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Making B's in PA School


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Current PA student here and I am really struggling with the fact that I am making more B's than A's in PA school. I am very type A and made almost perfect grades in undergrad, so it's really affecting my confidence and ego to not be making consistent As anymore (I know it's silly but I can't help it) and I'm worried this means I will be the kind of provider that misses diagnoses or small details about patients. Current PA-Cs (or PA students in the same position), how did you deal with these feelings of inadequacy/adjusting to not making perfect grades? If you made mostly B's, did you feel like it affected your skillset or abilities as a PA in your current job?

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On 4/23/2024 at 11:25 AM, elliemc said:

it's really affecting my confidence and ego to not be making consistent As anymore (I know it's silly but I can't help it) and I'm worried this means I will be the kind of provider that misses diagnoses or small details about patients

You won't know everything in medicine. That's a fact. There's just too much to cram in to two years of PA school. PA school is really designed to teach you to evaluate and treat medical conditions by utilizing pre-PA skills. If you didn't have a prior medical career (like me and most PA students nowadays), you will struggle to some extent because you are learning even the basic stuff. Keep learning how to form a good differential, take a good history, and perform a good exam. And then work on understanding the concepts within each system. Focus your first years out in practice on filling in any blanks and get a job that has mentorship. 

On 4/23/2024 at 11:25 AM, elliemc said:

Current PA-Cs (or PA students in the same position), how did you deal with these feelings of inadequacy/adjusting to not making perfect grades?

Accepted it and understood that it's not a competition. In medicine you won't know everything and you're not taking a test so do your best to learn how to evaluate a patient and what next steps need to be taken to take care of the patient. 

On 4/23/2024 at 11:25 AM, elliemc said:

If you made mostly B's, did you feel like it affected your skillset or abilities as a PA in your current job?

No. There are still some areas I'm weaker in and so I just don't work in those areas. Mainly because those concepts aren't as natural for me to understand so I don't like them. Lol. I like understanding things. The unknown bothers me. I don't really remember what grades I got but I didn't get straight A's. 

Edited by SedRate
Grammar
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It's been a while, but I was a bit like you when I went to PA school. Other than organic chemistry, I had straight As in my prerequisites. My first course in PA school was anatomy and I got pounded early. It made me wonder if my dream was over. I finally realized that the only thing that mattered was: Keep doing your best but realize that you just need to do well enough today to still be there tomorrow.

As far as the downstream impact, I think SedRate stated it well. 

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