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Registered Nurse
Registered nursing traces its modern professional foundations to Florence Nightingale's work during the Crimean War in the 1850s, and the profession has since grown into one of the largest healthcare occupations in the United States, requiring either an associate's or bachelor's degree in nursing plus passing the national licensing exam. The role spans an unusually wide range of practice settings and specializations, from hospital emergency departments and operating rooms to school nursing, home health, and public health work, giving registered nurses more career-path flexibility than many other clinical roles. Nursing has consistently ranked among the most trusted professions in national surveys for decades, and the persistent national nursing shortage, driven partly by an aging population's increasing care needs and nurse workforce retirements, has kept demand and compensation for registered nurses strong across most regions of the country. Registered nursing's combination of its foundational role in modern clinical care and its unusually broad range of practice-setting options has made it one of the most stable and in-demand careers in American healthcare.
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Physician Assistant
The physician assistant profession was created in the mid-1960s at Duke University, developed specifically to help address a shortage of primary care physicians by training military medical corpsmen returning from Vietnam to take on expanded clinical responsibilities under physician supervision. Physician assistants typically complete a rigorous master's-level PA program after a bachelor's degree, and the profession's generalist medical training model, distinct from a nurse practitioner's nursing-based training, lets PAs shift between different medical specialties throughout their careers with comparatively less additional retraining. The role has grown substantially since its origins, driven partly by ongoing physician shortages and by healthcare systems' interest in expanding access to care through appropriately trained, more quickly credentialed clinicians working collaboratively with physicians. The physician assistant career's combination of its origin addressing a specific mid-1960s physician shortage and its distinctive cross-specialty flexibility has made it one of the fastest-growing clinical careers in American medicine.
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