How to Choose Your Top PA Programs

With 335 accredited programs (estimated to increase to 371 by 2031) to consider, finding your top PA programs to apply to can be a challenge. While every program has promise and pitfalls, selecting the right fit for you is important to set yourself up for success in your educational journey and ultimately your career!

Graduate education is not only costly and time-consuming, but it can also come with an immense mental strain, making it even more important to pick a program that meets your greatest needs. To help you focus your search, we’ve compiled important factors to consider while selecting your top PA programs. Let’s dive in!

🩺 Want to make sure you’re prepped for PA school? Try out our Pre-PA practice questions from anatomy and physiology to medical terminology, professional practice, and more!


Criteria #1: Nationally High-Ranking Top PA Programs

According to the U.S. News, Duke and the University of Iowa rank number one of the top PA programs in the U.S. based on rankings from peer institutions. Baylor follows these programs at number three, the University of Utah is ranked fourth, and fifth place is a tie between Emory University and George Washington University. 

While national rankings may hold some significance to you and reassure you that your chosen program is a quality one, keep in mind that these rankings are subjective. It is difficult to objectively compare PA programs due to varying missions, focus, structure, student composition, and size, among other factors. 

An objective data point that may help in your decision is the five-year PANCE pass rate. The overall data for all exam takers is reported by the National Commission on Certification of Physician Assistants (NCCPA) yearly. These rates are often reported on the websites of PA programs or can be requested if not directly posted. 


Criteria #2: Long-Established PA Programs

If you want abundant evidence of success following your particular studies, a program with longevity may be a good fit for you. These programs have been constantly modifying and perfecting their educational methods as well as establishing long-lasting, quality rotations for students. 

Picking an established program is ideal for many students to ensure their hard work and finances are well spent on a quality program. 

If considering a newer program, review its current ARC-PA accreditation status and accreditation history. New programs enter the accreditation process through Accreditation–Provisional status, which does not guarantee that the program will subsequently receive continued accreditation. Students should understand how accreditation status may affect their educational experience and future certification eligibility.


Criteria #3: Specialized PA Programs

While all programs must comply with the ARC-PA requirements to produce a general practitioner, some programs focus on specialized skills. For example, the University of Alabama-Birmingham offers a surgical skill curriculum. 

Many programs allow customization of your clinical year schedule with elective rotations that can broaden your knowledge and personal experience with desired specialties. 

But don’t get too hung up on this aspect of the program if your heart is set on a certain specialty pathway. There are plenty of post-graduate PA fellowships to further your experience and hone your skills! PAs tend to learn and perfect skills on the job. Moreover, forming a close relationship with fellow clinicians and your collaborating physician is instrumental in your professional development. 

So regardless of the program, there should be many opportunities to get extra support in your chosen specialty—or even be introduced to a new specialty and make the switch!


Criteria #4: Class Structure in PA Programs

Class structure can also be an important factor in your success. PA programs use a variety of curricular structures, including traditional semester-based, block-based, and hybrid or integrated approaches.

Semester-style teaching focuses on learning the foundations for medicine (such as anatomy, physiology, and basic pharmacology) with further classes building on these basics to introduce pathology, diagnostic evaluation, and treatment of specific conditions. 

Alternatively, some students thrive with the block-style learning structure wherein teaching focuses on one body system at a time. For example, a block may focus on cardiology with all relevant anatomy, physiology, pathology, pharmacology, and other necessities for diagnosing and treating cardiac disease incorporated during the class’s assigned period of time. 


Criteria #5: PA Program Size

Program class sizes can range from 20 to 162 students, but the median PA class size is 41.5. You may find a larger class to be helpful in resourcing aid from a variety of colleagues with varied backgrounds. On the contrary, some students prefer a small class size to have more personalized interactions with professors and establish close-knit relationships with fellow students. 

Another personal preference that may sway you: a program’s physical distance from your support system. Consider who you will rely upon when the stress of your studies starts to bear down (trust me– it happens to the best of us!). 

If you’re comfortable with utilizing FaceTime or phone calls for a sympathetic ear, a program far from home that checks all your other criteria could be a consideration. If you instead need a home-cooked meal or tight-locked hug to ease your worries, programs within easy travel distance of your support system should be at the top of your list.


Criteria #6: Costs and Financial Aid

PA school costs vary substantially by institution, residency status, program length, and fees. As of 2026, the average tuition for a 27‑month PA program is about $98,075 for residents and $107,288 for non‑residents across all U.S. program. 

Consider how you will be paying for school and managing your finances. Federal student loan rules have changed beginning in 2026. New graduate and professional students generally cannot use Direct PLUS Loans beginning July 1, 2026, subject to a limited exception for certain students already enrolled in their programs. New federal Direct Unsubsidized Loan limits also apply. Prospective students should review current federal borrowing limits and compare them with each program’s total cost of attendance before enrolling.

Decide what you are willing and capable of investing into your education and make a solid plan on how you will pay back what you borrow. Keep in mind the physician and PA job market may be different between matriculation and graduation–have a backup strategy in mind should things shift during your time in school. 

If you plan to work before PA school, consider how additional healthcare experience, savings, and debt may affect your overall financial plan.

Depending on your career plans, don’t forget about loan repayment programs such as the Public Service Loan Forgiveness program or the National Health Service Corps scholarship or repayment program!


Criteria #7: Personal Considerations

Further considerations will come down to personal preferences between individual programs. In my own considerations for PA programs, an anatomy lab with the opportunity to dissect cadavers was important to me. Having specific criteria effectively ruled out programs that focused funding on or prioritized alternative programs such as medical doctorate degrees and those with virtual anatomy labs. 

The program I attended also had a collaborative healthcare philosophy and incorporated lessons from different disciplines such as physical therapy, nursing, and occupational therapy when relevant. This reinforced a collaborative approach to healthcare which has served to better my clinical practice. 

These personalized choices led me to select a program best suited for my ideal educational setting. After the primary considerations above, determine what makes each program unique and whether that fits with your personal values and beliefs.


Additional Resources

For a direct comparison of top PA programs (including requirements for pre-requisite classes, experience hours, and minimum GPA), the PA Education Association has put together this comprehensive directory.

Once you’ve narrowed down your potential list using our tips above, dive further into the specifics behind your desired programs to find the few that best suit you. And after applying, you can get a leg up on your PA journey with Blueprint’s pre-PA question bank!

Originally published February 2023 / Updated September 2026 by Jessica Mowbray, PA-C

About the Author: Brandi Curioz, PA-C

I am a physician associate originally from North Carolina who has been working with Rosh Review as an author since 2019. My healthcare journey began as a certified athletic trainer after graduating from College of Charleston with a bachelor’s degree in this field. Wishing to provide a higher level of care for patients, I pursued a career as a PA by attending Methodist University in Fayetteville, NC. Upon graduation, I have worked primarily in military hospitals and clinics in the fields of orthopaedic surgery, urology, and primary care. With a passion for sports medicine, I have used my background knowledge as an ATC to provide better care for my patient population. My husband and I married in 2015 and together we have a 2 year old daughter and are expecting our next child in August, 2023. In my off-time, I enjoy running, skiing, cycling, and playing with our daughter and two dogs.

Blueprint PA is the leading Qbank provider for PA programs across the United States. Whether
you’re a pre-PA student or PA-C, Blueprint PA has something for you along your PA journey. Start a free trial today!