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The relationship between formative and summative examination and PANCE results: a multi-program study.

Scott L Massey¹, Louise Lee, Sonia Young

¹School of Physician Assistant Studies, Misericordia University, Dallas, Pennsylvania 18612-1090 USA. smassey@misericordia.edu

The Journal of Physician Assistant Education : the Official Journal of the Physician Assistant Education Association

|July 18, 2013

Summary

Comprehensive exams mirroring the Physician Assistant National Certifying Exam (PANCE) and PACKRAT scores can predict PANCE success. This study validates using these tools to identify students at risk of failing the PANCE.

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Area of Science:

Medical Education
Physician Assistant Studies
Assessment and Evaluation

Background:

Physician Assistant (PA) programs require effective methods to assess student readiness for the PANCE.
Previous pilot studies suggested a correlation between specific examinations and PANCE performance.
External validation of these predictive tools across multiple PA programs is needed.

Purpose of the Study:

To externally validate a prior pilot study on the relationship between formative/summative exams and PANCE scores.
To test the hypothesis that comprehensive exams (PANCE-like) and PACKRAT scores can predict future PANCE performance.
To determine if PA programs nationwide can utilize these instruments for predicting PANCE success.

Main Methods:

Six PA programs administered SUMM I (360-question PANCE simulation), SUMM II (700-question PANCE simulation), and the PACKRAT examination to second-year students.
Exams were based on the National Commission on Certification of Physician Assistants (NCCPA) blueprint.
Programs received cut scores to identify students at critical risk for PANCE failure.

Main Results:

Data from 421 participants across multiple institutions were analyzed.
A regression model combining SUMM I, SUMM II, and PACKRAT scores predicted PANCE performance.
A strong correlation was found between predicted and actual PANCE scores (R=0.79, R²=0.62).

Conclusions:

Summative examination instruments, when triangulated with PACKRAT scores, can effectively predict future PANCE performance.
These tools can establish risk thresholds for PANCE failure based on prior academic performance.
The findings support the use of standardized, PANCE-aligned assessments in PA education.