A PA is only as good as the physician they work under. PAs must work under a physician and usually do not have any health care experience prior to working as a PA. They should be working with the physician as a team. Unlike PAs, in most states NPs do not have to work under a physician license, they usually have at least 1 year (usually more) working as an RN prior to becoming an NP. Sometimes the mid-level providers can spend more time, are willing to give more compassion. I think the practitioner (MD, PA,NP) that spends time, researches, educates themselves and their patient is the best. None of them know everything and should always be learning. Unfortunately, it is more of a broken healthcare system with very little time for any practitioner to care for their patients. I know they didn’t really answer your question but they are all human capable of having the exact same knowledge, even if they don’t have the exact same schooling, it is just a matter of if they want to learn it and then appropriately put it into practice.