Charted: How physicians really feel about NPs, PAs (2024)

As the health care industry experiences ongoing clinical workforce shortages, the push to allow physician assistants (PAs) and NPs to operate with expanded practice abilities is gaining more support—but many doctors still question their treatment decisions, according to a recent Medscape report.

Most physicians, PAs, and NPs have a positive working relationship

According to the National Commission on Certification of PAs, the American Association of Nurse Practitioners, and the Federation of State Medical Boards, there are almost 149,000 certified PAs, 355,000 NPs, and more than 1 million physicians practicing in the United States.

Of those physicians, almost 70% work for hospitals or corporate entities, the Physician Advocacy Institute reports. According to Medscape, these figures suggest that nearly 700,000 physicians work for a health system that also has PAs and NPs on staff.

Overall, physicians, PAs, and NPs say they have a positive working relationship.

Medscape found that 91% of physicians said their working relationship with PAs was "good to very good," and 94% of PAs said the same about their working relationship with physicians. In addition, 87% of physicians said their working relationship with NPs was "good to very good," and 92% of NPs said the same about their working relationship with physicians.

Physicians regularly question treatment decisions made by NPs and PAs

Medscape surveyed more than 750 physicians across more than 28 specialties. While most physicians reported being generally satisfied with the way PAs and NPs treat patients, many still regularly question the treatment decisions made by PAs and NPs.

For instance, 74% of physicians said they were "somewhat satisfied to very satisfied" with PAs' treatment of patients, and 71% of physicians said the same about NPs.

Yet, roughly 80% of physicians said they often or occasionally question treatment decisions made by PAs and NPs. And just 57% of PAs and 63% of NPs said they "often" or "occasionally" find themselves questioning a physician's treatment decisions.

Physicians have mixed feelings about expanding treatment abilities for NPs and PAs

Overall, physicians held both positive and negative opinions about expanding treatment abilities for NPs and PAs. In particular, 57% of physicians said they saw "both positives and negatives" associated with giving PAs more treatment abilities, while 47% had mixed feelings about expanding treatment abilities for NPs.

(Bean, Becker's Hospital Review, 11/29; McKenna, Medscape Evolving Scope of Practice report, 11/29)

Charted: How physicians really feel about NPs, PAs (2024)

FAQs

Charted: How physicians really feel about NPs, PAs? ›

For instance, 74% of physicians said they were "somewhat satisfied to very satisfied" with PAs' treatment of patients, and 71% of physicians said the same about NPs. Yet, roughly 80% of physicians said they often or occasionally question treatment decisions made by PAs and NPs.

How do doctors feel about NPs? ›

How Do Physician Organizations View Nurse Practitioners? Overall, physicians organizations officially see nurse practitioners as an asset to medical practice but only when working in conjunction with a physician. Physician organizations do not support the independent practice of nurse practitioners.

Are NPs or PAs more respected? ›

Neither profession ranks “higher” than the other. Both NPs and PAs work in the healthcare field but with different qualifications, educational backgrounds, and responsibilities. They also work in different specialties.

How do doctors feel about PAs? ›

This is the first national survey of doctors in a wide range of specialties who have experience working directly with PAs. As demonstrated in previous studies, doctors who work with PAs on a regular basis are pleased with the role. The feedback that doctors receive from patients about PAs is generally positive.

Why do physicians oppose full practice authority for nurse practitioners? ›

During legislative debate, the California Medical Association said nurse practitioners have less training than physicians, so allowing them to practice independently could lessen the quality of care and even pose a risk to patients.

Are NPs respected by doctors? ›

Most physicians, PAs, and NPs have a positive working relationship.

Will PAs and NPs replace doctors? ›

Nurse Practitioners play a vital role in the healthcare system and offer various medical services. However, they cannot fully replace physicians due to differences in training, scope of practice, and the complexity of certain medical cases.

Do patients prefer NP or PA? ›

A Berkeley HealthCare Forum review of 16 studies concluded there was no measurable difference in patient satisfaction when comparing NPs and PAs to physicians. However, just like physicians differ, there are differences between nurse practitioners and physician assistants.

Are PAs or NPs more in demand? ›

PA Career Outlook. Employment for both nurse practitioners and physician assistants is projected to grow over the next decade at faster rates than the average for other occupations. The U.S. Bureau of Labor Statistics predicts a 40 percent growth for NP roles and a 28 percent growth for PA roles between 2021 and 2031.

Are PAs happier than doctors? ›

Overall Job Satisfaction Rate

According to the NCCPA's 2022 Statistical Profile of Board Certified PAs, 86.7% of PAs are satisfied with their career choice; that figure compares favorably with physicians' 68% job satisfaction rate.

Do PAs have better work-life balance than doctors? ›

Benefits of Being a Physician Assistant

Physician assistants have a healthier work-life balance than doctors (in many cases).

What specialty do PAs make the most? ›

19 highest-paying physician assistant jobs
  • Pediatric medicine. ...
  • Dermatology. ...
  • Cardiovascular/cardiothoracic surgery. ...
  • Transplant surgery. ...
  • Oncology. ...
  • Emergency and trauma surgery. ...
  • Orthopedic surgery. ...
  • Neurosurgery.
Feb 1, 2024

What are the negatives of PAs? ›

Cons of being a Physician Assistant

Long work hours. PAs may be required to see patients in the evenings, on weekends, and on holidays. They may also be expected to take call and respond to patient or hospital needs at a moment's notice. Limited opportunities for advancement.

Do nurse practitioners have more autonomy than physician assistants? ›

Overall, nurse practitioners have more autonomy than physician assistants. PAs typically work under the supervision of a physician, but the level of supervision can vary by state. They are generally not able to practice independently or make decisions about patient care without the oversight of a physician.

Can you trust a nurse practitioner? ›

Nurse practitioners (NP) and physician assistants (PA) provide compassionate, competent care patients may assume they can only get from a medical doctor (MD) or a doctor of osteopathic medicine (DO). But NPs and PAs can offer many of the same things you look for in a provider appointment.

Is nurse practitioner less stressful than RN? ›

Their duties may be more stressful compared to RNs because nurse practitioners often manage complicated patient cases and are responsible for making higher-level decisions. However, this is often seen as a positive challenge, and the benefits of playing a larger role in patient lives is very rewarding and worth it.

How happy are nurse practitioners? ›

Ninety-six percent of NPs and 97 percent of CRNAs said they are pleased with their chosen profession. Eighty-two percent of NPs would choose nursing again, as would 80 percent of CRNAs.

What is the hardest part about being a nurse practitioner? ›

Balancing patient care and administrative tasks is one of the most difficult aspects of being a Nurse Practitioner. It involves managing both direct patient care and the administrative responsibilities that come with the role, creating a delicate balance that requires careful attention and efficient time management.

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