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Exam Number : PANCE
Exam Name : Physician Assistant National Certifying
Vendor Name : Medical
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The material on NCCPA's certification and recertification exams can be organized in two dimensions:
Organ systems and the diseases, disorders and medical exams physician assistants encounter within those systems; and
The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and exams.

Please note that while the subject matter covered on the certification and recertification exams is the same, there is some difference in the nature of the questions on those exams. Generally, the questions on the initial certification test are more specific, while questions on the recertification test tend to address broader clinical issues. This difference is most apparent in the questions related to applying basic science concepts and reflects the different functions of the two exams.

Note: Because of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) publication, NCCPA will adapt its content blueprints, disease and disorder lists, and psychiatry-related terminology within test questions to conform to DSM-5 classifications and diagnostic criteria for all of their examinations.
In NCCPA examinations, psychiatry-related terminology within test questions will include the DSM-5 terminology followed by the DSM-IV-TR terminology in parentheses. Example: illness anxiety disorder (hypochondriasis)

Based on delays in implementation of DSM-5 guidelines within the field of psychiatry, NCCPA will continue to present psychiatry-related terminology within test questions in the manner outlined above until further notice.

Beginning in 2019, there was a new content blueprint released for the Physician Assistant National Certifying test (PANCE). The content blueprint provides guidance on the information assessed on the Physician Assistant National Certifying test (PANCE). The examination is categorized in two dimensions:
Knowledge of the diseases and disorders physician assistants encounter; and Knowledge and skills related to tasks physician assistants perform when treating patients.
The detailed listings provided under each of these two categories represent examples of the material that may be covered on PANCE. It is not possible to include all Topics on a single exam, and it may be possible that some questions on the test cover content that is not listed in the examples.

The content blueprint for PANCE is based on information provided from certified physician assistants who participate in profession-wide practice analysis studies. Certified PAs are involved throughout the test development process, including: reviewing results of the practice analysis, writing questions that appear on PANCE, reviewing exams before they are administered, reviewing performance data for test questions, and developing recommendations for the passing standard. Certified PAs work with NCCPA to continuously review the content included on PANCE to ensure it is relevant and current, as the practice of medicine changes and treatment guidelines are revised or new ones introduced.

Cardiovascular System 13%
Dermatologic System 5%
Endocrine System 7%
Eyes, Ears, Nose, and Throat 7%
Gastrointestinal System/Nutrition 9%
Genitourinary System (Male and Female) 5%
Hematologic System 5%
Infectious Diseases 6%
Musculoskeletal System 8%
Neurologic System 7%
Psychiatry/Behavioral Science 6%
Pulmonary System 10%
Renal System 5%
Reproductive System (Male and Female) 7%
History Taking and Performing Physical test 17%
Using Diagnostic and Laboratory Studies 12%
Formulating Most Likely Diagnosis 18%
Managing Patients
Health Maintenance, Patient Education, and Preventive Measures 10%
Clinical Intervention 14%
Pharmaceutical Therapeutics 14%
Applying Basic Scientific Concepts 10%
Professional Practice 5%



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The Physician Assistant National Certifying Examination (PANCE) is a comprehensive test that assesses the knowledge and skills of physician assistants in the United States. The PANCE is administered by the National Commission on Certification of Physician Assistants (NCCPA) and is required for certification by the NCCPA.

The PANCE consists of 300 multiple-choice questions that cover a wide range of topics, including medical knowledge, clinical skills, and professional practice. The test is designed to assess a physician assistant's ability to provide safe and effective medical care across a variety of specialties and settings.

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To be eligible to take the PANCE, applicants must have completed a physician assistant program from an accredited institution and meet any other requirements set by the NCCPA. Many physician assistants choose to take the PANCE after completing a Master's degree program, although it is also possible to take the test after completing a Bachelor's degree or other qualifying program.

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Passing the PANCE is a significant achievement for any physician assistant. PANCE certification is required for certification by the NCCPA and is highly valued by employers in the healthcare field. PANCE-certified physician assistants are recognized as experts in the field of healthcare and are qualified to provide evidence-based care to patients across a variety of specialties and settings.

Taking the PANCE is a significant investment of time and money, but the benefits of certification are numerous. PANCE certification is an excellent way to demonstrate a commitment to the highest standards of healthcare practice and to advance in the field of healthcare. PANCE-certified physician assistants have access to more job opportunities and may earn higher salaries than those without certification.

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PANCE is a comprehensive test that assesses the knowledge and skills of physician assistants in the United States. Achieving PANCE certification demonstrates a mastery of the science and practice of healthcare and is required for certification by the NCCPA. Preparing for the PANCE requires a significant investment of time and effort, but the benefits of certification are numerous and well worth the effort. PANCE certification is a valuable asset to any physician assistant's professional portfolio and provides opportunities for career advancement and higher salaries.


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