Physician’s Assistant, or Physician Assistant?

Posted By: Paul   |   The Basics   |   14 Comments

Is the correct title for a PA:  physician assistant  or  physician‘s assistant?

Well, if you’re not sure, I can’t blame you.  The confusion over the correct title for PAs is even worse than the confusion over what PAs do.  So let’s get clear on it.  Shakespeare wrote that “A rose by any other name would smell as sweet,” but not all agree.  In fact, there was a serious move a couple years back to change the title from physician assistant to physician associate.  

PAs are Physician Assistants (no apostrophe-s in the title).*

It may seem like a trivial matter, but if you want to be a PA, you need to know how to say it properly.  Yes, we hear people messing it up all the time - news anchors, even doctors, and occasionally even some PAs!  If you join this young field, prepare yourself for the reality: you’ll hear people getting your title wrong a lot.  If that makes you think twice about becoming a PA, then you probably shouldn’t become one.

But, if you aren’t so high strung and can take things in stride (a good quality in any health care provider) then you’ll learn to let it go.  Or maybe you’ll even politely correct someone else when you hear them say it wrong: “Just FYI, Bob, it’s not physician’s assistant, it’s physician assistant - there’s no ‘s’ between the words.”  [Polite smile goes here].

So it’s Physician Assistant.  So what?

It matters.

Case in point: when I was 16, I got my first job.  It was at a barbecue restaurant in Burlingame, CA.  I had never waited tables and was hoping to score the “big bucks” of $5.50 per hour plus tips.  Okay, go ahead and laugh.  I was so young!  Anyway, the boss told me after my interview, “Good for you, kid.  You wrote on  your application that you are applying to be a server, not a waiter.  I don’t hire applicants who put “waiter.”  He had worked in the restaurant business for decades, and whenever he heard anyone call themselves a waiter, he cringed.  It was a matter of pride.  “You don’t spend you whole day waiting,” he told me, “You spend your day serving.”

Knowing the proper title of the career you’re pursuing shows that you’re serious about it.  Using the wrong title makes you look plain stupid.

What’s wrong with the term Physician‘s Assistant?  I can only give my opinion.  Beside the fact that it’s just plain incorrect, I think it has a lot to do with PAs not wanting to feel owned by someone else.  That apostrophe-S implies ownership, as in “Sarah’s dog,”  or “Dr. Lee’s [very own] assistant.”  Believe me, with the work that PAs do, nothing could be further from reality.

Why Does the Physician‘s Assistant Misnomer Persist?

  1. Public ignorance of the PA role and function - we’re the new clinicians on the block, and word’s still getting out.
  2. The poor choice of names for the profession in the first place.  We’ll be tackling this in a future post, but for now, I think the title was chosen so that doctors would feel less threatened by PAs, and would allow their introduction into medicine.  I can almost hear it now: “Don’t be bothered by these guys who do work very similar to  yours - they’re your assistants, and how cool is that?”
  3. Money.

Although the public is becoming more savvy about PAs, the physician’s assistant title is all over the internet, and the reason, not surprisingly, is money.  There’s far less Google competition for web pages using the wrong job title than the right one.  It’s similar to typosquatting,”  the shady practice of making webpages with URLs (web addresses) with common typos in them.  And since pages like gmial.com often have google ads on them, Google makes money from it too.  Ever accidentally type in Goohle.com?  Don’t bother.

So if you can’t get your webpage about Physician Assistants to the top of the google rankings, you just might get your page about — man, I hate to even type this — physician‘s assistants to the top.  Believe me, there’s money at the top of goohle.  Eh…I meant google.

My advice: if you want to become a PA, don’t get your information from sources that use the term physician‘s assistant - either they’re ignorant, or they’re after your money.  Finally, say it the correct way: Physician Assistant.

* If you doubt me on this, go to www.aapa.org and notice that there are no references to the title Physician’s Assistant.

14 Comments

  1. Bruce July 17, 2011 at 2:52 pm

    I think physician assistant was a federal choice too. Physician’s seemingly did own us. In the 1970’s I was Dr. Soandso’s
    PA. At Duke our student name badge said Physician Associate. But to settle reimbursement issues the legal name became what it is. Check out the PA History site to see how it all evolved.

    • Paul July 17, 2011 at 4:08 pm

      Thanks, Bruce. Nice to hear some confirmation on how this all went down. The PA History site is a good resource, and I probably should freshen up on what I know (it’s been a while) particularly for anyone who has an interview coming up. By the way, folks, Bruce has a nice site of his own - thepapath.com - definitely worth a look!

  2. Labgirl July 17, 2011 at 10:33 pm

    You’re not alone. My profession, one that has been around much longer than PAs, has at least three names, and none of them are perfect: Medical Technologist (med tech), Clinical Laboratory Scientist, and Medical Laboratory Scientist. The original name, Medical Technologist, is no longer descriptive of what I do, and misleads people into thinking I am a lowly “tech”-not a highly trained, BS degree holding scientist. The other two, newer names, are more accurate, but long and cumbersome-not nearly as nice as “doctor” or “nurse” or “pharmacist”. Names do matter! If the profession had a good name, perhaps I wouldn’t get so many blank stares when I tell others what I do-something I think PAs can relate to.

    • Paul July 17, 2011 at 10:47 pm

      Yes, and few know the distinction between technician and technologist. If I have it right, “technicians” are the people who repair and maintain technical equipment (like ultrasound machines, etc.) and “technoligists” are the people who use the equipment and interpret the results that come from it.

      • Rose4trans September 2, 2012 at 10:45 pm

        Well, your post was certainly enlightening. I was listening to this conversation where the PA refers to himself as Physician Assistant and the lawyer keeps saying Physician’s Assistant. :D. Well, now I know. Thanks!

        • Paul September 3, 2012 at 9:53 am

          Like I said, I’ve even met a few PAs who call themselves Physician’s Assistants. I think if you want people to understand and respect the profession, you need to start by earning it yourself!

  3. Steve October 9, 2013 at 1:43 pm

    As an editor, it would be extremely helpful if someone would persuade the American Heritage Dictionary to update its reference. Even the recent fifth edition uses the possessive.

    • Paul October 10, 2013 at 10:29 pm

      I wholeheartedly agree with you. I hear it on the news on a weekly basis. It’s a point that belongs in the Chicago Manual of Style. Maybe I’ll write the CMS and AMD about it!

  4. Sara October 20, 2015 at 2:52 pm

    My name is Sara . I am thinking to become a PA . But I would love to take to someone who is already in the field to ask several questions. If anyone could help me with that would me awesome.
    Thanks

    • Paul November 8, 2015 at 11:39 am

      Hi, Sara! Sounds like you would benefit from doing some shadowing. If you aren’t familiar with shadowing, you basically follow a PA around and observe. Between patients (or if the PA gives you the green light, sometimes during patient encounters) you can ask questions to learn more about what they’re doing. We do also offer Teleconsults, which are (paid) phone consultations to help you address whatever you might need to know about. They’re a good way to “master plan” your attack at joining this profession. To learn about Teleconsults, you can click here.

  5. Griff June 14, 2016 at 3:35 pm

    Worry less about your title; more about your patients. The chip on your shoulder is weighing you down.

    • Paul August 6, 2016 at 8:03 pm

      I couldn’t agree more.

      • Maggie September 25, 2016 at 7:44 am

        Wanting to know the correct spelling or punctuation of a word or a group of words in a title is not neglecting patients nor having a chip on ones shoulders. I’m glad to see this misconception of the apostrophe-s being corrected. Are you by chance Griff and Paul a Nurse’s Practitioner?

        • Paul November 3, 2016 at 9:33 pm

          Thanks. My name is Paul Kubin, and I’m a physician assistant.

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