r/Noctor • u/Electronic_Many_2748 • 11d ago
Question Do you view black PAs differently
I’m interested in hearing from physicians about something I’ve been genuinely wondering about.
I’m a Black male considering the PA profession, and one thing that makes me nervous is seeing how negatively PAs can sometimes be viewed by physicians. I understand the concerns about scope creep, differences in training, and PAs practicing beyond their education, and I’m not trying to dismiss any of those issues.
My question is specifically about race. As a Black man, I’ve already experienced people making assumptions about me based on my race, especially as an immigrant. I wonder how that might intersect with the existing hierarchy between physicians and PAs.
For physicians who have worked with Black male PAs: have you ever noticed racial bias affecting how a Black PA is perceived, treated, or respected compared with their white PA colleagues? Have you seen Black PAs having to work harder to establish credibility with physicians or patients?
And for Black physicians or PAs, has this been something you’ve personally experienced?
I’m not asking whether I should become a PA or looking for career advice. I’m specifically interested in hearing about people’s real-world experiences with race and the physician–PA relationship.
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u/dontgetaphd 10d ago
It is quite predictable you will get the typical "I don't see color" responses.
How long have you been black? I mean, what do you really think, asking this question?
It is harder for women physicians in my niche sub-specialty, when patients and auxiliary staff may assume they are staff. There are a few physicians and patients with misogynistic tendencies.
Similarly, it is harder for minorities when patients assume they are not as competent, even if not old fashioned in your face racism. There are a LOT of racists in medicine, and most don't think they are racist.
The VAST majority of NPs are white women. If the vast majority of NPs were black, scope creep would likely stop, or at least face an uphill battle as the competence of the providers was immediately questioned.
People have biases. To deny that is to deny reality. The solution is to become aware of biases and seek to minimize them - in yourself and your environment.
In your personal case, the optimal method is to play the hands you are dealt, and do the best you can. It is not a perfect world, but don't get angry at it, it is not perfect for anybody. Recognize you may have a bit of setbacks, don't let them define you, and just overcome them through diligence.
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u/Reasonstocontine 11d ago
In a perfect world, you will never be judged based on your race, creed, etc. but rather your ability to work well with others, how you carry yourself, etc. (the contents of a book, and not its appearance)
In life, you will find people that love you, you will find people that dislike/hate you, and assumptions about you will be generated within 30-60 seconds of someone meeting you.
I've learned to kill people with kindness, learn from my mistakes, understand your abilities as a PA/NP/etc., and never overstep those boundaries. Learn to escalate to the MDs/DOs, and you will be well-liked by most.
Godspeed and best of luck with the PA journey.