PANRE

[Katera]

My question is when will this next Gen of PA's take over and start making real changes...?  My Gen has done nothing but stand by as NP's have lapped us in less then 10 years...

 

-Name change

 

-Autonomous practice

 

-Getting rid of recert PANRE

 

 

Please guys, let's fix this field before we die out

[electric130]

I agree with many of you above, I think PANCE has a place, the PANRE that is another thing altogether.  The longer I practice in a specialty, the more  I feel like the relevance of the PANRE just is not there.  I think those that practice in family medicine or EM, IM, or even hospital medicine most likely would not have a problem with it.  If you have been in a specialty for more than 10 years, it is stressful and time consuming.  Each time I take the test (have taken it 3 times, always passed on first try) my score gets lower, but yet truthfully I am an excellent provider and have a huge depth of knowledge in my field.  

I am only 40 but do not plan on taking the PANRE at 50 which is when I have to re test, as I am transitioning out of clinical medicine in the next year.  I may still practice again, but very doubtful I will be in 10 years.  

I do think that for everyone else that is in a specialty there needs to be some sort of fix for this. 

[Katera]

I agree with many of you above, I think PANCE has a place, the PANRE that is another thing altogether.  The longer I practice in a specialty, the more  I feel like the relevance of the PANRE just is not there.  I think those that practice in family medicine or EM, IM, or even hospital medicine most likely would not have a problem with it.  If you have been in a specialty for more than 10 years, it is stressful and time consuming.  Each time I take the test (have taken it 3 times, always passed on first try) my score gets lower, but yet truthfully I am an excellent provider and have a huge depth of knowledge in my field.  

I am only 40 but do not plan on taking the PANRE at 50 which is when I have to re test, as I am transitioning out of clinical medicine in the next year.  I may still practice again, but very doubtful I will be in 10 years.  

I do think that for everyone else that is in a specialty there needs to be some sort of fix for this. 

 

 

Do you mind if I ask what you are transitioning into?

[electric130]

Katera,

 

I am helping a local physician do chart reviews.  I was just working for him very part time, he offered four days per week.  I work from home and have great flexibility.  Hourly rate is the same as I was offered by a local GI group recently.  No benefits, but I do not need them.  It is working well for me at this stage of my life.  I need to be home more with my kids and have some mental capacity left at the end of the day.  Currently my clinical practice is completely running me ragged.

I really wish we had more non clinical options.  I have found that you likely will not be able to do this directly for an insurance company because the medical director has to be an MD.  I just lucked out to be in the right place at the right time.  My employment is completely tethered to this one person, which is a bit of a risk.  Our finances are fortunately such that we will be ok if I wasn't working, so it was worth the risk for me.

Another option I looked into was being a medical liaison for genetic testing or something of that nature.  We have a couple MSNs, and I know of a couple PAs that do this, it was not a good option for me because it would require travel.  Military husband precludes any travel on my part. 

 

Sorry this is off topic, hope this helps you a bit.

[Katera]

Katera,

 

I am helping a local physician do chart reviews.  I was just working for him very part time, he offered four days per week.  I work from home and have great flexibility.  Hourly rate is the same as I was offered by a local GI group recently.  No benefits, but I do not need them.  It is working well for me at this stage of my life.  I need to be home more with my kids and have some mental capacity left at the end of the day.  Currently my clinical practice is completely running me ragged.

I really wish we had more non clinical options.  I have found that you likely will not be able to do this directly for an insurance company because the medical director has to be an MD.  I just lucked out to be in the right place at the right time.  My employment is completely tethered to this one person, which is a bit of a risk.  Our finances are fortunately such that we will be ok if I wasn't working, so it was worth the risk for me.

Another option I looked into was being a medical liaison for genetic testing or something of that nature.  We have a couple MSNs, and I know of a couple PAs that do this, it was not a good option for me because it would require travel.  Military husband precludes any travel on my part. 

 

Sorry this is off topic, hope this helps you a bit.

 

Thank you for the detailed response, I hope it works out for you!  And yes, I completely relate to maintaining some mental compactly after getting home at night.  I had a rough end to my day last night, finally got home around 10pm, pulled into my garage and just sat there in the car for almost 15 minutes.  Just trying to gather myself and leave work at work before I went into the house....

[wagdp25]

I'm sorry but I disagree with those stating the PANRE is not useful and comparing the PA profession with NP's.  Have you guys not seen the difference in PA's vs NP's?  Now I agree there are some bad PA's and good NP's but come on.  I for one like to think of my profession as one of integrity.  If you are so against a generalist exam and would prefer an orthopedist exam then CHOOSE THE ORTHO EXAM for PANRE.  Does the generalist exam help with generalist quality of care?  Well of course it does!  Will the ortho exam help with ortho quality of care?  Well of course!  I for one like holding myself and my profession to a higher standard!  Of course the re-certification is time consuming and stressful; however, the end result is a title I can be proud of.  If studying for my boards only helps one patient then that's enough for it to count!  If you are so against being held to a higher standard than a run of the mill NP then you chose the wrong profession.  I enjoy the flexibility of being a PA and being able to work in ortho today then derm tomorrow if I so choose.  Having said that, I need to at least have a good grasp on medicine as a whole to be able to do so.  I feel our re-certification process allows for that.  I just think people need to stop and think before complaining about something that really is beneficial to them and their chosen profession.  I'm sure I'll catch a lot of hate for this but oh well.  This is what makes our profession shine above the others.  If you do not agree then you need another profession.  Good luck to all with their boards!

[LoRezSkyline]

If you are so against a generalist exam and would prefer an orthopedist exam then CHOOSE THE ORTHO EXAM for PANRE.  Does the generalist exam help with generalist quality of care?  Well of course it does!  Will the ortho exam help with ortho quality of care?  Well of course! 

 

...except there's not an Ortho Exam for PANRE.  Your choices are Adult Medicine, Surgery or Primary Care - see NCCPA's own site

 

THE PRACTICE-FOCUSED COMPONENT

You have choices if you plan to take the PANRE. While 60% of the generalist exam will cover the same content as always, the remaining 40% can be directed towards more general questions in one of three areas:

• Adult medicine

• Surgery

• Primary care

This option gives PAs the opportunity to focus more of the exam on their general area of practice--or continue with "business as usual" by choosing the "primary care" option.

The PANRE will still be an exam based on general knowledge, you will just have the option of having more generalist questions in one of the areas listed above.

[PA2B2017]

I'm sorry but I disagree with those stating the PANRE is not useful and comparing the PA profession with NP's. Have you guys not seen the difference in PA's vs NP's? Now I agree there are some bad PA's and good NP's but come on. I for one like to think of my profession as one of integrity. If you are so against a generalist exam and would prefer an orthopedist exam then CHOOSE THE ORTHO EXAM for PANRE. Does the generalist exam help with generalist quality of care? Well of course it does! Will the ortho exam help with ortho quality of care? Well of course! I for one like holding myself and my profession to a higher standard! Of course the re-certification is time consuming and stressful; however, the end result is a title I can be proud of. If studying for my boards only helps one patient then that's enough for it to count! If you are so against being held to a higher standard than a run of the mill NP then you chose the wrong profession. I enjoy the flexibility of being a PA and being able to work in ortho today then derm tomorrow if I so choose. Having said that, I need to at least have a good grasp on medicine as a whole to be able to do so. I feel our re-certification process allows for that. I just think people need to stop and think before complaining about something that really is beneficial to them and their chosen profession. I'm sure I'll catch a lot of hate for this but oh well. This is what makes our profession shine above the others. If you do not agree then you need another profession. Good luck to all with their boards!

PAs know the difference in PA education (usually; there are PAs that probably don't know NP education as well as they think they do), but NPs and nurse administrators and hospital administrators and legislators and many doctors and the general public do NOT. The profession doesn't shine like it should. Yes, it's still way up there in the popular press -- right AFTER NP! http://money.usnews.com/careers/best-jobs/rankings/the-100-best-jobs

 

As another poster already pointed out, there are not specialty versions of the PANRE (because, as I understand it, there were many in the HOD years back who feared losing the generalist nature, and lateral mobility avenues, if any sort of specialty component became fundamental for MOC), but now specialist PAs have no other option than a mostly irrelevant generalist exam. Seems a bit limiting for a profession that has probably exceeded expectations and more than lived up to its potential, but is certainly capable of more (if the numerous barriers can be overcome).

 

Back to the comment, no, not seeing the benefit of the PANRE for the profession AS A WHOLE.

[mmiller3]

I'm sorry but I disagree with those stating the PANRE is not useful and comparing the PA profession with NP's.  Have you guys not seen the difference in PA's vs NP's?  Now I agree there are some bad PA's and good NP's but come on.  I for one like to think of my profession as one of integrity.  If you are so against a generalist exam and would prefer an orthopedist exam then CHOOSE THE ORTHO EXAM for PANRE.  Does the generalist exam help with generalist quality of care?  Well of course it does!  Will the ortho exam help with ortho quality of care?  Well of course!  I for one like holding myself and my profession to a higher standard!  Of course the re-certification is time consuming and stressful; however, the end result is a title I can be proud of.  If studying for my boards only helps one patient then that's enough for it to count!  If you are so against being held to a higher standard than a run of the mill NP then you chose the wrong profession.  I enjoy the flexibility of being a PA and being able to work in ortho today then derm tomorrow if I so choose.  Having said that, I need to at least have a good grasp on medicine as a whole to be able to do so.  I feel our re-certification process allows for that.  I just think people need to stop and think before complaining about something that really is beneficial to them and their chosen profession.  I'm sure I'll catch a lot of hate for this but oh well.  This is what makes our profession shine above the others.  If you do not agree then you need another profession.  Good luck to all with their boards!

 

Well, that was good for a laugh. I would assume you are simply an NCCPA troll, but you don't even seem to have basic knowledge of the test the NCCPA puts out.

 

 

On second thought, maybe you are an NCCPA troll...

[Reality Check 2]

From the beginning of my career I have never minded the CONCEPT of being held to a standard - a test.

 

I have never said the current testing we have is 100% - it is heavily flawed in its concept of reality and balance.

 

I have never said NCCPA is without guilt, blame or malice. For the early part of my career they were no problem to me - do my work, take the test - done.

 

Now, NCCPA has chosen to become an authority figure instead of certifying service and go in directions I do not agree with - lobbying and negative impact on practice rights.

 

The present situation is a double negative. An inadequate test with complete lack of contact to daily practice AND an organization that sees fit to negatively influence state function of PAs and licensure. This is not acceptable.

 

I will always support the idea of being held to a standard and maintaining basic knowledge - however, it needs to be revamped - it needs to reflect what really happens in the world and not be such a skewed test with questions that defy logic and meaning. 

 

NCCPA needs to be censured or done away with and a new certifying board needs to be implemented. Not for profit, no lobbying - just administer testing for PAs and have an open board with full review capacity for test content and challenging. A certifying body should reflect what PAs are, what PAs want to be and what really happens in day to day medicine.

 

So, YES, I believe in testing. No, I no longer trust NCCPA to work FOR us. 

[Noreaster]

wagdp25,

Are you a PA?  With all due respect, your post is quite ridiculous, extremely superficial, unintelligible, inaccurate, and actually insulting.  Let me get this right...you are pseudo-advising PAs, with many years of experience to think before they complain.  This is honestly a superficial and laughable statement.  There are many PAs in this forum, who have lived the ins, outs, and pros and cons of the profession and for many years. 

 

I will admit, however, that when I was a PA student, I did feel the PANRE was worthy and I bought into the false concept that it "makes us safer" and, yet, this evolved soon out of PA school.  Even then, however, I NEVER 'dissed experienced PAs for having their opinions and convictions.  Instead, I was (and hope still am), a humble learner and remained impressionable.  I agree with above reply to your post that you do sort of reek of NCCPA troll.  If you are, you certainly aren't convincing anyone here of the NCCPA Kool Aid you're drinking, apparently by the gallons.

[wagdp25]

I just do not understand all the hate?  It's not like the exam is that difficult and frankly if you cannot pass such a basic/general exam then I would be concerned as to the quality of care you are providing.  I'm not standing up for every decision that NCCPA has ever made.  I am simply stating that I really do not see anything wrong with taking a recert exam periodically.  The fact that people are so up in arms over the whole topic is actually a little concerning to me.  So let's say Joe Somebody gets out of PA school and decides he is going to go to conferences and rack up CME but really not pay attention or study to stay up to date on topics.  He will still be allowed to practice medicine.  Now say you get sick one day and go to an urgent care and you are going to be evaluated and treated by this same person.  Would you feel comfortable and think you are getting good quality care?  I'm not trying to "diss" anyone and I am not taking up for NCCPA.  Could the current setup be reworked?  Sure!  All I am saying is that I do not mind a periodic exam to make sure current practicing PA's stay up to date on topics.  If that makes me less "humble", "superficial", "unintelligible" or whatever else you want to call it then so be it.  I take pride in being a PA and knowing that I am tested on my competency to provide good quality care.  Again, I mean no disrespect to anyone in this forum.  We are all fellow PA's with differing opinions so take it for what it is worth. 

[Reality Check 2]

Wag, I agree with your premise.

 

The current problems are outlined in several posts above and in the experiences that some of us have had over many many years of testing.

 

NCCPA has gone out of bounds and off the track of what PAs want and need - without asking us.

 

The PANRE is not realistic and somewhat difficult to study for even for those of us in Primary Care day in and day out.

 

We don't get any input to the test - we don't get a say in what NCCPA is spending OUR money on. They are lobbying against us.

 

The test itself needs a LOT more vetting amongst actual PAs who walk the trenches day to day - not some academia, semi retired or admin type person.

 

The differences in medicine regionally are not reflected and the questions are phrased in a manner that is not helpful nor educational.

 

There are many examples all over threads on this forum.

 

So, I, for one - agree with testing and a benchmark and monitoring of basic knowledge. 

 

The system in play now is not effective and, in fact, subversive, and damaging to our profession.

 

Your ideology is not bad, in my opinion - your knowledge base of the past and recent present is limited.

[Noreaster]

I just do not understand all the hate?  It's not like the exam is that difficult and frankly if you cannot pass such a basic/general exam then I would be concerned as to the quality of care you are providing.  I'm not standing up for every decision that NCCPA has ever made.  I am simply stating that I really do not see anything wrong with taking a recert exam periodically.  The fact that people are so up in arms over the whole topic is actually a little concerning to me.  So let's say Joe Somebody gets out of PA school and decides he is going to go to conferences and rack up CME but really not pay attention or study to stay up to date on topics.  He will still be allowed to practice medicine.  Now say you get sick one day and go to an urgent care and you are going to be evaluated and treated by this same person.  Would you feel comfortable and think you are getting good quality care?  I'm not trying to "diss" anyone and I am not taking up for NCCPA.  Could the current setup be reworked?  Sure!  All I am saying is that I do not mind a periodic exam to make sure current practicing PA's stay up to date on topics.  If that makes me less "humble", "superficial", "unintelligible" or whatever else you want to call it then so be it.  I take pride in being a PA and knowing that I am tested on my competency to provide good quality care.  Again, I mean no disrespect to anyone in this forum.  We are all fellow PA's with differing opinions so take it for what it is worth. 

 

I appreciate your saying "We are all fellow PAs with differing opinions..."  I honestly did not hear that tenor at all in your first post.  For many PAs, it's not just "complaining," it's certainly much more than that. (superficial).  There is no "ortho exam PANRE" as you say. (inaccurate). 

 

No hate here, by the way. 

 

Just curious, you're a PA in clinical practice? ...and taken the PANRE? 

One of the points I was trying to make was that, if you have a room full of many PAs, each of many years of clinical practice, and many of them are saying that, after a lot of years of practice and numerous PANREs that the PANRE doesn't change a single thing about the way they practice, or make them "safer" then, that's a heck of a lot of real experience and value in conviction, of which the NCCPA has refused to hear that highly valid voice, which is very frustrating.  Many PAs, who have been working for many years understand that the NCCPA's claim that we're "safer" and the public is "safer" by us taking the PANRE is not at all true and is something in somebody's head (and pockets/wallets), as well as there being no proof/data. 

 

The concept of PAs shining above NPs is something that is irrelevant in today's world as some positions, which were once always filled by PAs are being replaced by NPs. 

 

On an other note of high stakes re-cert testing: The AAPA opposes it and I don't think they would without good reason.  The American Medical Association strongly opposes high stakes re-cert testing for physicians, and for good reason as well. 

 

Respectfully submitted

[d2305]

2 free lectures on youtube are medcram and Dr Najeeb. Both are excellent, but Dr Najeeb can be difficult to understand. 

[Boatswain2PA]

Well, that was good for a laugh. I would assume you are simply an NCCPA troll, but you don't even seem to have basic knowledge of the test the NCCPA puts out.

 

 

On second thought, maybe you are an NCCPA troll...

Just because someone has a differing opinion does not make them a troll.

 

I agree with much of what s/he said, and while I may look like a troll...I am not trolling.

 

We practice medicine just like physicians

Provers who practice medicine (understandably) have to recertification q 10 years. We should not try to move away from that. Fix the recertification process YES (specialty recert written in collaboration with physician specialty boards), but not toshed aside.

 

Nurse practitioners, chiropractors, naturopaths, and shamans don't have to recertify. Let's NOT join that club

[Noreaster]

Boatswain2PA, I think perhaps the reaction of 'troll' was more b/c of the overall tenor of the post, vs simply someone having an opinion.

 

I'd humbly submit to PAs among us that, instead of getting caught up in a re-cert test being important, or not, and especially maybe for those, who think it's a good idea, that we remove bias, ideals, and the like, and look at facts and science.  There's no proof, data, science, etc... that proves or shows that re-cert testing makes us any "safer."  I'm personally not just going to take someone's word that it does any more, especially those who have clear monitory motivation and bias to say so. 

[sas5814]

One of my colleagues asked "how are they supposed to prove it makes patients safer when 96% of us are certified?" A fair question. My answer? Until they can prove it they need to stop saying it. Otherwise both "safer" and "no proof it makes patients safer" are both equally valid...or invalid.

[sk732]

Outside looking in kinda guy, since our recert process in Canada is based on cumulaive/verifiable CME over a 5 year period...like our phyisician colleagues.  I will say this - IMNSHO, taking and passing a written exam doesn't make you a safer clinician, it merely proves you're good at studying for and taking an exam.  We all have met (and may even have been at one time) those people that could knock out tests left and right, but put a real live clinical problem in front of them and they sh&t the bed, and sometimes not just metaphorically.  If a testing process is deemed necessary, I think a combination of written and practical scenario/simulation based testing, within the specialty you're practicing, is a more effective way of judging safety and ability than filling in little circles on a multiple guess questionnaire.

 

$0.02 Cdn...from a guy that was good writing tests AND dealing with reality...and who was someone that did a lot of teaching and clinical oversight in my past and present careers.

 

SK

[Noreaster]

The statement that PANRE makes us "safer" is a claim--many times from those, who create tests, (or buy into the concept-statement), and have obvious motivation for their job to do so, and of which creates a huge amount of bias, and also conflict of interest. 

The statement "there's no data proving that" is not the hypothesis, but, rather, a response to that claim, which doesn't really put them on an equal playing field, IMHO. 

[Reality Check 2]

Just got this email from NCCPA/

 

My take is that they are saying - meh, we might look at PANRE to make it more applicable. No promises and we still call all the shots.

 

Second, they are saying they are not sorry for tanking PA legislation and will continue to exceed the limits of their capacity as a certifying organization and we can just lump it.

 

They used some politically correct vagueness and nice talk but the bottom line is still this - they are going to interfere despite negative feedback from the people they are supposed to serve.

 

So, I am not impressed - My PANRE is May 31st and I am studying - 25 yrs in - in Family Practice - hopefully the questions will represent something akin to day to day and I will not be targeted for sending them a couple of not very supportive emails.......

 

I just keep saying - 10 years, 10 years, 10 years. If I can get thru this then 10 years to fight for a new certifying body and transparent, responsible certification that responds to its constituents.

 

=================================

 

 

 

 

Dear Colleague:

 

We are writing to update you on two important outcomes of recent NCCPA Board of Directors deliberations about:

1. The future of PANRE and 
2. NCCPA legislative activities. 

 

Regarding PANRE

At its meeting this weekend, the NCCPA Board of Directors acknowledged that in the context of maintaining high standards of knowledge and skills, which are the hallmarks of the PA profession, technological advances afford us the opportunity to develop new approaches to ensuring we all remain current throughout our careers.  

 

Thus, in addition to work already underway to narrow the content of PANRE to core medical knowledge essential for practice across all disciplines, today we announce that NCCPA is committed to piloting alternatives to its current high-stakes recertification exam requirement by 2020. We do not yet have details about the alternatives and will share more information as soon as we are able.

 

Regarding Legislative Activities

The Board acknowledges the value of working with AAPA and its constituent organizations to advance modernization of PA practice laws and regulations. 

 

Also, in keeping with its duty to the public, NCCPA will continue to monitor the legislative and regulatory landscape to protect public interest and the credibility of the PA-C credential by ensuring certification and recertification requirements are maintained.

 

There have been many recent communications from other PA leaders that have mischaracterized the actions of the NCCPA. For more information regarding NCCPA’s legislative efforts, please click here.

 

Mary L. Warner, MMSc, PA-C NCCPA Board Chair

Dawn Morton-Rias, Ed. D., PA-C NCCPA President/CEO

[Noreaster]

Just got this email from NCCPA/

 

My take is that they are saying - meh, we might look at PANRE to make it more applicable. No promises and we still call all the shots.

 

Second, they are saying they are not sorry for tanking PA legislation and will continue to exceed the limits of their capacity as a certifying organization and we can just lump it.

 

They used some politically correct vagueness and nice talk but the bottom line is still this - they are going to interfere despite negative feedback from the people they are supposed to serve.

 

So, I am not impressed - My PANRE is May 31st and I am studying - 25 yrs in - in Family Practice - hopefully the questions will represent something akin to day to day and I will not be targeted for sending them a couple of not very supportive emails.......

 

I just keep saying - 10 years, 10 years, 10 years. If I can get thru this then 10 years to fight for a new certifying body and transparent, responsible certification that responds to its constituents.

 

Well said.  Politically correct vagueness is exactly right.  I feel bad for the poor guy/gal who runs/monitors the NCCPA facebook. 

 

I had actually called the NCCPA a few months ago to personally give my opinion and feedback about PANRE, and how we shouldn't have high-stakes testing for re-cert.  The NCCPA staff said to me, "...why do you use the term 'high stakes' for the PANRE?"  When I explained what high stakes meant, with regard to the PANRE, he said, "well, that's why we give you up to 4 times to take it."  That was the best answer he had.  I said, oh, so you can keep collecting hundreds of dollars, and actually, for some who have to take it that many times, well over one thousand...for a single person.  I advocated for the fact that the stress level for certain PAs is indescribable. 

 

Prior to this email recently sent out regarding the PANRE, if you had read the NCCPA's reactions to when the AAPA opposed high-stakes re-cert testing, every single response to that from the NCCPA was defensive and stiff-necked and closed.  Suddenly, now, they're saying they're looking at alternatives to the high stakes re-cert testing...even being willing to acknowledge the term high-stakes testing. 

 

I truly wish more PAs didn't drink the Kook Aid and buy into the NCCPA's authoritarianism, lording over us, continued deep BS of "serving the public" etc, etc...   A PA I know had posted some open replies on NCCPA's FB site, of which were truthful and yet honest and not only did the NCCPA delete all of his posts/comments, they completely blocked him from the FB site altogether.  He took a screen-shot of the posts, which he showed me, and they were not without being professional and didn't deserve to be blocked entirely.  On the NCCPA's facebook page, a guy posts, "if you can't take a generalist exam you shouldn't be practicing."  That comment got 1 single like.  Well, sooooombody is drinking the Kool Aid by the gallons and superficial and closed minded heh...  I would bet a lot of money that guy who posted that works in general med/FP/ER/hospitalist area(s) of medicine.  Why PAs, even among us, can't be open/understanding to something other than their own comfortable ways is frustrating. 

 

​I truly hope the AAPA decides to make an all new re-certification maintenance process.  In what I've learned about the NCCPA over the past year, I have lost pretty much all respect for them.  I do not say that lightly nor without having done personal research.

[Reality Check 2]

My head is going to explode!!!

 

Just paid 50 bucks to take the PANRE practice test on NCCPA.

 

AAARRRRGGGGGHHHHHH!

 

They won't tell me the answers to the questions. Won't tell me my actual score. NOW at the end they say the questions are retired questions - well, DUH, they are completely outdated and had answers that simply aren't done at all ever anymore - PERIOD.

 

The questions had NOTHING to do with actual patient care more than 50% of the time. VERY outdated, STUPID answers that do nothing for the patient or my intellect or my sanity.

 

The overview says I scored "HIGH" on the mean average as indicated by a horizontal black bar in some graph.

 

WHAT A COMPLETE WASTE OF MY TIME. Now I am just peeved and weirded out.

 

My PANRE is 5/31/17. 

 

Going back to PA Life review and SmartyPANCE websites.

 

This has to stop. NCCPA has to be held accountable for our certification and actually providing a worthy test and not spending my money on negative lobbying. 

 

GGGGGRRRRRRRRR

[Reality Check 2]

Got my PANRE score today. Safe for ten years while we try to rebuild this monster.

 

My score was almost identical to last test 6 years ago.

 

I guess consistency counts.

 

It really was more pressure than I thought it would be.

 

But, again, the test doesn't reflect what happens in my daily practice life. 

[mmiller3]

Got my PANRE score today. Safe for ten years while we try to rebuild this monster.

 

My score was almost identical to last test 6 years ago.

 

I guess consistency counts.

 

It really was more pressure than I thought it would be.

 

But, again, the test doesn't reflect what happens in my daily practice life. 

 

Congrats, RC2!

 

I hate that feeling between taking the test and the score release.