Physician Assistant

Ladies how many of you have been examined by a physician's assistant and have these exams been more thorough than a regular physician's exam. Which do you prefer and why given the nature of this forum?

I am a Physician Assistant. I have worked in a woman's prison, female juvenile detention center and Gyno office. Everyone I have ever worked for said I gave the most thorough physical exams of anyone they know. All of my patients have been female since completing my education. I have made my own fantasy clinic in the remodeled basement of my home, I retired in 2002. My wife is my nurse and I have 11 regular patients. I offer a 'regular' routine physical exam, and two types of bondage exams, with both bondage exams including strip search, handcuffs and restraints. Everything is determined ahead of time. All exams include enema, cathertization, pelvic, rectal, breast, vital signs, etc. Clinic is in Southern California.

I have been to a physician assist only once. My regular Gynecologist was called away, and they asked me if I minded seeing the physician assist, and I said it didn't matter to me. I thought the physician assistant did a very thorough exam and took longer than my regular Gynecologist did. I assume that my Gynecologist has to see so many women in a day, and doesn't have the luxury to do as thorough an exam as the physician assistant. I have always had more thorough exams from residents or physician assistants.

Questions for Bob5321. I assume by your userid that you are male. Is this correct? What kind of exams did you give? Did they include pelvic exams? In the prison and the juvenile facility were you asked to do cavity searches for contraband? Were the women/girls given complete physicals upon entry to the facility, and if so who all was in attendance during these physicals? Were male guards or other male medical people involved?

My training concentrated on performing physical exams. I am trained to do pelvic exams, but find little call for it. When I worked in the prison, a county facility, I ran daily sick call. Most of the women having pelvic pain were from having PID (pelvic inflammatory disease). They walked with what is known as the "PID Shuffle". I did not do strip or body cavity searches. Always had a female nurse witness for both the prisoners protection and mine. Same with juvenile detention, the issues there dealt with privacy. The strip search was performed by a nurse, in an exam room with both she and I present. I then performed a cursory physical exam. Neither the nurse or I were allowed to touch genitals. If a body cavity search was required or pelvic/rectal exam, the prisoner was taken to a hospital ER. There were no male guards in either of those facilities. Most states require same sex non-medical personnel for strip searches. Body cavity searches require certified medical personnel, but for liability reasons they normally use a Physician. Hope that answers your questions.

Oh yea, I've done that too. The very last job I had before I retired was in an ER. Homicide, Suicide, Genocide (gangs trying wipe each other out), trauma of all types, I think I've seen it all in 32 years on the job. But I really enjoy working with women the most. That's why I chose a women's and juvenile prison for most of my career. Physical exams are a major part of working in a jail.

Thanks. Some of my exploits are in different forum sections. I have had a number of requests from females in the forum to join in the fun and come to my clinic that I put in my remodeled basement of my home. I was fortunate enough to have worked for a clinic that closed down and I bought all the medical furnishings, so I opened my own clinic. My wife is my nurse and we do free exams for women. Lots of fun. I have 11 regular patients and may soon add 3 more.

Whats a bonus is that many PA's are young, like in the mid 20's. Most physicians it seems by the time they are practicing are in the early to mid 30's.

M.D.s, R.N.s, N.P.s, and P.A.s are all medical professionals so, for me, it's the individuals competance and care that matters. I have found, in general, that nurse-practitioners tend to be more gentle and empathetic.

I saw a PA a couple of months ago. I was having abdominal pain and needed an appointment that day, and she was the one who had an open slot. I thought that she was very thorough, moreso than my regular doctor. This was my first time having a pelvic beside my first one last year, and she was very gentle with me.

At my old gyn office, I almost always regularly saw the PA, only because the regular doctors were always booked, and the PA could see you either the day you called, or within a few days. If there was anything really wrong, they would call in a doctor, but otherwise there was no difference in exams

PAs tend to do a more thorough exams. Here they are more popular than NPs.

PA's are under-appreciated by so many. The PA my orthopaedic surgeon has I have known since age 16. I love him as much as the surgeon and my other physicians. He is just as thorough as they are. If I need to get into my surgeon, I make the appointment with the PA as its a bit easier. While seeing the PA, if he feels I need my surgeon to see me, then he has my surgeon come in. They keep the same office hours as he assists him in surgery. They make a great pair. If my GP or GYN decide to ever have a PA, I hope they are just as wonderful as the PA my orthopaedic surgeon has.

In a play-doc situation I don't know if I would want him to have a PA. I would possibly accept it if the PA was male and they played off each other as well as my orthopaedic surgeon and his PA play off each other. 😁

PA's out there, I give you my respect, honor and thanks to all of you! 🌹

Yep! The army uses PAs to do all the gyno stuff. They were always super nice older ladies

As a side note the PA thing is really a great career choice. I think with healthcare cuts looming, the PA and NP will take a far greater role in patient care, especially with taking care of the retiring boomers.

I have seen both and currently see a great female pa so id say i prefer pa's they tend to take more time to listen to my needs as a patient and ask questions.

Been to both and would agree that the PA is more through and easier with communication. I would tkae a PA over an MD.

My Orthopaedic surgeon has a PA. He has been with him almost as long as I have been a patient of his going back to 1986. He is as awesome as my surgeon. I know both of these guys very well. Do I prefer one over the other, nope. I trust both of them implicitly!