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To maintain NCCPA certification, you must pass the recertification exam before your certification expires at the end of the sixth year of the certification maintenance cycle. You may, however, take the exam as early as year five, and – if you start early in year five – you'll have as many as four attempts (two per calendar year) to pass the recertification exam.
NCCPA offers two recertification exams
NCCPA offers the Physician Assistant National Recertifying Examination (PANRE) and the Pathway II exam for recertification. Both comprise 300 multiple-choice questions designed to assess general medical and surgical knowledge. However, there are several differences.
Here’s a comparison of the two in 2009:
| PANRE | Pathway II | |
| Exam Location/ Delivery | Computer-based exam administered at Pearson VUE testing centers | Web-based exam taken anywhere! |
| Reference Materials | No reference materials allowed | You can use reference materials to complete this open-book exam |
| Time Allotted | 5 hours | 6 weeks |
| Cost | $300 | $475 |
| Additional Requirements | None | 100 Elective Component points earned any time during the current six-year certification maintenance cycle. |
Within broad guidelines, you're free to decide how to fulfill the 100-point elective component requirement . Your elective component points must be submitted to NCCPA by the Pathway II exam application deadline for the exam you have chosen.
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