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Freakonomics, M.D.

60. The Doctor Is Out. The Physician Assistant Is In.

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 4 November 2022

⏱️ 31 minutes

🧾️ Download transcript

Summary

Chances are, at some point you’ll be treated by a nurse practitioner or a physician assistant instead of a doctor. Will your care suffer?

Transcript

Click on a timestamp to play from that location

0:00.0

Back in the 1980s, not long after she graduated college, Perry Morgan went to go visit her

0:11.0

two-year-old nephew who was sick in the hospital.

0:14.8

The rest of the family was dying to get out of there, and I found myself actually kind

0:18.2

of not wanting to leave.

0:19.8

There was a piece of me that said, I can't do this.

0:22.3

I have the personality type to do this, and this is what I want to do.

0:26.8

Perry had grown up on a farm in rural North Carolina.

0:30.2

She was part of the first generation of her family to even go to college.

0:35.0

The idea of working in healthcare was appealing, and also overwhelming.

0:39.5

I was having a hard time getting my head around four years of medical school in a long

0:43.8

residency, and somebody told me about the PA profession.

0:47.4

PA stands for Physician Assistant, although as Perry will explain later, it won't for

0:53.1

long.

0:54.1

Anyway, odds are, at some point, you or a loved one has been or will be seen by a PA in

1:00.5

a medical setting.

1:01.6

In 2021, there were more than 158,000 physician assistants practicing in the U.S., an increase

1:09.8

of more than 6.5% from just the year before.

1:13.9

But back when Perry was starting her career, things were different.

1:18.1

I've a little embarrassed from my students who worked for years now to get into PA school

1:23.1

to say that I learned about the profession in February, and I enrolled in August of

1:27.5

the same year.

1:29.7

The PA profession was established in the 1960s, around the same time as its sort of sibling

...

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