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Reducing Physician Assistant National Certifying Exam Failures Through Targeted Interventions.

Ashley Gentry^1,2, America McGuffee^1,2

¹Ashley Gentry, MPAS, PA-C, is an associate professor of Department of Physician Assistant Studies at University of North Texas Health Science Center.

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

|August 6, 2025

Summary

Physician Assistant (PA) programs can improve Physician Assistant National Certifying Exam (PANCE) pass rates by using performance indicators to identify at-risk students. Targeted interventions significantly reduced PANCE failure rates in a pilot cohort.

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Area of Science:

Medical Education
Physician Assistant Studies

Background:

Physician Assistant (PA) programs are accredited based on performance indicators correlated with Physician Assistant National Certifying Exam (PANCE) outcomes.
Limited research exists on actionable, program-specific interventions to mitigate PANCE failure.
This study addresses the need for data on the effectiveness of program-initiated interventions.

Purpose of the Study:

To determine if program-implemented interventions based on indicator cutpoints effectively reduce potential PANCE failures.
To evaluate the impact of targeted counseling and interventions on at-risk PA students.

Main Methods:

Retrospective analysis of 426 students from the University of North Texas Health Science Center PA Program (2019-2024 cohorts).
Pearson correlation and regression analysis to establish cutpoints for PANCE performance indicators.
Analysis of at-risk student performance following counseling and intervention.

Main Results:

Students with 5 or more performance indicators below the cutpoint were projected to fail the PANCE.
The 2024 cohort, which received early, targeted interventions, had a projected 13 failures, compared to 5 or fewer in prior cohorts (2019-2023).
The intervention group in the 2024 cohort experienced an 8% PANCE failure rate, a significant reduction from 50% (2023), 40% (2021), and 50% (2020) in previous cohorts.

Conclusions:

Monitoring student progress using performance indicator cutpoints enables timely, individualized interventions.
Personalized counseling and tailored interventions significantly enhance PANCE pass rates for at-risk students.
This approach demonstrates the value of proactive support in PA education to improve certification outcomes.