Midterm 1 Study Guide

The Physician Assistant National Certification Exam (PANCE) is a comprehensive exam taken at the end of the Physician Assistant program and the final step to becoming a PA-C. Studying for this critical exam can feel daunting. Having a well thought out PANCE study schedule can help you organize and prepare to do well on this high-stakes exam.

The Physician Assistant National Recertification Exam (PANRE) is taken 9-10 years after the PANCE and during active PA practice. New challenges arise when studying for the PANRE such as full time work schedules and work-life balance. Having the right tools including a PANRE study schedule, PANRE study guide, and a high-quality QBank can ensure your success.

What to Study for PANCE/PANRE?

Before diving into the exam material, take time to familiarize yourself with the PANCE or PANRE. Use resources provided by the National Commission on the Certification of PAs (NCCPA) such as the New PANCE Content Blueprint, PANRE blueprint, registration eligibility, and exam layout.

Take note of registration timelines and read through the FAQ on the NCCPA website to familiarize yourself with how to sign up for the exam, how to find a nearby location and test day logistics. Once these details have been taken care of, you can focus on the exam content.

The PANCE blueprint and PANRE blueprint provide a detailed overview of medical content areas and professional practice tasks covered in the examination. Utilizing the UWorld PANCE study schedules or PANRE study schedule provided in this guide can help you organize each medical content category by week and provide practice testing times to improve your test taking stamina.

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How to Study for The PANCE/PANRE

If you are in the last semester of your PA education, you likely have class notes, textbooks and end of rotation study materials as a guide. Aligning these notes with the PANCE Content Blueprint and following an efficient study schedule will help ensure you cover the right content areas.

Additionally, the National Commission on Certification of Physician Assistants (NCCPA) offers practice tests for PANCE and PANRE. These practice tests come at a cost of $50 per exam and can only be taken one time per purchase. Practice tests, like those offered by the NCCPA are important, but you’ll need more than these practice tests for your PANCE study plan. They familiarize you with the look and feel of the actual exam, but they don’t give you the “why” behind correct and incorrect answers. In other words, you can see what you missed, but you won’t learn from your mistakes.

How to use the UWorld PANCE/PANRE study material effectively

With only months before your PANCE or PANRE exam, you should prepare with a high-quality resource like UWorld’s PA Qbank. The very best resource will have . . .

  • An interface that looks identical to the actual exam
  • Quality, PANCE-style questions that cover real-life clinical scenarios testing high-yield concepts
  • Detailed rationales that explain both correct and incorrect answer options
  • Vivid illustrations to aid in knowledge retention
  • Flashcards that utilizes spaced repetition (more on this in a moment)
  • Performance tracking that identifies your strengths and weaknesses for more pointed study

Daily practice with high-quality questions and detailed rationales is essential to PANCE/PANRE success. When you practice in a Question Bank (QBank) that has these features, you’ll be confident and prepared for your exam.

UWorld PANCE-style questions, answer explanations and the detailed reporting included in the UWorld PA QBank

Testing your PANCE/PANRE knowledge

The UWorld QBank contains more than 2,000+ PANCE and PANRE-style practice questions. With the ability to select questions based on content area, you can use the Qbank daily or weekly to enhance your studying. Once you cover a subject you can create practice tests with 5, 20, or more questions to practice taking board style questions.

Reviewing explanations for correct and incorrect answers enhances memory and recognition through experiential learning. With the My Notebook and Flashcard features, information can be organized, stored and utilized how you learn best.

How long to study for PANCE/PANRE

Ultimately, the amount of time you spend studying for the exam depends on the time you have. If you are finishing school and planning to take the PANCE, you have already been studying for the past 1-2 years through didactic year, clinicals, and End of Rotation exams (EORs). You have likely already taken at least one PACKRAT, multiple end of topic exams and EORs.

If you are preparing for the PANRE, it may have been a while since you’ve taken a standardized exam and you may need to start preparing earlier to strengthen those studying muscles. Your circumstances and schedule will be different then a student’s. You could be working full-time and balancing a family or additional responsibilities.

Regardless of which exam you are taking, consider the following:

  • If you start your exam prep sooner you will spend less time studying daily and you will still have additional time to review your areas of weakness and improve.
  • Find study blocks that work with your schedule. There is no right or wrong answer. You may prefer to study the first 30 minutes to 1 hour of your day or in the evening before you wind down.
  • Whether you are learning new content or reviewing topics you have already studied, allow yourself time to take practice exams. Practice exams are the best way to build stamina for exam day.

How Early Should I Start Studying for PANCE/PANRE?

Your PANCE study schedule and timeline depend on you. Those who begin earlier may feel less pressure when life events occur. This allows you to have more flexibility and take time off from studying when needed. Starting sooner means shorter study periods over a longer time frame. For example, if you start studying six months prior to your anticipated exam date, consider dedicating 30-60 minutes of your day to PANCE review. If you begin to study three months prior to the exam, plan to spend longer periods of time daily focusing on the content, approximately two to three hours per day.

Whether you are in school or working, starting sooner may not always be possible. This is why UWorld has created 3-month, 6-month and 12-month PANCE/PANRE study plans to help you prepare no matter what comes your way.

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How to Create a Customized PANCE/PANRE Study Schedule

If you are preparing for the PANCE, you may already know your strengths and areas of weaknesses. Focus primarily on your weaknesses when developing your study schedule. Not sure which areas you should focus on? The results of your second PACKRAT will help you recognize your knowledge deficits. Use the results to create an individualized PANCE study plan.

Still not sure where to start? Use the UWorld 3-month, 6-month, or 12-month plans. These study plans were designed to cover all exam content areas, allow time for practice questions from the UWorld QBank and leave ample time for remediation and breaks.

If you begin studying three months before your PANCE/PANRE exam, it’s natural to feel some pressure. However, there is no need to worry; you still have enough time for focused and strategic test prep that will have you ready for your exam. When using a 3-month study plan, anticipate dedicating 2-3 hour to studying daily, 5-6 days of the week in order to cover all necessary content areas. It is important to figure out which time of day works best for you and develop a consistent schedule. Good study habits are key in a successful study plan.

Week 1

Study

  • Cardiovascular system

To Do

  • Use nccpa.net to review exam information and registration requirements
  • Schedule your exam
  • Use the UWorld QBank and create an end of week exam on cardiovascular
Week 2

Study

  • Pulmonary system for 3 days
  • Ears, eyes, nose and throat (EENT) for 2 days

To Do

  • Use the UWorld QBank and create an end of week exam on pulmonary and EENT
Week 3

Study

  • Endocrine system for 3 days
  • Dermatologic system for 2 days

To Do

  • Use nccpa.net to review exam information and registration requirements
  • Use the UWorld QBank and create an end of week exam on the endocrine and dermatologic system
Week 4

Study

  • Gastrointestinal system/nutritional

To Do

  • Take a timed UWorld practice exam with 60 questions and review the previous topics addressed in week 1-4
  • Do something fun
Week 5

Study

  • Musculoskeletal system
  • Neurologic system

To Do

  • Use the UWorld QBank and create an end of week exam on the musculoskeletal and neurologic system
Weeks 6

Study

  • Infectious disease (ID)
  • Hematologic system

To Do

  • Use the UWorld QBank and create an end of week exam on ID & the hematologic system
Weeks 7

Study

  • Genitourinary system
  • Renal

To Do

  • Use the UWorld QBank and create an end of week exam on the genitourinary & renal system
Weeks 8

Study

  • Reproductive system for 3 days
  • Cardiovascular review & pulmonary review for 2 days

To Do

  • Take a timed UWorld practice exam on all systems with 60 Questions 2 times this week
Weeks 9

Study

  • Psychiatry/behavioral science for 3 days
  • Gastrointestinal, endocrinology, EENT review

To Do

  • Take a timed UWorld practice exam on all systems with 60 Questions 3 times this week
Weeks 10

Study

Utilize your flashcards with spaced repetition and your UWorld notebook to review the following topics:

  • Day 1: musculoskeletal and neurological review
    • Take a 60 question practice test on all systems
  • Day 2: dermatology review
    • Take a 60 question practice test on all systems
  • Day 3: infectious disease & hematology review
    • Take a 60 question practice test on all systems
  • Day 4: genitourinary, reproductive, renal review
    • Take a 60 question practice test on all systems
  • Day 5: Psychiatry Review
    • Take a 60 question practice test on all systems

To Do

  • Something fun and relaxing
Weeks 11

Study

  • Review your My Notebook notes or areas needing additional review
  • Your flashcards with spaced repetition

To Do

  • Complete two 60-question timed practice tests daily with and without 15 minute breaks to improve test-taking stamina
  • Ensure that you know where the testing center is located and what forms of ID are required for test day.
  • Relax
Weeks 12

To Do

  • Simulate the testing environment by utilizing the UWorld QBank the following ways:
    • For PANCE: set up five 60 Question Blocks, with 15 minute breaks in between each block
    • For PANRE: set up four 60 Question blocks, with 15 minute Breaks in between each block
  • Study your flashcards with spaced repetition (light review)
  • Relax the day before your exam and review the things to do the day before the exam section covered in this guide

Things to Do the Day Before the PANCE/PANRE Test

The night before the exam is not the day to start cramming and try to learn new material. You have made it this far. Have confidence in your abilities and find ways to relax and prepare for the day ahead. Here are a few things you can do to prepare the day before your PANCE or PANRE.

  • Relax, read a book for leisure, write in a journal, catch up with friends and family, go for a walk or jog.
  • Gather the things you will need for test day. This can include picking out a comfortable outfit, packing your snacks, water, and a light nutritious meal to enjoy during section breaks. Have your exam confirmation and IDs ready.
  • Ensure you get a proper amount of sleep the night before your test. And don’t forget to set your alarm.
  • Attitude is everything. Think positively and embrace your imminent success.

Study Tips for PANCE/PANRE

As a PA student or practicing PA you are no stranger to hard work and you understand the need for good study habits and a good work ethic. PA school and working in the field is demanding. Developing strong study habits will help you succeed no matter what stage of your career you are in.

Here are few study habits to help you succeed on the PANCE or PANRE:

  • Know what works for you and use it

    At this point in time, you likely know if you prefer taking notes by hand or typing them. You will know if you prefer flashcards or highlighting books or notes. Use the things that you know work best for you and stick to them. If you have trouble learning in a group environment, plan to study alone. If you work best first thing in the morning, plan to wake up 30-60 minutes earlier and study as soon as your day begins. If you are a night owl, make sure you are blocking out distractions and commitments so you can study at night.

  • Cramming does NOT work

    When studying for the PANCE or PANRE, you are studying to advance your career. It’s important to ensure that you understand the information you are learning, not just memorizing it. Use Uworld’s flashcard feature with spaced repetition to save and review difficult concepts. Utilizing this powerful study tool will deepen your understanding and help you retain the information better.

  • Learn, relearn and learn again

    Studies show that knowledge is best retained when we are repetitively exposed to the information. Take notes, use flashcards with spaced repetition, review topics that seem difficult multiple times to improve memory recall. This will help engrain the information and strengthen your career.

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Frequently Answered Questions (FAQs)

Read More About the PANCE

When do I register for the PANCE exam? Am I eligible to sit for the exam? When should I take it? How much does it cost to register? Find the answers to these questions and more here.

Find out everything you need to know about the PANCE exam in this informative article. PANCE summary, exam information, frequently asked questions, and more — it’s all here.

Learn how the PANCE exam is scored, what the average pass rate is for first-time PANCE candidates, and how to earn a passing exam score in this explanatory scoring guide.

Discover important exam details and begin your PANCE prep by acquainting yourself with the exam blueprint. This article will give you a behind the scenes look at this licensure exam.