Well, after keeping me waiting for a week (some of my friends found out the next day), the NCCPA finally communicated to me the results of my Physician Assistant National Certifying (PANCE) exam. This is pretty much the final true hurdle before becoming a PA.
I passed. I am now a nationally certified Physician Assistant!
I would love to tell you all about the exam itself - what kinds of questions were on it, how hard it was, things they didn’t test on, etc., but I can get in big trouble for disclosing anything that could compromise the test, so I’ll leave it at: there weren’t any big surprises. Surprises or no, it was a relief just the same to get my scores - you just want that confirmation, you know? Then you can whoop and celebrate and relax for the first time in months (since about the start of finals, I’d say). I will not need to take another certification exam for 6 years, at which point I will take the very similar Physician Assistant National Re-certification Exam (PANRE).
Anyway, the very day I received my results, my application was in the mail. $225 state licensing fee, plus $79 for Live-scan fingerprinting, a 2″ x 2″ passport photo, certified mail postage, and it’s off my plate and in Sacramento’s lap. The State of California’s Physician Assistant Committee (the regulatory body for PAs) will need to confirm that my Marriage and Family Therapist license is in good standing (they check all prior health-related licenses), which can delay the process a bit. One state government regulatory office must contact the other, and you know how that can go. With any luck, I’ll be licensed in a month, and then all I need to begin seeing patients is to have a supervising physician. Remember: although PAs make plenty of decisions and do plenty of work on their own, their mandate is to always practice under a physician. So until I get a job, you can think of me as an unloaded gun.
I’m feeling good about things, and my time and energy will now be split between enjoying my summer with the kids, finding a job, and of course Inside PA Training. Being split two ways is refreshing from being simultaneously split between:
- Finals
- Finishing up patient hours in rotations and or clinic
- Preparing for the PANCE
- Personal life (what’s that?), and
- Job planning
As for jobs, writing a resume after six years of stay-at-home parenting and two of PA school is not easy. But all indications are that even new grads are in high demand, so with time, I should find the right position.
But first? A much deserved 4-day stay in a cabin in South Lake Tahoe with family, and maybe even a few hands of poker.
So thank you, readers, for your support and enthusiasm. I could not have done it without you!
Paul K., MS, MFT, PA-C
July 9, 2012
PS: The following is a message I received this morning from myself, sent some 2-1/2 years ago. It’s got me thinking, as I guess I hoped it would back when I composed it.
The following is an e-mail from the past, composed 2 years, 5 months and 21 days ago, on January 18, 2010. It is being delivered from the past through FutureMe.org
Dear FutureMe,
Congratulations on your new certificate in Physician Assistant Science. How are you liking the field? Be honest with yourself about where you want to go with it. What’s important to you right now? Money, time, time with family, helping others, learning, having fun, improving yourself? These are all good pursuits. But which one is the best one right now?
Finally, what are you doing today to further that goal? Your old self is wondering if you are working toward your goals, or just sitting around waiting to die. Wake up and make an honest effort to live the life that matters to you. You’re going to die one day. Maybe soon. Don’t go there with your song still in you.
Sincerely,
Paul
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Wow!! CONGRATULATIONS, Paul, although I can’t say I’m surprised you passed. You deserve it! Best of luck job hunting and getting licensed soon!
Congrats!! let me be the first to call you PA Paul!!
I tip my hat to your sir, and keep up the great work on this site. I’m sure i’m not the only one who benefits from your incite, and advice. Thanks so much.
Enjoy your well deserved break in Tahoe.
Dan
Congrats! I’m proud of you!
im not surprised EXTREMELY proud…i expect great things from you
Congratulations, Paul! Glad to hear your good news. I had been waiting for this post from you!!
WOOT WOOT!!!! Congratulations!!!!!!! This post made my day, literally! You rock Paul, and thanks for this wonderfully amazing resource!!! Ahh!
Congrats man!
Congrats! Enjoy some much needed time off!!
Congratulations, Paul! I knew you would pass, but I also know that waiting to hear those results is hard even if you have a good feeling about the exam.
And just like you commented that our support helped you get thru, so I hope some day to be able to report that all your knowledge and great guidance in your podcasts and in your blog helped me get into PA school.
Enjoy your summer!! You and your family deserve it.
First thank you for all this wealth of info, congrats and I wish you the best on your new journey!
Told you!
Congrats Paul! Thanks for sharing the experience. Much appreciated!
Congrats!!! Have a great time in Tahoe as well as the rest of your summer, you deserve it! You’re going to be an amazing PA.
Paul K., MS, MFT, PA-C-that’s a hell of title to be proud of! Congratulations Paul! Loved the futureme.org message and excited for your NOW!
Paul, Felicidades! Buen trabajo! I wish you nothing but success!
Thanks for doing this website, it’s been an eye opener!
Peace
Luis
Yes! \m/
Now enjoy that you-time, recharge, etc. Treat yourself! 🙂
Congratulations Paul. You deserve this success and deserve to celebrate. Enjoy yourself! I’m sure you’ll be successful wherever you work! Thanks for inspiring Pre-PA and PA students everywhere!
Congratulations Paul!!! I am so happy for you, and I personally find your success inspirational!
Congrats Paul!! So happy for you!
I’ve been reading your blog for about 2 years now. I can honestly say that reading your blog was one of the inspirations that made me want to pursue Physician Assistant school when I graduated high school. I can’t wait to see how you grow and become an amazing PA.
Thanks, Izzy. I’m in that stage where I have a scalpel and all I can think of is “Holy Cripes - it’s just me here!” But that’s a good thing - realizing how much we don’t know. Being in medicine is being a lifelong learner…
Hi Paul,
congrats on your graduation and passing the PANCE.
I am a pre-pa student and I am planning to apply this coming year. I have a friend who is in nursing school and she was told at her school that many places will not be hiring PA’s becasue insurances don’t reimburse the services provided by PA’s. I am in ohio and I was wondering if you ever heard of such thing?
That’s the first I’ve heard of such a thing. Some states have weird laws, though. In all states, PA still cannot get Medicare reimbursement for doing palliative care (Hospice care). The AAPA is working aggressively in congress to change that. I would investigate this thoroughly - one person’s word is not reliable enough. There may be some particular services that aren’t covered for PA’s, but basically, this sounds highly unlikely to me as a general statement.
Congrats! I knew you’d come through with flying colors. You have a lot of smarts and tenacity. I love your letter to FutureYou. Maybe a little less red hair, but you’re definitely the same guy! What will your new life goals be — after getting a job? Time to write a new letter… 😉
Congrats Paul! Way to go! I honestly am so happy for you!! You are a true inspiration for all of us who want to one day accomplish the same feat you have. I wish you all the luck and happiness in all of your future endeavors!
If you go to school and pass the PANCE in a certain state, is that the only state you are licensed? Can you practice anywhere else? I’m a little confused
Hi, Molly! The PANCE is a national certifying exam. This means that you are a PA in all states once you pass it. IN ORDER TO PRACTICE in any state, you then need to be licensed in that state, which requires paperwork, fingerprinting, a fee, and any other special requirements of that state. But passing the PANCE is the hard part. After that, it’s just the administrative task of getting licensed in any state that you want to practice in. And yes, you can practice in more than one state, as long as you are licensed in each.