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Today we are going to tackle step 2 of my 5 steps to PA school series by taking a very detailed look at healthcare experience requirements for PA school. PA is different from most other health professions in that to be competitive as an applicant it often requires a very large number of hours of paid healthcare experience. "GPA and performance in the prerequisites are undeniably very important but a meaningful HCE is a near second!" - Duke Physician Assistant Program.
In the CASPA experience section, you will be asked to enter both patient care and healthcare experience hours. It's important that you understand the difference as you can only enter each experience once and schools may prefer one over the other.
Patient Care Experience (PCE): Experiences in which you are directly responsible for a patient's care. For example, prescribing medication, performing procedures, directing a course of treatment, designing a treatment regimen, actively working on patients as a nurse, paramedic, EMT, CNA, phlebotomist, physical therapist, dental hygienist, etc.
Healthcare Experience (HCE): Both paid and unpaid work in a health or health-related field where you are not directly responsible for a patient's care, but may still have patient interaction; for example, filling prescriptions, performing clerical work, delivering patient food, cleaning patients and/or their rooms, administering food or medication, taking vitals or other related duties.
"We strongly believe that HCE is a predictor of success because it readies the student for the clinical environment, introduces them to pathophysiology, and prepares them for the rigor of our program and the demands and high standard of our didactic and clinical years." - Case Western Reserve University.
Below is a table comparing the types of healthcare experience typically requested by the majority of Physician Assistant Programs in the United States.
| Experience Category | Typical Fields and Roles |
|---|---|
| Emergency & Military | Military Corpsman, EMT or paramedic, Combat Medic |
| Nursing & Direct Care | Registered Nurse (RN), BSN, LPN, Certified Nurse Aide (CNA), Hospice, Home Health Aide |
| Technical & Diagnostic | EEG or EKG technician, Phlebotomist, X-Ray Technologist, Medical Technologist, Dental Technologist |
| Therapy & Specialized | Physical/Occupational Therapist, Respiratory Therapist, Physical therapy aide, Dietician, Medical Social Worker |
Here are some additional fields that are typically accepted by most programs:
"We have had many military medics as students in our program. This experience is a great foundation for the profession." - Elissa Love, BCM PA Program in Houston.
Here are some activities that are typically not accepted by most programs:
Medical Scribe is one of those very gray areas in that it provides exposure but is not always hands-on. Many schools accept it and many don't. Other activities that are highly variable include: