Gap Year: Medical Assistant
Updated March 2, 2021

What is a Medical Assistant?
The last time you visited your primary care physician for a physical, there is a good chance a medical assistant walked you back to your exam room, took your vitals, and updated your medication list. But this is just the tip of the iceberg when it comes to the job responsibilities of a medical assistant.
Medical assistants provide direct support to physicians and other advanced practice healthcare providers, most commonly in outpatient clinics. As physicians go about their day seeing patients, medical assistants work behind-the-scenes to make sure everything runs smoothly.
Because the role of physicians varies by setting, the type of support they need also varies. This means that the day of a medical assistant at a large primary care clinic, for example, may look very different from the day of a medical assistant at a small specialty clinic. However, some tasks are more common than others, and most medical assistants can expect at least part of their time to be dedicated to taking vitals, scheduling appointments, documenting in the electronic medical record, preparing examination rooms, answering phone calls from patients, and preparing patients to see the physician. The common thread is that most medical assistants spend a good deal of time working directly with patients.
Depending on setting, medical assistants may be involved in a variety of specialized clinical and administrative tasks, such as preparing patients for procedures, drawing blood (if properly trained and certified), acting as a “scribe” by documenting encounters for the physician, assisting with billing, performing diagnostic tests, and many other possible tasks. In general, medical assistants working in smaller clinics may expect to take on a broader set of roles, as there are fewer employees. For example, while a hospital might have an arsenal of dedicated phlebotomists, IV therapists, and EKG technicians on staff, a small clinic might rely on their medical assistants and nurses to meet all of these needs.
How to know if becoming a medical assistant is right for you
Spending your gap year as a medical assistant is a great way to get clinical experience. Though the skills required of a medical assistant vary by setting, medical assistants generally learn to take vitals, gain familiarity with the electronic medical record, and get to communicate extensively with patients. These experiences can solidify your commitment to a career in medicine and improve your understanding of how the healthcare system works. As a bonus, while working as a medical assistant, you will likely become familiar with many common medications, medical abbreviations, and documentation skills that will serve you well once you begin medical school.
Becoming a medical assistant also provides an opportunity to get a great letter of recommendation from a healthcare provider. In many settings, medical assistants are assigned to a single provider, and work closely with that person on a daily basis. Medical assistants can consequently build longitudinal relationships with their providers very quickly, and the providers can then write strong letters of recommendation. Of note, some medical schools place a high value on letters of recommendation from physicians, while others do not require them.
When deciding how to spend your gap year(s), it’s also worth considering your financial situation. Nationally, the median pay for medical assistants in 2019 was $16.73 per hour (https://www.bls.gov/ooh/healthcare/medical-assistants.htm). Keep in mind that the salary of a medical assistant varies by location, experience level, and certification. In general, certified medical assistants earn more than their non-certified counterparts. While medical assisting is not a high paying job, it may be more lucrative than alternative clinical gap-year jobs such as scribing.
Routes to becoming a medical assistant
Most medical assistants have completed a training program, culminating with either an associates degree or a certificate. Certificate-awarding programs are more common. Keep in mind that these programs can be expensive, and may take several months or more to complete. If you are a non traditional student planning to work for several years before starting medical school, completing a training program might be worth your time and money, as it may be easier to find employment after completion, and you may earn a higher hourly wage.
However, it is not necessary to complete a training program to become a medical assistant, and for those who are only planning to take 1-2 gap years, completing a training program may not be feasible or worthwhile. Though a few exceptions exist, most states do not require medical assistants to be formally educated. Once hired, medical assistants can be trained on the job.
Tips for finding a job as a medical assistant
Showcase your qualifications! Finding a position as a medical assistant can be tricky, especially if you aren’t certified. Jobs may be posted on sites like Indeed, but many listings are for certified medical assistants only. Sometimes, however, there may be more flexibility than you think. This is especially true in smaller, independent clinics. Tailor your resume to demonstrate your relevant skills and qualifications, and be confident in what you can bring to the table! Our article on becoming a medical scribe features some thought-provoking questions to help you tailor your resume for scribing positions, even if you don’t have any prior clinical work experience. The tips provided are also relevant to applying as a medical assistant, and you can check them out here.
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Pick up the phone! If you aren’t finding listings online, it may be worth calling the clinics in your area. Many clinics have the phone number or email address for their hiring manager or human resources department (which may consist of only one or two people in smaller clinics) easily accessible on their website. If they don’t, you can call the main line and ask to be transferred. Although cold-calling is often intimidating, take a breath and remember that you don’t have anything to lose by picking up the phone. Even if a clinic doesn’t have a position available for you, reaching out might open the door for when a future position becomes available. In some cases, the turnover for medical assisting jobs can be high, and a position may open up sooner than you might expect.
With that said, the earlier you can start a conversation, the better. It may be beneficial to reach out several months before you plan to start working, as clinics may sometimes be able to plan for your availability date and keep you in mind if an opening arises at an appropriate time.
Choosing between medical assisting and other clinical jobs
Many people take one or more gap years to strengthen their clinical experience prior to applying to medical school. Medical assisting is just one of several ways to gain clinical experience during this gap. It can be a good option for short gap periods, as certification is helpful, but not always required. Becoming a medical scribe or clinical research assistant is also a good option for a short gap, as training is completed on-the-job. In contrast, some clinical workers, such as EMTs, phlebotomists, CNAs, and pharmacy technicians, may be required to undergo training and obtain certifications prior to hire.
As you consider whether medical assisting is right for you, reflect on the skills or experiences you hope to gain during your gap year. For example, if your goal is to maximize patient interaction, becoming a medical assistant may be a good fit, as medical assistants spend a large proportion of their time interacting directly with patients and their families. These experiences can come in handy when completing secondary applications for medical school, and can also be a good talking point during interviews. In contrast, if your priority is to gain a foundational understanding of clinical reasoning and a good sense of how electronic medical records work, you might consider becoming a medical scribe instead. However, remember that clinical jobs fall on a spectrum with a lot of overlap, and you will likely gain many similar skills and experiences no matter what you choose to do.
Working as a medical assistant or in any of a myriad of other clinical positions will allow you to build foundations that will serve you well throughout your career, but clinical work is just one of numerous ways to spend your gap year and strengthen your application for medical school. You might find that research, continued education, or non-medical employment are better fits for you, and regardless of what you choose, you will bring a unique and valuable perspective to your class when you begin school.

Karlee De Monnin
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Medical School: Washington University School of Medicine in St. Louis
Year: M1