Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Clinical Review - DMSc program


Professor Laura Witte, PhD, PA-c



Purpose: To compare and contrast various assessment tools in Physician Assistant (PA) education to determine which tool is the best predictor for passing the Physician Assistant National Certifying Examination (PANCE). At times, a university or PA program may have excessive financial burdens, such as limited funding for purchasing test materials. During this time, a program may need to decrease budgetary spending. Should this occur, is there one test that could be given that has the highest prediction rates of passing the PANCE? In addition, most current examination products correlate to passing PANCE; however, is there a 'best one'?

Method: Performing a literature search using PubMed, ten articles pertaining to this topic serve as the basis for this clinical review.

Results: During a cursory review of the literature revealed no current research identified to compare any difference in predictive values from various examination platforms.

Conclusion: There are many assessment tools in PA education to evaluate passing the PANCE. Two of the three examinations researched for this article have both a positive and negative predictive value. Both the PACKRAT and the PAEA End of Rotation (EOR) examinations show comparable positive and negative predictive values in anticipating the outcome of the PANCE. No information is found for predicting PANCE outcomes using the PAEA End of Curriculum (EOC) examination.


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