Certified Nursing Assistant vs. Medical Assistant

The short answer

CNAs usually work in nursing homes and hospitals and must be on the state registry; medical assistants usually work in clinics and physician offices, and most states don't require certification.
CNAMA
What they do
Nursing assistants give patients basic care and help them with everyday activities like bathing, eating and moving around.Medical assistants handle both office and clinical tasks, such as scheduling appointments and taking patients' vital signs.
Typical entry-level education (BLS)
Postsecondary nondegree awardPostsecondary nondegree award
Programs
CNA (nurse aide) training programsMedical assisting programs
Licensing
Passing the exam puts you on your state's registry, which you need to work in a nursing home. Titles and rules vary by state.Most states don't require certification, but some set rules, and many employers prefer certified medical assistants.
Licensing exam
Set by your stateSet by your state
U.S. median pay
$20.32/hr ($42,260/yr)$21.97/hr ($45,690/yr)
Projected growth, 2025–35
+2.6%+12.9%
Openings per year
196,200109,700
Interstate compact
NoneNone

Sources

Checked against these sources on Oct 1, 2026.