{"id":14936,"date":"2019-08-30T21:16:56","date_gmt":"2019-08-31T02:16:56","guid":{"rendered":"http:\/\/www.kaptest.com\/blog\/prep\/?p=14936"},"modified":"2020-09-11T20:41:06","modified_gmt":"2020-09-11T20:41:06","slug":"about-the-pance","status":"publish","type":"post","link":"https:\/\/wpapp.kaptest.com\/study\/pance\/about-the-pance\/","title":{"rendered":"About the PANCE"},"content":{"rendered":"<p class=\"p2\">To become certified as a physician assistant, you must first graduate from a training program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). This requirement also applies to those who have earned a medical degree outside the United States. Graduation from an accredited program makes you <a title=\"Registering for the PANCE\" href=\"http:\/\/www.kaptest.com\/blog\/prep\/pance\/registering-for-the-pance\/\">eligible to take the PANCE<\/a>, an acronym that stands for Physician Assistant National Certifying Exam. The National Commission on the Certification of Physician Assistants (NCCPA) was created to serve as the certifying body for the profession and functions as an independent testing body, autonomous from any particular school or training program. The PANCE, prepared by the NCCPA, is a test of minimum competency designed to assess whether examinees have the knowledge and skills needed for entry-level practice.<\/p>\n<p><div  style='height:5px' class='hr hr-invisible   avia-builder-el-0  el_before_av_promobox  avia-builder-el-first '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\n\t<div   class='av_promobox  avia-button-no   avia-builder-el-1  el_after_av_hr  el_before_av_heading '>\t\t<div class='avia-promocontent'><\/p>\n<p class=\"p4\"><strong>PANCE Overview<\/strong><\/p>\n<p class=\"p4\"><span class=\"s1\">Examination length:\u00a0<\/span><span class=\"s1\">5 hours and 45 minutes (administered in five 60-minute\u00a0<\/span>blocks plus 45 minutes for breaks)<\/p>\n<p class=\"p4\"><span class=\"s1\">Number of questions:\u00a0<\/span>300 total (approx. 1 minute per question)<\/p>\n<p class=\"p4\"><span class=\"s1\">Question types:\u00a0<\/span>Multiple choice<\/p>\n<p>\n<\/div><\/div><br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-2  el_after_av_promobox  el_before_av_image  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >PANCE Blueprint<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><\/p>\n<p class=\"p3\"><span class=\"s1\">Nearly all standardized licensure examinations are constructed around what\u2019s called an\u00a0<\/span>exam blueprint. An examination development group uses a content blueprint to guide the construction of an examination, referring to the blueprint to make decisions about what content to assess and what the emphasis of the exam should be. The NCCPA groups the tasks you will be tested on using seven categories and has set the percent of items in PANCE that will be devoted to each category.<\/p>\n<p><div  class='avia-image-container  av-styling-    avia-builder-el-3  el_after_av_heading  el_before_av_heading  avia-align-center '  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\"  ><div class='avia-image-container-inner'><div class='avia-image-overlay-wrap'><img class='wp-image-0 avia-img-lazy-loading-not-0 avia_image' src=\"http:\/\/www.kaptest.com\/blog\/prep\/wp-content\/uploads\/sites\/21\/2017\/04\/Screen-Shot-2017-04-25-at-11.04.03-AM.png\" alt='' title=''   itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-4  el_after_av_image  el_before_av_heading  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >1. History taking and performing physical examinations<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><\/p>\n<p class=\"p3\"><span class=\"s1\">These items assess your knowledge of:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Pertinent history for important medical conditions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Risk factors for developing important medical conditions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Signs and symptoms for important medical conditions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Physical examination techniques<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Physical examination findings associated with important medical conditions<\/span><\/li>\n<li class=\"p3\">Appropriate physical examination for important medical conditions<\/li>\n<li class=\"p3\"><span class=\"s1\">Differential diagnosis associated with presenting symptoms or physical findings<\/span><\/li>\n<\/ul>\n<p class=\"p3\"><span class=\"s1\">These items also assess your critical thinking in:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Conducting comprehensive, focused interviews<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Identifying relevant historical information<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Performing comprehensive, focused physical examinations<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Associating the current complaint with history<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Identifying relevant physical examination information<\/span><\/li>\n<\/ul>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-5  el_after_av_heading  el_before_av_heading  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >2. Using laboratory and diagnostic studies<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<p class=\"p3\"><span class=\"s1\">These items assess your knowledge of:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Indications for initial and subsequent studies (diagnostic or laboratory)<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Cost-effectiveness of diagnostic studies or procedures<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Relevance of common screening tests for selected health conditions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Normal and abnormal diagnostic ranges<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Risks associated with diagnostic studies or procedures<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Appropriate patient education concerning laboratory or diagnostic studies<\/span><\/li>\n<\/ul>\n<p class=\"p3\"><span class=\"s1\">These items also assess your critical thinking in:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Safe and appropriate use of diagnostic equipment<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Choosing appropriate diagnostic or laboratory studies<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Collecting specimens for diagnostic or laboratory studies<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Interpreting the results of diagnostic or laboratory studies<\/span><\/li>\n<\/ul>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-6  el_after_av_heading  el_before_av_heading  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >3. Formulating most likely diagnosis<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<p class=\"p3\"><span class=\"s1\">These items assess your knowledge of:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">How to interpret patient history with respect to differential diagnosis<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">How to interpret physical findings with respect to diagnosis<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">How to interpret diagnostic and laboratory studies with respect to diagnosis<\/span><\/li>\n<\/ul>\n<p class=\"p3\"><span class=\"s1\">These items also assess your critical thinking in:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Correlating normal and abnormal diagnostic data<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Establishing the differential diagnosis<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Selecting the most likely diagnosis in with regard to the data presented<\/span><\/li>\n<\/ul>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-7  el_after_av_heading  el_before_av_heading  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >4. Health maintenance<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<p class=\"p3\"><span class=\"s1\">These items assess your knowledge of:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Epidemiology of important medical conditions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Early detection and prevention of important medical conditions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Relative merits of common screening tests<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Appropriate patient education regarding preventable conditions or lifestyle modifi<\/span>cations<\/li>\n<li class=\"p3\"><span class=\"s1\">Healthy lifestyles<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Prevention of communicable diseases<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Immunization schedules and recommendations<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Immunization risks and benefits<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Human growth and development<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Human sexuality<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Occupational and environmental exposure<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Effect of stress on health<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Psychological manifestations of illness and injury<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Effects of aging and changing family roles on health maintenance and disease pre<\/span>vention<\/li>\n<li class=\"p3\"><span class=\"s1\">Signs of abuse and neglect<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Barriers to care<\/span><\/li>\n<\/ul>\n<p class=\"p3\"><span class=\"s1\">These items also assess your critical thinking in:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Techniques of counseling and patient education<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Effective communication with patients to enhance health maintenance<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Adapting health maintenance to the patient\u2019s context<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Use of informational databases<\/span><\/li>\n<\/ul>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-8  el_after_av_heading  el_before_av_heading  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >5. Clinical intervention<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<p class=\"p3\"><span class=\"s1\">These items assess your knowledge of:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Management and treatment of important medical conditions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Indications, contraindications, complications, risks, benefits, and techniques for\u00a0<\/span>selected procedures<\/li>\n<li class=\"p3\"><span class=\"s1\">Standard precautions and special isolation conditions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Sterile technique<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Follow-up and monitoring of therapeutic regimens<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Medical emergencies<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Indications to admit or discharge<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Discharge planning<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Available community resources<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Appropriate community resources<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Appropriate patient education<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Roles of other health professionals<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">End-of-life issues<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Risks and benefits of alternative medicine<\/span><\/li>\n<\/ul>\n<p class=\"p3\"><span class=\"s1\">These items also assess your critical thinking in:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Formulating and implementing treatment plans<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Recognizing life-threatening emergencies and initiating treatment<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Demonstrating technical expertise related to performing specific procedures<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Communicating effectively<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Using counseling techniques<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Promoting patient adherence and active participation in treatment<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Working effectively in multidisciplinary teams<\/span><\/li>\n<\/ul>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-9  el_after_av_heading  el_before_av_heading  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >6. Pharmacological therapies<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<p class=\"p3\"><span class=\"s1\">These items assess your knowledge of:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Mechanism of action<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Indications for use<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Contraindications<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Side effects<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Adverse reactions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Follow-up and monitoring of pharmacologic regimens<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Risks for drug interactions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Clinical presentation of drug interactions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Treatment of drug interactions<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Drug toxicity<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Methods to reduce medication errors<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Cross-reactivity of similar medications<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Presentation and treatment of allergic reactions<\/span><\/li>\n<\/ul>\n<p class=\"p3\"><span class=\"s1\">These items also assess your critical thinking in: <\/span><\/p>\n<ul>\n<li class=\"p3\">Selecting appropriate pharmacologic therapy for important medical conditions<\/li>\n<li class=\"p3\"><span class=\"s1\">Monitoring and adjusting pharmacologic regimens<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Evaluating and reporting adverse drug reactions<\/span><\/li>\n<\/ul>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-10  el_after_av_heading  el_before_av_image  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >7. Applying basic science concepts<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n<p class=\"p3\"><span class=\"s1\">These items assess your knowledge of:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Human anatomy and physiology<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Underlying pathophysiology<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Microbiology and biochemistry<\/span><\/li>\n<\/ul>\n<p><span class=\"s1\">These items also assess your critical thinking in:<\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Recognizing normal and abnormal anatomy and physiology<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Relating pathophysiologic principles to specific disease processes<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Correlating abnormal physical examination findings with a given disease process<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">Correlating abnormal results of diagnostic tests with a given disease process<\/span><\/li>\n<\/ul>\n<p class=\"p3\"><span class=\"s1\">The PANCE content also may be understood in terms of the diseases, disorders, and medi<\/span>cal assessments that you might encounter during the examination. The percent of questions for various organ systems is shown in below.<\/p>\n<p><div  class='avia-image-container  av-styling-    avia-builder-el-11  el_after_av_heading  el_before_av_icon_box  avia-align-center '  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\"  ><div class='avia-image-container-inner'><div class='avia-image-overlay-wrap'><img class='wp-image-0 avia-img-lazy-loading-not-0 avia_image' src=\"http:\/\/www.kaptest.com\/blog\/prep\/wp-content\/uploads\/sites\/21\/2017\/04\/Screen-Shot-2017-04-25-at-11.05.09-AM-300x234.png\" alt='' title=''   itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><br \/>\n<article  class=\"iconbox iconbox_left_content    avia-builder-el-12  el_after_av_image  el_before_av_image  \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue82a' data-av_iconfont='entypo-fontello'  ><\/div><div class=\"iconbox_content\"><header class=\"entry-content-header\"><h3 class='iconbox_content_title  '  itemprop=\"headline\"  >Remember<\/h3><\/header><div class='iconbox_content_container  '  itemprop=\"text\"  ><p class=\"p4\"><span class=\"s1\">No standardized licensing\u00a0<\/span>exam is 100% predictable, and question writers work hard to create questions that require <a title=\"Developing A Study Plan for the PANCE\" href=\"http:\/\/www.kaptest.com\/blog\/prep\/pance\/developing-a-study-plan-for-the-pance\/\">understanding and integration<\/a> of the material. So the best overall goal in reviewing is to aim for genuine understanding of major concepts, key definitions, and integration of that knowledge across subject areas.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><\/p>\n<p class=\"p3\"><span class=\"s1\">By multiplying the proportional contribution of each disease category by the proportion of\u00a0<\/span>the exam dealing with each <a title=\"4 Tips for Effective PANCE Studying\" href=\"http:\/\/www.kaptest.com\/blog\/prep\/pance\/4-tips-for-effective-pance-studying\/\">knowledge\/skill area<\/a>, one can form a matrix that illustrates the relative emphasis for various topics to be tested. Many students find that this is a rough but helpful way to determine how much study time to invest in reviewing one topic versus another.<\/p>\n<div  class='avia-image-container  av-styling-    avia-builder-el-13  el_after_av_icon_box  avia-builder-el-last  avia-align-center '  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\"  ><div class='avia-image-container-inner'><div class='avia-image-overlay-wrap'><img class='wp-image-0 avia-img-lazy-loading-not-0 avia_image' src=\"http:\/\/www.kaptest.com\/blog\/prep\/wp-content\/uploads\/sites\/21\/2017\/04\/Screen-Shot-2017-04-30-at-9.14.03-PM1-300x139.png\" alt='' title=''   itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div>\n<p class=\"p3\"><span class=\"s1\">The ultimate decision about the amount of time you will need to invest in becoming test-<\/span><span class=\"s1\">ready for each topic is yours. You must consider your own unique subject strengths and weak<\/span>nesses.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>To become certified as a physician assistant, you must first graduate from a training program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). This requirement also applies to those who have earned a medical degree outside the United States. Graduation from an accredited program makes you eligible to take the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":28844,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[371],"tags":[372],"_links":{"self":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/14936"}],"collection":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/comments?post=14936"}],"version-history":[{"count":3,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/14936\/revisions"}],"predecessor-version":[{"id":34603,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/14936\/revisions\/34603"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media\/28844"}],"wp:attachment":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media?parent=14936"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/categories?post=14936"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/tags?post=14936"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}