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Factors associated with PAs' choice of the traditional PANRE over the PANRE-LA.

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Title: Factors associated with PAs' choice of the traditional PANRE over the PANRE-LA.
Authors: Kozikowski A; Andrzej Kozikowski is senior director of research; Mirela Bruza-Augatis is a senior research scientist; Yanlin Jiang is a senior measurement scientist; Andrew Dallas is director of psychometrics and data science; and Joshua Goodman is vice president of research and exam programs for the National Commission on Certification of Physician Assistants in Johns Creek, GA. Tamara Ritsema is an associate professor in the Department of Physician Assistant Studies at The George Washington University in Washington, DC. Cody Sasek is an associate professor and program director of the DMS Bridge Program at Butler University in Indianapolis, IN. C. Sasek is a clinical editor for JAAPA. The authors have disclosed no other potential conflicts of interest, financial or otherwise., Bruza-Augatis M, Ritsema T, Sasek C, Jiang Y, Dallas A, Goodman J
Source: JAAPA : official journal of the American Academy of Physician Assistants [JAAPA] 2026 Oct 01; Vol. 39 (10), pp. e17-e27. Date of Electronic Publication: 2026 Sep 24.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 9513102 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1547-1896 (Print) Linking ISSN: 08937400 NLM ISO Abbreviation: JAAPA Subsets: MEDLINE
Imprint Name(s): Publication: [Philadelphia, PA] : Wolters Kluwer
Original Publication: Montvale, NJ : Medical Economics
MeSH Terms: Physician Assistants*/statistics & numerical data , Physician Assistants*/education , Educational Measurement*/methods , Certification* , Choice Behavior*, Humans ; Female ; Male ; United States ; Sex Factors ; Age Factors
Abstract: Objective: To identify the factors associated with physician associates' (PAs') selection of the Physician Assistant National Recertifying Examination (PANRE) versus the Physician Assistant National Recertifying Examination-Longitudinal Assessment (PANRE-LA) for maintenance of board certification.
Methods: We utilized data from 80,553 PAs due for recertification between 2024 and 2027 to examine associations between selecting the traditional PANRE versus the PANRE-LA and PA demographics, practice characteristics, prior traditional PANRE experience, most recent examination performance, and first-attempt Physician Assistant National Certifying Examination (PANCE) scores.
Results: Overall, 77.6% of PAs chose the PANRE-LA. Selection of the traditional PANRE was most strongly associated with older age, previous experience with the traditional PANRE, male gender, and African American/Black race. Performance on the PANCE and the most recent traditional PANRE had a negligible association with PAs' choice of assessment type.
Conclusion: Understanding the factors associated with examination choice is crucial for addressing PAs' current and future credentialing needs.
(Copyright © 2026 American Academy of Physician Associates.)
References: JAMA. 2024 Mar 5;331(9):727-728. (PMID: 38315157)
PM R. 2018 Dec;10(12):1361-1365. (PMID: 29964209)
Eval Health Prof. 2023 Sep;46(3):199-212. (PMID: 36961523)
Pediatrics. 2019 Dec;144(6):. (PMID: 31690712)
BMC Health Serv Res. 2024 Dec 28;24(1):1660. (PMID: 39732670)
JAAPA. 2025 Apr 01;38(4):41-44. (PMID: 40130914)
Med Sci Educ. 2025 Feb 27;35(3):1461-1472. (PMID: 40625970)
J Contin Educ Health Prof. 2025 Fall 01;45(4):226-232. (PMID: 40340967)
Cogn Res Princ Implic. 2023 Jul 24;8(1):46. (PMID: 37486508)
Acad Emerg Med. 2018 Aug;25(8):891-900. (PMID: 29608798)
Am J Phys Med Rehabil. 2021 Feb 1;100(2S Suppl 1):S3-S6. (PMID: 33141772)
Acad Med. 2013 Dec;88(12):1883-9. (PMID: 24128623)
Am J Phys Med Rehabil. 2020 May;99(5):420-423. (PMID: 31809270)
BMC Med Educ. 2023 Apr 11;23(1):228. (PMID: 37041511)
Cogn Res Princ Implic. 2023 Jul 25;8(1):47. (PMID: 37488460)
J Clin Anesth. 2015 Feb;27(1):1-6. (PMID: 25468588)
JAAPA. 2014 Feb;27(2):47-9. (PMID: 24463752)
Contributed Indexing: Keywords: PANRE; PANRE-LA; examination; longitudinal assessment; performance; physician associate; recertification
Entry Date(s): Date Created: 20260924 Date Completed: 20260924 Latest Revision: 20260926
Update Code: 20260926
PubMed Central ID: PMC13574346
DOI: 10.1097/01.JAA.0000000000000411
PMID: 42779046
Database: MEDLINE
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  Data: Factors associated with PAs' choice of the traditional PANRE over the PANRE-LA.
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  Data: <searchLink fieldCode="AU" term="%22Kozikowski+A%22">Kozikowski A</searchLink>; Andrzej Kozikowski is senior director of research; Mirela Bruza-Augatis is a senior research scientist; Yanlin Jiang is a senior measurement scientist; Andrew Dallas is director of psychometrics and data science; and Joshua Goodman is vice president of research and exam programs for the National Commission on Certification of Physician Assistants in Johns Creek, GA. Tamara Ritsema is an associate professor in the Department of Physician Assistant Studies at The George Washington University in Washington, DC. Cody Sasek is an associate professor and program director of the DMS Bridge Program at Butler University in Indianapolis, IN. C. Sasek is a clinical editor for JAAPA. The authors have disclosed no other potential conflicts of interest, financial or otherwise.<br /><searchLink fieldCode="AU" term="%22Bruza-Augatis+M%22">Bruza-Augatis M</searchLink><br /><searchLink fieldCode="AU" term="%22Ritsema+T%22">Ritsema T</searchLink><br /><searchLink fieldCode="AU" term="%22Sasek+C%22">Sasek C</searchLink><br /><searchLink fieldCode="AU" term="%22Jiang+Y%22">Jiang Y</searchLink><br /><searchLink fieldCode="AU" term="%22Dallas+A%22">Dallas A</searchLink><br /><searchLink fieldCode="AU" term="%22Goodman+J%22">Goodman J</searchLink>
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  Data: <searchLink fieldCode="JN" term="%229513102%22">JAAPA : official journal of the American Academy of Physician Assistants</searchLink> [JAAPA] 2026 Oct 01; Vol. 39 (10), pp. e17-e27. <i>Date of Electronic Publication: </i>2026 Sep 24.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Wolters+Kluwer%22">Wolters Kluwer </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>9513102 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1547-1896 (Print) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2208937400%22">08937400 </searchLink><i>NLM ISO Abbreviation: </i>JAAPA <i>Subsets: </i>MEDLINE
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  Data: <i>Publication</i>: [Philadelphia, PA] : Wolters Kluwer<br /><i>Original Publication</i>: Montvale, NJ : Medical Economics
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  Data: <searchLink fieldCode="MM" term="%22Physician+Assistants%22">Physician Assistants*</searchLink>/<searchLink fieldCode="MM" term="%22Physician+Assistants+statistics+%26+numerical+data%22">statistics & numerical data</searchLink> <br /><searchLink fieldCode="MM" term="%22Physician+Assistants%22">Physician Assistants*</searchLink>/<searchLink fieldCode="MM" term="%22Physician+Assistants+education%22">education</searchLink> <br /><searchLink fieldCode="MM" term="%22Educational+Measurement%22">Educational Measurement*</searchLink>/<searchLink fieldCode="MM" term="%22Educational+Measurement+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Certification%22">Certification*</searchLink> <br /><searchLink fieldCode="MM" term="%22Choice+Behavior%22">Choice Behavior*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22United+States%22">United States</searchLink> ; <searchLink fieldCode="MH" term="%22Sex+Factors%22">Sex Factors</searchLink> ; <searchLink fieldCode="MH" term="%22Age+Factors%22">Age Factors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To identify the factors associated with physician associates' (PAs') selection of the Physician Assistant National Recertifying Examination (PANRE) versus the Physician Assistant National Recertifying Examination-Longitudinal Assessment (PANRE-LA) for maintenance of board certification.<br />Methods: We utilized data from 80,553 PAs due for recertification between 2024 and 2027 to examine associations between selecting the traditional PANRE versus the PANRE-LA and PA demographics, practice characteristics, prior traditional PANRE experience, most recent examination performance, and first-attempt Physician Assistant National Certifying Examination (PANCE) scores.<br />Results: Overall, 77.6% of PAs chose the PANRE-LA. Selection of the traditional PANRE was most strongly associated with older age, previous experience with the traditional PANRE, male gender, and African American/Black race. Performance on the PANCE and the most recent traditional PANRE had a negligible association with PAs' choice of assessment type.<br />Conclusion: Understanding the factors associated with examination choice is crucial for addressing PAs' current and future credentialing needs.<br /> (Copyright © 2026 American Academy of Physician Associates.)
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  Data: JAMA. 2024 Mar 5;331(9):727-728. (PMID: <searchLink fieldCode="PM" term="%2238315157%22">38315157)</searchLink><br />PM R. 2018 Dec;10(12):1361-1365. (PMID: <searchLink fieldCode="PM" term="%2229964209%22">29964209)</searchLink><br />Eval Health Prof. 2023 Sep;46(3):199-212. (PMID: <searchLink fieldCode="PM" term="%2236961523%22">36961523)</searchLink><br />Pediatrics. 2019 Dec;144(6):. (PMID: <searchLink fieldCode="PM" term="%2231690712%22">31690712)</searchLink><br />BMC Health Serv Res. 2024 Dec 28;24(1):1660. (PMID: <searchLink fieldCode="PM" term="%2239732670%22">39732670)</searchLink><br />JAAPA. 2025 Apr 01;38(4):41-44. (PMID: <searchLink fieldCode="PM" term="%2240130914%22">40130914)</searchLink><br />Med Sci Educ. 2025 Feb 27;35(3):1461-1472. (PMID: <searchLink fieldCode="PM" term="%2240625970%22">40625970)</searchLink><br />J Contin Educ Health Prof. 2025 Fall 01;45(4):226-232. (PMID: <searchLink fieldCode="PM" term="%2240340967%22">40340967)</searchLink><br />Cogn Res Princ Implic. 2023 Jul 24;8(1):46. (PMID: <searchLink fieldCode="PM" term="%2237486508%22">37486508)</searchLink><br />Acad Emerg Med. 2018 Aug;25(8):891-900. (PMID: <searchLink fieldCode="PM" term="%2229608798%22">29608798)</searchLink><br />Am J Phys Med Rehabil. 2021 Feb 1;100(2S Suppl 1):S3-S6. (PMID: <searchLink fieldCode="PM" term="%2233141772%22">33141772)</searchLink><br />Acad Med. 2013 Dec;88(12):1883-9. (PMID: <searchLink fieldCode="PM" term="%2224128623%22">24128623)</searchLink><br />Am J Phys Med Rehabil. 2020 May;99(5):420-423. (PMID: <searchLink fieldCode="PM" term="%2231809270%22">31809270)</searchLink><br />BMC Med Educ. 2023 Apr 11;23(1):228. (PMID: <searchLink fieldCode="PM" term="%2237041511%22">37041511)</searchLink><br />Cogn Res Princ Implic. 2023 Jul 25;8(1):47. (PMID: <searchLink fieldCode="PM" term="%2237488460%22">37488460)</searchLink><br />J Clin Anesth. 2015 Feb;27(1):1-6. (PMID: <searchLink fieldCode="PM" term="%2225468588%22">25468588)</searchLink><br />JAAPA. 2014 Feb;27(2):47-9. (PMID: <searchLink fieldCode="PM" term="%2224463752%22">24463752)</searchLink>
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