Alternative to PANRE: A Pilot Program

The following information is for PAs who are registered to take the pilot. Continue to check back often as we will be updating this page when information becomes available. (The pilot application registration window closed June 30, 2018.)


About the Pilot Program

The pilot began in January 2019. PAs participating in this pilot program will answer 25 test questions each quarter for two years - January 2019 through December 2020. The questions can be answered all at once or throughout the quarter.

To help you plan your schedule to ensure you have adequate time to complete the 25 test questions per quarter, please note the following key dates for when the pilot is scheduled to launch each quarter and the final date for completing all questions:

These multiple choice questions (developed by PA colleagues) will assess core medical knowledge, the knowledge all PAs maintain regardless of the specialty or setting in which they work. Pilot participants are encouraged to answer the questions without consulting references to help identify any knowledge gaps.

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You'll receive immediate feedback on whether you got the question right or wrong and why the right answer was the best choice. You'll also see a list of references on the topic. Four short questions will be presented after each response that will assist us with our analysis after the pilot is complete. 

Information About Passing Standard

Just as we do with PANCE, PANRE and our CAQs, NCCPA convened a diverse group of practicing PAs to help determine the passing standard for this pilot assessment, and the Board approved the standard in May. Because this is a new assessment, we needed to reach a sufficient sample size to gather data before the final passing determination could be made. As with all other NCCPA exams, a content-based standard (also called a criterion referenced standard) was set for this assessment. If everyone meets that standard, everyone will pass.

With the launch of the Q7 questions, PAs participating in the pilot will see a new, exciting feature.  Now that the passing standard has been determined, PAs will be provided with information that will show how their performance on the pilot compares to the passing standard and to the national average. This information should be beneficial to PAs as they complete the final two quarters of the pilot.  Please click here to view a sample of that comparative data and the explanatory notes.

Exam Content Blueprint

The Exam Content Blueprint is a great tool for preparing for the exam. It provides information on how exam questions are allocated within the content categories and the level at which each diseases and disorders will be assessed.

**Review the pilot content blueprint.

Other Resources

We encourage you to perform a system check to ensure that the device(s) you want to use to take the Pilot will support the program. 

You are also encouraged to read the policies and procedures before the exam window opens in January.

**Review the pilot policies and procedures.

If you have a question that we haven't answered here, check our FAQ page or email us at