How to Become a Physician Assistant in Texas
If you’re thinking of becoming a physician assistant in Texas, then you’re answering an important calling. Access to healthcare has long been a challenge in the U.S., with Texas being one of the states that is impacted at a higher level.
According to 2022–2036 supply-and-demand projections, the number of full-time equivalent primary-care physicians in Texas is projected to fall far short of demand — with an estimated 41% of primary-care physician demand unmet statewide by 2036.
As an aspiring physician assistant, you have the opportunity to help more patients access the primary care services they need. Now all you need to do is become a PA! This career guide breaks down the steps required to become a physician assistant in Texas.
Understand What a Physician Assistant Does in Texas
As a physician assistant, you’ll examine patients and help them obtain the healthcare interventions they need, putting them on the path to living healthier lives. In Texas, physician assistants are able to practice under the supervision of a physician, including:
- Obtaining patient histories
- Performing physical exams
- Ordering and/or performing diagnostic and therapeutic procedures
- Forming a diagnosis
- Creating and implementing treatment plans
- Prescribing medications
- Monitoring the effectiveness of therapeutic interventions and adjusting care plans accordingly
- First Assist during surgery
- Providing patients with counseling and education
- Handling pharmaceutical samples, including requesting, receiving, and distributing them to patients in authorized settings
- Making appropriate referrals
Physician assistants can address a broad spectrum of healthcare needs for patients of all ages and work in every medical specialty. PAs increase access to primary and mental healthcare services, which can be especially important in rural and underserved communities.
Complete a Bachelor’s Degree and Prerequisite Courses
To become licensed as a physician assistant in Texas, you will need to graduate from an accredited master’s level PA program – but before that, you’ll need to earn a bachelor’s degree and complete any coursework that is required for your PA program.
Bachelor’s degrees in science-based fields of study such as biology, chemistry, or health sciences are usually ideal for students who want to become PAs in the future. However, most programs accept students with other bachelor’s degrees as long as you have completed certain prerequisite coursework and meet other admissions criteria.
At West Coast University, applicants to the Texas Master of Physician Assistant (MPA) program must have a cumulative grade point average (GPA) of 3.0 or higher and a biology/chemistry/physics (BCP) grade point average of 2.7 or higher. Additionally, they must earn a “C” or better in all prerequisite coursework.
Learn more about the admission requirements and processes for the Texas MPA program at WCU.
Gain Healthcare Experience
Even if healthcare work experience is not required for your desired master’s program, it can help you stand out as a candidate while also laying a strong foundation for your advanced studies and future career.
To give an example, WCU’s MPA program does not require applicants to have a certain number of healthcare experience hours. However, the program gives preference for paid healthcare experience, shadowing, and volunteer work during application review. For applicants of this program who want a competitive edge, it is in their best interest to pursue 500 or more healthcare experience hours.
Medical professionals such as certified nursing assistants, registered nurses, emergency medical technicians (EMTs), paramedics, and surgical technicians may find careers as physician assistants to be natural next steps due to their professional backgrounds. However, there are many careers that can successfully lead to admission into PA school.
Earn a Master’s Degree from an Accredited PA Program
Once you’ve met your undergraduate education requirements and have (ideally) gained some healthcare experience, you can finally pursue a master’s degree in physician assistant studies.
Here are a few points to consider as you search for a program:
- Your program should be accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA),or have provisional accreditation.
- Master’s-level PA programs typically take two to three years to complete.
- PA programs incorporate both traditional didactic coursework, hands-on practice through skills-based exercises like simulation labs, and clinical rotations.
The ARC-PA has granted Accreditation-Provisional status to the West Coast University, Texas Physician Assistant Program sponsored by West Coast University. The MPA program is offered at the university’s Dallas-area campus in Richardson, Texas, and it takes 24 months (six trimesters) to complete.
Students in WCU’s Texas MPA program get to practice what they learn using advanced technology and settings, such as virtual dissection tables and realistic simulation labs.
Pass Your National and State Physician Assistant Exams
As you approach the end of your educational program, you will need to sign up for national and state exams. To become licensed as a physician assistant in Texas, you must pass the:
- Physician Assistant National Certifying Examination (PANCE), which is administered by the National Commission on Certification of Physician Assistants (NCCPA)
- Texas Medical Jurisprudence Examination (TMJE), which is administered by the Texas Medical Board.
Here is some information about each exam.
PANCE:
- Structure: Five blocks of 60 questions
- Duration: 6 hours when including tutorials and breaks; 5 hours for just the questions (The test taker has 1 hour to complete each block of questions.)
- Location: Pearson VUE centers
- Passing score: 350 or higher
TMJE:
- Structure: Open book, multiple-choice
- Duration: 90 minutes (for the PA jurisprudence exam)
- Location: Online
- Passing score: 75 or better
- Topics: The exam covers Texas laws and Board rules that pertain to the practice of being a physician assistant.
How do you apply for the PANCE?
As you approach graduation, your PA program will report your anticipated completion date to the NCCPA. After that, you’ll receive an email from the NCCPA with instructions to create an account and apply to sit for the exam. Once approved, you’ll be given a 180-day timeframe in which to take the exam. The earliest possible testing date is seven days after you officially finish the program.
Apply for a PA License from the Texas Medical Board
In Texas, there’s a two-stage process for becoming licensed as a physician assistant:
- Pre-Licensure/Screening
- Licensing
In the Pre-Licensure/Screening stage, you will submit the application form and pay the licensing fee. Next, you’ll receive an email with a list of documents that are required for licensure. The Texas Medical Board recommends sending the required documents using a private overnight delivery service that allows tracking.
Examples of documents you might be asked for include:
- Official transcripts from your PA program
- Verification of any other post-graduate training
- Proof of your National Commission on Certification of Physician Assistants (NCCPA) certification, which you obtain after passing the PANCE
- Proof of any other certifications or licenses
For a complete list of additional steps to obtain state licensure, please visit the Texas Medical Board’s website.
Once all the standard application documents have been submitted, you’ll reach the Licensing stage, which means a licensing analyst will review your application and reach out if any additional items are needed. Application processing times vary.
Once you’re approved, you will need to register your license and your supervising physician. If you will be prescribing Schedule II to V drugs, you will also need to get a Federal Narcotics number through the Drug Enforcement Administration (DEA). Note that you will need to renew your PA license every two years, complete ongoing continuing medical education requirements (CME) for state and national licensure, and renew your NCCPA certification by exam every 10 years.
Learn more about the physician assistant license application process in Texas.
Ready to Start Pursuing Your Goals? Apply to a Texas PA Program Today
If you’re ready to earn a master’s degree that can help you achieve your goal of becoming a PA in Texas, explore West Coast University’s MPA program offered in Richardson, which is in the greater Dallas area.
This program gives students the ability to learn in a supportive academic environment and build skills through hands-on practice and simulation. Additionally, the program’s curriculum is designed to help you pass the PANCE and thrive in your clinical career.
Learn more about the Texas MPA program at WCU and apply today.
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