Course price: $399.99
Access: 30 months
CME: Up to 100 AAPA Category 1 CME credits from the PANRE Clinical Review Module
Practice: 1,200+ questions across five 240-question exams
Optional add-on: Paid Amazon or Apple gift card options from $100 to $1,500
AAPA Category 1 CME is not interchangeable with every educational activity you complete. The category affects how the activity may be applied to your NCCPA certification maintenance requirements, how the credit is documented, and whether the activity satisfies a Category 1 minimum.
The PANRE Review Course is designed to combine exam preparation with a substantial Category 1 CME opportunity. The 100 AAPA Category 1 credits come from the PANRE Clinical Review Module only. They do not come from the Pharmacology course.
The course includes five full-length exams with 240 questions each, for more than 1,200 board-style questions. It provides 30 months of access and is available through the PANRE course category.

Fact 1: Category 1 CME is formally designated educational credit
AAPA Category 1 CME is educational activity that has been planned, reviewed, and designated according to applicable CME standards. The activity should have defined learning objectives, educational content, evaluation requirements, and a process for documenting participation.
Examples may include:
- Accredited live conferences
- Enduring online educational activities
- Structured self-assessment activities
- Performance improvement CME
- Certain approved teaching or quality-improvement activities
The important point is designation. Reading a medical article, attending an informal staff meeting, or reviewing a topic independently may be professionally useful, but it is not automatically AAPA Category 1 CME.
You should confirm that an activity identifies the accrediting organization, the number of available credits, the completion requirements, and the applicable approval information. The AAPA CME FAQ provides additional guidance on CME categories and accreditation.
Fact 2: Category 2 CME is different from Category 1 CME
Category 2 CME generally includes medically related educational activities that are not formally designated for Category 1 credit by an approved sponsor. Depending on the activity and NCCPA rules, examples may include independent medical reading, informal educational sessions, or other professional learning activities.
Category 2 credit can still be useful. However, it may not substitute for Category 1 credit when a certification authority requires a specific Category 1 minimum.
For NCCPA certification maintenance, PAs generally need 100 CME credits during each two-year cycle, with at least 50 credits designated as Category 1 CME. The remaining credits may be Category 1 or Category 2, subject to current NCCPA requirements.
Review the current NCCPA CME requirements before reporting credits. Your reporting responsibilities include claiming only the credit you actually complete and maintaining appropriate documentation for your records.
Fact 3: The category matters for PA recertification
If you complete 100 total CME credits but have only 35 Category 1 credits, you may still be short of the Category 1 minimum even though your total number of credits appears complete.
This is why PAs should track two separate numbers:
- Total CME credits
- Total Category 1 CME credits
A single activity offering 100 AAPA Category 1 credits can simplify that calculation. After completing the required course content, post-test, and evaluation, the PANRE Clinical Review Module provides up to 100 AAPA Category 1 CME credits, commensurate with your participation.
The course is also structured around PANRE preparation. It covers clinical topics relevant to the NCCPA examination and includes five 240-question exams with answer rationales and cited sources. If you are comparing PANCE prep courses, confirm that the course you choose matches your current goal. PANCE preparation is intended for initial certification, while the PANRE Review Course is designed for practicing PAs preparing for recertification.
Fact 4: The 100 Category 1 credits apply to the PANRE Clinical Review Module, not Pharmacology
This distinction is important.
The 100 AAPA Category 1 CME credits are awarded through the PANRE Clinical Review Module. They should not be attributed to the Pharmacology course. The Pharmacology course is a separate Category 1 AAPA CME offering with its own educational scope and credit designation.
The PANRE course includes:
- 100 AAPA Category 1 CME credits
- Five 240-question practice examinations
- More than 1,200 total exam questions
- 30 months of access
- Clinical review content aligned with the NCCPA PANRE/PANRE-LA examination information
Completion requirements apply. You must complete the activity according to the course instructions, pass the post-test, and complete the evaluation to claim the applicable CME credit. Claim only the amount supported by your actual participation.
Fact 5: AAPA Category 1 credit is not automatically the same for every clinician
The primary audience for AAPA Category 1 CME is physician assistants. For PAs, properly designated AAPA Category 1 CME may be reported toward NCCPA certification maintenance, subject to NCCPA policy.
Other clinicians may purchase and use the educational content, but the credit classification can differ:
- Physicians: Physicians may find the clinical content useful, but AAPA Category 1 credit generally counts as Category 2 CME for physicians rather than physician Category 1 credit.
- Nurse practitioners: Whether AAPA credit counts toward NP continuing education varies by state, licensing board, certifying organization, and employer. NPs should verify acceptance with the applicable state board of nursing before purchase.
- CRNAs: CRNAs and other advanced practice clinicians should confirm whether the activity meets the requirements of their licensing or certification organization.
The course content was written for physician assistants, but internal medicine physicians, nurse practitioners, CRNAs, and other clinicians have purchased the program for its clinical review value.

Clinical Practice Question
Vignette
You are evaluating a 67-year-old man with a history of hypertension and hyperlipidemia who reports 45 minutes of substernal chest pressure radiating to the left arm. He is diaphoretic and nauseated.
Vital signs:
- HR: 104/min
- BP: 158/92 mm Hg
- RR: 20/min
- SaO₂: 96% on room air
ECG demonstrates ST-segment elevations in leads II, III, and aVF. The patient has no active bleeding and took aspirin before arrival.
Which intervention should you perform next?
A. Administer IV metoprolol immediately
B. Arrange urgent coronary reperfusion
C. Order an outpatient stress test
D. Administer a fibrinolytic without assessing for contraindications
E. Treat with a proton pump inhibitor and observe
Correct answer: B. Arrange urgent coronary reperfusion.
This patient has an acute inferior STEMI. Urgent coronary reperfusion, preferably primary PCI when available within the appropriate time window, is the priority. Aspirin, anticoagulation, and additional STEMI-directed therapy should be provided according to the treatment setting and protocol.
IV beta-blockade is not the next universal intervention and may worsen hemodynamic instability. Outpatient stress testing is inappropriate in an active STEMI. Fibrinolysis requires assessment of eligibility and contraindications and is not automatically preferred when timely PCI is available. Gastroesophageal treatment does not address the ECG-confirmed acute coronary occlusion.
Practice questions like this are useful for both exam preparation and clinical review because they test recognition, prioritization, and immediate management.
How the Paid CME Gift Card Add-On Works
The course can be purchased without a gift card or with a paid Amazon or Apple gift card add-on ranging from $100 to $1,500. These are add-ons to the course purchase, not free gifts.
The educational value remains the primary component:
- You receive access to PANRE review content.
- You can complete up to 100 AAPA Category 1 CME credits through the PANRE Clinical Review Module.
- You receive access for 30 months.
- You can select a paid gift card amount that fits your available CME budget and employer policy.


Gift card options are available in multiple amounts, including $100 through $1,500 selections. Review your employer’s CME reimbursement policy before purchasing an add-on, since individual policies differ.
Bottom Line for PAs
AAPA Category 1 CME is formally designated educational credit. Category 2 may still be valuable, but it does not automatically satisfy a Category 1 minimum. For NCCPA certification maintenance, tracking both your total CME and your Category 1 total is essential.
The PANRE Review Course offers a direct way to combine recertification preparation with up to 100 AAPA Category 1 CME credits in one purchase. The package is $399.99, includes 30 months of access, and provides 1,200+ questions across five 240-question exams. Optional paid Amazon and Apple gift card add-ons from $100 to $1,500 are available at checkout.
Before claiming credit, verify your current NCCPA requirements, complete the activity requirements, and confirm that the credit type applies to your professional license or certification.