among internal medicine physicians is $205,441.

The median gross income among high school teachers, including the value of benefits but excluding their pension, is about $50,000 per year.

The Median gross income among physician assistants, including the value of benefits is around $115,000 per year.

Accounting for time spent training, student loan debt, years worked, hours worked per year and disproportionate income taxes – the net adjusted hourly wage of an internist is $34.46 per hour, while that of a high school teacher is $30.47 per hour and that of a physician assistant is $42.63.

Though the gross income of an internal medicine physician is 4 times that of a high school teacher, the adjusted net hourly wage of an internal medicine physician is only 1.13 times that of a high school teacher and 1.24 times less than that of a Physician Assistant! Click To Tweet

PA vs. MD Round 1 – goes to Physician Assistant! (sorry mom and dad)

*Oh yeah, and how about that stay at home 35-year-old living in the basement in our poll? If anybody has time to do that calculation please post it in the comments section… We may all be working way to hard!

If you liked this post please feel free to share with a like :-)

- Stephen

 

The Audio PANCE and PANRE Board Review Podcast – Episode 3 (Questions 21-30)

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Are you bored to death in the car and worried about your upcoming PANCE or PANRE?

Do you have a long painful commute to your next OB rotation and had enough of NPR?

Do you have time while on a run or at the gym that is filled with tacks by Maroon 5 or maybe Justin Beiber and you know there must be something better?

Problem Solved!

The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode.

I created this audio series to help you fill some downtime when you are unable to read (like in the car) with some useful board review.

My favorite places to study are during my morning commute, at the gym, or while trudging up a hill on a nice trail run.

NEW! Take an Interactive Quiz of the Audio Questions!

Audio PANCE and PANRE 3 (Questions 21-30)

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Looking for episode 2?

This FREE series is limited to every 3rd episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy.

There are currently 8 episodes and 90 minutes of audio content available for download within the academy homepage.

I will be releasing new episodes every two weeks. The Academy is currently discounted at $35 for the entire year, so sign up now.

This Podcast is also available on iTunes and Stitcher Radio for Android

  1. iTunes: The Audio PANCE AND PANRE Podcast iTunes
  2. Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher

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And, if you haven’t already, make sure to download Brian Wallaces’ excellent Physician Assistant Exam Review Podcast. Follow along with Brian who covers new topics twice monthly and really does an amazing job!

The Audio PANCE and PANRE Board Review Podcast – Episode 1

THE-AUDIO-PANCE-AND-PANRE 300x300The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode.

This is an excellent way to learn on the go!

Now you can study for your PANCE and PANRE, at they gym, in the car, on a run, or while relaxing on the beach.

This FREE series is limited to every 3rd episode,  you can download and enjoy the complete audio series by joining the PANCE and PANRE Exam Academy.

There are currently 8 episodes and 90 minutes of audio content available for download within the academy homepage.

I will be releasing new episodes every two weeks.  The Academy is currently discounted at $35 for the entire year, so sign up now.

Click Here to View all 10 Multiple Choice Questions and Answers

This Podcast is also available on iTunes and Stitcher Radio for Android

  1. iTunes: The Audio PANCE AND PANRE Podcast iTunes
  2. Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher

itunes_logo-1

Also, while you are over there, download Brian Wallaces’ excellent Physician Assistant Exam Review Podcast. Follow along with Brian who covers new topics twice monthly and really does an amazing job!