High-Stakes Knowledge Assessment at Abfm: What We Have Learned and How It Is Useful

Newton, Warren P.; O'Neill, Thomas R.; Wang, Ting

doi:10.1370/afm.2811

Ann Fam Med

2022

DOI: 10.1370/afm.2811

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High-Stakes Knowledge Assessment at Abfm: What We Have Learned and How It Is Useful

Warren P. Newton¹,

Thomas R. O'Neill²,

Ting Wang³

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2024

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Cited by 2 publications

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“…Since 2019, there has been a decline in ITE scores by 30 to 40 points for residents in each level of training. 12 The reasons for this decline in ITE scores is unknown, but certainly multifactorial and not only due to the pandemic. During the same time, there has been no change in the pass rate for the Family Medicine Certification Examination with first time test takers which has remained near 99%.…”

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confidence: 99%

Ready (or Not)—Here They Come

Hanrahan¹

2022

J Am Board Fam Med

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mentioning

confidence: 99%

Ready (or Not)—Here They Come

Hanrahan¹

2022

J Am Board Fam Med

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Comparative analysis of Physician Assistant/Associate National Certifying Examination (PANCE) performance trends: pre and during COVID-19 era

Goodman,

Kozikowski,

Dallas

2024

BMC Med Educ

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Background COVID-19 significantly impacted physician assistant/associate (PA) education programs. Most programs transitioned didactic and clinical education from in-person to remote, and clinical training opportunities diminished. Graduates of accredited PA programs take the Physician Assistant National Certifying Examination (PANCE), a five-hour exam with 300 multiple-choice questions, and must attain or exceed the scaled passing score of 350 (range: 200–800). We examined first-time examinees’ trends in PANCE scores and passing rates three years prior to the pandemic and three years during. Methods We analyzed data ( N = 59,459) from the National Commission on Certification of Physician Assistants. The two primary outcomes were PANCE scores and pass rates. The main exposure was the timeframe: three years pre-pandemic (2017–2019) and three years during the pandemic (2020–2022). The 2017–2018 scores were equated to the new passing standard implemented in 2019. Covariates included age, gender, years the PA program has been accredited, program region, and rural-urban setting. Analyses consisted of descriptive, bivariate, and multivariate statistics. Results The mean PANCE score and pass rate during the six-year study period were 463 and 93%, respectively. In unadjusted analyses comparing each year individually, mean PANCE score was highest in 2020 and lowest in 2022 than in all other years except for 2017. When comparing each pandemic year to the pooled three pre-pandemic years and adjusting for test-taker and PA program covariates, examinees scored significantly higher in 2020; there was no difference in 2021, and they scored lower in 2022. When controlling for covariates, examinees had 1.24 higher odds of failing in 2022 compared to the pooled pre-pandemic period. Conclusion Findings suggest that PANCE scores and pass rates were impacted during the third year of the pandemic. PANCE assesses if examinees have the essential clinical knowledge to enter the PA profession. It is crucial to determine whether the pandemic affected PANCE scores and pass rates to ensure PAs provide safe and high-quality patient care.

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High-Stakes Knowledge Assessment at Abfm: What We Have Learned and How It Is Useful

Cited by 2 publications

References 9 publications

Ready (or Not)—Here They Come

Ready (or Not)—Here They Come

Comparative analysis of Physician Assistant/Associate National Certifying Examination (PANCE) performance trends: pre and during COVID-19 era

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