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MOS COMPARISON

65D vs 68V

Physician Assistant (USA) vs Respiratory Specialist (USA)

Intel

Two MOS codes that share a branch, a PT test, and an unshakeable belief that their job is the reason the Army functions.

When a 65D and a 68V both hit terminal leave in the same month, the job market receives two very different veterans. The 65D brings: post-Army PA salaries have grown significantly — the AMEDD PA community has an excellent reputation in the civilian market. The 68V arrives with: the work is technically demanding and genuinely life-critical in ways that keep practitioners engaged across a career. Both earned their DD-214. The civilian world values them at different exchange rates. Somewhere, a recruiter just read this comparison and felt nothing. That's the training.

65DArmy
Physician Assistant
Overall ratingNo reviews yet
Do It Again
Civilian Pay
$130K
68VArmy
Respiratory Specialist
Overall ratingNo reviews yet
Do It Again
Civilian Pay
$78K
Head to Head
65D
68V
Getting In
ASVAB Line Scores
NOTE Officers qualify via commissioning source (OCS/ROTC/USMA), not ASVAB line scores
ST 107
Clearance
Secret
Pay Grade
Officer
Enlisted
Training
Training Length
8 wk
20 wk
Pipeline Type
PA School + Interservice PA Program
Basic Combat Training
Training Location
Fort Sam Houston, TX
Fort Sam Houston, TX
Day-to-Day
Promotion Speed
Fast
Deployment Tempo
Low
Career Field
Medical
Medical
After You Get Out
Civilian Median Pay
$130K
$78K
Top Civilian Career
Physician Assistants
Respiratory Therapists
Credentials Earned
4 certs

After the Uniform

The part the recruiter skips: what each job actually translates to once you're a civilian — and what it pays.

65DPhysician Assistant
Civilian Median Pay
$130K/yr
What It Becomes on the Outside
Physician AssistantsStrong
Job market: Much faster than average (28%)
$130K
Physician AssistantsStrong
Registered NursesRelated
Job market: Faster than average (6%)
$86K
Medical and Health Services ManagersRelated
Job market: Much faster than average (28%)
$111K
Credentials You Walk Away With
MD/DO degree (required)Board certification in specialtyState medical licenseACLS/ATLS/BLS
68VRespiratory Specialist
Civilian Median Pay
$78K/yr
What It Becomes on the Outside
Respiratory TherapistsStrong
Job market: Much faster than average (13%)
$78K
Health Technologists and TechniciansStrong
Registered NursesRelated
Job market: Faster than average (6%)
$86K
Emergency Medical Technicians and ParamedicsRelated
Job market: Much faster than average (14%)
$40K

Salary data from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics program. A guide, not a guarantee.

Recruiter vs. Reality

The pitch versus what people who actually did the job report back.

65DPhysician Assistant
What the Recruiter Says

Serve as an Army Physician Assistant, providing primary care and emergency medical services to soldiers across all environments. Clinical independence with a military career.

What It's Actually Like

The PA-C in Army uniform has a scope of practice that is broader than most civilian PA positions — you are often the primary medical authority for a battalion or remote unit, making independent clinical decisions with limited specialist backup that civilian PA practice typically provides. The Army PA experience is clinically rich and accelerates clinical independence in ways that value-minded PAs appreciate. What the recruiter explains less clearly: the administrative burden of being a military officer competes with clinical time, and in some assignments the leadership and administrative duties will genuinely affect your clinical development. The IPAP program (Army-funded PA school) creates a service commitment that deserves careful math. Post-Army PA salaries have grown significantly — the AMEDD PA community has an excellent reputation in the civilian market. Emergency medicine, urgent care, and occupational medicine are the most common post-Army pathways. The clinical experience with trauma, operational medicine, and independent practice is genuinely valued.

68VRespiratory Specialist
What the Recruiter Says

Provide respiratory therapy to injured and ill soldiers in Army medical facilities. Operate mechanical ventilators, perform pulmonary function testing, and support critical care teams. Work in Army hospitals with advanced respiratory technology. Strong civilian certification pathway in a high-demand allied health specialty.

What It's Actually Like

You work in Army hospital respiratory therapy departments: mechanical ventilator management, oxygen therapy, nebulizer treatments, pulmonary function testing, arterial blood gas collection, airway management assistance — the full scope of respiratory care under the supervision of physicians and in collaboration with nursing and critical care teams. The ICU component is where the work gets both the most demanding and the most meaningful: a ventilated patient in the ICU is one where respiratory care is not a supporting role but a primary one. The Army's critical care hospitals give you exposure to complex patients at a level that most new respiratory therapists don't see until they've been working for years. Certified Respiratory Therapist (CRT) and Registered Respiratory Therapist (RRT) credentialing through NBRC are the civilian pathways, and your Army clinical experience provides the foundation. Hospital respiratory departments are consistently short-staffed — the profession is in perpetual demand relative to the number of people who know it exists. ICU-experienced respiratory therapists make competitive salaries. Travel respiratory therapist positions, which pay significantly above standard rates, are particularly accessible to people with Army critical care background. The work is technically demanding and genuinely life-critical in ways that keep practitioners engaged across a career.

The Real Life

Same dimensions, side by side. 65D on the left, 68V on the right.

Daily Life
65D

Practicing medicine — patient care, surgeries, rounds, and teaching residents. Army physicians work in military hospitals and clinics providing the same care as civilian doctors. Some specialize in combat trauma, aerospace medicine, or preventive medicine. The caseload is steady and the patient population is generally young and healthy.

68V

Training / School
65D

Medical school (civilian or USUHS) followed by residency at a military hospital. USUHS (Uniformed Services University) is the military's medical school in Bethesda, MD — full scholarship in exchange for a 7-year service obligation. HPSP (Health Professions Scholarship Program) pays for civilian medical school in exchange for service obligation.

68V

Physical Demands
65D

Low to moderate. Medical practice is physically manageable but the hours can be brutal during residency and deployment. Standard Army PT requirements apply.

68V

Where You'll Be Stationed
65D
Walter Reed (MD)Fort Sam Houston (TX)Tripler (HI)Madigan (WA)Landstuhl (Germany)
68V
The Honest Truth
65D

Military physician is one of the most interesting ways to practice medicine. The Army pays for your medical education (either through USUHS or HPSP), which eliminates the crushing debt that civilian medical graduates face. What the recruiter won't fully explain: the service obligation is real and long. USUHS graduates owe 7 years after residency; HPSP graduates owe one year for each year of scholarship. Military medicine has unique advantages: you practice medicine without insurance bureaucracy, your patients are generally motivated and healthy, and you have access to experiences (combat trauma, global health, austere medicine) that civilian physicians never see. The disadvantages: military physician pay is significantly lower than civilian equivalent specialties (especially surgical specialties), you move when the Army tells you to, and the military bureaucracy layers on top of medical bureaucracy. Many physicians serve their obligation and transition to lucrative civilian practices. Others stay because the mission and lifestyle suit them.

68V

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