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Career comparison

Medical assistant vs. Licensed practical nurse (LPN)

Licensed practical nurses (LPNs) earn more: a median of $64,400, $18,710 (41%) above medical assistants at $45,690.

Medical assistants have the stronger outlook: +13% projected growth through 2035, vs. +3%.

Getting in is faster for medical assistants: about 10 months vs. 14 months for someone with a bachelor's in another field.

At a glance

Medical assistantLicensed practical nurse (LPN)
Median pay$45,690$64,400
Top 10% earn over$59,310$83,440
Growth to 2035+13%+3%
Openings per year109,70051,800
Jobs today833,900666,900
Typical entry educationPostsecondary nondegree awardPostsecondary nondegree award
Time to qualify*10 months14 months
Training cost*$3K–$15K$10K–$36K

* Starting from a bachelor's degree in an unrelated field. Pay: BLS OEWS May 2025. Outlook: BLS Employment Projections 2025–35.

Pay

Medical assistant

$45,69010% earn under $36,050 · middle half $38,470–$49,180 · top 10% over $59,310

Licensed practical nurse (LPN)

$64,40010% earn under $49,740 · middle half $59,000–$76,030 · top 10% over $83,440
Bar: middle 50% of workers. Line: 10th to 90th percentile. Dot: median. BLS OEWS, May 2025, national.

Switching from one to the other

Set your education and current pay. The calculator lays out the path, what it costs, and the year it starts paying off.

Medical assistantLicensed practical nurse (LPN)

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Getting in

Medical assistant

Entry education
Postsecondary nondegree award
On-the-job training
None
Prior experience
None

Required: CMA or RMA certification (optional, most employers prefer)

Licensed practical nurse (LPN)

Entry education
Postsecondary nondegree award
On-the-job training
None
Prior experience
None

Required: NCLEX-PN exam · State LPN/LVN license

What the work is like

Medical assistantLicensed practical nurse (LPN)

Dealing with the public

Rarely
Constantly

Unpleasant or angry people

Rarely
Constantly

Time pressure

Rarely
Constantly

Cost of a mistake

Minor
Severe

Freedom to make decisions

Little
A lot

Repeating the same tasks

Rarely
Constantly

Time sitting

Rarely
Constantly

Time standing

Rarely
Constantly

Hazardous conditions

Rarely
Constantly

Exposure to disease

Rarely
Constantly

Medical assistant: 17% usually work over 40 hours a weekLicensed practical nurse (LPN): 15% usually work over 40 hours a week

Average worker ratings, 1 to 5. O*NET 31.0 work context survey.

Medical assistant: core tasks

  • Interview patients to obtain medical information and measure their vital signs, weight, and height.
  • Clean and sterilize instruments and dispose of contaminated supplies.
  • Record patients' medical history, vital statistics, or information such as test results in medical records.
  • Explain treatment procedures, medications, diets, or physicians' instructions to patients.
  • Prepare treatment rooms for patient examinations, keeping the rooms neat and clean.

Licensed practical nurse (LPN): core tasks

  • Observe patients, charting and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and taking any necessary action.
  • Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, or respiration.
  • Administer prescribed medications or start intravenous fluids, noting times and amounts on patients' charts.
  • Provide basic patient care or treatments, such as taking temperatures or blood pressures, dressing wounds, treating bedsores, giving enemas or douches, rubbing with alcohol, massaging, or performing catheterizations.
  • Answer patients' calls and determine how to assist them.

Skills: what carries over

Both rely on: Social Perceptiveness, Active Listening, Speaking, Reading Comprehension, Critical Thinking, Monitoring.

New for a medical assistant moving to licensed practical nurse (LPN): Judgment and Decision Making, Time Management.

New for a licensed practical nurse (LPN) moving to medical assistant: Writing, Active Learning.

Interests (Holland codes): Medical assistant: Conventional, Social, Realistic. Licensed practical nurse (LPN): Social, Realistic, Conventional.

Outlook to 2035, and AI

Medical assistant

+13%

faster than average · 109,700 openings a year

BLS lists no specific factors, including AI, changing demand for this job.

Licensed practical nurse (LPN)

+3%

about as fast as average · 51,800 openings a year

BLS lists no specific factors, including AI, changing demand for this job.

Quoted notes: BLS Employment Projections, factors affecting occupational utilization (Table 1.12). Average growth across all jobs: +3.5%.

Questions people ask

Who makes more, a medical assistant or a licensed practical nurse (LPN)?

Licensed practical nurses (LPNs) earn more: a median of $64,400, $18,710 (41%) above medical assistants at $45,690.

Which has the better job outlook?

Medical assistants have the stronger outlook: +13% projected growth through 2035, vs. +3%.

How long does it take to become a licensed practical nurse (LPN)?

For someone with a bachelor's degree in another field, about 14 months, with tuition of roughly $10,400 to $36,000. Required: NCLEX-PN exam, State LPN/LVN license.

How long does it take to become a medical assistant?

For someone with a bachelor's degree in another field, about 10 months, with tuition of roughly $3,000 to $15,000. Required: CMA or RMA certification (optional, most employers prefer).

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