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sk radhakrishnan

EMT to PA

By Sample PA School Application EssaysNo Comments

“Oh my God. Oh my God. OH MY GOD! AHHHHHHHHHH!” screamed a patient as a Physician Assistant guided a cortisone steroid injection into her right hip joint. As the cortisone entered her hip joint, the screams progressively got louder, and she clenched her fists. My ears were ringing from the high-pitched yelps. The syringe is gently pulled out of the hip socket, and as the wound is covered by a Band-Aid, the patient unclenched her fists. I was shadowing an Orthopedic Physician Assistant, Scot Rheinecker, at a clinic near my college. He just performed a hip injection on a patient with severe arthritis and happens to have a fear of needles. He maintained a calm demeanor through the older woman’s yells, and then stayed in the room with her for nearly ten minutes as the injection took effect. We talked about her grandchildren, which brought a smile to her face, as she explained that they were in college too. When she was ready, we helped her sit up. As she sat up, she said “You know, this was one of the worst treatments I’ve ever received in my life, but one of the best visits I’ve ever had.”

That experience stays with me to this day because of the level of compassion and individual attention that the patient received. I have shadowed other healthcare providers who are more focused on seeing as many patients as possible, which I believe is a common issue many face in the healthcare profession. There is sometimes a conflict between providing individualized care and seeing as many patients as one can. After we left the patient’s room, Scot explained to me that different people have different tolerances for pain and preconceived fears about certain treatments. He said that we must do our best to treat each patient to the best of our ability. This experience made me realize that I wanted to be as compassionate as I could be when taking care of patients, in other words, it is just as important to treat the patient as it is to treat the disease.

I tried to implement what I learned from this shadowing experience into my work as a volunteer EMT with the town of Davidson. One of my most memorable EMT calls required me to convey compassion, understanding and individual care. We were dispatched to the college for an intoxicated individual. Most people groan and complain when dealing with “drunk calls,” especially when they involve underage college students who have gotten carried away with partying. Oftentimes, the patients are not compliant and can be difficult to handle. When we arrived at the patient’s room, we found her lying under her bed having a panic attack. She had drunk some alcohol for the first time, did not expect to feel the way she did, and was convinced that she had been drugged. My first move was to calm the patient down. To compound her physical discomfort, the individual seemed scared, continually repeating that she was sorry and did not want to get in trouble. In that moment, I understood how she felt. This student was underage and into their first semester at Davidson College. She had to work extremely hard to get into Davidson and the thought of ruining her entire future on account of a quick poor decision is overwhelming. The line between physical and emotional was blurred in that moment. We began to treat her for intoxication and a panic attack. However, the only way to properly treat her was to care for both her physical and mental states. While I reassured the patient that she would be okay and was in good hands, I was able to coax her out from under her bed and begin to take her vital signs. As I put the pulse oximeter on her pointer finger and was explaining that she was not the first person to ever be in this situation, I saw her heart rate slow. After sitting with her for a while, she was able to sober up and then talk with campus police officers. A few days later, I inevitably walked past her on campus, and while at first her face looked a little surprised to see me, it then transition to embarrassment, but finally, a quick warm smile – almost like an unwritten thank you for taking care of her.

Providing this level of patient care is what motivates me to become a Physician Assistant. I pride myself as someone who takes the time to listen and comfort people in day to day life. From listening to my friends’ rant about difficult courses, to providing advice to my teammates when they were not playing well at the club tennis tournaments we attend, I try to implement compassion into every aspect of my life. This is a skill that I will always be improving throughout my lifetime, but I am already able to reap the benefits of this practice. I have been able to form deeper, trusting relationships with those I interact with and I believe that this is vital for patient provider relationships. Trust and compassion lay the foundation for all relationships. My shadowing and EMT experiences have taught me that I will be treating a person – not a disease, disorder, or ailment.

April 22, 2025

Dietician to PA

By Sample PA School Application EssaysNo Comments

Medicine has fascinated me since I was 7 years old. My mother had a rare form of cancer that initially puzzled the doctors at the University of Washington. I was present at several of the appointments and cared very much to understand what was happening. Watching them assess her symptoms, diagnose her affliction, and develop a treatment plan sparked my interest in a medical career. I spent a lot of time at the hospital during my mother’s treatment around various health care professionals, observing and asking questions. After my mother’s successful treatment, I gained further exposure to medicine through the family practice clinic where my mother worked as a Registered Nurse.

When discussing careers with doctors, physician assistants, and nurse practitioners, I asked the question: “what is the one area of health care in which you feel there needs to be a better understanding?” The majority of the responses came down to one area and that was nutrition. Being an athlete and seeing first-hand how much of a direct influence nutrition has on performance and overall health, I agree with nutrition’s role in the interdisciplinary treatment of a patient. My choice to obtain a degree in dietetics was the beginning of my pursuit of a medical career.

There is a strong correlation between poor nutrition and chronic diseases, such as diabetes, obesity and heart disease. A solid understanding of these diseases, their causes, and the impact of diet and exercise on them helps ensure a treatment plan that addresses the symptoms and their underlying cause. When I was injured as a college athlete, I experienced the importance of nutrition in the recovery process; this in conjunction with other treatments, reinforced that injuries and illnesses should be treated from all angles instead of just one. Studies have shown that injured athletes can reduce their recovery time by implementing proper nutrition and exercise. Similar studies have been conducted and indicated the same results in a hospital setting. Patients with better nutrition and exercise regimens have decreased hospital stays.

Being a college athlete, one learns self-discipline, leadership, and how to perform at peak levels under pressure. While shadowing Physician’s Assistants and Nurse Practitioners, I observed their ability to stay calm regardless of the circumstances and the patient’s condition. The end goal is always the same; assess the patient’s needs and address them efficiently and effectively. The ability to focus and perform under pressure is one of the most valuable life skills I developed as an athlete, and one that will benefit me as a Physician’s Assistant.

For the past three years, I have been volunteering at Open Door Community, which is a location that houses free medical and foot clinics weekly for the homeless. I volunteer in the foot clinic providing foot and minor wound care. I have handled diabetic feet with varying skin conditions, ranging from chronic acute issues all the way to gangrene. Never knowing what may come through the clinic and treating as many patients as possible with limited resources in a very short amount of time is a stressful environment. The focus is on proper care, efficiently delivered with compassion. My hands on experience in a wide variety of situations and the ability to observe and ask questions has given me a greater familiarity and insight into the medical profession. A good education, tempered with practical experience and compassion, is essential. Learning to adapt and to overcome obstacles while providing care is a constant challenge that motivates me to further develop my skill set.

Being a Physician’s Assistant would allow me to practice all that I have learned and will continue to learn. This career offers hands on experience with ample direct patient care interaction which I greatly enjoy at the foot clinic and my current position as a patient care technician, but would like to take to the next level. Physician’s assistants can be versatile and have the ability to practice in many fields. I remain curious about the variety of fields and specializations available and would like the ability to broaden my knowledge base and improve the scope of my skills through continuing education and practical experience. Becoming a Physician’s Assistant would allow me to fulfill these goals, achieve my dreams, and provide evidenced based, effective patient care.

April 22, 2025

CNA to PA

By Sample PA School Application EssaysNo Comments

80 years ago my great-grandmother Zarin was pulled from her missionary nursing school in Tehran, Iran to become a housewife. With her dreams of nursing set aside, she raised four babies and instead tended to their dreams.  Her son Faramarz wanted to go to America to be an engineer. So, poor as they were, Zarin bought him a ticket to New York, and at age 16, Faramarz traveled alone to pursue his dream. He became the first in his family to get a college education.

 

I, Olivia Zarin, great-granddaughter of Zarin and granddaughter of Faramarz, am excited to continue the ancestry of dreamers as I chase my dream to become a Physician Assistant. In doing so, I become the first in my family to pursue graduate education. Like my ancestors, I have overcome adversities of my own in pursuit of this dream. I thank God for them; they sharpened my focus and strengthened my desire to be a PA.

 

My quick recovery from months of illness led me to the physician assistant profession. After I was experiencing constant flu-like symptoms, a PA took the time to sit with me and determine possible causes. I revealed to her my family recently experienced a horrific trauma, and she concluded the unresolved trauma was likely causing my illness. Because the PA approached me holistically rather than as a body with symptoms, I was able to get therapy and recover from my illness within weeks.

 

This seemingly miraculous change in my mental and consequently physical health had me bursting with fascination with holistic medical care. I too wanted to help patients connect physical health with mental, emotional, and spiritual health. I wanted to build relationships with patients to bring healing and a better quality of life. I quickly switched my career path to becoming a PA and continued to major in social work as I knew this education would provide a foundation for the holistic mindset I wanted to have as a PA.

 

While other students around me complained about difficult classes, lectures, and coursework, I found myself not only able but secretly eager to study and learn more about human anatomy, microbiology, organic chemistry, and more!  Don’t get me wrong –  learning is not quick work for me – I had to work hard to achieve Magna Cum Laude (especially while working several jobs).

 

That being said, you can imagine the great honor I felt upon being selected as an Organic Chemistry Teaching Assistant.  Though I did not have a mastery of every aspect of ‘Orgo’ when I started, to successfully help my students, I spent many hours delving into each segment of the study.  I was determined to gain such mastery that I could explain each unit to a 5-year-old!   What a thrill for me to see the ‘light’ turn on in my students’ eyes as they began to understand the complex concepts I explained to them.

 

In building my variety of patient-care experiences, I realized I did not just have a passion for building relationships with people from all walks of life. I have a gift for it. Mark was the first to show me that. He was a patient-turned-friend whom I cared for at the hospice house for over 8 months. We laughed, pondered, and cried together. Death is a strong and final business and though Mark and I had a close bond, I did not think he could remember it in his final moments. Thus, when he called out to me hours before his death, held my hand, and smiled, I was overwhelmed with joy. I knew then next time I met a Mark in my career, I would not watch helplessly as he unraveled. I would have the authority to make decisions in his treatment and know I did everything I could to help.

 

As an NA at Duke University Hospital, I discovered joy in working as a team. In my role, I observe the team of doctors, NPs, pharmacists, and PAs around patients; they pool together education and expertise to assess patient needs and provide the best response possible. When I take vitals or assist in lumbar punctures, it feels amazing to play a role, however small, in such a team. To know that we are working toward the goal of patient recovery is beautiful and thrilling. In collaborating with a team as a PA, this joy will grow as I move from band-aid care to becoming a key contributor/voice of inpatient treatment.

 

Considering all this, I ask that you allow me to bring my gifts to your PA program. Doing so will provide you with far more than an immaculate student. You will have someone who goes the distance despite challenges. Someone with relational prowess and a holistic care lens. A team member, excited to care for both patients and colleagues of all creeds, cultures, orientations, and backgrounds. You will have someone convinced no other profession intertwines her gifts and passions so perfectly.

 

I believe there is a lifetime of patients who need my care as a PA. Let me meet them by bringing me into your 2021 cohort of PAs. Let me bring success to your program and healing to patients. Let me be among the dreamers of my ancestors. Let me be a Physician Assistant.

April 22, 2025

ATC to PA

By Sample PA School Application EssaysNo Comments

PA Personal Statement

 

A friend once told me that you’ll never know where you want to go unless you can begin to understand where you come from.  Growing up as the middle child of an interracial family, I was never 100% sure of myself.  Through sports, however, I found that I was able to express myself and shine.  While I found enjoyment in being a top contender on the court, I knew that there was more depth to me than just sports.  It took a 23-hour flight across the globe to confirm which path I was meant to take in life.

I was fortunate enough to be born into a family full of values, hard work, and determination.  We were told never to quit just because things got difficult, and through the history of my parents’ and grandparents’ lives we were taught perseverance.  From as early as when my little sister and I use to play “doctor” and try to cut our dolls open to mimic being in the emergency room, I’ve dreamt of being in the medical field.  Later, going to a private high school, I continued with my dream but realized that I wanted to combine my love for sports with medicine and I wanted to start practicing as soon as possible.  I decided not to go to college to be a pre-med major, but rather to study Athletic Training.  Athletic Training, I thought, would allow me to practice right after graduation, would help me to stay connected with sports and athletes, and would still give me the satisfaction of helping people.  What I was not aware of, however, was just how intense the major was.  For four years I tackled a full course load, completed anywhere between 30-60 clinical hours a week, travelled with the designated teams, got a paying job on the side, played for Northeastern University’s women’s club rugby team, and still maintained an active social life.  I absolutely loved it!  While the road to graduation left me with many sleepless nights, I would not trade that experience in for anything.

Upon graduating I applied to different types of athletic training jobs, including working in a hospital setting as a physician extender, participating in a fellowship program, being a graduate assistant, and even working as an athletic trainer in the military.  I felt, however, that there was something missing in my life.  Because I had to complete a certain number of clinical hours while taking classes, and because the athletic training profession is not well known overseas, I was confined to the United States during my college career.  I’ve always felt that you can never truly be a well-rounded person unless you can put yourself in another person’s shoes and experience something different from your norm.  Luckily, I had friends who had the same desire as I did to escape for a year and experience life outside of our comfort zone.  We received a promising connection in New Zealand to work on a vineyard and make wine, something completely unimaginable for me!  A week before I was set to step foot onto the plane that would take me away from the hustle and bustle of New York for 8 months, I received a phone call from a potential employer.  He told me that a head athletic training position had opened at a college in New York City, and he had heard great things about me and wanted me to interview for the position.  I was ecstatic to discover that this man was asking me, a recent college graduate with only undergraduate experience, to head an entire program!  After much internal debate, I decided that in order for me to grow as an individual I needed to become that well-rounded person that I desired; I had to leave the country.

My time in New Zealand was and forever will be indescribable.  While doing a monotonous job every day in the blazing sun, I was able to think about my life; the past, the present, and what I want for myself in the future.  I was able to free my mind away from computers, cell phones, and people rushing to get to where they are going.  Somehow, the laid-back attitude of the Kiwis allowed me to come to realize what I am meant to do for myself and consequentially, for those around me.  I believe that the health care system of today needs a change.  It needs to revert back to when physicians actually cared about the health of people and when they would treat the whole patient, not just the disease.  I want to be that physician assistant who makes a difference in someone’s life.  Even now as an Athletic Trainer helping to return an athlete back to playing the sport that they love, I feel a great sense of accomplishment.  I want to be overwhelmed with that same feeling of worth by restoring the faith of the public in our health care providers.

Even at a young age playing with my dolls, I knew that becoming a health care provider was the right path for me.  I want to change peoples’ lives for the better, to bring hope to bad situations, and to restore faith that there are still health professionals in the medical field for the right reasons.  After I landed on the soil of the United States I made a promise to myself that I would follow through with everything that I discovered while abroad.  I can now be 100% confident in saying that I know exactly where I have come from and exactly where I need to be.

April 22, 2025

PT to PA

By Sample PA School Application EssaysNo Comments

Though psychologists have debated the roles played by heredity and environment in the development of an individual’s personality, I believe that both have been vital in propelling my interest in the medical field. Being brought up in a family where every generation has a physician or a surgeon at its helm, I grew up hearing medical terms for lullabies. My father had a clinic at home. The thermometer and stethoscope were my toys, although I wanted my hands on the syringe! Hence it was not a surprise for my family when I said that I too wanted to enter the profession of medicine. Ironically, it was one gentleman’s innocent remark that paved the path for my academic interest and career.
After graduating from high school in April 1987, my father threw a graduation party for me and invited some of his friends. Since he was an E.N.T. surgeon, all his friends were in the medical field. One gentleman stopped me and asked, “What are your plans for the future?” I said I want to become a doctor, of course!” He then asked, “Why? Is it because your father and grandfather are doctors?” To that question, I became very defensive. I said, “I want to become a doctor so that I can help people.” My father and grandfather did a lot of charity work to help poor people. It was naturally in my soul and I wanted to make sure he understood that.
The gentleman then said, “If you want to help people you should become a physical therapist rather than a doctor.” I was shocked because I thought that there was no other profession nobler than that of a doctor. I asked him why and I will never forget his answer. He said, “Because doctors just give anatomical continuity, it is the physical therapists who give physiological function. There is no use of anatomical continuity if there is no physiological function.” Little did he know that what he had just said would change the rest of my life. His statements made me think. Moreover, I was confused because I had no clue what physical therapists were and what they did.
I found myself staring at the crossroads of my life. Much to the dismay of my family and myself, I could neither choose a career nor decide my academic path. My father realized that I was confused and since it was a big decision said he would help me. He made it clear that it would be my decision. He then took me to his hospital and introduced me to the Neurologist and the Orthopedic surgeon. I spent four weeks with them. I followed them through the wards, the outpatient clinic, and the post-operative units. I was impressed by the way they cared for their patients. I observed that both the neurologist and the orthopedic surgeon sent their patients to rehab.
Following this, I spent the next eight weeks in the rehab department. I met the patients of the neurologist and the orthopedic surgeon. I fervently observed physical therapists helping patients improve and regain their mobility with or without assistive devices, providing splints and braces and even fitting amputees with artificial limbs. Then, I realized what the gentleman at the party meant.
I have enjoyed being a physical therapist for the past ten years but I never stopped dreaming about the role of a physician. Ever since I heard of the physician assistant program, I have been unable to stop thinking about the possibilities and ways I could better serve people. After all, it would give me the chance to help people on both the spectrum of medical care: anatomical continuity and physiological function. I researched the schools offering physician assistant studies and was impressed with Wayne State University. I attended one of their information seminars and got the opportunity to meet the faculty and a few students. I got the impression that the faculty genuinely cared not only about the academics but also about the professional development of their students. I believe that Wayne State University is committed to producing high-caliber physician assistants to serve the inner-city population and medically underserved communities. This impression was confirmed when I got the golden opportunity of shadowing a physician assistant at Grace Hospital who graduated from Wayne State University.
The motive of the faculty at Wayne State University mirrors my professional goals. I am an energetic, hardworking, and conscientious professional with high ethical standards. My strongest asset is that I am an excellent team player. I am a good student and a goal-oriented professional. I am highly confident that if given the opportunity, I will be a great asset to any physician. My professional goals include a strong commitment to serving the medically underserved community and the elderly population. I think it is the best homage I could ever pay to a generation that has helped pave a bright future for my generation.

April 22, 2025

PA – a fulfilling and Impactful Career Choice

By PA Forum - PA 101No Comments

Why You Should Become a Physician Assistant: A Fulfilling and Impactful Career Choice

 

Choosing a career is one of life’s most significant decisions, and it’s essential to consider a profession that aligns with your passion, values, and aspirations. One career option that offers fulfillment, job security, and a direct impact on patient care is that of a physician assistant (PA). I urge you to explore the compelling reasons why becoming a PA can be a fulfilling and worthwhile career choice, read my previous blogs that delve into the role of PAs, and the demand for their services, and become informed of the personal and professional rewards PAs enjoy,

The Role of PAs

  1. Versatility: As detailed in my blog “Multifaceted Role of PAs” PAs work in various medical specialties, including primary care, emergency medicine, pediatrics, surgery, and more. Their adaptability allows them to choose a field that aligns with their interests and passion for patient care.

 

  1. Patient-Centered Care: PAs are known for their patient-centered approach. Due to the very nature of their work, they can build strong patient-provider relationships, focusing on holistic care that considers not just the medical condition but also the patient’s emotional and social well-being.

 

  1. Team-Based Care: PAs collaborate closely with other healthcare professionals, contributing to a well-coordinated healthcare team. Their ability to work alongside physicians, nurses, rehabilitation therapists, social workers, case managers, and insurance companies ensures patients receive comprehensive and effective medical care.

 

Demand for Physician Assistants

The demand for PAs is on the rise, driven by several factors that make the PA profession a promising secure career choice.

  1. Shortage of Healthcare Providers: Many regions face a shortage of healthcare providers, including primary care physicians. PAs help fill this gap by providing essential medical services, particularly in underserved and rural areas where physician shortages are acutely prevalent.

 

  1. Growing Aging Population: With the aging population, the need for healthcare services is increasing. PAs play a crucial role in managing chronic medical conditions, such as high blood pressure, diabetes, asthma, congestive heart failure, chronic kidney failure, and psychiatric disorders to name a few, and address preventive care for the elderly.

 

  1. Healthcare Accessibility: PAs enhance healthcare accessibility, improving patient access to timely medical care. They often work in primary care settings, where they serve as the first point of contact for patients seeking medical attention. PAs are also ubiquitous in various specialties and subspecialties, again enhancing patients’ access to highly specialized medical care.

 

Personal and Professional Rewards

Becoming a PA offers a multitude of personal and professional rewards that make this career choice highly satisfying.

  1. Job Satisfaction: PAs find immense job satisfaction in helping patients and making a positive impact on their lives. The ability to diagnose and treat medical conditions, alleviate suffering, and promote wellness is a deeply rewarding aspect of the profession.

 

  1. Job Security: The demand for PAs is projected to continue growing, ensuring job security and stability. PAs can find employment in a variety of healthcare settings, including hospitals, clinics, academic healthcare centers, specialty practices, and rural healthcare settings. Check out my blog “The multi-faceted role of physician assistants.”

 

  1. Competitive Compensation: PAs receive competitive compensation for their work, reflecting their high level of training and the essential role they play in healthcare. Additionally, many employers offer attractive benefits packages.

 

  1. Diversity and Flexibility in Choice of Specialty: The broad training focused on both general medicine and specialty areas and all age groups enables a PA to seek employment in a specialty or subspecialty they are most passionate about without any additional training. Having this choice and control over career choice straight out of PA school makes this profession a compelling choice for many. Furthermore, PAs have the flexibility to change specialty throughout their career, an option that is being increasingly cited as a reason for their career choice by aspiring PAs, novice, and veteran PAs alike.

 

  1. Continual Learning: Medicine is an ever-evolving field, and PAs are committed to lifelong learning and professional development. They engage in continuing medical education to stay updated with advancements in healthcare, ensuring they provide the best care and evidence-based medicine to their patients.

 

  1. Work-Life Balance: PAs often enjoy a reasonable work-life balance compared to physicians; another reason often cited by PAs for their career choice. While the profession can be demanding, the flexibility to choose work setting and hours is more conducive to a more balanced lifestyle.

 

In summation, choosing to become a PA is a decision that offers immense personal and professional rewards. The role of PAs in the healthcare system is pivotal, as they provide essential medical care, enhance patient access, and contribute to improved healthcare outcomes. The increasing demand for PAs, job security, competitive compensation, and the opportunity to make a meaningful impact on patients’ lives make this career choice highly attractive.

 

Ultimately, becoming a PA is not just about having a job, it’s about embarking on a fulfilling and impactful career dedicated to the well-being and health of others. If you have a passion for healthcare, a commitment to patient care, and a desire to be a part of a collaborative healthcare team, pursuing a career as a PA can be a rewarding and meaningful choice that aligns with your values and aspirations.

April 22, 2025

Multifaceted Role of PAs

By PA Forum - PA 101No Comments

What do physician assistants do? The multi-faceted role of physician assistants.

Physician Assistants (PAs) are extensively trained and highly skilled healthcare professionals who play an indispensable role in the contemporary healthcare landscape. They are proficient in providing comprehensive care to patients across all age groups, ranging from neonates to geriatrics. The scope of their practice is extensive and encompasses a broad range of responsibilities, rendering them integral members of the healthcare team. Their multifaceted role includes but is not limited to, diagnostic and therapeutic contributions, patient care responsibilities, education, mentoring, and administration in various healthcare settings. The vital contributions of PAs in healthcare delivery are widely acknowledged, and their expertise is increasingly sought after in diverse medical specialties.

Diagnostic and Therapeutic Contributions

  1. Conducting thorough patient assessments is a fundamental responsibility of PAs. This process involves obtaining detailed medical histories, performing meticulous physical examinations, and ordering and interpreting essential diagnostic tests. PAs possess a comprehensive understanding of the patient’s medical condition, which enables them to achieve accurate diagnoses and develop effective treatment plans.

The medical history-taking process necessitates gathering the patient’s complete medical and surgical history, current medications, allergies, and family history, among other pertinent information. This data is crucial in determining the patient’s current health status and aids the PA in identifying potential risk factors.

The physical examination is another crucial element of the patient assessment process. PAs conduct comprehensive assessments, evaluating vital signs, skin integrity, and body systems to identify abnormalities and underlying health issues based on patient symptoms. This diagnostic process enables PAs to identify any abnormalities and potential underlying health problems based on the patient’s symptoms. The comprehensive assessment conducted by PAs is essential in ensuring proper diagnosis and treatment of patients.

After the physical examination, PAs may order and interpret diagnostic tests, depending on the patient’s condition. These tests aid in the identification of underlying medical conditions that may not be apparent during the physical exam. PA’s comprehensive understanding of the patient’s medical condition, acquired through the patient assessment process, enables them to make accurate diagnoses and develop effective treatment plans. The patient assessment process is a pivotal aspect of the PA’s role in providing high-quality and efficient care to their patients.

  1. PAs possess the necessary training and expertise to diagnose and treat a diverse array of medical conditions. Their education, combined with extensive experience, equips them with the ability to formulate differential diagnoses, develop appropriate treatment plans, provide counseling to patients on lifestyle changes that can improve their overall health, and prescribe medications. In a team-based medical model, PAs are uniquely equipped to manage acute and chronic illnesses across all medical specialties and subspecialties, which significantly contributes to patient care.

Given their comprehensive skillset, PAs play a crucial role in the healthcare industry, providing valuable assistance to physicians and other healthcare professionals. Their contributions are particularly noteworthy in the context of a rapidly changing healthcare landscape, characterized by an aging population and a growing demand for medical services.

As such, PAs are a vital component of any modern healthcare system, and their expertise is highly valued by patients, healthcare providers, and policymakers alike.

  1. PAs perform a variety of medical procedures that are crucial to patient care. Such procedures require a high level of skill and knowledge, which PAs acquire through their rigorous educational and clinical training. They are proficient in their area of specialty, and they have a thorough understanding of the healthcare system in which they operate. The procedures that PAs perform are essential for the diagnosis and treatment of various medical conditions. These procedures may include suturing wounds and lacerations, splinting and casting muscle or tendon strains, ligament sprains, or fractures, administering joint injections, inserting catheters, draining abscesses, performing lumbar punctures, and many other complex bedside procedures for diagnostic and therapeutic purposes.

They work collaboratively with physicians and other healthcare professionals to ensure that patients receive the best possible care. Through their expertise and training, PAs play a vital role in the healthcare system, providing high-quality care to patients in need.

Patient Care Responsibilities

  1. Keeping true to the need for which the profession was created, many PAs work in primary care settings providing routine and preventive healthcare services. They conduct wellness exams, administer vaccinations, and offer counseling on lifestyle modifications, such as diet and exercise, to promote overall health and prevent diseases.
  2. In addition to routine healthcare services, PAs are actively involved in managing chronic medical conditions like hypertension, diabetes, asthma, congestive heart failure, and renal failure to name a few. They monitor the patients with frequent examinations and tests, titrate their medications, and counsel patients on lifestyle modifications to optimize patient outcomes and improve quality of life.
  3. PAs are crucial members of the healthcare team, responsible for triaging and treating patients with acute injuries and medical conditions in urgent care centers, emergency departments, and trauma centers. Their ability to make rapid decisions and initiate treatment can be life-saving in emergencies. PAs possess a unique skill set that allows them to work collaboratively with physicians and other healthcare professionals to provide comprehensive care to patients. As such, PAs are critical to the effective functioning of healthcare systems, particularly in emergency settings where time is of the essence.
  4. PAs are specialized healthcare professionals who work across multiple medical specialties and subspecialties, including dermatology, cardiology, pulmonology, nephrology, oncology, rheumatology, allergy, and immunology, among others. Their expertise and experience enable them to provide specialized care to patients with specific medical needs.

PAs in Surgery

  1. PAs have become integral members of surgical teams contributing significantly to the field of surgery. Their specialized training, expertise, and versatility to excel make them invaluable in all surgical and surgical subspecialties. They play a pivotal role in preoperative assessments, reviewing patients’ medical histories, conducting physical examinations, reviewing the relevant diagnostic tests and radiographic imaging studies, and optimizing the patients to ensure the best outcome.
  2. PAs play a critical role in the operating room, actively assisting surgeons during surgical procedures. Their responsibilities begin with ensuring proper patient positioning and extend through the entire procedure to the closure of the incision. Throughout the surgical process, PAs work closely with the surgical team to facilitate communication and coordination among team members, including anesthesiologists, nurses, and surgical technicians. They ensure the safe and efficient execution of surgical procedures and by doing so they significantly enhance patient care and surgical outcomes. The surgical skills of PAs contribute significantly to the provision of effective and efficient patient care while ensuring the timely completion of surgical cases.
  3. In the postoperative phase, PAs assume several responsibilities that encompass prescribing pain management, providing nursing guidance on incision care and dressing changes, and issuing postoperative orders to mobilize patients with the aid of physical therapy. Additionally, PAs conduct rounds on patients to address immediate post-surgical concerns, liaise with case managers and social workers for a safe discharge, and educate patients on postoperative care, including wound care, pain management, and resumption of medication. The primary role of PAs is to ensure that patients comply with postoperative instructions, thereby facilitating a prompt and safe recovery.
  4. The presence of PAs in surgery has a profound impact on patient care and surgical outcomes and can be summarized as:
  5. Enhanced Access to Surgical Care: PAs help address the shortage of surgical specialists in many regions by expanding access to surgical services, particularly in underserved and rural areas. This ensures that more patients receive timely surgical interventions.
  6. Improved Efficiency: PAs assist in tasks that allow surgeons to focus on critical aspects of the surgery, ultimately reducing the duration of surgery and time the patient is under anesthesia, and minimizing complications.
  • Quality of Care: PA’s participation in surgeries enhances patient safety, reduces the risk of errors by decreasing surgeon fatigue, and contributes to positive patient outcomes.
  1. Patient Satisfaction: PAs often build strong patient-provider relationships, offering more personalized care and prompt addressing of patient concerns. This results in higher patient satisfaction levels, as patients feel well-informed and supported throughout their surgical journey.
  2. Cost-Effective Care: PA’s ability to work collaboratively with surgical teams and ability to perform various surgical tasks helps to optimize resource utilization and help control healthcare expenses.
  3. While many PAs seek a career in surgery right after graduating from PA school, an increasing number of PAs now choose to pursue postgraduate residencies or fellowships to enhance their expertise in surgical practice. These postgraduate programs usually last for a year and provide intensive surgical training under the supervision of experienced surgeons, often working alongside MD surgical residents. Surgeons, specialists, and large academic medical centers highly value PAs who undertake such optional postgraduate training in surgery and other specialties. We will delve further into the details of PA postgraduate residencies and fellowships in a separate blog.

Healthcare Settings

  1. Hospitals and Large Medical Centers: PAs play a critical role in hospitals, large medical centers, and academic institutions. They work alongside physicians, surgeons, and other healthcare professionals to provide prompt admissions, acute care, daily patient rounds, follow-up assessments, and assistance in surgeries. PAs also collaborate with therapists, patient case managers, and social workers to facilitate safe discharge plans. Additionally, PAs may work in outpatient clinics attached to hospitals to provide continuity of care for patients after they are discharged. They also facilitate admission to the hospital when necessary.
  2. Emergency Departments (ED): In the context of ED operations, PAs assume a pivotal role in triaging and stabilizing patients who are in acutely ill states. Acting in concert with physicians and other healthcare professionals, PAs render indispensable aid in treating patients and are instrumental in determining the suitability of patient discharge or admission. With their training and experience, PAs represent an essential component of the multidisciplinary team responsible for delivering high-quality care to patients and curtailing waiting times in the ED.
  3. Urgent Care Centers: Urgent care is a specialized medical field that has arisen out of a pressing need to provide accessible healthcare to the public. The lack of insurance coverage and limited access to primary care has resulted in many Americans seeking ED for care of minor illnesses and injuries. However, it is important to note that urgent care is neither emergency medicine nor primary care. As per The American College of Emergency Medicine (ACEP), an urgent care center is a walk-in clinic that offers medical care for minor illnesses and injuries in an outpatient setting, outside of a traditional hospital-based or freestanding ED. The American Academy of Urgent Care Medicine (AAUCM) defines urgent care medicine as the immediate provision of outpatient care for the treatment of acute and chronic illness and injury. This specialized field offers prompt medical services in a professional and controlled setting, intending to provide efficient and effective healthcare to the population.

Given PA’s comprehensive medical background and PA programs training them in procedural skills, such as suturing, incision and drainage, and gynecologic procedures, PAs are an excellent fit for urgent care centers. These skills are often in high demand in such settings.

  1. Primary Care Clinics Including Family Medicine and Pediatrics: PAs are a common fixture in primary care clinics, where they serve as the first point of contact for patients seeking medical attention. PAs provide an array of essential services, including the diagnosis and treatment of common ailments, management of chronic conditions, immunizations, and other preventive care. Given their extensive training and expertise in both adult and pediatric medicine, PAs are well-equipped to offer a high standard of care to their patients, ensuring that they receive the attention and treatment they need to maintain good health.
  2. Specialty Clinics: PA programs primarily aim to educate general practitioners, but they equip them with the essential knowledge and skills to excel in specialty medicine fields like cardiology, gastroenterology, dermatology, nephrology, oncology, orthopedics, psychiatry, and more. PAs are versatile healthcare professionals who are capable of performing various outpatient procedures as well.
  3. Long-Term Care Facilities: PAs working in long-term care facilities, such as nursing homes and rehabilitation centers, oversee the medical care of elderly patients. They serve as a direct liaison between elderly patients, physicians, and other healthcare professionals, facilitating effective communication and providing seamless care coordination. Collaborating closely with physicians, PAs attend to the complex and multifaceted healthcare needs of elderly and chronically ill individuals. Their overarching objective is to enhance the well-being and comfort of patients while simultaneously mitigating the risk of acute flare-ups that could lead to hospital readmission. In so doing, PAs make a significant contribution to the delivery of high-quality, patient-centered care in long-term care facilities.
  4. Palliative Care and Hospice: Palliative care and hospice are two distinct types of care that are provided to patients who suffer from life-threatening illnesses. Palliative care is designed to improve the quality of life of patients while they undergo active treatment. It prioritizes symptom management, emotional support for patients and their loved ones, and spiritual support. Hospice care, on the other hand, is intended to provide end-of-life care. Rather than treating the underlying disease, hospice care is focused on alleviating pain, anxiety, depression, and other symptoms, while providing emotional and spiritual support to patients and their families.

PAs are integral members of collaborative, multidisciplinary teams that provide comprehensive care to patients receiving palliative or hospice care. As such, PAs work closely with other healthcare professionals to ensure that patients receive the highest quality of care. By prioritizing the physical, emotional, and spiritual needs of patients and their families, PAs help to ensure that those who are experiencing life-threatening illnesses can live and or die with dignity and comfort.

  1. Correctional Medicine: Correctional medicine, the branch of healthcare dedicated to serving the unique medical needs of incarcerated individuals, is a challenging and often overlooked field. PAs play a crucial role in delivering comprehensive and compassionate healthcare to a population with distinctive health concerns. PAs are an excellent solution to bridge the healthcare gaps behind bars.

The prison environment presents distinctive health risks such as communicable diseases, mental health disorders, and substance abuse issues. The prevalence of chronic conditions, infectious diseases, mental health disorders, and substance abuse among the inmate population adds a layer of complexity. Moreover, resource constraints and limited access to advanced medical facilities can pose challenges for comprehensive patient care.

PAs are well-equipped to navigate these challenges, leveraging their broad medical training to provide tailored and effective care. PAs collaborate closely with physicians and other healthcare professionals, including nurses and mental health specialists, to navigate the complex interplay of medical, legal, and security considerations inherent in a correctional setting and to ensure a holistic approach to inmate healthcare.

PAs working in correctional facilities undertake a diverse array of responsibilities, ranging from routine medical care to emergency interventions. They conduct medical assessments during intake, manage chronic conditions, provide preventive care, and respond to acute medical needs.

Despite the challenges, physician assistants make a substantial positive impact on both individual inmate health and the correctional system as a whole. Their presence enhances access to timely and competent medical care, leading to improved health outcomes for incarcerated individuals. By addressing health issues promptly and proactively, PAs contribute to reducing the overall healthcare burden on correctional facilities and preventing the spread of communicable diseases within the confined environment.

Furthermore, the role of physician assistants extends beyond direct patient care. They play a vital role in health education, encouraging inmates to make healthier lifestyle choices and facilitating a smoother transition to community healthcare upon release. This proactive approach not only benefits individual inmates but also contributes to overall public health. As the importance of rehabilitation and holistic healthcare gains recognition within the correctional system, the role of physician assistants will continue to be pivotal in fostering positive health outcomes and contributing to the overall well-being of incarcerated individuals.

  1. Research: PAs have traditionally been associated with direct patient care, serving as vital members of healthcare teams. However, their roles have evolved beyond clinical settings, with an increasing number of PAs making significant contributions to healthcare research.

PAs, with their diverse medical training and practical experience, are well-positioned to contribute to various aspects of medical research. Their involvement spans clinical trials, observational studies, and outcomes research. PAs often collaborate with physicians, researchers, and other healthcare professionals to collect and analyze data, contributing valuable insights to the scientific community.

One of the strengths PAs bring to research is their unique perspective derived from direct patient interactions. This hands-on experience allows them to identify research questions that are clinically relevant and practical, addressing real-world challenges faced by healthcare providers. PAs also play crucial roles in participant recruitment, data collection, and the interpretation of results, enhancing the overall quality and applicability of research findings.

  1. Healthcare Administration: In healthcare administration, PAs assume roles that extend beyond clinical practice to influence and shape the policies and operations of healthcare organizations. With their understanding of both the clinical and administrative aspects of healthcare, PAs contribute to improving the efficiency, quality, and accessibility of healthcare services.

PAs in healthcare administration may be involved in strategic planning, resource allocation, and quality improvement initiatives. Their unique perspective, grounded in frontline clinical experience, enables them to bridge the gap between the medical staff and administrative leadership. PAs are often instrumental in implementing evidence-based practices and ensuring that organizational policies align with the best interests of both patients and healthcare providers.

Furthermore, PAs contribute to workforce management by optimizing team dynamics, enhancing collaboration, and promoting a patient-centered approach. Their ability to communicate effectively with diverse stakeholders, including physicians, nurses, and administrative staff, facilitates a more cohesive and efficient healthcare delivery system. PAs involved in healthcare administration work to streamline processes, reduce inefficiencies, and implement policies that prioritize patient safety and satisfaction. Their unique skill set, combining clinical expertise with administrative acumen, positions them as valuable assets in shaping the future of healthcare.

While the above roles of PAs and healthcare settings seem to be isolated, in reality, PAs crossover multiple roles and settings further proving their versatility. As the healthcare landscape continues to evolve, the multifaceted roles of PAs in medicine, surgery, research, and healthcare administration are becoming increasingly indispensable, fostering a holistic and patient-centric approach to healthcare management and innovation.

April 22, 2025

Who are PAs

By PA Forum - PA 101No Comments

Physician Assistants. Who are we?

It is of significance to clarify that the title ‘Physician Assistant’ (PA) does not incorporate an apostrophe into its spelling. It is imperative to adhere to this norm in all formal and academic communication. Furthermore, it is essential to understand that being a PA does not imply working in a subservient capacity. On the contrary, PAs are licensed healthcare professionals who operate collaboratively in a team-based model. They are equal partners in providing accessible and high-quality healthcare services. PAs work alongside physicians, surgeons, and other healthcare providers to deliver comprehensive patient care.

American Association of Physician Assistants describes PAs as licensed clinicians who practice medicine in every specialty and setting. Trusted, rigorously educated, and trained healthcare professionals, PAs are dedicated to expanding access to care and transforming health and wellness through patient-centered, team-based medical practice.

PAs are qualified to diagnose and treat medical conditions, order, and interpret diagnostic tests, perform a wide range of complex medical procedures, and first assist in surgeries. They work in various medical specialties, including primary care, surgery, emergency medicine, pediatrics, OB/GYN, and more.

The education and training of PAs are rigorous and comprehensive. To become a PA, one must complete a master’s degree program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). These programs typically last around 27 months and include both didactic and hands-on clinical training. The curriculum covers a wide range of medical subjects, including anatomy, physiology, pharmacology, clinical medicine, and patient assessment of adults and pediatrics.

After completing their education, PAs must pass the Physician Assistant National Certifying Examination (PANCE), administered by the National Commission on Certification of Physician Assistants (NCCPA). Successful completion of the PANCE allows them to become certified and use the “PA-C” (Physician Assistant-Certified) designation. Continuing medical education (CME), renewing NCCPA certification every two years, and passing the Physician Assistant National Recertification Exam (PANRE) every 10 years are required to maintain their credentials and stay up to date with advancements in healthcare.

PAs play a fundamental role in patient advocacy and continuity of care by establishing robust patient-provider relationships, offering personalized care, and addressing a comprehensive range of medical concerns. Their extensive training enables them to address a wide array of medical concerns, making them valuable members of the healthcare team.

Furthermore, PAs make significant contributions to the healthcare system. They enhance patient access to care, especially in underserved and rural areas where physician shortages are prevalent. PAs improve healthcare efficiency and their ability to work in various specialties and subspecialties, and changing healthcare needs make them versatile assets to healthcare organizations, and indispensable in medicine.

April 22, 2025

Birth and Evolution of PA Profession

By PA Forum - PA 101No Comments

The birth and evolution of the physician assistant profession.

The PA profession was born out of necessity.  Facing a national shortage of physicians and a population boom after World War, the United States was hard-pressed to meet the medical needs of those in need. The inception of the Physician Assistant (PA) profession was a response to the scarcity of physicians and the surge in population after the Second World War. Dr. Eugene Stead, Jr., the Chairman of the Department of Medicine at Duke University, recognized that Navy Hospital Corpsmen, who had provided indispensable medical care during the war, were left without a venue to apply the knowledge, and experience they had acquired. In October 1965, Dr. Stead established a Physician Assistant program at Duke University’s Department of Medicine, which provided a curriculum to supplement the clinical knowledge of these Corpsmen. Four Navy corpsmen enrolled in the program, and three graduated.

 

Subsequently, Duke University established the Department of Community Health Sciences and appointed Dr. Harvey Estes, Jr. as the chairman. Dr. Estes took over the PA program, and on October 6, 1967, the first three PAs, namely Kenneth F. Ferrell, Victor H. Germino, and Richard J. Scheele, graduated from the program. Notably, in 1970, the Duke PA program graduated the first female, Joyce Nichols, a nurse at Duke Hospital. Joyce created history by becoming not only the first female PA but also the first African American to join the PA profession.

 

During the 1970s, a postgraduate residency program in family medicine was implemented, leading to a transformation of the clinics at Duke Hospital into centers of excellence for training MD/PA healthcare teams. Dr. Estes’s unwavering commitment to promoting the new philosophy of healthcare delivery through extensive writing and nationwide travel significantly contributed to the acceptance of this new profession within the medical community. Consequently, accreditation standards were established, and national certification standards were put in place. This evolution of healthcare delivery has been a remarkable achievement that continues to impact the medical profession positively.

 

The success of Duke University’s initial PA program paved the way for the establishment of similar programs at other institutions throughout the United States. In 1967, the American Medical Association (AMA) officially recognized the PA profession, thereby granting it a degree of legitimacy and acceptance within the medical community. The AMA’s recognition was instrumental in promoting the growth and acceptance of PAs as valuable members of the healthcare team.

 

The early contributions of PAs, particularly those from the pioneering Duke program, have been instrumental in improving healthcare delivery. Their services have proved invaluable in bridging the gap in healthcare access for those living in rural and underserved areas, catering to disadvantaged populations, and enhancing patient care and satisfaction. Moreover, their ability to perform a wide range of medical tasks has not only alleviated the workload of physicians but has also resulted in the improvement of the overall quality of care.

 

The profession of PAs has experienced several significant legal and regulatory developments since its inception that have impacted its scope of practice. Although state laws and regulations differ, many have expanded the autonomy and responsibilities of PAs. For example, in several states, PAs have been granted the ability to practice independently or with a collaborative agreement, rather than direct physician supervision. These changes have been instrumental in increasing the availability of healthcare services, particularly in areas with a shortage of physicians. As a result, PAs have become an important part of the healthcare workforce, and their role in providing quality healthcare to patients has been increasingly recognized.

 

The education provided to PAs has undergone significant changes in response to the evolving healthcare industry. Initially, PA programs were typically of a shorter duration, lasting two years and leading to a certificate or diploma. However, contemporary PA programs are commonly master’s degree programs that span approximately 27 months. These programs provide a comprehensive education in medical sciences and clinical skills, thereby equipping PAs to undertake increasingly complex roles in diverse areas such as patient care, research, education, and healthcare administration.

 

The PA profession has been strengthened and advanced by various professional organizations, such as the American Academy of Physician Assistants (AAPA) and the Physician Assistant Education Association (PAEA). These organizations have been instrumental in advocating for PAs on issues regarding legislation, reimbursement, and professional growth. The AAPA, in particular, has played a significant role in promoting the interests of PAs on a national level and advancing their role within the healthcare delivery system.

 

The PA profession has increasingly become a vital component of the healthcare system, and these organizations have been supportive of the PA’s role in providing quality healthcare services. Through its advocacy efforts, AAPA has facilitated the recognition of PAs as valuable members of the healthcare team. The organization’s initiatives have also helped to promote the use of PAs in various medical specialties, which has resulted in increased access to care for patients.

 

Furthermore, the PAEA has been instrumental in advancing the PA education system. The association has been actively involved in developing an effective curriculum that is geared toward producing competent and skilled PAs. The organization has also been supportive of research and innovation in the field of PA education. In essence, the AAPA and the PAEA have been crucial in promoting the growth and development of the PA profession. Their efforts have resulted in the recognition of PAs as essential healthcare providers, contributing significantly to the delivery of quality healthcare services.

 

The inception of the PA profession constitutes a pivotal moment in the annals of healthcare in the United States. Dr. Eugene A. Stead Jr. demonstrated a visionary approach to addressing the paucity of primary care providers, resulting in the creation of a novel healthcare role that continues to thrive and evolve to this day. The PA profession, emanating from a pressing need, has become an indispensable component of not only the healthcare workforce but also in the education of future physicians and physician assistants. The origin of the PA profession is a testimony to the power of innovation and the perseverance of individuals and institutions in meeting the changing healthcare needs of society.

 

PAs have played a vital role in providing medical aid and support to underserved communities throughout the United States. They have been instrumental in offering patient-centered care, providing comfort, hope, and assistance to individuals of all ages, while also helping them maintain their health and dignity. As the aging of the baby boomer generation and the ongoing escalation of healthcare costs continue to dominate the national discourse, the PA profession is poised to expand significantly, becoming an essential cornerstone in healthcare delivery and revolutionizing the provision of medical care.

April 22, 2025

My Journey

By My Journey to PANo Comments

Becoming a physician assistant (PA) for me was a fortunate stroke of serendipity similar to the path that led me to become a physical therapist (PT). You may refer to my PA school application essay “PT to PA” for my impetus to give up my spot in medical school and become a PT and my novel “I Have No Earthly Idea” which chronicles this journey in a rom-com novel. “I Have No Earthly Idea” is the only novel with a PA as the protagonist.

Coming from India, I was fortunate to work as a contract physical therapist in various healthcare settings. I chose to be a contract physical therapist as it gave me the opportunity and flexibility to explore America without the need to take a vacation.

I graduated as a physical therapist from the reputable Government Institute of Rehabilitation Medicine in Chennai, India.  Subsequently, I had the privilege to work for two years in the state-of-the-art Apollo Hospital’s Department of Physiotherapy which boasted all the modern and cutting-edge technology and gadgets. A company in Dallas, Texas recruited me and sponsored my work visa which enabled me to come to America. I was licensed in Colorado, Indiana, Illinois, Michigan, and Texas. I enjoyed exploring the Midwest and working in skilled nursing facilities, rehabilitation centers, outpatient clinics, and special education schools.

Most of my assignments were in small cities and towns that lacked the lure and glamor of big cities where the facilities had a hard time hiring therapists of their own and had to rely on contract companies for their PTs, OTs(occupational therapists), and SLPs (speech-language pathologists). As someone new to this country, I not only enjoyed but also thrived in these places as I found the people more welcoming and friendly. After a few years, my company sponsored my green card. My professional life was flourishing.

Ironically, the Balanced Budget Act of 1997 coupled with the midlife crisis forced me to stare at the crossroads of my life for the second time. The Balanced Budget Act of 1997 stands as a landmark piece of legislation in the United States, representing a concerted bipartisan effort to achieve fiscal responsibility and balance the federal budget by the year 2002. This legislation aimed to eliminate the federal budget deficit through spending cuts, revenue increases, and reforms in healthcare and taxation. Significant changes were made to Medicare and Medicaid, including the establishment of the Children’s Health Insurance Program (CHIP) and reforms to control costs. Various cost-saving measures were introduced, promoting the use of managed care in Medicaid. The Act expanded healthcare coverage for children through CHIP, but reductions in Medicare payments sparked debates over potential impacts on quality of care. The Act led to reductions in Medicare payments to healthcare providers, including those offering PT, OT, and SLP services. Institutions faced challenges in adapting to these reimbursement cuts, necessitating adjustments in practice management, increased scrutiny of costs, and efforts to maintain financial viability. The changes in reimbursement rates influenced the landscape of therapy services, with providers needing to navigate the evolving healthcare payment environment.

The Balanced Budget Act of 1997 had a broad impact on allied health professions, including PT, OT, and SLP. The common thread was the need for these healthcare providers to adapt to reduced reimbursement rates, navigate changes in healthcare delivery models, and find ways to sustain quality care in the face of fiscal constraints. Faced with never-before-seen challenges in delivering physical therapy services, fiscal constraints, and undue pressure from entities on therapists to be more productive took a toll on me. Working in an acute care hospital and treating patients in the intensive care unit, I grew tired of writing “Patient too sick to participate in therapy. PT withheld”, Patient with unstable vital signs. PT on hold. Reconsult PT when appropriate.” I could not help but think, I was turning my back on these sick patients and blamed myself for not being able to do more. A changing healthcare landscape and feeling helpless in caring for sick patients led me to a midlife crisis. I was at a crossroads again. I seriously contemplated buying a sports car and being reckless or changing my career. I think I chose wisely. Being a physical therapist in India and America provided me with the opportunity to meet some amazing patients and people who influenced me positively and made me who I am today. Looking back, I would not change my path in any way. I enjoyed being a physical therapist but I wanted to do more in the healthcare setting.

Needless to say, I cannot explain the overwhelming joy I experienced when a chance encounter with a student counselor at Wayne State University exposed me to the PA profession. There are no PAs in India. To learn more about a profession unfamiliar to me, a career that sounded too good to be true, I was thankful for the opportunity to shadow Annie McCaig, a PA, and learn firsthand the role of a PA. As much as I enjoyed being a PT, I love being a PA. For more about my career path, please check out the tab “About” on the home page.

I am thankful to the faculty of Wayne State University PA Program for a world-class education, the Duke Postgraduate PA Surgical Residency Program, and the Duke Department of Neurosurgery for my career and accomplishments. Many renowned figures played a key role in the success of my career and most notable are the neurosurgeon Dr. Alla Friedman,  Dr. John Sampson, and Dr. Gerald Grant and physician assistants James Harvey Carter, Jr, Eric Ryan Butler, AnaLisa Nardin, Kristina Eilbacher, and Rachel Jeffrey. I owe my gratitude to all the neurosurgical residents and PA surgical residents for enriching my career. I am thankful to work with talented and caring nurses, pharmacists, PTs, OTs, SLPs, RTs, and case managers.

As a way to give back to the profession, to shed some limelight on the PA profession, a profession although 50 decades old is still unfamiliar to many people – both patients and healthcare providers alike, I wrote a novel with a PA as the protagonist. I have motivated and mentored several individuals from all walks of life in their journey to become PAs.

With an intent to do more for the future of the PA profession and help students applying to PA school, I am writing a series of blogs to educate them about PAs, make myself available to talk to anyone interested in the PA profession, connect new applicants with my network of recent PA graduates, and read and critique their application essay as a free service. Please feel free to contact me via my social media –  the website has links to FaceBook, Instagram, and Linkedin or email me at skr@skradhakrishnan.com or my publisher email at kanvihouse@gmail.com

April 22, 2025
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