What can a MD do that a PA Cannot?

Asked by: Kobe Daniel  |  Last update: September 21, 2025
Score: 4.7/5 (6 votes)

The key differences between the role of a PA vs. an MD come to light when a complex issue arises. MDs have knowledge about complicated conditions that many PAs may not possess. PAs also cannot perform surgeries like MDs can, although PAs often assist in surgeries when needed.

How is a PA different from an MD?

Physicians and physician assistants have similar roles and responsibilities in patient care. They treat similar cases and do many of the same things. The main difference is that PAs are required to work alongside a supervising physician.

Why would you choose PA over MD?

PA is usually people who want to be a doctor but don't want to go to seven years of med school and residency. Though you may also hear from them that they want the flexibility to be able to move from field to field (MDs/DOs have to go back to residency to change fields.) Or you may hear that it's cheaper (it is).

What can physician assistants not do?

PAs do NOT:

Perform surgery (however, they CAN assist) Manage complex or acute cases.

Is seeing a PA as good as a doctor?

PA's tend to be better at many procedures: laceration repairs, especially complex ones, I&D, FB removals, because unless the doc is doing solo coverage, the PA or NP is doing almost all of those procedures. From experience comes proficiency and knowledge of the tricks of the trade.

What's the Difference Between an MD, DO, ND, NP, and PA?

17 related questions found

Is a PA technically a doctor?

No, a physician assistant is not typically addressed as “doctor.” While PAs have a master's degree and are licensed healthcare providers who diagnose illnesses, develop treatment plans, and prescribe medications under the supervision of a physician, they do not hold a doctoral degree.

Can a PA perform a cystoscopy?

The AUA notes that advanced practice providers like PAs commonly perform the following procedures: Circumcision. Cystoscopy. Hydrocele aspiration.

What can MD do that PA can't?

The key differences between the role of a PA vs. an MD come to light when a complex issue arises. MDs have knowledge about complicated conditions that many PAs may not possess. PAs also cannot perform surgeries like MDs can, although PAs often assist in surgeries when needed.

Which is harder, a nurse practitioner or a physician assistant?

Is NP or PA school harder? PA and NP schools are challenging in their own ways. PA school does require more instructional and clinical hours than NP schools, but with the right study tool, you'll be okay no matter what you choose.

What are the limits of a physician assistant?

While physician assistants can do many things, they cannot perform all the duties of a medical doctor. For example, physician assistants can assist in surgery, but we cannot perform surgery. Physician assistants do not become PAs as a stepping stone on their path to becoming medical doctors.

What is a PA salary?

Higher-cost areas generally offer competitive wages to compensate for increased living expenses. It helps if you weigh the pros and cons of working as a PA in each state. For example: A Physician Assistant in California makes about $144,520 annually because of the high cost of living.

Is it harder to become a PA or doctor?

MDs require more extensive education and training than PAs to practice. Medical doctors spend four years on average completing medical school and then participate in additional training through their residency.

How do I address a physician assistant?

The PA Honorific

Encourage the adoption of PA [surname] as the preferred form of address for PAs among staff and external audiences, unless a more suitable formal address is appropriate, such as military rank or academic role.

Why do people choose PA over MD?

One of the most compelling reasons to choose the PA path is the shorter educational timeline. PA programs typically require about 2-3 years of graduate-level education following a bachelor's degree, compared to the 4 years of medical school plus 3-7 years of residency required for MDs.

Can a PA call himself a doctor?

A directive baked into California's Medical Practice Act makes it a crime for any healthcare professional other than licensed physicians or surgeons to call themselves “doctor” or put “Dr.” on signs, business cards, or letterhead, or in ads.

What can a PA do that a NP cannot?

The main thing that a PA can do that an NP cannot is work within different specialities without gaining additional formal education or certification. This is because PAs receive generalist medical training, as opposed to nurse practitioners, who receive specialized training during their programs.

What do physicians think of PAs?

The survey reported that the vast majority of doctors were pleased with the role PAs take on and believe that the addition of PAs to medical teams benefits both doctors and patients.

What can a DNP do that a NP cannot?

Those with a DNP degree may work in hospitals, healthcare organizations, government agencies, universities and other settings. NPs with an MSN primarily work in clinical practice settings, including primary care clinics, hospitals, specialty clinics and private practices.

Who has a higher rank, NP or PA?

Also, U.S. News & World Report ranks these professions as the top two roles in 2024: nurse practitioner sits at #1 and physician assistant at #2 in the publication's Best Health Care Jobs list.

Can a do do everything an MD can do?

The licensing requirements for DOs and MDs are the same. Both can prescribe medication. Both can practice in all 50 states. Both can pursue all medical specialties.

How to decide between MD and PA?

“Should I become a PA or an MD?” It's a difficult question and one that only you can answer. If you're looking to perform clinical tasks independently, earn a large sum of money, and run your own practice, become an MD. However, if you're unsure where your medical future lies, consider becoming a PA.

Can I trust a PA over doctor?

Primary Care

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.

Can a PA perform a colonoscopy?

Overall, performing endoscopy, colonoscopy and EGD may be within your scope of practice as a nurse practitioner or physician assistant. Before adding these services to your practice, however, you must make sure they comply with your state's guidelines and are covered by your liability policy.

Can a PA do a pelvic exam?

That's why it's essential for women to have regular pelvic exams and Pap tests. A woman's primary care physician, internal medicine specialist, an obstetrician/gynecologist (OB/GYN) or another trained health professional, such as a physician assistant, nurse midwife or nurse practitioner, can perform the exam.

Can a PA perform a vasectomy?

UAPA members are known to perform cystoscopy (diagnostic, therapeutic, catheter placement, and stent removal); hormone pellet insertions; intracavernosal injections and irrigations; transrectal ultrasound, with or without prostate biopsy; posterior tibial nerve stimulation; bladder Botox injections; circumcision; ...