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In the United States, a graduate from an accredited PA program must pass the NCCPA-administered Physician Assistant National Certifying Exam ( PANCE ) before becoming a PA-C ; this certification is required for licensure in all states.
In addition, a PA must earn and log 100 Continuing Medical Education ( CME ) hours and reregister his or her certificate with the NCCPA every two years.
Every six years, a PA must also recertify by successfully completing the Physician Assistant National Recertifying Exam ( PANRE ).
Similar testing / credentialing is required in Canada by PA's as well.
NCCPA eliminated the Pathway II as a means of recertifying in 2010.

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