PANRE

Physician Assistant National Recertifying Examination (PANRE)

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About this exam

The Physician Assistant National Recertifying Examination (PANRE) is the assessment Certified PAs use to demonstrate continuing core medical knowledge and maintain NCCPA certification. Beginning in 2023, PAs have two recertification assessment options. The traditional PANRE is administered at Pearson VUE test centers. PANRE-LA is a longitudinal, take-at-home alternative that delivers 25 questions per quarter; each question carries a five-minute time limit, and PAs may consult online or printed references while answering. Before opening a question, PAs see which content category will be assessed and may defer it until later in the quarter, and immediate feedback with a rationale and references follows each answer. PAs have three years and 12 available quarters to complete the process, but must complete only eight quarters and may skip up to four. Both assessments draw on the core medical knowledge blueprint NCCPA adopted in 2019 and later updated through a practice analysis, covering diseases and disorders across the major organ systems and clinical disciplines. Preparation should center on that blueprint: work through high-yield core medical content by system, practice applying reference material quickly under a five-minute constraint, and use rationale review after each question to close identified knowledge gaps. This page is an independent study resource and is not affiliated with or endorsed by NCCPA.

What you'll study

Common questions

About PANRE preparation

What is the difference between PANRE and PANRE-LA?

PANRE is the traditional proctored exam taken at Pearson VUE test centers. PANRE-LA is a longitudinal, take-at-home alternative in which 25 questions are administered each quarter on any compatible device. Both are recertification assessment options available to PAs beginning in 2023, and both are built on the same core medical knowledge blueprint.

How many questions are on PANRE-LA and how long does each take?

Each quarter, 25 questions are administered in an online format. Every question has a five-minute time limit, and PAs may use online or printed references to help inform their answer selection. Questions can be answered anywhere, anytime during the quarter on any compatible device.

Is PANRE-LA open book?

Yes. PAs may consult online or printed references while answering each question. Because the five-minute limit is short, the practical skill being tested is rapid retrieval - know which reference to open and where in it to look before the question appears.

Can I skip quarters during PANRE-LA?

Yes. The process spans 12 available quarters over three years, but you are required to complete only eight quarters and may skip up to four. This gives flexibility to participate in the quarters that fit your schedule best.

What happens if I do not reach the passing standard on PANRE-LA?

PAs who have not met the passing standard may continue in the program, and scores are recalculated at the end of each subsequent quarter using the best eight quarters. PAs also retain up to three opportunities to take and pass PANRE in the tenth year of the recertification cycle before certification expires.

When do I apply for PANRE-LA, and when are questions administered?

PAs apply for the PANRE-LA process in year six of their certification maintenance cycle, and the exam questions are administered in years 7 through 9. PAs who complete the first eight quarters may finish the process in two years if they reach the passing standard.

How is PANRE-LA scored and what feedback do I get?

Immediate feedback tells you whether your submitted answer was correct, along with a rationale and references for further reading. Completed questions and their rationales remain available throughout the process so you can review them at your convenience.

How should I organize my study time?

Work system by system through the core medical knowledge blueprint rather than random question sets, since you see the content category before opening each question. Use that preview to review blueprint topics or reference materials first, and log missed concepts after each rationale to target the next study block.

What are common failure modes on this exam?

Two stand out. First, treating it as a closed-book knowledge test instead of practicing fast reference lookup within five minutes. Second, deferring questions until late in a quarter and compressing the workload. Because only your best eight quarters count, a weak quarter is recoverable - but a skipped study habit across several quarters is harder to repair.

Do I earn CME for participating?

Yes. NCCPA states that PAs will be able to earn CME for participating in the PANRE-LA process, in addition to using it to identify and close core medical knowledge gaps before certification maintenance deadlines.