I understand the negativity you reference, and you’re right it does take place in several forms.
Intraprofessional negativity towards PAs: First and foremost, the response to the PA profession from physicians has been overwhelmingly positive in my experience. I worked mostly with MDs during my training and they all were very supportive of my role. Once during my surgery rotation I was advised to avoid a particular surgeon because she didn’t like “the midlevels” so I stuck with my chief residents instead and wrote “the best damn notes” they’d ever seen in clinic, so it was the snobby MD’s loss, and I think those types of people are figuring that out pretty quickly! If you’re worried you could end up needing to work with someone like this (or even worse, have them as a supervising) rest assured that if you take your time during a job interview and be sure to meet and mingle with these people before accepting the position. You can usually smell a Negative Nancy a mile away, so trust your gut! But honestly these days those people are few and far between. PAs bring a lot of skills and money to their practices.
Interprofessional negativity: I only worked briefly with PAs in my training, on my ED rotation, and many of them seemed disgruntled and felt their role as basically a resident wasn’t quite right. They didn’t do themselves (or the students they were supposed to be teaching) any favors in changing the current by pawning their work off on their attending physicians whilst continuing to grumble. I also see a lot of negativity and “secret club” attitudes reminscent of the surgery gentlemen’s club online such as on the PA Forum. Again, these are crusty, disgruntled old PAs who are griping and putting other PAs/students/MDs/providers down instead of using their efforts towards legislative or work changes, or towards educating and edifying the next generation of PAs. For every crusty PA flapping their gums on the web there are 10 other PAs satisfied with their decisions and jobs.
In my new job, I work with tons of patients, physicians, NPs, and PAs, and not a one of them has been negative towards me or my role. Even as a PA student, I only once had a patient turn me down in seeing them before the MD, and that was because she had an embarrassing girly issue that the MD already knew about.
Now, as far as the future goes, I know that I am smart, well-educated, good with my patients, and that I will be bringing in a lot of satisfaction and money to my practice. If a provider decided to disrespect my role or put me down, I would have a few choice words for them, highlighting the above benefits of having me on board as a PA. I would also tell them that they can go have fun seeing all 30 of their patients and that I would be bringing my skills elsewhere. If a patient did this, I probably wouldn’t take it personally, because most of the time they’re just not educated and once you bring them up to speed they’ll come around eventually. Again, those situations are becoming rarer and rarer these days.