What I have found practicing in multiple areas, is that PA's are preferred over NP's by physicians. Many of the MD's I have worked with still look at NP's as nurses. Where I currently work, I am the first PA they've hired and am told weekly by the admin, that I am their best provider. They now want to hire only PA's and not NP's. My standard of care is much higher than what my coworkers provide. I have turned a clinic that was 100% pro NP into a pro PA clinic. You just have to go out there and prove yourselves. Work hard, and do well by your pts. My pts were use to getting Rocephin and Decadron for everything by the NP's who was there previously. I don't do that. I follow evidence based medicine and it is working. Also, keep in mind, NP's can only practice independently in 22 states and DC. the other 28 states, they need a collaborative physician just like we do.