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How to Get Patient Care Hours in Virginia

Virginia PA programs require 2,000–3,000+ patient care hours. Here is the fastest and most effective way to build them — and how to document them correctly for CASPA.

How Many Hours Do Virginia PA Programs Require?

ProgramMinimum RequiredCompetitive Average
VCU PA3,000+4,000+
Eastern Virginia Medical School PA2,000+3,000+
Jefferson College of Health Sciences PA2,000+3,000+
Shenandoah University PA2,000+3,000+
Marymount University PA2,000+3,000+
Radford University PA2,000+3,000+

Dr. Tomei's Perspective

Virginia PA programs require 2,000–3,000+ patient care hours — VCU expects 3,000+ from competitive applicants. Start building hours as early as possible. A student who starts as a CNA or EMT freshman year will have 3,000+ hours by the time they apply junior year. A student who starts senior year will not.

Best Patient Care Roles for Virginia Pre-PA Students

Certified Nursing Assistant (CNA)

4–8 weeks to certify80–160 hours/month

CNA is the fastest path to high-volume patient care hours in Virginia. Virginia has a streamlined CNA certification process through the Virginia Department of Aging and Disability Services. CNAs work directly with patients in hospitals, nursing homes, and home health settings. Most Virginia PA programs count CNA hours as direct patient care.

Virginia Tip: Virginia CNA programs are available at community colleges (Austin Community College, Hampton Roads Community College, Richmond College) and typically take 4–8 weeks. The Virginia Nurse Aide Registry maintains certification records.

Emergency Medical Technician (EMT)

3–6 months to certify48–96 hours/month

EMT certification provides some of the highest-quality patient care hours available to pre-PA students. Direct patient contact, real emergencies, and hands-on clinical skills. Virginia has a robust EMS system with opportunities in urban, suburban, and rural settings.

Virginia Tip: Virginia EMT certification is governed by the Virginia Office of Emergency Medical Services. Programs available at community colleges and private EMS training centers. Henrico County EMS, Virginia Beach EMS, and Fairfax County Fire and Rescue all hire EMTs.

Medical Assistant (MA)

9–12 months to certify160 hours/month (full-time)

Medical assistant roles at Virginia health systems provide consistent, high-volume patient care hours. MAs take vitals, assist with procedures, administer medications, and work directly with patients under physician supervision. Widely available at VCU Health, Sentara Healthcare, and private practices.

Virginia Tip: Virginia does not require MA certification by law, but most employers prefer certified MAs (CMA or RMA). Programs available at community colleges and vocational schools. VCU Health and Sentara Healthcare both hire MAs across the Richmond, Hampton Roads, and Northern Virginia markets.

Phlebotomist

4–8 weeks to certify80–160 hours/month

Phlebotomy provides direct patient contact and is widely available at Virginia hospital systems and reference labs. Most Virginia PA programs count phlebotomy as direct patient care. Good option for students who want to build hours quickly while in school.

Virginia Tip: Virginia does not require phlebotomy certification by law, but certification (CPT) is preferred by employers. Programs available at community colleges. LabCorp, Quest Diagnostics, and major Virginia health systems all hire phlebotomists.

Medical Scribe

No certification required80–160 hours/month

Medical scribing is widely available in Virginia through ScribeAmerica, Aquity Solutions, and directly through major health systems. Most Virginia PA programs count scribing as direct patient care. Scribing also provides exposure to physician decision-making and clinical documentation that is valuable for PA school interviews.

Virginia Tip: The Richmond, Hampton Roads, and Northern Virginia healthcare markets are among the strongest in the Mid-Atlantic for scribing positions. VCU Health, Sentara Healthcare, and Inova Health all use scribes.

Home Health Aide

75 hours of training required in Virginia80–160 hours/month

Home health aide work provides direct patient care in home settings. Virginia has a large home health industry given its aging population. Most Virginia PA programs count home health aide hours as direct patient care.

Virginia Tip: Virginia requires 75 hours of training for home health aides. Programs available through home health agencies and community colleges. Large Virginia home health agencies include Encompass Health, Kindred at Home, and LHC Group.

Free Clinic Volunteer

No certification required16–32 hours/month

Volunteering at free clinics in Virginia provides meaningful patient care hours and demonstrates commitment to underserved medicine — a value shared by most Virginia PA programs. The Daily Planet (Richmond), CHKD Community Clinics (Hampton Roads), and Northern Virginia Family Service all have volunteer programs.

Virginia Tip: Free clinic volunteering is particularly valued by VCU, EVMS, and Jefferson College of Health Sciences PA programs, which have explicit missions around underserved and community care.

How to Document Patient Care Hours in CASPA

Log every patient care experience in CASPA separately — do not combine different roles into one entry.

Record the organization name, supervisor name and contact, start/end dates, and total hours for each role.

CASPA distinguishes between "direct patient care" and "healthcare experience" — make sure you categorize correctly.

Virginia PA programs generally require direct patient care hours, not just healthcare experience. Scribing and volunteering at free clinics typically count as direct patient care.

Get a letter from your supervisor confirming your hours — some Virginia programs require verification.

Do not inflate hours. PA program admissions committees verify, and inconsistencies will disqualify your application.

Quality matters as much as quantity. Be prepared to discuss what you learned from each experience in your personal statement and interviews.

Need Help Building Your Patient Care Profile?

Patient care hours are only as valuable as how you write about them. Dr. Tomei can help you build a patient care narrative that Virginia PA programs find compelling.

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