By: Savanna Perry, PA-C
You can't work during PA school, but you can control the spending side: borrow only what you need, share housing, pack lunches, buy used textbooks (or use library copies), sell what you don't need, and fill out every scholarship form your program offers. Small habits really do add up over 27 months.
Borrow the minimum, not the maximum. If the money is within reach, you're more likely to spend it, and every borrowed dollar comes back with interest that accrues the whole time you're in school.
Public programs cost dramatically less than private ones (where tuition alone can pass six figures), so cost belongs on your school-list criteria alongside PANCE rates and location. And don't avoid looking at your loan balance until graduation. The number is a lot more motivating when you watch it along the way instead of letting it surprise you at the end.
Housing is where you can save the most. Living with family (if you're lucky enough to attend a program near home) saves the most, and otherwise, roommates from your incoming class cut rent dramatically versus living alone. Most programs have an admitted-students group where classmates coordinate housing. Carpool or split parking passes too.
Food is the everyday one: classmates who eat out for every meal are spending loan money (with interest!) on convenience. Pack lunches as your default, then enjoy the occasional dinner out guilt-free. It's a lot easier to keep that up for 27 months than strict deprivation.
I lived with my parents during didactic year, attended a public program (~$7,000/semester tuition then), got a $2,000/year scholarship essentially for filling out a survey, and still graduated with a little over $60,000 in loans. I'd chosen not to look at the balance until the end, and the number shocked me. Watching how fast interest accrued is what motivated my whole payoff plan. So borrow less, look at your balance early, and fill out every form!
Never pay full price for textbooks:
Check your program's library for online access to assigned texts, because many provide it free.
Buy used (Amazon, eBay) or from the class above you, then sell yours to the class below when you're done. Buying used and reselling usually beats renting.
Digital versions and student discounts (like Amazon's student membership) stack the savings.
Ask upperclassmen which books you'll actually use before buying everything on the list, because every class has two or three assigned texts nobody opens.
Scholarships sometimes go to whoever completed the financial aid survey. Students have received thousands simply for filling out a form their classmates ignored, so always fill out the form!
You can't take a job, but you can make a little money from decluttering and small wins:
Sell unused stuff: Facebook Marketplace, eBay, Poshmark for clothes, local consignment.
Low-effort survey and cashback apps can earn modest gift-card money during study breaks, but modest is the key word. Never trade real study time for pocket change.
Use coupons and grocery-store apps for routine purchases without turning it into a hobby.
Every one your program offers, and the bar is lower than you think! Fill out your school's financial aid survey even if it seems pointless, because scholarships sometimes go to whoever bothered to complete the form while eligible classmates never looked into their options.
Beyond your program, state PA organizations, the PA Foundation, and service-commitment programs like NHSC scholarships (free tuition in exchange for practicing in underserved areas) are worth researching.
"How does anyone actually pay for PA school?" I get asked this constantly, so I brought in someone who does this for a living.
"How does anyone actually pay for PA school?" I get asked this constantly, so I brought in someone who does this for a living.
Andrew Paulson from StudentLoanAdvice.com walks through how student loans work for graduate health professions students. Federal versus private, what the protections and repayment options actually mean, and where people get themselves into trouble.
I am not a financial advisor and nothing here is financial advice. This is a conversation with an expert so you know what questions to ask and what terms to look up before you sign anything.
The theme that stuck with me: borrow for the education, not for the lifestyle. The amount you take out in didactic year follows you for a decade.
What we cover
How graduate loans work and why federal ones come with protections
What to think about before deciding how much to borrow
Budgeting while you're in school with no income
Repayment options and forgiveness programs at a high level
Common mistakes students make with loans
When it's worth talking to an expert
Andrew's site: https://studentloanadvice.com
Resources
Follow The Pre-PA Club: Apple Podcasts · Spotify · All episodes
You will have no income for two years and a lot of expenses. Somebody should talk about that.
You will have no income for two years and a lot of expenses. Somebody should talk about that.
Evan and Ginger are recent PA school grads who built a budgeting tool specifically for PA students, because they went through it and found nothing that fit. Their whole thing is knowing your actual numbers instead of borrowing a round number and hoping.
Standard disclaimer from me: I'm not a financial advisor and this isn't financial advice. This is two people who just did it sharing what they learned.
The piece I'd underline for anyone pre-PA is that the borrowing decisions start before you even matriculate. Where you live, whether you have a car, whether you take the max loan amount because it's offered. Those choices compound.
What we cover
Why budgeting in PA school is different from budgeting anywhere else
The tool they built and what it tracks
Understanding what you're actually committing to when you borrow
Cost-of-living decisions that make the biggest difference
Habits to build before you start school
What they wish someone had told them
Resources
Follow The Pre-PA Club: Apple Podcasts · Spotify · All episodes
Borrow the minimum, because accessible money gets spent and interest accrues all through school.
Housing with family or roommates is the biggest single savings.
Pack lunches by default, and splurge occasionally on purpose.
Buy textbooks used and resell them, and check library access first.
Complete every scholarship form and financial aid survey your program offers.
Most programs prohibit it, and the schedule makes it unrealistic. Plan to live on savings and loans, and control spending instead.
It ranges widely. Public in-state programs may run a fraction of private programs, where tuition alone can exceed six figures. Total cost including living expenses is commonly $75,000-$200,000+.
Roommates from their cohort (coordinate in admitted-student groups), or family if the program is near home. Housing is the biggest controllable cost.
Yes! Program scholarships, state PA organizations, the PA Foundation, and service-commitment programs like NHSC. Start with your own program's financial aid forms.
No, borrow only what your budget actually requires. Accessible money gets spent, and every dollar comes back with interest.
You can't earn your way through PA school's costs while you're in it, but you can absolutely control them, and these habits add up to thousands by graduation. For the payoff side of the story, read how I paid off my PA school debt after graduating.
P6 Pre-PA Roadmap pillar
How I Paid Off My PA School Debt
How to Make Money on the Side in PA School
5 (More) Things I Wish I Knew Before Starting PA School

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