@bigbrofin: PA VS MD Both paths start with a bachelor's degree. After that, a doctor spends four years in med school and three to seven in residency, often graduating with about $223,130 in debt (AAMC via Credible). A PA finishes a 27-month program and starts practicing right away (AAPA). PAs diagnose, treat and prescribe, earning six figures years before a doctor does. STEP 1: BUILD PATIENT CARE HOURS Most PA programs want 500 to 2,000 hours of hands-on patient care (International Medical Aid). Work as an EMT, earning about $36,710 in Austin, or as a medical assistant at about $37,210 (BLS). Start during college and you can apply right after graduation. STEP 2: PA SCHOOL Programs run about 27 months. Texas residents pay about $49,843 total at Texas Tech Health Sciences Center (International Medical Aid), against a national average of $98,075 (PAEA via SoFi). STEP 3: LICENSE Pass the national PANCE exam and get your Texas license. Then you're practicing. WHEN YOU'RE DEBT-FREE After taxes and about 8% interest, here's the realistic timeline. A PA starting at 25 on $118,000 with $112,500 in debt can be debt-free by about 30, putting roughly $2,100 a month toward loans (The PA Life). An MD finishes residency around 29 owing about $265,000, because interest keeps growing during training on a $68,166 resident salary (AAMC via Credible). Starting at $287,000 in primary care and paying about $5,000 a month, the MD is debt-free around 35 (Medscape via The PA Life). The PA gets a five-year head start, but the doctor's higher pay pulls ahead in total wealth by the mid-30s. THE PAYOFF Entry-level PAs in Austin earn about $111,830 (BLS). Experienced PAs earn up to $157,840, and emergency medicine PAs earn a median $155,070 (AAPA). The PA wins the first decade. The MD wins the long game, if you're sure medicine is your calling and can wait until your 30s to get ahead. Did your career counselor ever mention this? SOURCES BLS OEWS May 2025 (Austin), AAPA, AAMC, PAEA, Medscape, International Medical Aid, Credible, SoFi, The PA Life Follow @bigbrofin for faster, cheaper paths to great careers. #physicianassistant #premed #healthcareers #financialliteracy #bigbrofin

Big Bro Fin
Big Bro Fin
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Wednesday 21 October 2026 10:34:21 GMT
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theprufessor
Pru :
Anesthesiologist Assistant, same school length and making $250-500k
2026-10-22 01:39:12
10
user72718837447748833
user7172733 :
Xray tech after 2 years of school and 1 year of experience
2026-10-21 19:21:27
31
bonkaroni12
Bonkaroni :
I mean four years is nothing? And then MDs earn $350k-$400k after residency, and during residency they can make $90k/yr. Lol. Only do PA if you want to have kids soon or something, but MD is wayyyyyyyy more worth it.
2026-10-21 23:48:16
51
andijo_k
andijo_PA-S1 :
Physician Assistant.. not Physician’s assistant… We assist patient population coverage, we’re not a belonging.
2026-10-21 18:22:51
88
jpmorg3
jpsqrd :
I'm a physician. my youngest is just finishing her undergrad and plans on becoming a PA. we did a side by side comparison and the time to make money is soooooo much shorter for PA and the loans are less than half. no brainer
2026-10-21 15:50:01
12
archibald.meatpants01
Archibald Meatpants :
it's Physician Assistant and that physician will start at 250 and be at 450 within 5 yrs. so there's that
2026-10-22 00:38:55
4
davidburd888
davidburd888 :
Let's stop comparing such different fields. Tell me how that looks at age 40, 50, etc. Go to PA school if it fits your lifestyle and your current circumstances go to medical school if the same applies.
2026-10-21 12:09:28
36
cartierlammert
Carter :
daughters accepted to med school, pivoted to PA...happy camper...home worry free at 530, no call, 40 hours +OT (she said MDs talked her outta medical school....she's on 2 mo maternal leave....not checking patients charts from home 3x a day either!) I got 6 calls and 100 Emails a day on my holidays....kids....[Innocent]...wise decisions (other is a psych NP)
2026-10-21 13:41:06
73
user9274805840446
user9274805840446 :
Pros and cons. Physician assistance in several specialties work in a similar capacity. Totally support this move. However, when talking dollars, most physicians make at least $350,000 per year, and debt or no debt, this accumulates fairly quickly. Again, I agree that pursuing a carrier as a physician associate is the way to go, but if strictly comparing income, there is not really much of a comparison.
2026-10-21 16:50:36
9
unicorn..rainbow.farts
unicorn..rainbow.farts :
the military has a really really good pa path if your looking to not go into any debt at all!
2026-10-21 21:30:37
4
chappellstaker
K’s Spam 💭 :
yall look down on doctors so much like assistant isn’t in your name😭
2026-10-21 20:28:28
0
yyz_jfk
YYZ_JFK :
So what a PA makes in four years I make in one, yeah I definitely made the right choice
2026-10-21 19:04:32
4
darrellmuhammad7
Uncaged Lion :
No, however I have recommended this to my daughter...
2026-10-21 14:30:50
11
cailic8
cailic8 :
it doesn’t seem like enough money anymore with the amount of debt 😭
2026-10-21 16:31:41
3
tim98716
Tim :
1st year as a doctor. Earn $250k a year. See 30 patients a day, 33 years old, had no life in my 20’s, and $500k in debt. Don’t become a dr. Should have been a pa. Would have made money at 25 and started to invest at 25 instead of 33.
2026-10-22 03:47:08
2
1431paris
Lulu :
Nah my daughter is 31 and just finished her residency as a surgeon already making big money worth the wait
2026-10-21 23:53:20
3
greatbearlodgedurango
Coolstuff3000 :
It’s Physician Assistant, no apostrophe s
2026-10-21 18:56:40
6
angelofmedicine
angelofmedicine :
I am a PA and doing well
2026-10-22 01:14:43
1
stef_xo0
🌸Stef.xo🌸 :
The surgeon I worked for told me the same thing, I’ll break even before a doctor does. And have a nicer work life balance.
2026-10-21 16:01:09
7
f535366
f :
But I want a real doctor
2026-10-22 00:40:07
1
3dgkcd
4444/hs :
PAs make way more than 110 K
2026-10-21 23:27:15
1
jykori
jacob :
yeah but in the long run they’ll be more stable and retire earlier depending on how they manage
2026-10-21 18:00:05
1
sarasmilesbig
sarasmilesbig :
I work at a PA program and our students are crazy smart, dedicated and eager to learn! It’s a big price to pay for two years, but the ROI is fantastic! You can work anywhere, and in any specialty!
2026-10-21 14:32:24
4
chungus355
Llort Maximum :
Debt free if you live with your parents. Tuition and living changed a lot last 5 years. Assuming undergrad was payed off before school as well.
2026-10-21 21:26:59
0
nuckinfuts73
Nucking_Futs 🇺🇸 :
probably not, they dont show kids they can apprentice earn a wage and become a business owner debt free either
2026-10-22 01:45:19
0
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