Why not PA or NP?

A common medical school interview question that probes an applicant’s commitment to

and understanding of the physician’s role is, “Why are you not pursuing physician

assistant or nurse practitioner school?” It should likely also be the first question an

advisor asks any premed student before they begin their arduous journey. It’s vital to

know both how other healthcare providers are trained and what career options are

available to future clinicians.

Let’s walk through the similarities and differences among the roles of physician, PA, and

NP, and discuss how each may prove to be a best fit.

Similarities

All three roles diagnose, treat, prescribe, and manage care, often as part of a

collaborative healthcare team. All three are nationally certified, state-licensed, and

require continuing education.

Key Differences: Training, Supervision, and Specialization Pathways

Role	Training Length & Degree	Training Model & Focus	Typical Rotations	Scope / Practice Notes
Physician	3–4 years medical school + 3–7 years residency / fellowship; terminal degree	Medical-model (disease- focused)	Broad core specialties	Full independent practice; can specialize widely
PA	2–3 years master’s program	Medical-model	Core specialties	Works under physician supervision in most states; generalist or specialist focus
NP	2–3 years master’s program	Nursing-model, (patient / wellness-focused)	Primarily primary care	Often practices independently (varies by state); generalist focus

Best Fit

The physician path is best suited for those who want the highest level of autonomy,

aspire to lead the healthcare team, seek deep expertise in a specialty, and have the

physical and mental stamina for many years of rigorous education. Those pursuing a PA

career often desire faster entry into healthcare, general medical training, and the flexibility to switch specialties. Future NPs often come from a nursing background and

are drawn to holistic, patient-centered care, with the potential to practice independently.

Final Remarks

The varied and unique paths to becoming a physician, PA, or NP require careful

research and intentional planning. While each has its pros and cons, all are fields that

demand a deep commitment, service to others, and lifelong learning. If you would like

guidance or support on your journey, we are here to help!

Fill out our consultation form for a free meeting to talk over your candidacy.