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Failed the pance, twice!


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Hi, i just found out that I failed the pance for the second time. First time, i came out not being sure if I passed. The second time, I was extremely confident that I had. Yet, the difference between my scores was like 3 points even though I spent the entire year studying full time and doing kaplan, exammaster, cme resources, appleton and lange review material. I am not quite sure where to go from here or what to do. Any suggestions would be much appreciated.

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What do your scores breakdown look like? Are you weak across the board, or having problems with the "big 4" (cardiac, pulm, GI and musculoskeletal)?

 

I would also consider contacting your program. They know the history of your performance and might be able to suggest an appropriate means of remediation. The first big thing to decide is whether you have a poor knowledge base or if you have poor test-taking skills.

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Thanks for the kind words about test taking skills. I wasn't nervous at all. Came out of the exam fully confident I passed. Im just bewildered because for example, none of the cardio questions were difficult for me i.e. i didn't have to second guess, but my score was really bad on that. On practice tests, I was getting about 60% on cardio on exam master and kaplan which I know was not good, but I actually knew that I got a lot of questions wrong or thought the questions were difficult and I went through those questions over and over until I got something in the high 90's. Perhaps I need to go through more questions to really test myself? Aim for 80% on practice questions first time around? Has anyone been successful at auditing and then passing? I'm upset about failing but more curious as to what I had gotten wrong bc the exam did seem easy compared to practice ?'s. I could always study more, i like studying, but its the feeling of confusion that gets me. I don't think I'm the smartest, but I think I know enough to know what I know and don't know which did not seem evident on this exam.

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How was your performance through PA school? Top, middle, bottom third of class? Any issues with exams then?

 

If your issue is with testing technique, that can be pretty fixable. Things like not changing answers and pacing yourself properly can help here. If you think the issue is test taking technique or anxiety, you need to simulate the test taking environment as closely as possible. A lot of students buy books of questions and then casually page through them slowly flipping back and forth between questions and answers. I always thought this was a recipe for disaster. If you want to test well, set a timer and allow yourself one minute per question. Commit your answers to paper and only then go back in and see how you did. (Make sure you also take the time to understand any questions you got right but guessed on!)

 

Knowledge base is also fixable, but will take more time. I attended a lecture a few years ago at a PA education conference where a PA program described a study plan for their alumni who failed the PANCE. They had alumni who wished to participate outline every single PANCE blueprint topic in the big 4 areas and review them 2 or three times. They claimed on re-take these folks saw their score rise 100-150 points, which is huge.

 

To help students ensure they are studying at the proper depth, I usually recommend the following. Pick a PANCE blueprint topic and outline it while reading from a good medical text. Then get a PANCE review book that contains outlines and look at that same topic and see how you did. Did you miss things? Did you go overboard and too far into detail?

 

Don't despair. Like an illness the first thing you need to do is to diagnose exactly where your problem is. Unless you have a compelling reason not to, I would contact your program and see if they can help. They know your history and performance.

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Leilani -- contact me -- I have been working hard with some PAs who did not pass on their exams, and so far we are 7 for 7. I have a free website with blog, and am posting daily for preparation. I have written a book too --- a text/review that others have found helpful --- but at the least, let me look at your scores and guide you.

For example -- instead of looking at your CV scores, what was your clinical therapeutics score? That is 18% which is higher than Cardio. What was your clinical intervention?

 

There are multiple ways to use your score report to help you prepare. the website is http://teachingtothetest.net --- you can contact me there, and also access the blog postings. See what others have said.......it's my new focus -- helping people pass this new, more difficult exam....

jackie

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10 year cycle in 2014. So if you certify in 14, you go til 2024 before you have to take it again --- of course, there are those other hoops you will have to jump through like the self-assessment CME and the PI-CME --- but yes, if you pass in 2014, then that becomes your certifying year and you don't take a test again til 2024

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