If you’re applying to physician assistant (PA) school, you already know how competitive it is. One of the biggest hurdles? Accumulating hundreds (sometimes thousands) of direct patient care hours. Also known as PCE.
But what if you’re planning to intern abroad? Does international experience count toward PA school requirements?
The short answer is: Yes—but with some important conditions.
In this guide, we’ll break down how to log PCE hours abroad effectively, what counts (and what doesn’t), and how to present your experience confidently on your PA school application.
> Explore Go-Elective Pre-PA and PA Internships Abroad
The CASPA (Central Application Service for Physician Assistants) defines PCE as work that involves direct, hands-on patient care. Common examples include:
However, shadowing and observation—while valuable—are typically logged separately as healthcare experience (HCE).
Some schools have their own definitions of PCE vs HCE. Always check individual program requirements.
Yes, as long as the work you’re doing qualifies and is properly supervised.
At Go Elective, we help interns engage in supervised, ethical patient care activities within their training level at public hospitals in Kenya and Tanzania.
Most international internships—especially those structured through programs like Go Elective—are observation-heavy. But you can still gain PCE if you’re assigned hands-on tasks within your capability and training.
Ask before you begin:
Don’t exaggerate your role—integrity is key in all healthcare applications.
You’ll need to record:
Create a spreadsheet or use a journal to log:
Go Elective provides official documentation of your placement, including a summary of departments, hours, and supervisor details.
Admissions committees expect you to differentiate between shadowing and active patient care.
✅ Example log structure:
This distinction shows professionalism and a clear understanding of your experience.
Some PA programs ask for verification of PCE hours, especially if completed internationally.
Ask your supervising physician, nurse, or clinical officer to:
Go Elective can assist with formal evaluations, letters of recommendation, and hour confirmation upon request.
When completing the “Experiences” section of CASPA:
✅ Be specific about what you did:
“Assisted nursing staff at a public referral hospital in Kenya. Took vitals, observed wound dressing, and assisted with patient mobility and hygiene under supervision.”
✅ Use the correct category:
✅ Be transparent and prepared to explain the experience in your personal statement or interview.
> Mentioning the unique global health context. without overselling, can help your application stand out.
Many students ask: Can I still earn PCE without certification abroad?
The answer is: Yes—but only if the activities still fall within what CASPA and your target programs recognize as PCE.
You don’t need to be a CNA or EMT to assist with:
However, always act within your abilities and never perform procedures without training or supervision.
While some U.S.-based hours may seem more familiar to admissions committees, PCE earned abroad offers additional layers of value:
“Interning in Tanzania helped me build confidence in patient interaction, even with language barriers. I learned how to build rapport using presence and empathy.” – Pre-PA intern with Go Elective
If done ethically and accurately, international patient care hours can be a powerful asset on your PA school application. The key is:
✅ Knowing what counts
✅ Logging it properly
✅ Backing it with documentation
✅ Framing it with insight and reflection
When you intern abroad with Go Elective, we help ensure your experience is not just meaningful—but measurable and ready for CASPA.
Go Elective offers PA internships with:
✓ Public hospital placements
✓ Hands-on patient care under supervision
✓ Departmental rotation and hour documentation
✓ Cultural orientation and ethical guidance
Apply today to start gaining global patient care experience that counts.
Recent Articles , Pre-health, Medical Electives,
Author: Go-Elective Abroad
Date Published: Jun 26, 2025
Go Elective offers immersive opportunities for medical students, pre-med undergraduates, residents, nursing practitioners, and PAs to gain guided invaluable experience in busy hospitals abroad. Discover the power of study, travel, and impact.