Things I did to Prepare: Research other roles in medicine

When I started out on this journey, I knew I wanted to help people in the context of health care, but I didn't have a specific role targeted. I started by talking with people I knew in health care about what they do and what they like about their role. Talking with mostly doctors and nurses I was able to connect with the desire for bedside/clinical/direct patient contact in my role. As I discovered more about PAs, I felt certain that I had found my direction. I didn't stop investigating though. As I started working in health care, I learned about a myriad of roles available in health care, what types of personalities fit those roles, and what parts of them I like and dislike. This has not only helped me understand the team I work with, but also understand why I want to be a PA instead of anything else. When talking to anyone in health care (PA or otherwise), I always try to ask 1) what got you into health care? 2) why did you choose the role you are in? 3) do you like your job? 4) what do you like/not like about it? From those 4 questions I have had a more realistic view of what everyone does day to day.

Things I did to Prepare: Join TAPA

The Texas Academy of Physician Assistants (TAPA) is the professional organization for PAs at the state level. It organizes conventions, promotes the profession through legislative efforts, and connects PAs to one another. For the PrePA, TAPA (like the AAPA) is a great way to network and research current events that you would otherwise miss. Joining TAPA as a PrePA was very reasonable so I joined as soon as I heard about it. Tim Loerke's blog has a few posts here and here that talk more about TAPA.

What benefits did I get from joining?

- Membership listed on my CASPA - a nice way to show your serious about being a PA is to invest in an association
- Newsletter - These not only have articles from PAs around Texas but also current events and legistlative initiatives
- Connections - Being a TAPA member has let me meet and connect with in person and online. Also, I get a huge discount to the convention where I can meet reps from different specialties and schools.
- Help profession - I am glad to be able to help the efforts of TAPA even before I'm a PA. I feel more vested in the profession and in the path I am pursuing.

I'd recommend joining your state organization and possibly AAPA as well. If you haven't, check them out at www.TAPA.org and www.AAPA.org

Interview with a PA-C

Here is an interview with TAPA board member Amanda Reynado. If you're not a PrePA member of TAPA, I highly recommend it.

1) Why did you choose the PA profession?
I wanted a profession that allowed me to practice medicine, learn in-depth science and its clinical implications, and work as a provider patients can relate to – all while still maintaining my personal life. The PA profession allows me to practice an autonomous career in medicine that involves diagnosing and treating, practice independently yet be part of a team, and have personal relationships with patients as their provider. My first interest in the becoming a PA was due to all of the PAs I had met being absolute cheerleaders for their career.

2) Tell me about your preparation for application to a PA program.
After college, I worked in research for 4 years as a lab manager. After I realized that a lifelong career in research was not for me, I began to research the requirements to get into PA school, went back to school at night to get the 3 classes I was missing, and also shadowed multiple PAs for over a year. After shadowing I was positive this career was for me. I then applied to PA school very early (submitted my application 5 days after it opened), and got in that year.

3) What was your most challenging period as a PA-S?
I was in the “Hurricane Class” at UTMB during Hurricane Ike. I had just started my first semester in PA school, was not 3 weeks into classes when the hurricane hit and destroyed our campus. We lost our cadaver lab, our building, and half my class lost everything they owned. We missed 5 weeks of school, and returned to a make-shift site with a crammed schedule. PA school is stressful and high-paced enough without a condensed schedule. We did not even have a library or coffee shop where we could study, but most of my class made it through the first semester. It was all uphill from there!

4) What has surprised you since you’ve become a PA-C
My first surprise was that they trusted my education and personal preparation to start working independently my first day. It was absolutely nerve-wracking but that’s how PAs learn – baptism by fire. Once I grasped my medical confidence, I had to discover and explain my role as a PA in a large emergency department. We still are a new career field to many people, therefore it is always necessary to provide information and set examples for who we are and what we can do.

5) What areas of practice have you worked in as a PA-C?
I am a new PA-C, and have only worked for 1 year. My only job has been in Emergency Medicine and this was my dream field while I was in school. I love my field!

6) How did you first get involved with TAPA?
One of the PAs I shadowed before school was coincidentally a TAPA officer. Once in school, I was elected to be my class TAPA representative during our 3 years. I served on multiple committees and helped get my program re-involved with TAPA during my office. Now I am the PR committee chair and sit on the general board of TAPA. I find every experience of representing PAs extremely rewarding.

7) How has participating in TAPA benefited you?
TAPA has helped me in multiple dimensions. Firstly, they donated multiple truck loads of goods from around the country during my program’s time of need after Hurricane Ike. Second, by sitting as a student board member, I realized exactly how much they represent and provide for PAs in the state. It also educated me on PA functionality, politics, and how to assert myself as a PA in a new work environment. Thirdly, I got my first job in a very competitive field from connections I made in TAPA.

8) How do you think the role of a PA will change in the future?
We are already seeing a large delegation of work to PAs in hospitals and highly populated areas. Physicians and administrators are realizing in every field that hiring a PA allows efficiency and betterment of the flow of care. Also, with the introduction of socialized medicine in our near future, this type of delegation and team work will only be broadened.

9) What advice would you give an aspiring PA?
Besides the obvious (study hard, good GPA, average GRE score) keep a well-rounded life. PA programs want to see that you get along with people in any scenario (family, work, volunteerism) because, after all, PAs serve as a midlevel provider and come into contact with everyone. Schools also want to see you have extracurricular activities that help you balance the stressors of school and our demanding career.
Shadow shadow shadow. You need to know what a PA does, how we function in the field, and it is a “requirement” on CASPA. If you don’t have shadow hours, you have less likelihood of getting an interview. Know why you want to be a PA and not a nurse or physician.
Use people who know you well for your letters of recommendation. I used a physician from my past with whom I worked, an old research mentor, and my boss at the time of application. All of them could truly speak of my personality, nature, and work ethic. I would not advise getting all college professors. We have all been to college, and we all know that one does not really experience a lot of one-on-one and close-knit relationships with professors.

Please follow TAPA on Facebook and Twitter by logging onto www.TAPA.org and clicking
their icons. You can also become a pre-PA member for cheap to prove to schools that
you really are committed. Contact me with questions at amandamcgreynado@gmail.com.

Things I wish I had done: Prerequisite Map

One of the benefits of hindsight is sharing your lessons learned. These posts will hopefully help you more than they have helped me.

In planning my first semester, I got mediocre advise from one academic counselor and didn't plan the start back to school very well. I only took one class that first semester when I could have taken two or three. After talking with other students in the Post Bacc club at our school, I realized I had several ways to map out my path to complete the prereqs. At UT Dallas, Gen Chem is a prereq for Bio 1. What I didn't know was that you could take Bio 2 while you took Chem 1. I took Chem 1 by itself the first semester I started back. If I had to do it over, I would have taken Bio 2 and taken Chem 1 at community college in the same semester and/or Psycology.

Since all my upper level BIO classes will be from one university, I would have arranged my lower level bios to be from UT Dallas and all my chemistry classes from community college. If I had done this, I would already be familiar with my A&P professor. I could have also dodged some uncomfortable chemistry situations.

This is very subjective and specific to my situation, but I do think anyne who is starting down this path should investigate all their options for navigating their academic plan. Consider what classes to take together and if community college is a good option for some of them.

Interview with PA-S from Baylor

I left out the questions since he included the ideas in his answers. Plus, they are the same questions I've used before, so it should be familiar.


1. I first decided to be a PA back when I was in high school, so my memory is a little fuzzy. Back then, I was drawn to the fact that PA is a financially lucrative job in health care that does not require spending as much time in school and residency as a physician. Over the years, I've been drawn more to the profession because of the lateral mobility it allows; sometimes I still am not sure what specialty I want to work in, but being a PA will allow me to try different fields and switch over the years if I choose.


2. To prepare for application to PA school, I set up a timeline: when I needed to take the GRE, finish certain courses, submit my applications, etc. I also made a spreadsheet of all the Texas schools I was applying to, and their individual requirements. It's a lot to keep track of! I also had my personal statement proofread by some friends and a career advisor at my university. I didn't practice interviewing, per se, but I thought about potential questions interviewers might ask (current events in health care, why I wanted to be a PA, etc.) and did some soul-searching about what my answers would be.


3. I only applied once, during my senior year of college, and was fortunate to be successful on that first attempt. I applied to Baylor, UTMB, UTSouthwestern, UTHSCSA, and UNT. I was offered (and attended) interviews at all 5, and was accepted to 4 (waitlisted at UTSouthwestern).


4. I enjoyed interviewing because it gave me the opportunity to travel to different cities and health care centers I had no familiarity with. It was fun to imagine myself in each of these locations and think about what the next few years of my life might be like. I felt prepared for each interview because I had researched the programs thoroughly and was prepared to discuss their curricula and mission statements. I was unprepared for how nervous I felt during some of them! I still believe I blew my UTSouthwestern interview because my nerves were just shot; I couldn't even read a simple bar graph for them! If this sounds like your personality, you may wish to practice a little bit beforehand.


5. I chose Baylor for a few reasons. I liked that the program was well-established with a great reputation. The location in the Texas Medical Center is second to none - You will have the opportunity to see things that only happen here, because it is a very special place. More than once, I've thought to myself "Dr. DeBakey walked these same hallsl!" More than anything, I felt comfortable during the interview. The faculty was welcoming, and students in the class above us that came to speak seemed content with their choice.


6. As for keeping up during didactic, my strategies kind of evolved. I had never needed to study much in college, and suddenly I had to. I tried everything: study groups, study partnerships, individual time, etc. Sometimes I made flashcards, spreadsheets, or drew pictures. I watched dissection videos and traced the muscle groups on my arm. I read over power point notes and did question books. It all depends on what works for you and which strategies seem best for each course.


7. My favorite clinical rotation is difficult to choose because I've had many good ones. I would have to choose OB/GYN with Dr. Crowder in The Woodlands. This was a fantastic rotation because he treated me like a colleague and was very eager to teach. We did everything from routine well woman exams and deliveries to vaginoplasty surgery. I worked really hard but gained a lot of experience. A close second would be my Community Medicine rotation - a unique concept to Baylor I believe. For 8 weeks I lived in a rural area and delivered primary care to an underserved population. I really became attached to these patients: I rooted for their problems to improve, lent a comforting hand when they cried, and gently scolded when they were non-compliant. I felt as if I really made a difference.


8. The biggest thing I think pre-PAs should do (that I did not), is become aware of how medicine works in the 21st century. This could be incorporated into shadowing if you ask the right questions and observe. Future PAs need to know that practicing medicine is not all rosy all the time. You will have to review charts and write notes on the computer - about half your time is sitting in front of the screen. You will have to know how to bill properly - enter the right diagnosis and management codes (that you aren't taught in school!). You have to be aware of liability issues; some steps you have to take in patient care not because you want to but because you don't want to be sued. Furthermore, there are dynamic relationships between PAs and other disciplines. You should know the meaning of having a "supervising physician." Depending on where you work and who you work with these relationships can have a variety of connotations.


9. I can think of tons of advice, but I'll try to limit it. Foremost, maintain your life outside of school. It can be tempting to feel as if you have to study all the time, but don't neglect your significant other, pets, family, or friends. Many of you will be living in a new place, so you should build some relationships. You will not do well emotionally or academically if you push yourself to the breaking point; set aside some time for fun. Also, always ask if you need help: Your classmates and faculty want you to succeed, but they may not know if you're falling behind until it's too late. On a similar note, when you're on rotations, ask as many questions as come to mind - This is your chance! Soon enough you'll be in the same scary situation as me, on the verge of being the PA!

Interview with PA-S

Here's another student interview with Hilary Hoff from UNTHSC.

1) Looking back, were there any critical steps you took or wish you took to get ready for PA school? Any that weren't recommended?

When I started out as an undergrad, I began keeping a log in which I recorded everything that I thought would help on my application. This included shadowing, volunteering (both medical and non-medical), leadership positions, awards, ect. I wrote down dates, hours, and contact information (just in case I needed someone for letters of recommendation). This helped TREMENDOUSLY when it came time for completing my CASPA. I volunteered for any opportunity I could that involved healthcare. Two semesters (once a week) I volunteered in an ER, one semester I volunteered in an ICU, and for one year I volunteered at a free health care clinic. I was very shy when I started at each, but as time went on, I became more comfortable which the nurses, doctors, and PAs. I began asking more questions and asking to do more tasks such as vitals and EKGs. They began to trust me more and let me take part in more procedures such as endoscopies and surgeries. I wish I would have been more assertive and curious from the beginning!
Be well rounded. Volunteer for a variety of things. I did Habitat for Humanity, Special Olympics, Relay for Life, and multiple church events. Also, if you have hobbies such as sports, take part in them and do things that are related to them...like coaching a little league team or something!
I wish I had gotten to know my professors better. I didn’t do that enough and it was hard for me to ask one to write a letter of recommendation. When it came time to ask my letter writers for letters, I made up a folder for them that included my personal statement, resume, and individualized letter asking them to send in the letter by a certain date (I would say within two weeks of giving it to them) and thanking them for their time and help on this journey. I also included an addressed and stamped envelope to CASPA so that it would make the letter writing as easy as possible.

2) Any recommendations on shadowing?

Shadowing is a must for PA school. I shadowed an RN twice in high school, two PAs throughout college (during the summer, spring, and winter breaks), and a doctor once a week for a semester in college. I wasn't 100% sure which route I wanted to take. However, I feel that this was something I was able to talk about during my interviews. I was able to say that I had shadowed each and felt that becoming a PA was the best professional choice for me. You don't have to do this; it's just what I did. If you are already 100% sure PA school is for you, shadow as much as you can! You learn so much in clinic! Ask lots and lots of questions! And I recommend taking a note pad and paper to take notes or jot down questions you have that the PA may not be able to answer in the room. Be sure to ask first if bringing a note pad in the room is OK. There could be some kind of HIPAA violation or something....my PA was fine with it though. I kept a little "journal" throughout the shadowing experience and wrote down things I learned as I went. As you already know, there is a section on the CASPA that puts heavy emphasis on shadowing.


3) Tell me about your personal statement. How did you decide what to put in?

Your personal statement should be unique. Make yourself stand out. Just be honest with them and yourself. I had a unique experience that involved witnessing a major accident my sister was part of and this really influenced my decision to enter the health care field. I’m sorry I don’t have a lot of advice on this part. You just have to speak from the heart.

4) Have you joined TAPA? What about AAPA? Thoughts about joining?
I DEFINITELY recommend joining! They have so many helpful resources from newsletters to contacts to conferences. You have to be a member to go to the conferences. They are really helpful because you have lectures from PAs around the country and state. You also have the opportunity to meet so many other PAs and students. It is neat to be able to hear their stories and experiences. Additionally, you will be able to network and find potential employers. As a student, you get a HUGE discount to become a member. Also, you can participate in the annual challenge bowl. This entails a team of three from your school (each school can have multiple teams) in which you will be answering questions that actually come from the PANCE exam you will take before becoming a PA. It is nice to gauge how much you actually have learned. You can go to both the state and national conventions (I’ve never been to the national, but you get to experience the political side of the career). You also get monthly newsletters and journals. JOIN FOR SURE!

Things I did to prepare: EMT-B

Right when I decided I wanted to be a PA, I was able to talk to a former admissions director from one of the Texas programs. The first step he recommended for me was getting certified as an Emergency Medical Technician. I'm glad I took that advice. Being an EMT-Basic has allowed me to learn fundamentals of health care that I will be using fo my entire career. Patient Assessment, taking a history, basics of A&P, stabilizing therapies, writing a SOAP report, and most importantly communicating with patients. I think (and have been told) than actual interacting with patients is one of the critical things that PA programs want their applicants to get from their HCE (health care experience). The cursory A&P gave many big picture concepts that not only allowed me to understand common complaints that I would encounter, but also create a general knowledge that I have been able to expand upon in my prereqs. My training included basic knowledge (circulation, respiration, blood pressure, heat getneration, etc), skills training (splinting, bandaging, managing an airway, etc), and 96 clinical hours. Having the certification helped me get my job at the hospital. All in all, it has helped set me apart in several ways.

EMT Training
Pro:
-Great Intro to Health Care (Pt interaction, pre-hopistal and hospital exposure, etc)
-Can help get a job and therefore HCE (a big deal to many PA programs)
-Good Precursor to Prereqs (ideas of homeostatis, body systems, pharmacology, etc)

Con:
-Expensive (mine was $1,000+)
-Time (my class schedule was a fire rotation)
-Limited scope of practice (better HCE as RT, RN, Medic)

PA-S Interview

Here's another interview from last year with PA-S Elaine Brown from UTSW. She has a lot of great advise, be sure to read it all!

How many schools did you apply to?

I think it was 7. I applied to every school in Texas except Pan America. I did not apply to any out of state schools.

What helped you stand out? Did your interviewers tell you why you were chosen?

I haven’t heard of anything that interviewers thought stood out about me but I can give you a few things I think might have been it. I was excepted to every school I interviewed at less than a week after I interviewed.
There are a few things:
I had very competitive stats. My overall GPA was a 3.92 with a science GPA somewhere around a 3.7 and a pre-rec GPA of about 3.8. My GRE was only a 1050 if I remember correctly.
I was very well rounded. I had lots of extra-curricular activities and several of them I had been involved in for multiple years while in college. (I took piano lessons for 4 years, I played in the orchestra for 3 years, I tutored high school students for 3 years, I was involved in a club gymnastics team for 1 year, I went on 2 spring break mission trips, I studied abroad one semester in Europe and did 2 summers in Guatemala at a language school). Basically I had a life outside of school that I was committed to enjoying and I was able to balance that life with school and still do well.
I had some community service stuff but honestly it wasn’t over the top. I was involved in a weekend campaign group at ACU and we did service projects once a month in different cities. I did that my freshman year. I went on two spring break mission trips. I did some weekend volunteer stuff. I drove for meals on wheels one semester. The idea here is to find a service organization that you enjoy volunteering for and do it because you enjoy it and not because you need something to put on your resume. I didn’t do anything in college just because I needed to fill a spot in my resume. I genuinely enjoyed everything I did and it was all a part of my personality and showed a different side of who I am. Then if any of that came up in an interview I was able to talk about it with real passion because I was doing something I loved, not something I did just to get in to PA school.
Healthcare experience. Not sure how much this helped me. I got my EMT-B certification while a senior in high school. I had done one summer as a Jump Start Intern at Children’s Medical Center and one summer as an OT Tech at Zale-Lipshey hospital. Then I shadowed a few PA’s for several weeks, just 4 or 5 hours a week. Honestly, in Texas you can get by with very little hands on experience. Shadowing is really enough but working in a doctor’s office or something would definitely be a plus. I would recommend that freshman and sophomores especially, try and get a summer job as a PT or OT tech. It’s an easy way to get hands on pt care experience and it doesn’t take any training. It’s real pt care and it looks great on a resume. Being a CNA or something like that is a good option too, it just takes time to get certified and then you have the whole “work and school” at the same time. I honestly didn’t do much of that. I would recommend trying to shadow a PA on a regular basis for a few weeks. Set up a time to go say twice a week for 6-8 weeks for 3-4 hours at a time, or whatever works in your schedule.
Personal statement. Spend some real time on this!!! This is how they get to know the real you. I worked on my personal statement for about 2 months before I got the final copy. I think I wrote 5 different versions of it before I got the one I liked. I started by just writing everything I could think of about why I chose PA school, the experiences I had that shaped my decision. I didn’t worry about the length. Once I got all my thoughts down I was able to piece together what worked. Then I had multiple people read it for grammar, spelling, flow, etc. I can tell you mine centered around my experiences in Guatemala and how that was a very life changing experience for me. It changed the way I view the world. I had already decided on PA school before I went to Guatemala but as my view of the world changed that changed the way I thought about people in general and thus the way I thought about my patients. I incorporated all of that into my personal statement so ended up saying not only a lot about why I wanted to be a PA but also spoke to the kind of person I am and the way that I think.
Recommendation letters. Get to know your professors!!! I had 3 professors write mine. One does have an MD from China but I’m not sure if he ever indicated that on his LOR. The point is, these 3 people knew me very well both inside and outside of the class room and they could speak of not only my academic ability but also about who I am as a person and why that is going to make me a good PA. (I’m assuming all of that of course, I never saw their recommendations). But get to know the people who are going to write your letters and more importantly let them get to know you. They need to really know you before they can really write you an outstanding recommendation.
Interviews. I personally love interviewing, I think it’s kind of fun. I did not prep for any of my interviews. Didn’t try to prepare any answers, I just went in and was myself. I figured if they didn’t want the real me then I didn’t want to be a part of their program. For all the interviews except UTSW it was your very traditional one-on-one sit down interview where they ask you questions and you respond. Some of them were the typical “why do you want to be a PA?” “what do you see the job of a PA as?” “What do you think the typical PA-patient encounter would look like?” “Tell me about a time when you felt overwhelmed and were able to overcome it.” That sort of thing. I just tried to be honest and tell them what I really thought and what I’d really do instead of telling them what I thought they wanted to hear. The interviewers do this all the time and the rehearsed answers are very easy to spot and get very boring very quickly. Tell them something unique that shows a bit of your personality. A personal example:


“Name a time when you felt overwhelmed.” I described the semester when I took 19 hours of upper level science and during the first week of that semester my mom had emergency surgery, my brother and sister-in-law were involved in a roll over MVC after which my brother required surgery and I realized I was going to have to lay out a year before applying to PA school. I had to learn how to break days down into 1 hour intervals. It’s 8:00 am, what do I have to do to get to 9:00 am? That taught me how to stay focused and take things one step at a time.



Why did you pick UTSW?

There were several things that went in to my decision to go to UTSW. I was accepted at UNT, San Antonio, and Tx Tech as well. I had narrowed it down to UNT and UTSW (mostly because of location but also quality of the program. I really liked Tx Tech but I didn’t like where they were located and didn’t feel I would get the best clinical experience there. I was worried about the pass record on the PANCE that San Antonio had had the year before I applied and when I interviewed, just didn’t fell like it was a very good fit for me.)

It goes without saying that UTSW has an outstanding reputation. They have exceptional first time pass rates on the PANCE. They have excellent facilities and you rotate at large teaching hospitals. So the quality of the program was never a question. I felt the quality of the program at UNT was also very good. They have great first time pass rates on the PANCE and they also rotate at large teaching hospitals. UTSW has the better reputation than UNT but as far as how good their programs are, I felt I would get an excellent education at either one.

So between UNT and UTSW,
I really liked the small class size of UTSW. UTSW takes 36 and I think UNT is taking around 50 now.
The big thing for me however was a.) UTSW has 3 semesters of medical Spanish b.) They have more small group classes c.) Their physical exam class uses real patients, you’re not just learning how to perform physical exam on your classmates d.) The option to do a clinical rotation abroad.
For me, I am considering spending some time in Central America doing medical missions so I wanted a school with medical Spanish and I want the option of doing one of my rotations in Central America. UNT did not offer either of these. For me, and my personal goals as a PA, UNT just didn’t have what I needed. Being on rotations now, I can tell you that if you don’t speak at least some Spanish, your rotations will be a bit difficult at times. I am currently on my ER rotation and I have at least 1 or 2 patients a day that speak no English whatsoever. I know the OB/GYN and pediatric rotations at UTSW are also heavy on the Spanish speaking only populations. Being able to ask simple questions in Spanish and being able to perform a physical exam in Spanish are essential in my mind, at least for getting through your rotations. Once you get into private practice you can try to go somewhere where Spanish will not be needed.
Small groups: I didn’t know this so much at the time but having completed the didactic portion of the program there are two classes that really stick out in my mind that make UTSW a great program. They are the patient evaluation and physical exam courses. Both courses meet once a week for 2 hours but they make a huge difference. Pt. eval meets on Tuesday mornings and there are 12 students per group. This is where you learn how to take a history, write a clinic or SOAP note. There is one faculty member per group and they act as the patient while as a group you act as the PA eliciting the history. SOAP note stands for Subjective, Objective, Assessment and Plan. So you start with the Subjective portion of the interview (onset of symptoms, location of symptoms, duration, character, aggravators, relievers, treatments tried, other Symptoms. OLDCARTS) You learn how to follow the OLDCARTS method of eliciting the subjective portion. The faculty member helps guide your questions. Then you move into the Objective portion, we as a group ask the faculty member what we find on physical exam. Then we discuss how a case like that would really present. The faculty member helps you review what you’ve been learning in clinical medicine and how that really manifests in a patient. Then we quickly go over our assessment and plan. Then for homework you write a clinic note including everything you found out during the “interview.” You’re never given the real diagnosis, you have to come up with that on your own while writing the assessment and plan. These scenarios line up with whatever you’re studying in clinical medicine at the time. (If we’re in cardio block the scenario might be about a pt with decompensated heart failure or new onset chest pain.)



Physical exam is the other big thing and really was the thing that tipped me over on deciding to go to UTSW. This again is a small group course. There are 6 students per group and you break off into 3 pairs. This course meets on Thursday nights in one of the orthopedic clinics at St. Paul. The school hires people to come in and be “patients” for us to practice on. The instructors are PAs from the community. There are 3 exam rooms that you rotate through during the night. Two are English speaking and one is Spanish speaking. The PA will generally go over the exam, ask if there are any questions and then you split into your partner groups and go practice the exam. You’re in professional dress with your lab coat in an actual clinic so it feels very real. You knock and enter the room, introduce yourself and do the exam. I think this is great because you get use to touching other people. You have to be serious and professional and it’s with people that you don’t know as opposed to your classmates so it feels like a real patient encounter. The “patients” then grade you on your skills and you get feedback on what you did well and what you could improve on. The PA rotates through the rooms answering questions and helping you with the exam. I just think this is an invaluable course because then when you get on rotations your use to doing physical exams on people you don’t know.



A few other program pearls: During first semester you do a project at a local assisted living place. You have a volunteer that you will do 3 interviews on during the semester. There is no physical exam, it’s just practice at taking a history. Again you’re in professional dress and your white coat (there’s just something about being in the white coat that makes you feel more official, lol.) and you take a past medical history one time, a family history one time and I don’t remember what the third interview is. Then at the end of the year the class does a big Christmas party for the entire assisted living place. It’s a lot of fun and good practice. You also do a one week phlebotomy rotation during your first summer so you interact with real patients almost immediately. During the third semester (the second summer semester) your physical exam class changes and you have what are called OSCEs (they are simulated clinic visits) and real hospital patients that you see and do write ups on. The thing I’m getting at here is that UTSW is very hands on from the beginning. You are interacting with patients every week almost from the start and that really helps bridge the gap when you start your rotations.




What was the interview process like? Any questions/style of interview methods that stood out?

I kind of eluded to this earlier but interviews are pretty typical one-on-one sit down sessions. General advice, know yourself and don’t be afraid to say what you really think. Genuine answers will get you further than rehearsed fake ones. Be polite, be courteous, be humble but be honest. Do some soul searching before you go, take a deep breath and have fun! A friend told me this before I interviewed and it really helped calm my nerves “Remember, they already like you and they already want you. Just go remind them of why.” When you interview, they’ve already seen something in you that makes them say “oh I want this one!” so rest assured in that. Be confident!!!!!! Interviewers are like horses, they can smell it when you’re scared.

As far as UTSW’s interview process, basically, they got tired of hearing the same old answers so they switched to this new “multi-mini interview format” and it is so much fun!!! I’m serious, it was the most fun I’ve ever had in an interview. There are 10 stations that you rotate through and each station has a short scenario taped to the door. (It’s also inside the door in case you need to finish reading or need to reference it again.) I can’t tell you what the scenarios are but they’re your typical “how would you react in this situation” type of questions or it’s simple “interpret this graph/chart/research project.” Basically, when you get your interview to UTSW they already know you’re smart, that you can deal with the course work and that people like you (ie: you had great recommendations.) But what they want to know is how do you react in different situations? How do you react under pressure? How do you interact with other people? There is absolutely no way to prep for this interview. They did that on purpose! Lol. You’ll walk into the room when your signaled to, introduce yourself to the interviewer and they’ll introduce themselves to you. The interviewer will ask if you had enough time to read the scenario and if you have any questions. And then you start discussing. It really is as simple as that. There is no right or wrong answer, it’s how you present yourself, how you justify your reasoning, your explanations that count. Their first year to use this format was the year I applied and they used it again this past year so it must be working.


What has PA school been like so far? How is the adjustment to classes compared to your senior year?
PA school is very fast passed. I think we all described the first summer semester as being undergrad on steroids. In undergrad I took OCHEM during a summer course and that’s about the pace of all our classes. Honestly, it’s a bit of a shock at first but you settle into it and it’s not that bad. I’m someone who likes every day to look exactly the same and that’s not going to happen but I got into a pretty good schedule during didactic so my days did look pretty similar. A typical day for me looked like this: class from 8:00am-4:00pm (sometimes we got done at 2:00, sometimes 5:00 sometimes we had a random day off) then I’d go to the gym for as long as I could, usually about 90 minutes from when I walked in the door to when I walked out. And then I’d start studying around 7:00 or 7:30 and study until 10:00 or 11:00. Fridays end at noon. Thursdays start at 1:00pm and go until 8:30pm with a dinner break in between. I was still able to attend church every Sunday and went to lunch with friends or family every week. I tended to make Fridays just like a normal week day so I’d take a bit of a long lunch break, go to the gym a bit early, get a long workout in and then get 3-4 good hours of studying in that evening. That way I could either have a light Saturday or just take the whole day off all together if I wanted.

The curriculum is broken down into blocks according to what your studying in clinical medicine. So if you’re in cardiac block in clinical medicine then pt. eval, physical exam, Spanish and pharmacology are also focused on cardiac stuff. (Pathology is the only class that does not follow the block topics.) So honestly I felt like I had 3 courses I was taking: Clin med, Spanish and Pharmacology. (I didn’t go to the path lectures, I just studied in the library, but don’t tell anyone because technically attendance is mandatory. ;) ) For clin med you typically have 2-3 sometimes 4 lectures in one day and they are 1-2 hours in length. You get a power point copy and take notes on that or on your computer or whatever works best for you. There are reading assignments but I rarely did them, I just don’t learn that way. (I do read a lot more now that I’m on rotations but for didactic you’ll be find with just the power points for the most part.) You have objectives for each lecture so you know what to really focus on for a given lecture. I would just retype the power point lectures according to the objectives. So my “studying” at night was typically just me retyping the notes and looking up things I didn’t understand. Then a few days later I might type a lecture or two, get out a lecture I had typed 2 or 3 days before and go through my book and power point from class and hand write extra notes I needed. That way, I knew that anything typed was directly from what was presented in class and whatever was hand written was extra stuff I had looked up (that’s just me and how I study, it was a good rhythm for me and a good way to gage how well I was staying on top of the material. Everyone develops their own studying style. This isn’t how I studied in undergrad but there is just so much information thrown at you so quickly you need to find a way to stay on top of it. For me, I knew I had gone very slowly and carefully threw a lecture and looked up the stuff I didn’t know if it was typed. If it wasn’t typed, I hadn’t “studied” that material yet. If it had hand written notes I knew I had gone through that lecture at least twice so it wasn’t a priority at the moment. If it was a two hour lecture, it took me about two hours to type it. Not necessarily because of the length of the power point slides but because I had to make sure I was understanding everything as I went through it.) Then, about a week before a test I’d start really studying. That was your more typical, can I recite things, can I draw the anatomy, do I really understand how you get from A to B to C. Do I know what diagnostic tests to order for this, what therapy to do for this. More like my undergrad way of studying. I liked to go through lectures 3 times before a test and for the most part, if you study a little bit every night, that is totally doable. I’m pretty sure I study more than most of my classmates but I just have to see information a lot of times before I really feel comfortable with it.

Pharmacology is a pain and I never found a good way to study for it, lol. What was most helpful to me was to get a digital voice recorder and record myself reading my note cards (you have to make note cards for all the drugs.) That way I could constantly quiz myself without seeing the answers through the card. Just another studying idea, especially for people who may have a long commute. I’m also a very auditory learner so this helped. None of your lectures in the fall or spring are recorded but you can record them if you like.

The key to PA school is DON’T GET BEHIND!!! If you do it’s very hard to catch up. It’s best to start kind of over kill and back off then to undershoot with your studying, fail a test and half to catch up.

I know 3 hours a night sounds like a lot, especially after you’ve been in class from 8:00- 4:00 most days but if you do that you’ll be more than golden. You have to find a balance. I worked out a lot and made church and family a priority. I never missed a Sunday morning at church and I went to lunch with my family at least twice a month. If you’re married and have a family, make a sit down dinner every night a priority or a family night once a week a priority and don’t let school get in the way of that. You have to be a master of time management if you want to keep a life outside of PA school but it is totally possible and all of my classmates and myself manage to do it. The first summer semester is the hardest because it’s so fast passed and it’d all new and you really do have to know everything. Things calm down just a tad once you get into the fall. You really do have a test a week, sometimes 2 and even 3 and those are the weeks you really do do nothing but study but an awful week like that is usually followed by 2 easier weeks so it makes up for it.

So the short answer to “how does it compare to undergrad” is, take the hardest course you had, the one you studied the most consistently for, imagine that class meeting every single day and that’s what PA school requires. It’s doable, you’ve already survived that “hardest course,” if you get into PA school, you did well in it so you have what it takes. It’s just a matter of getting it done.

I just finished my second rotation (surgery and now ER) and rotations are fun! Long hours in the hospital, lots of reading at home but you’ve already seen the material once, you’re seeing it in real patients in the hospital and you’re finally out of the classroom!!!


General Advice on Appling
Do it early!!!!!!! Like, June early. Interviews are given on a first-come first-qualified first-served basis. I submitted my application in early June and was interviewing in September. Remember, I was accepted within a week of each of my interviews so if you wait to submit your application until the deadline, or even a month before, some of the seats have already been given away before you even send in your application.
Start your application as soon as it opens because it’s going to take you weeks to get it done. It’s daunting and exhausting and you’ll need to take breaks so start your CASPA application early!
If you’re a freshman or sophomore (or anyone for that matter), start recording your service hours with the name and contact information of your supervisor now. Any one that you shadow or work for, keep the contact name (first and last) and their contact information because you will need this when you fill out your applications and it’s a pain to go back and try to remember all that stuff.
Check your spelling! I’m sure this e-mail is littered with mistakes but that’s a big problem on your application because they have nothing to base you on other than your writing. Make sure it’s perfect.
It’s physician assistant, not physician’s assistant. (I made that mistake and now it makes me cringe, lol.)
Wherever you choose to go to school (if it’s in Texas or another state) look at their first time pass rates on the PANCE, how long it takes for their graduates to find jobs, and where they do their clinical rotations. This last part is the most important in my book. Anyone can read and learn from a book but it’s your rotations that are going to hone your skills. Its best to be in a big city with large hospitals that see lots of patients and that are used to having students. Parkland is fantastic because you see diseases that you’d never see anywhere else which means you have experience in identifying different disease. Parkland patients also tend to present in much later stages of disease which is also a great learning experience. My concern with Tx Tech was that they rotate mostly in small west Texas towns. I shadowed in the ER in Abilene (one of the places you rotate if you go to Tech) and it was a great experience but having just finished my ER rotation at a level I trauma center in Dallas, I can tell you I saw and did a lot more here than I would have in Abilene.
General advise about medicine: make sure you understand the team aspect. Doctors, mid-levels (PAs and NPs), nurses, techs, they all have very important roles and they’re all a bit different. You need to understand that medicine is a team sport and you are choosing to play a specific position. You need to understand and be able to communicate why you have chosen this position. I really recommend shadowing in the hospital situation (ER is great) because you see how divided the roles are. Medicine is not at all like House or Grey’s Anatomy. You have a very specific role to fill and there are many other players that support you in that role and you in turn are supporting them in their role. You need to understand this and you need to try and make sure you convey that at some point in either your personal statement or your interview. But also you need to realize that for yourself so you make sure you’re choosing the right role. Your primary role will be that of a diagnostician. Make sure you understand what that means.

Interview with PA-S from Baylor

Here's an interview witha PA-S from Baylor.

1) Why did you choose the PA profession?

I worked in management consulting right after I finished undergrad. Even though I was getting paid well and enjoyed the challenges of work, I always felt like something was missing. In 2005 I was invited by a friend who was a PA (Baylor grad) to go on a medical mission trip to Kenya. Even though I wasn’t a medical professional, it was an amazing experience just being able to observe the amazing gift of medicine and healing. As I continued to work in consulting, the 80 hour work weeks and constant travelling eventually got to me. I decided to quit my job and go back to school, and the rest is history!

2) What did you do to prepare for application to PA school?

I quit my job and went to school full time to finish up all my prereqs. I had to retake the GRE, because the previous one I took was more than 5 years old. I also spent some time shadowing PAs, nurses, and doctors.

3) Tell me about you're application process (multiple attempts, which schools, how many interviews)

I actually didn’t intend to apply the year I was accepted. My plan was to either become a CNA or MA and get more hours under my belt, and then apply the following year. However, as a long shot I went ahead and applied to BCM and UTMB. I did not expect to get in, and was planning on making my net much wider the following year…but I lucked out and got accepted at BCM (which was my first choice)! Since I already accepted BCM’s offer prior to getting UTMB’s interview invite, I declined my other interview.

4) What was your favorite part of interviewing? What do you wish you were more prepared for?

I loved the interview process because it gave me an opportunity to freely articulate why I wanted to be a PA, without the confines of a paper application. Take advantage of that opportunity. As much as they are interviewing you, know you are interviewing them as well – ask yourself whether you could see yourself fitting in at that school.

5) Why did you choose Baylor?

Here are some things that helped me pick BCM:- First is that BCM has brand equity and name recognition among physicians. Many physicians don’t know about PAs, but most know about BCM. This definitely helps when you graduate and begin thinking about jobs. In that regard, some would argue that medical school reputation is more important than a PA school ranking.- It’s the only PA school in the Texas Medical Center in Houston (the largest medical center in the world!). You’ll have opportunities to do and see so many things at rotation sites throughout the TMC that not many others have the opportunity to see.- Right when I stepped into the BCM interviews, I sensed that there was definitely a family atmosphere. Everyone was so incredibly nice and laid back. Everyone watches out for everyone else, and all the faculty seemed to genuinely care for their students. There is no competition at all, and everyone is very collaborative, and works for the success of those around them. - Also from the BCM PA grads I have met, they all seemed to be extremely sharp, confident, competent…yet compassionate and humble. I asked myself if PAs I met from BCM were people I could see myself as striving to become, and the answer was yes.


6) What strategies did you use to keepup during the didactic phase?

I think the trick is to know that no two people study the same way, and that’s OK. Never feel pressure to study a certain way just because your classmates are doing so. Some study best in groups, some study best as individuals. Some study way in advance, some people like to cram. As long as you are passing, that’s all that is important…but if you aren’t doing well, make changes to your study habits quickly, because PA school comes at you fast. Some strategies that I’ve seen my classmates use that can be helpful: flashcards, mnemonics, white-boarding, re-writing notes, and using USMLE Step 1 and Step 2 review books.


7) What has been your favorite clinical rotation so far?


For me my favorite clinical rotation has been inpatient internal medicine. As an engineer and former consultant, I love problem solving and attacking open ended problems – and I felt internal medicine granted many of those opportunities. Every patient, every disease state, every situation was a brand new learning experience for me, and I enjoyed soaking up every moment of it.

8) What, besides prereqs and shadowing, would you recommend doing to prepare for PA school?

As PA school becomes more competitive, I think health-care experience is getting more and more important. People who are med techs, ER techs, EMTs, MAs, CNAs, etc etc all have an edge when it comes to PA school


9) What advice do you have for future PA-Ss?


-If you are young and just finishing undergrad, make sure that you do not want to go to medical school instead. I think it’s easy to think that PA might be a shorter route, but if you love the practice of medicine, then becoming a physician might be the way to go. Not saying this is true for everyone, but just take a hard look at why you are going to PA school and not medical school. I’ve seen time and time again people working as PAs for a while and realizing they had wished they had gone to medical school to begin with

-Apply to as many schools as possible, but only apply to the schools you see yourself going to. Don’t put all your eggs in one basket

-The path to becoming a PA can be tough at times, but it will be a blast…enjoy the ride!!

Interview with a PA-C working in Critical Care

This is a quick interview I did with one of the PAs I work with in the CCU.


1) Why did you choose the PA profession?

I decided to be a PA because it allows me to have the level of patient interaction I wanted plus I can have a flexible home life as well.


2) Tell me abou the application process (how many schools, interviews, etc)

I only applied to Southwestern as I knew I was not going to be able to move further than Dallas. I interviewed 2 x and was accepted on my second application cycle.


3) What was your study strategy during the didactic phase?

I studied during didactic the same as I did in undergraduate. You are provided powerpoints for all the lectures in addition to all the books. The exams pretty much come from information provided in the powerpoints.


4) What has surprised you since you've become a PA-C?

Everything surprises me at this point. I still haven't gotten it in my mind yet that I am actually a PA.


5) How do you think the role of a PA will change in the future?

I think the PA profession will continue to grow and PAs will be more in demand and our roles will expand allowing us to enter into new areas of medicine much more freely like the ICU for example.


6) What advice would you give an aspiring PA?

The PA profession is very challenging and competitive. Don't give up if you encounter set backs.

Interview with PA-S

Here's an interview from last year with Tim Loerke. He is now a PA-C, but at the time he was in his clinicals at UNTHSC. Check out his blog at http://community.advanceweb.com/blogs/pa_2/default.aspx

1. Why did you pick the PA profession?
The PA profession answered deep desires that could not have been met by becoming a physician. The ultimate responsibility of a PA is to practice medicine to the best of their ability while responding to the direction of their supervising physician. The doctor has more than just medicine to worry about because ultimately there is a business to run. Also, I like variety and the thought of being tied to one field of medicine is discouraging. I want the freedom to work in surgery for 5 years and then switch to emergency medicine and so on. As you know, a doctor chooses their route and sticks with it and to deviate from that path takes more than they would prefer.

2. What did you do to prepare for PA school?
I reviewed anatomy/physiology and medical terminology.

3. Are there any courses (aside from prerequisites) that you would recommend taking to prepare? What about other non-academic preparations?
Biochemistry is not required by all but I would highly recommend it (UNE has a great distance learning course that only focuses on medical Biochem). I would recommend Medical Terminology because even to this day I go back and reference the meaning of words to better understand my patients. Non-academic preparations...shadow PAs...shadow physicians keeping in mind that you will do exactly as they do (even in surgery...consider yourself as the doc's 3rd and 4th hand). Read, read, read...whatever you want...just get comfortable with reading. Research the laws affecting PAs in the state of Texas...know what you are getting yourself into...hint, go to the Texas Legislation and look under Texas statutes and then under the Occupational codes...you will be a step ahead of the rest.

4. How many schools did you apply for and interview with? Why did you pick UNTHSC?
It took me 3 years to be accepted. Year 1: UTSW, Year 2: UNTHSC and UTSW, Year 3: UTSW, UNTHSC, Samuel Merit in Oakland, and a school in Oregon. I only interviewed at UNTHSC, hence why I chose them. The key is to apply to as many places as you can see yourself living in. My scope was very limited at first because I did not want to move my wife away from home...it ultimately came down to a decision of sacrifice and a desire to provide for my family. I live in Dallas but commute to Fort Worth daily...I viewed as a temporary commitment because I would get a job in Dallas once it is all said and done. Looking back, UNTHSC was the best choice for me anyways...I absolutely love the program and would not change my decision even if everything else opened up!

5. What have you liked about the program at UNTHSC?
The faculty are committed to the students. The facilities are amazing. The culture of Fort Worth is unlike anything else. We rub shoulders with other students from the other health science programs at times...no classes with the DOs but we have the opportunity to be involved in student leadership with them. The student government is top of the line! If you are accepted into UNTHSC, get involved with student leadership, trust me! Your career will be light years beyond your peers because you will have learned how to manage life in the midst of practicing medicine...plus your leadership involvement will open more doors than you can possibly imagine...trust me!

6. During the didactic phase, what was your study strategy?
I would arrive as early as possible...for me it was about 6:30AM...remember that this was because I was coming from Dallas. I would read on past lectures/topics and future lectures/topics. I had a study buddy and we would quiz each other daily. I would try to treat school like an 8-5 job and keep school at school...when home during the week I would give my time to my wife...the weekends I would study a lot. So, my main tools were powerpoints, books, online books, and personal notes/charts.

7. What has surprised you about PA education?
That it's hard but doable. When discouraged, I would always look ahead at the upperclassmen and remember that they were able to survive and so could I. I have been most surprised at the transformation that has occurred from being a laymen to becoming a professional clinician...trust me...it will happen...don't get overwhelmed...because you will make it.

Interview with PA-S

Here's an interview I did with a PA student at UTSW:

1) Why did you choose the PA profession?
I wanted to be able to have a job that would allow me to work in health care, but have some responsibility and decision making. Being a PA was a great way to do that, and still be able to have a life.

2) Tell me about your application process (how many schools applied to/interviewed at, favorite part of interviews)
Well...I only wanted to go to UTSW, so I only applied there. Probably a bad decision, but oh well. And I don't know if I had a favorite part, it was kinda stressful, hoping I would answer correctly. Meeting the current students was nice though.

3) Why did you pick UTSW?
Being from Dallas, I've heard about UTSW for a long time. I've wanted to be here for awhile. At the time I applied, it was also ranked very high on the list of PA schools, the ranking has dropped some, but it's still pretty good. Plus, UTSW has what seems to me to be a better student experience. There are always problems, but the rotations and lectures are great. And rotating at parkland is always a great deal.

4) What was your strategy during the didactic phase?
Just stay afloat! Ha, seriously, I studied a lot. The first summer was really hard, but that may be because I had been out of school for awhile. Basically, I studied pretty much every night. That kept me on top of all the classes and multiple tests. I found a couple of study buddies and we would study on our own, then meet up a day or two before the test to have a gigantic review and go over the objectives together. That worked pretty well, since I'm usually better at studying alone, but having the group session showed me what I had missed, or not prioritized.

5) What has been your favorite clinical so far?
Surgery and my current ICU one. But of course, I'm a surgery person and love it! Medicine was hard, but I learned so much.

6) What advise would you give to a PrePA? What preparations would be valuable beyond prereqs and shadowing?
Hmm. Probably to have some volunteer hours. I know a lot of people who came straight out of college, and they got in because of being "well-rounded", with volunteer hours, and other interesting backgrounds. Just emphasize your "whole package" thing. Yes, a good GPA is great, but can you interact with people, do you have a good bedside manner? Can you talk to all sorts of people? Also, reference letters can make or break you. Meet the right people, and their letter can do wonders.

Interview with Audrey Lively

Here's an interview with a recently graduated PA-C, Audrey Lively.

1) Tell me about your application and interview experience (how many schools appied to/interviewed, why did you pick your school, what did you like about the process)

I applied to 4 schools, 2 in TX, 1 in Arkansas and 1 in Nashville, TN. I was invited to move forward in the 2 out-of-state schools initially, but decided against the school in Arkansas, as I thought my husband had a better chance of getting a job in Nashville. I interviewed in Nashville, was accepted 2 weeks later, and given 10 days to submit a non-refundable deposit. I decided to go to school in Nashville because, for one, I wasn't given much time, but I also liked the city, the size of the school, and the reputation the school had in TN. On the day I interviewed I was also given a tour by some members of the class ahead of me and was given the opportunity to meet several current students. Student-to-teacher ratio was important to me, as was the initial passing rate on the boards. What I liked about the application was that you could complete one application on CASPA and it would submit it to as many schools as you wanted. I also liked the promp response from my school in Nashville letting me know I was accepted.


2) How did you cope with your didactic year?

Didactic year is definitely difficult. One professor accurately described it to us as trying to drink water out of a fire hydrant. You are literally flooded with information and only given a short time to learn it. That being said, it is definitely doable. The key is to learn quickly how you study and retain information best. PA school is not just about rote memorization and regurgitation. It actually requires understanding how disease processes and medications work and applying that information to specific situations. Everyone does this in a different way, and it is pivotal to recognize your personal learning style. My style of studying involved reviewing a course lecture once the day I heard it. After the first review, I would add notes from the textbook and external sources to give myself a better understanding. Making flow charts and tables was really helpful for me as well. It was definitely the most stressful time in my life, but keeping my eye on the prize of clinical rotation year is what kept me going. You also have to allow some time for yourself and your family and friends to unwind. I will admit I didn't allow much, but I made sure I budgeted it into my studying time, which is what kept me going.


3) What was your favorite clinical experience?

I am very hands-on, so I enjoyed any clinical experience that involved procedures. My favorite rotation was when I worked at the VA in Nashville in the surgery department. I spent 6 weeks surgically removing melanomas, basal cell carcinomas, and lipomas on my own, with a PA as my preceptor. In my experience with clinical rotations, I preferred having PAs as preceptors, as they seemed to allow more solo experience, realizing how vital the clinical rotation year is in your development as a PA.


4) Now that you're about to start working, any advice looking back on school? What beside prereqs and shadowing would you recommend?

I would recommend shadowing in a variety of specialties to give yourself a better idea of what you are interested in before going to school, as there are a limited number of clinical rotations and if there is a specific specialty you would like to experience in your elective you have a better idea. Also, I'm sure this varies by school, but at my school you were able to request specific locations and physicians/PAs as preceptors if you had a connection. If possible, I would recommend making those connections or at least exploring the hospitals and clinics to get the best idea of who you would like to work with. Clinical year goes fast and that is all you get to be a student, so make the most of it and try to set yourself up for the best experiences possible.


5) You went to school in TN and will now get your first job in TX. What step will that take?

It is not any more difficult to go to school in one state and work in another, it just takes some research on your own to learn the state requirements. Going to school in TN, state conferences and lectures regarding licensure were geared toward the TN process, which is very different than that in TX, so it took some online research and calling the TX board on my own to find out exactly what I had to do. As long as you graduate from an accredited school, you are free to get your licensure in other states and may take the PANCE in any state. I would just recommend beginning your research at least 6 months before graduation, because some states actually allow you to practice with a temporary license immediately following graduation and give you a year or more to pass your boards.

Welcome!

This is my blog to share some advice for PrePAs, interviews with PA-Cs and PA-Ss, and anything else that seems relevant. Some of this information can be found on the UTD PRePA facebook page, so if you're a UTD student, be sure to join up and get all the lastest info first!