Hi everyone! I’m looking for advice, tips, and recommendations on how to approach my third attempt at the PANCE. Both of my previous scores were below 350, and although I improved my score by 32 points on my second attempt, I unfortunately did not pass. I’ve read through many posts in this community and would really appreciate any insight from those who have been in a similar situation or have successfully passed after multiple attempts.
I wanted to share what I’ve done so far to prepare and get some advice on what I could change or do differently this time.
Resources and study methods I’ve used:
- PPP (Pance Prep Pearls): This has been my main resource for content review. I reviewed the material by system and focused on the Top 6 for my second attempt.
- UWorld: For my first attempt, I completed 100% of the questions with a 65% correct rate.
- Blueprint: For my second attempt, I completed approximately 1,200 questions.
- Remediation: After my first attempt, I focused on identifying knowledge gaps. I used ChatGPT to create study guides based on my missed topics and reviewed those topics three times per week while continuing to study each system.
- Cram the PANCE: I watched the videos initially to listen and learn, then rewatched them while annotating PPP. I also used the 50 High-Yield Questions videos for active recall to assess what I retained and what I felt confident answering.
- Osmosis and YouTube: I used Osmosis videos to strengthen my understanding of pathophysiology, along with other free animated videos to help reinforce difficult concepts.
For additional practice, I completed a practice test through the 33 Day to Pass the PANCE course and took Katy Connor’s mock exam. Both gave me encouraging results and projected that I would pass. However, my actual PANCE score did not reflect those results.
For my first attempt, I also took the NCCPA Version C practice exam and scored mostly in the red and yellow categories.
What I’m hoping to get advice on:
- For those who passed after multiple attempts, what did you change about your study approach that made the biggest difference?
- Would you recommend Blueprint or Kaplan for additional preparation? Are there other resources that you found particularly helpful?
- How did you balance content review with practice questions and test-taking strategies?
- Are there any affordable or free resources, study schedules, or remediation strategies you would recommend?
I am currently going through a major financial hardship, so purchasing additional resources may not be possible right away. I recently started working part-time and am hopeful that I may be able to invest in a course or other resources in the future. In the meantime, I want to make the most of what I already have and develop a more effective study plan.
I plan to resume studying as I prepare for my next eligible attempt in January. I am also open to tutoring, study partners, or joining a study group. If anyone is in Texas and would be interested in meeting to study together, I would love to connect!
Honestly, this journey has taken a significant emotional and mental toll on me. All of my classmates have passed, and I am the last person in my cohort still working toward passing the PANCE. It has been difficult not to compare myself to others, but I am trying to stay motivated, encouraged, and hopeful that I can get through this on my third attempt.
I know I am capable of becoming a PA, and I am determined to keep working toward that goal. I would genuinely appreciate any advice, encouragement, or recommendations from anyone willing to share their experience. Thank you so much for taking the time to read my post and for any support you can offer.
I also want to mention that I have been working on my test-taking strategies. I typically read the last sentence of a question first, identify which system the question relates to, and eliminate answer choices that do not make sense. I have also been applying test-taking strategies I learned through the 33 Day to Pass the PANCE course.
For my second attempt, I had testing accommodations and was taking medication as well. Despite these adjustments and the improvement in my score, I still did not reach the passing mark.
One of my biggest challenges is figuring out how to approach the exam more effectively. I feel like I cannot rely on obvious keywords to guide me toward the correct answer, and my second attempt felt particularly heavy on pharmacology. I am not sure whether I need to focus more on deeper clinical understanding, recognizing patterns in clinical presentations, pharmacology, or something else entirely.
At this point, I genuinely need guidance on how to prepare differently for my third attempt. I want to make the best possible use of my study time, identify what I may be missing, and avoid simply repeating the same study methods without seeing the results I need.
For those who have been in a similar position, did you find that changing your approach to practice questions, focusing more on clinical reasoning, or using a different remediation strategy helped you improve? I would be especially grateful for advice on how to prepare for pharmacology-heavy questions and questions that do not seem to have obvious keywords.