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Physician Assistant
high demand
I · Investigative
S · Social

Physician Assistant

Health Science

Examine, diagnose, and treat patients alongside physicians.

Why it matters here: Specialty practices across the DMV compete for PAs.

Labor Market — DMV Region

Sourced from U.S. Bureau of Labor Statistics OEWS releases (DMV metro and nationwide) plus MD, VA, and D.C. workforce agencies.

Current openings
280
Employed in DMV
Avg hourly wage
$76.24/hr
DMV average
Avg annual salary
$158,580
Median
Employers hiring
69
Organizations in DMV
Entry wage
$132,090
25th percentile
Experienced wage
$184,450
75th percentile
Projected growth
+28%
5-year outlook
Region
DMV
MD · D.C. · Northern VA
DMV Region vs. nationwide
DMV pay is 19% above the national median
National median
$133,260
All 50 states
National entry wage
$111,000
25th percentile
National experienced wage
$155,000
75th percentile

Local cost of living is why DMV pay often differs from the national median.

Data sources & citations
  • DMV & state figures: U.S. Bureau of Labor Statistics — OEWS wage & employment estimates and Employment Projections, with OEWS area pay relatives for the Washington–Arlington–Alexandria metro, Maryland, D.C., and Northern Virginia · View source
  • Occupation profiles & skills: O*NET OnLine (U.S. Department of Labor) · onetonline.org

All salary figures are published estimates for groups of workers, not offers or guarantees for any individual role.

Local demand over time
Nearby cities hiring
Washington, D.C.
73
Arlington
31
Silver Spring
25
Rockville
22
Bethesda
20
Gaithersburg
17

Education & Career Pathways

Multiple ways to get here — pick the one that fits your life.

Montgomery College transfer
⏱ 2 years + transfer
💵 $5k–$8k/yr
First job: Assistant / technician role while finishing coursework
Salary progression
Year 1$102,842
Year 3$124,046
Year 5$145,250
Year 10$168,950
Registered apprenticeship
⏱ 2–4 years (earn while you learn)
💵 Paid — little to no tuition
First job: Paid apprentice, journey-level after completion
Salary progression
Year 1$84,693
Year 3$114,972
Year 5$145,250
Year 10$168,950
Certification fast track
⏱ 6–18 months
💵 $500–$6,000
First job: Entry role with an industry credential
Salary progression
Year 1$108,891
Year 3$127,071
Year 5$145,250
Year 10$168,950

Career Progression

How you can grow — with expected salary at each step.

  1. Entry-level Physician Assistant
    Learning the role, supervised work, building core skills.
    $120,990
  2. Physician Assistant (experienced)
    Independent work, mentoring newer team members.
    $145,250
  3. Senior / Lead Physician Assistant
    Owning projects, specialization, higher responsibility.
    $168,950
  4. Manager or specialist track
    Supervising a team or moving into a high-demand specialty.
    $202,740
Salary progression

Skills Required

What you'll actually do — and how you'll be judged.

Technical skills
Biology
Problem Solving
Communication
Soft skills
Communication
Teamwork
Problem Solving
What the workday feels like
Based on the BLS Occupational Outlook Handbook

Clinic or hospital service, team-based, some call

Where you work

Depends entirely on specialty: a surgical service, an emergency department, a dermatology clinic. PAs move between specialties over a career.

Hours and schedule

Clinic PAs keep weekday hours; hospital and ER PAs work shifts, nights and call rotations.

Pace and pressure

Fast in hospital settings, structured in clinic; you often see the higher-volume, lower-complexity share of the schedule.

Who you work with

Practice is collaborative with a supervising physician, and you'll present cases the way residents do.

Physical demands

Varies by specialty — long standing in surgery, mostly seated in clinic.

What people wear

White coat or scrubs by setting.

Remote reality

Mostly in person, with telehealth in primary care and psychiatry.

Workplace culture: what's normal here

  • Asking for a second opinion on a case is a sign of competence here, not weakness.
  • Procedural skills are learned by supervised repetition, so new PAs get coached hands-on for months.
  • Switching specialties mid-career is normal and respected.

Source: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook — Work Environment, with regional detail for the DMV.

Official data behind this career

Federal statistics for DMV Region, translated into plain language.

How people get in (BLS)
Typical entry-level educationMaster's degree
Work experience needed firstNone
Training once hiredNone

Source: BLS Occupational Outlook Handbook

Who lives and works here (Census)

Washington–Arlington–Alexandria, DC–VA–MD–WV metro area

Median household income$117,432
Median earnings per worker$58,000
Adults with a bachelor's degree or higher53%
Adults in the labor force71%
Unemployment4.6%
Median age37.5

Source: U.S. Census Bureau — ACS 2019–2023 5-year estimates (tables DP03, DP02, DP05)

Where workers commute (LEHD)
  • The DMV functions as one labor market: workers routinely cross state lines to get to work.
  • The largest employment destinations are D.C., Fairfax County and Montgomery County.

Top places these workers go to work

Washington, D.C.
Fairfax County, VA
Montgomery County, MD
Arlington County, VA

Source: Census LEHD OnTheMap / LODES, latest published year

This career and the regional economy (BEA)
Industry groupHealth care and social assistance
Share of the DMV economyAbout 6% of metro GDP
Total DMV metro economyAbout $722 billion a year
Income per person — DMV Region$87,000

Source: U.S. Bureau of Economic Analysis — BEA regional GDP and personal income, most recent published year

Recent private-sector pay trend (ADP — supplemental)
Pay growth, people who stayed in their job4.4%
Pay growth, people who changed jobs6.6%

Private-sector payroll data from ADP. It is a supplemental near-real-time indicator and does not replace BLS government employment statistics.

Source: ADP National Employment Report — Most recent monthly ADP National Employment Report

Where these numbers come from
  1. 1U.S. Bureau of Labor Statistics (OOH, OEWS, Employment Projections, CES) — Primary source for occupation wages, outlook, projected openings, education and training.
  2. 2U.S. Census Bureau — American Community Survey — Primary source for income, educational attainment, labor force and demographic context by place.
  3. 3Census LEHD (LODES / OnTheMap) — Primary source for where workers live versus where they work, and local workforce flows.
  4. 4U.S. Bureau of Economic Analysis — Primary source for regional GDP, industry contribution, compensation and personal income.
  5. 5ADP National Employment Report — Supplemental near-real-time private-sector employment and pay indicator. Not a replacement for BLS.

Figures describe groups of workers, not any one person. Where an official figure is not published for a category, this page says “Data unavailable for this category.” rather than estimating.

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