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PANRE Hell!


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Just joined the PA Forum....I'm so glad I found this site.  I have a serious question to ask in regards to the PANRE and the "Certification".

 

I need to know what would happen if I fail all 4 attempts (failed 3), of the PANRE.   I contacted the Florida Board of Medicine (Yes, I'm in FL), the Florida Society of PA's, and NCCPA in regards to this.

 

Florida Board of Medicine

"A Physician Assistant have to successfully complete the entry-level examination of the National Commission on Certification of Physician Assistants to be eligible for licensure. The physician does not have to re-certify with the National Commission on Certification of Physician Assistants for renewing the Physician Assistant license. At the time of renewal if the Physician Assistant not NCCPA certified the Physician Assistant must be able to produce evidence that the 100 CME hours have been taken an approved by the American Academy of Physician Assistants."

 

When asked if I can still work..."Yes you can still work as a PA you just will not be certified (PAC)."

 

 

 

Ok, this helps, but I was still concerned about insurance companies not accepting my billing.   So, I had asked the Florida Academy of PA's.

 

 

 

 

FAPA

"In Florida, PAs can still practice as long as they have previously passed PANCE and maintained the appropriate annual CEU's for Florida license renewal."

 

 

NCCPA

-Never heard back from them after a week.   Left 2 messages.

 

 

So, it appears I can still work if, God forbid, I fail the 4th attempt.     However, I would like to hear from other on this topic if you have any input, information or experience.  I just don't feel like I'm getting the full picture here on what can potentially happen here in Florida.  Well, I have to go now and study and will hopefully never need to find out first hand.  Thank you all.

 

-Jason

 

 

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wow

 

I might say what others are thinking...

 

WHAT??? you failed 3 times??

 

Really?  

 

time to realize you do not grasp even the basic medical knowledge (or have test anxiety) and need to look at the big picture.

 

I would review things, sign up for course, study like mad, and make sure to pass the 4th time around.

 

how many times did you take PANCE?

 

 

 

Honestly, a little scary to hear, as we all have to meet a certain threshold for care and knowledge, and PANRE is not that hard (look at the % that pass)

 

As a profession we need to make sure we all meet the standards.....  but in your state it appears you can still practice.

 

 

Sorry to be blunt..............

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Being generally poorly-prepared about the medicine is one possibility, but this isn't PANCE we're talking about here, right, this is PANRE. I'm assuming that JHokes7679 has been practicing for at least 5 years, so someone somewhere either feels he/she knows what they need to know, or nobody has noticed some fairly serious knowledge gaps. And presumably he/she passed PANCE.

 

JHokes, can you fill in some blanks for us? Is it a crippling test anxiety thing? Are you okay at medicine but horrible at preparing for tests? Are you dealing with some huge disruptive personal issue (no need to get into gory details) that has prevented you preparing for the test?

 

Anybody can have a bad day, or get caught unprepared, and biff the test once. Something like 90% of people pass PANRE on the first try, but somebody has to be the other 10%. But three in a row, yeah, that sounds like there's something else going on there...

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@GetMeOuttaThisMess.....Yes, I have taken a review course before the last exam.

@SocialMedicine......I work in Dermatology

@Ventana.....It is test anxiety.    Yes, scary to hear...especially for my family.   I do grasp the  basic medical knowledge.   I'm very successful at what I do and I am often consulted by my SP's when they are stumped (but then again...it's Derm...."insert Derm jokes here")  It's ok to be blunt.

@Febrifuge.....I've been working for 13 years in Derm.    Yes, I usually choke at test time, but usually pull through, but right home life has been very stressful as well with a newborn and moving and job change....doubled my base salary.

@LKPAC.......last time I checked, I'm real.   (Why is everyone considered a troll for asking a question?)

 

Thanks for everyone's input. 

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@GetMeOuttaThisMess.....Yes, I have taken a review course before the last exam.

@SocialMedicine......I work in Dermatology

@Ventana.....It is test anxiety.    Yes, scary to hear...especially for my family.   I do grasp the  basic medical knowledge.   I'm very successful at what I do and I am often consulted by my SP's when they are stumped (but then again...it's Derm...."insert Derm jokes here")  It's ok to be blunt.

@Febrifuge.....I've been working for 13 years in Derm.    Yes, I usually choke at test time, but usually pull through, but right home life has been very stressful as well with a newborn and moving and job change....doubled my base salary.

@LKPAC.......last time I checked, I'm real.   (Why is everyone considered a troll for asking a question?)

 

Thanks for everyone's input. 

Two things to consider.

Could you actually get a diagnosis of situational anxiety and ask for special accomodations?

Take some practice tests through NCCPA or other online entity to try and fatigue the anxiety.

Good luck.

G Brothers PA-C

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@GetMeOuttaThisMess.....Yes, I have taken a review course before the last exam.

@SocialMedicine......I work in Dermatology

@Ventana.....It is test anxiety.    Yes, scary to hear...especially for my family.   I do grasp the  basic medical knowledge.   I'm very successful at what I do and I am often consulted by my SP's when they are stumped (but then again...it's Derm...."insert Derm jokes here")  It's ok to be blunt.

@Febrifuge.....I've been working for 13 years in Derm.    Yes, I usually choke at test time, but usually pull through, but right home life has been very stressful as well with a newborn and moving and job change....doubled my base salary.

@LKPAC.......last time I checked, I'm real.   (Why is everyone considered a troll for asking a question?)

 

Thanks for everyone's input. 

 

 

you need to get accommodations, and get meds to help so that you can pass

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I agree with getting help or some sort of formal diagnosis that will help you be exempt.  I can empathize a bit though, I have always passed first time but this last time (second time taking the PANRE) I felt like it was a ton of cardiology, which is not something I deal with at all.   I passed but my scores go down a bit every time I take  it.  I know this is because I have been in a specialty for so long.  It really is not geared toward a PA that has found a niche and stayed put for a good bit of time (like a decade in our cases). 

I am actually a really good test taker, I think that has helped me have no problem passing, but I know plenty of really intelligent professionals that struggle with tests.

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I'm gulping in fear as I have PANRE due by Dec. 2016, so 16 months from now.  I have CME4Life DVDs and review book.  Starting now to study and I do get some test anxiety, but passed PANCE and PANRE.  I still get jittery, tho. 

 

And I'm in IM/FP so why should I worry and overthink this?  My score went up with PANRE but.........all the posts about the test since my PANRE has me freaked out!

 

It will be my last PANRE as long as I pass!  Then 10 year cycle and will reach retirement before I have to recert again. 

 

Such angst. 

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I'm gulping in fear as I have PANRE due by Dec. 2016, so 16 months from now. I have CME4Life DVDs and review book. Starting now to study and I do get some test anxiety, but passed PANCE and PANRE. I still get jittery, tho.

 

And I'm in IM/FP so why should I worry and overthink this? My score went up with PANRE but.........all the posts about the test since my PANRE has me freaked out!

 

It will be my last PANRE as long as I pass! Then 10 year cycle and will reach retirement before I have to recert again.

 

Such angst.

Same boat. I plan on taking it early next year. I can't help but second guess myself despite working in FP/IM. Everyone here has got me bugging.

 

How is CME4Life? I'm leaning towards this due to their guarantee. I looked into CME Resource as well but the guarantee pass from CME4Life is hard to pass up.

 

Sent from my S5 Active...Like you care...

 

 

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It's ok I'm borrowing it from a colleague who just passed PANCE. She works UC. I've only listened to one dvd so far and due to my black and white thinking and detailed observations I noticed a mistake on the pnemonic for heart with the use of the fingers and thumb illustration. John Belinski did you notice that?



Sent from my SCH-I545 using Tapatalk
 

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It's ok I'm borrowing it from a colleague who just passed. She works UC. I've only listened to one dvd so far and due to my black and white thinking and detailed observations I noticed a mistake on the pnemonic for heart with the use of the fingers and thumb illustration. John Belinski did you notice that?

 

 

 

Sent from my SCH-I545 using Tapatalk

What's the error?

 

 

Sent from my S5 Active...Like you care...

 

 

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He put the wrong initial on the thumb.   I don't get pnemonics anyway and can never remember them.  That's why I can't even tell you what the topic was about.  It didn't make sense to me, but might to others.  It was on the EKG section. 

 

My PA colleague said there were a few mis-speaks, such as on Maisonerre's fracture he says femur not fibula.  

 

I imagine editing and correcting mistakes is hard to do, you can read and listen to your own stuff until your eye's bleed and you turn deaf, and never see or hear the mistakes.  At least I found  that true when doing my thesis paper for my master's a while back.   I am extending John Belinski grace and mercy. 

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I'm gulping in fear as I have PANRE due by Dec. 2016, so 16 months from now. I have CME4Life DVDs and review book. Starting now to study and I do get some test anxiety, but passed PANCE and PANRE. I still get jittery, tho.

 

And I'm in IM/FP so why should I worry and overthink this? My score went up with PANRE but.........all the posts about the test since my PANRE has me freaked out!

 

It will be my last PANRE as long as I pass! Then 10 year cycle and will reach retirement before I have to recert again.

 

Such angst.

Paula, you're in the same boat that I was two years ago. A lot of gloom/doom here about the most recent PANRE. I studied for that one based on these comments (HIPPOPA) and I'm not sure that it made any difference and I continued my trend of increasing my score each time. Bottom line, if we've been playing this game long enough, and the majority DO pass, I can't imagine your walking in cold turkey and not passing the darn thing.

 

 

Sent from my iPad using Tapatalk

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Paula, you're in the same boat that I was two years ago. A lot of gloom/doom here about the most recent PANRE. I studied for that one based on these comments (HIPPOPA) and I'm not sure that it made any difference and I continued my trend of increasing my score each time. Bottom line, if we've been playing this game long enough, and the majority DO pass, I can't imagine your walking in cold turkey and not passing the darn thing. Sent from my iPad using Tapatalk

agree, I haven't studied for my last 2 and get better scores each time. I do have concerns for folks who work in a narrow specialty other than primary care or em though. if I worked ortho, derm, etc I would probably do a review course each time.

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To the original post - you are not alone!

 

I come from the days of #2 pencil and bubble sheets.

 

One of my classmates failed the cert exam 3 times and vomits before ANY test.

She got help from NCCPA and had an oral proctor and extra time and a private room and probably some Xanax the night before and some Zofran during the test.

 

I haven't talked to her in years but imagine she needed help with recerts - insert my love for Pathway II here - she is super smart and worked in neurology and neurosurgery for years.

 

Use your EAP at work or find a PhD or Psychiatrist quickly who can work with you. Hypnosis might help too. Have them put on writing to NCCPA your needs and have them request accomodations.

 

Take care of yourself! Ask a colleague to READ a practice test question to you and see how you do.

I hate going to Pearson for the whole jail lockdown testing procedure on the computer. It makes me nuts!

You might be an auditory learner or need an alternate environment.

Best of luck!

 

AND remember these issues as your newborn grows and enters school - we all learn differently!

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