Most of us are familiar with MD after a doctor's name. This stands for doctor of medicine and signifies that this person has completed 4 years of medical school. But do you know if your doctor is a DO? And what about the other people checking vitals, writing prescriptions, and filling in charts—PAs and NPs—what type of training do they have and what services can they offer?
A DO is a doctor of osteopathic medicine.
MDs and DOs are similar in many ways. Here are some requirements that both MDs and DOs must complete:
Complete 4 years of medical schoolComplete residency programs, which involves 3-8 years of additional trainingPass state licensing exams to treat patients, prescribe medication, and perform proceduresPractice in accredited hospitals and medical centersEarn continuing education units to remain certified
There are also some distinctions between these types of doctors. For example, DOs: Use may a technique called osteopathic manipulative treatment (OMT). With OMT, DOs use their hands to manage their patient’s injuries and illnesses.Receive extra training in the musculoskeletal system. This system consists of interconnected muscles, tendons, ligaments, and bones. DOs are trained in a philosophy of medicine that places great emphasis on the importance of this system to the maintenance and restoration of health.Focus on primary care medicine. The majority of DOs practice in areas of primary care, such as pediatrics, family practice, obstetrics/gynecology, and internal medicine.Are trained to spend more time considering the broad range of factors affecting health. MDs may also have this holistic approach.
A physician assistant (PA) is a health professional who is licensed to practice medicine under the supervision of a physician. Some of the duties that a PA can do include:
Obtain a medical history and perform a physical examDiagnose and treat illnesses and minor injuriesOrder and interpret tests, such as lab work and x-raysCounsel on preventive health and lifestyle practicesAssist in surgeryPrescribe medications
A PA can work in any area of medicine, but the majority work in primary care medicine, such as pediatrics, family practice, obstetrics/gynecology, and internal medicine.
To become a PA, a person must complete an accredited PA educational program and pass a national certification exam. The typical PA program takes about 2 years. The majority of students have a bachelor's degree and experience in the healthcare field before admission to the program. Education consists of classroom and laboratory instruction in the basic medical and behavioral sciences, as well as clinical rotations in different medical fields. When certified, PAs take continuing medical education classes and are regularly retested on their skills.
A nurse practitioner (NP) is a registered nurse (RN) with a master's or doctoral degree with advanced clinical training in a healthcare specialty area. The services a NP can provide vary depending on each state's regulations. In general, NPs can:
Obtain a medical history and perform a physical examDiagnose, treat, and monitor illnesses and injuriesOrder and interpret tests, such as lab work and x-raysPrescribe medicines in most statesCounsel on preventive health and lifestyle practices
Nurse practitioners can work in primary care or specialty areas of medicine, such as emergency medicine, oncology, and psychiatry.
The path to becoming a NP usually begins with nursing school, followed by licensure. After a few years of work experience, they can apply to a master's or doctoral degree program in nursing, which generally consists of 1-2 years of school and a supervised internship. Most NPs are nationally certified in their specialty area.
While PAs and NPs can do many of a doctor's functions, an essential part of their training is knowing when to defer to a doctor. Exactly what a PA or NP can handle and what they pass onto the doctor varies greatly with training, experience, state law, and the supervising doctor's practice. Generally, a doctor handles patients with medical issues that are outside of the range of the assistant or nurse.
About DOs. American Osteopathic Association website. Available at: http://www.osteopathic.org/osteopathic-health/about-dos/Pages/default.aspx. Accessed July 7, 2015.
Physician assistants. Bureau of Labor Statistics website. Available at: http://www.bls.gov/ooh/healthcare/physician-assistants.htm. Updated January 8, 2014. Accessed July 7, 2015.
What is a PA? American Academy of Physician Assistants website. Available at: https://www.aapa.org/What-is-a-PA/. Accessed July 7, 2015.
What's an NP? American Academy of Nurse Practitioners website. Available at: http://www.aanp.org/all-about-nps/what-is-an-np. Accessed July 7, 2015.
Last reviewed June 2015 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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