University of Lynchburg DMSc Doctoral Project Assignment Repository
Specialty
PA Education, Administration
Abstract
ABSTRACT
Background: Physician assistant (PA) programs are academically rigorous, and many students struggle early in training. Low exam scores or course failures in the first semester can lead to deceleration or dismissal, and early academic performance has also been linked to long-term outcomes, including success on the Physician Assistant National Certifying Examination (PANCE).
Purpose: This project examined the predictive value of early academic performance in PA education, with a focus on foundational coursework and subsequent PANCE outcomes. The goal was to identify early indicators of academic risk and highlight strategies to support students before failure occurs.
Methods: A literature review was conducted to evaluate studies on early didactic performance, formative assessments, and PANCE outcomes, incorporating both academic and non-academic predictors of success.
Results: Early exam scores and grades in core science courses consistently predicted later academic performance and PANCE results. Students who struggled on initial examinations were at increased risk of adverse outcomes, while strong performance in foundational coursework correlated with higher PANCE success. Early interventions, such as academic coaching, peer mentorship, and early alert systems, showed promise for improving retention and reducing attrition. Limited research exists on psychosocial predictors such as resilience, stress management, and self-regulated learning.
Conclusion: Early performance in foundational coursework is a strong and actionable predictor of PA student success. Identifying at-risk students early and implementing proactive support strategies may improve retention, strengthen academic progression, and better prepare graduates for PANCE certification and clinical practice.
Recommended Citation
D'Aquila MN. Early Academic Predictors of Success in Physician Assistant Education: The Role of Foundational Coursework and PANCE Performance. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2026; 8(1).
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