Category: CME & Recertification

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Drug Interactions That Show Up on Boards and at the Bedside

Drug interactions are where pharmacology stops being academic. They’re favorites of board writers because they test integrated reasoning, and they’re a daily safety concern because a dangerous combination rarely announces itself. A handful come up over and over, on exams and in practice alike:

  • Serotonergic combinations — SSRIs/SNRIs stacked with tramadol, triptans, linezolid, or each other, and the serotonin syndrome that can follow.
  • Warfarin’s long list — antibiotics, antifungals, amiodarone, and NSAIDs that swing the INR or add bleeding risk.
  • QT prolongers — the additive risk when two or more (certain antiarrhythmics, macrolides, antipsychotics, ondansetron) are combined.
  • CYP interactions — inhibitors and inducers that raise or crater the levels of statins, immunosuppressants, and more.
  • Potassium traps — ACE inhibitors, ARBs, spironolactone, and potassium supplements converging toward hyperkalemia.
  • NSAID pitfalls — blunting antihypertensives and compounding renal and bleeding risk.

What makes these worth deliberate review is that they’re pattern-based: once you recognize the mechanism, you catch the whole family, not just the one example a question happens to use. The Pharmacology Review Course teaches them that way — 12.5 hours of AAPA Category 1 CME, organized so the interactions connect to the classes you’re already reviewing, with explanations that build the pattern rather than asking you to memorize a list. It’s $499.99 for 30 months, with the optional $100–$1,500 Amazon or Apple gift-card add-on.

Master high-yield interactions with CME →

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30 Months of Access: Why Timing Your PANRE Prep Early Wins

There’s a predictable pattern to recertification stress, and it’s almost always about timing. The PAs who describe the PANRE as manageable started early and worked steadily. The ones who describe it as brutal left it late and tried to compress comprehensive review into a few frantic weeks. Same exam, very different experience — decided mostly by when they began.

The PANRE Review Course is built to reward the early starter. You get 30 months of access, which is a deliberate design choice: it means you don’t have to time your purchase to a narrow pre-exam window. Buy it well ahead, and you can move through 1,200 questions and 5 mock exams at a humane pace — a content area a week, a mock exam when you’re ready, review where you’re weak — instead of a death march.

Early timing pays off twice. First, spaced practice simply works better than cramming; knowledge you build gradually sticks, while knowledge crammed the week before leaks away by test day. Second, the course’s 100 hours of AAPA Category 1 CME spread comfortably across your cycle rather than piling up at the end, so your credit requirement is handled well before any deadline pressure.

The long access window also means life can happen — a busy stretch at work, a family event — without derailing your plan. You pick it back up when you can. Whether your exam is next month or two years out, starting now converts a looming obligation into a series of small, manageable sessions. It’s $499.99 for 30 months, with the optional $100–$1,500 gift-card add-on.

Start your PANRE prep early →

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High-Yield Pediatric and Geriatric Prescribing Pearls

Prescribing gets riskiest at the two ends of life, and both are heavily tested for good reason. Children aren’t small adults, and older adults handle medications in ways that turn a routine dose into a hazard. A few pearls worth keeping front of mind:

Pediatrics. Weight-based dosing is the rule, and the arithmetic is where errors creep in — a missed decimal is a tenfold mistake. Some drug classes carry age-specific cautions (the classic teaching on certain antibiotics and tendons, aspirin and Reye syndrome, the developmental considerations around psychotropics). Formulations matter too: a dose that’s trivial to give as a liquid can be impossible as a tablet. And children’s faster clearance of some agents changes intervals in ways worth remembering.

Geriatrics. The theme is cumulative burden and narrowed margins. Renal and hepatic function decline, so standard doses can accumulate. Anticholinergic load stacks across seemingly unrelated medications and drives confusion and falls. Polypharmacy multiplies interactions, and tools like the Beers criteria exist precisely because certain drugs that are fine at 40 are risky at 80. The safe move is often “start low, go slow” — and periodically ask what can come off the list.

These distinctions reward review because they’re easy to blur when your daily practice skews toward one age group. The Pharmacology Review Course reinforces age-specific prescribing alongside the rest of the high-yield map — 12.5 hours of AAPA Category 1 CME, class by class, with teaching explanations. It’s $499.99 for 30 months, with the optional $100–$1,500 Amazon or Apple gift-card add-on.

Reinforce safe prescribing with CME →

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Amazon or Apple? Making Your CME Budget Work Harder With the Gift-Card Add-On

The gift-card add-on is one of the most-asked-about features of our CME packages, so here’s a plain guide to using it well. When you buy a course like the PANRE Review Course, you can add a gift card to the same order — your choice of Amazon or Apple, in an amount from $100 to $1,500. The course is real CME (100 hours of AAPA Category 1 credit), and the gift card is spendable value that comes back to you.

Amazon or Apple? Pick by where you actually spend. Amazon is the flexible default — books, equipment, household, nearly anything. Apple makes sense if you live in that ecosystem: apps, devices, accessories, subscriptions. There’s no wrong answer; it’s about which card you’ll get full use from.

How much? Size it to your available allowance. If your employer reimburses up to a set CME amount each year, choose an add-on that brings your order near that ceiling so you capture the full benefit rather than leaving it on the table. The key is spending money that would otherwise expire — the add-on turns a use-it-or-lose-it balance into board prep plus a card you keep.

A few practicalities: confirm your employer’s reimbursement rules before you buy, keep the CME documentation the course provides for your submission, and repeat each cycle if your allowance renews annually. Used this way, the add-on isn’t a gimmick — it’s a legitimate way to extract full value from a benefit you’ve earned. The course is $499.99 for 30 months of access.

Add a gift card to your PANRE order →

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Why Pharmacology Fades — and the Case for an Annual Review

Of everything a PA learns, pharmacology may have the shortest half-life. Anatomy stays put; a drug landscape does not. New agents arrive, indications expand, black-box warnings get added, and the guideline that put a medication first-line last year quietly moves it to second. Even a diligent clinician’s drug knowledge erodes simply because the ground keeps shifting — and because most practices lean on a narrow slice of the formulary, the rest goes quiet.

That’s the case for treating pharmacology as a recurring review rather than a one-time mastery. You wouldn’t expect a single course years ago to keep you current on anticoagulation reversal or the newest diabetes agents, any more than you’d expect last decade’s guidelines to hold. A periodic, structured pass keeps the whole map fresh, not just the corner you use daily.

An annual refresher also happens to be efficient CME. The Pharmacology Review Course delivers 12.5 hours of AAPA Category 1 credit in a focused, class-by-class format — enough to meaningfully update your knowledge without clearing your calendar, and it counts toward your requirement. Do it once a year and you keep both your prescribing and your CME log in good shape at the same time.

The clinicians who stay sharp on medications aren’t the ones with better memories; they’re the ones who revisit the material on a schedule. Build a yearly pharmacology review into your routine and you stop being surprised by a drug you “should” know. It’s $499.99 for 30 months, with the optional $100–$1,500 gift-card add-on.

Make pharmacology your annual refresher →

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Turn Recertification Into a Done-in-One CME Cycle

Recertification asks two things of you across the cycle: keep your CME current, and eventually pass the PANRE. Handled separately, that’s a lot of scattered effort — a webinar here, a conference there, a question bank in the final stretch, and a scramble to confirm the credit adds up before the deadline. Handled together, it’s one project with a clear finish line.

The consolidation comes from a simple fact: the PANRE Review Course is itself 100 hours of AAPA Category 1 CME. When you work through it, the studying is the credit. There’s no separate hunt for enough Category 1 hours, no worrying that your prep “doesn’t count.” The 1,200 blueprint-mapped questions and 5 mock exams that get you exam-ready also fill the large majority of your cycle’s requirement, all documented and ready to log.

Think about what that removes from your year: the mental overhead of tracking two obligations, the last-minute credit scramble, the duplicated effort. Start the course early in your cycle — you get 30 months of access — and you can spread the work at a comfortable pace, knowing that every hour serves both goals at once. By the time you’re ready to sit the exam, your CME is essentially handled.

That’s the whole idea: one deliberate effort, two requirements satisfied. And with the optional $100–$1,500 Amazon or Apple gift-card add-on, an employer allowance can cover it while returning value to you. It’s $499.99 for 30 months. Recertification doesn’t have to be two chores — make it one.

Make recert a done-in-one cycle →

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Anticoagulants, Antibiotics, Antihypertensives: A Category 1 CME Refresher

Three drug families sit at the center of everyday practice, and all three are moving targets. Get them right and a lot of medicine gets easier; get rusty and the second-guessing starts. They’re worth a periodic, deliberate refresh — not because you don’t know them, but because the details shift.

Anticoagulants have changed the most. DOACs have particular dosing by indication and renal function, specific reversal agents, and bridging decisions that trip people up. Keeping the current picture straight — when a DOAC is preferred, when warfarin still wins, how to manage a bleed — is high-stakes and high-yield. Antibiotics demand a working mental model of spectrum and resistance, plus the perennial questions around penicillin-cephalosporin cross-reactivity and stewardship. Antihypertensives reward knowing first-line choices by comorbidity (the diabetic, the patient with heart failure, the pregnant patient) and the contraindications that turn a reasonable choice into a harmful one.

A refresher works best when it puts these side by side and tests you on the distinctions, rather than leaving you to notice a gap only when a patient is in front of you. The Pharmacology Review Course does that across these families and the rest of the high-yield map: 12.5 hours of AAPA Category 1 CME, organized by class, with teaching explanations that reinforce the why. You come out sharper on the medications you reach for most — and you log documented credit doing it. It’s $499.99 for 30 months, with the optional $100–$1,500 Amazon or Apple gift-card add-on.

Refresh your prescribing with 12.5 hours of CME →

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Anatomy of the PANRE Blueprint: What 100 Hours of Prep Actually Covers

The PANRE isn’t a mystery — the NCCPA publishes exactly what it covers. The exam is built around organ-system content areas (cardiovascular, pulmonary, GI, musculoskeletal, and the rest) crossed with task areas like history and physical, diagnostic studies, clinical intervention, and pharmacotherapeutics. Knowing that structure is the first step to preparing efficiently, because it tells you where the questions actually live.

The trouble for most recertifying PAs is drift. After years in a focused practice — say, emergency medicine or a single specialty — whole content areas go quiet. You haven’t thought hard about dermatologic prescribing or pediatric development or endocrine workups because your day-to-day doesn’t demand it. The PANRE, though, samples the entire blueprint. Effective prep has to be comprehensive, not just a refresher on what you already use.

That’s how the PANRE Review Course is organized. Its 1,200 questions are distributed across the blueprint’s content areas rather than clustered where questions are easy to write, so your practice percentage reflects real readiness. The 5 full-length mock exams reproduce the breadth and pacing of the actual test. And the whole thing carries 100 hours of AAPA Category 1 CME, so the comprehensive review that gets you ready also satisfies the bulk of your cycle’s credit requirement.

Preparing to the blueprint — deliberately covering the areas that have gone rusty, not just the ones you’re comfortable with — is what separates a confident sitting from a nervous one. When your prep is built to that same map, you’re not guessing what to study. It’s $499.99 for 30 months, with the optional $100–$1,500 gift-card add-on.

Prep to the full PANRE blueprint →

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Pharmacology + PANRE Together: The Highest-Yield Study Combo for Recert

If you’re recertifying and want the most score improvement per hour studied, the data-backed answer is almost always the same: shore up pharmacology. It threads through every organ system on the blueprint, it’s the content most likely to have drifted since you last studied it, and it’s dense enough that a focused pass produces outsized gains. That’s why pairing the two courses works so well.

The PANRE Review Course gives you the breadth — 1,200 questions across the full blueprint, 5 mock exams, and 100 hours of AAPA Category 1 CME. The Pharmacology Review Course gives you the depth exactly where it pays off most — 12.5 focused hours of AAPA Category 1 CME organized class-by-class. Run the pharmacology review first or alongside your board prep, and the drug questions scattered throughout the PANRE bank stop being the ones you dread.

The CME math is worth noting too. Together the two courses total 112.5 hours of AAPA Category 1 credit — comfortably covering a recertification cycle’s requirement while doing the actual work of getting you exam-ready. And both carry the optional Amazon or Apple gift-card add-on ($100–$1,500), so if you have an employer allowance, one combined purchase can cover your prep, your CME, and return real value to you.

There’s no trick here — just leverage. Pharmacology is the weak point most PAs share, board exams test it heavily, and fixing it lifts everything else. Do that alongside a full blueprint review and you walk in genuinely prepared, not just credentialed. Each course is $499.99 for 30 months of access.

Bundle your PANRE and Pharmacology prep →

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Every Course We Offer: All 14 AAPA Category 1 CME Modules and What Is Inside Each One

If you have been trying to work out which of our courses actually fits the CME you need this year, this is the page to bookmark. Below is every course we offer, what is inside each one, and exactly how many AAPA Category 1 CME credits it awards. Each course is sold separately, and each one stands on its own — you take the module, you earn that module’s credit.

AAPA Category 1 CME accredited provider

AAPA Category 1 CME · Enduring Material · Reference CME-2016187

How every course works

All of our courses are enduring material. You work through the lecture videos and the question bank on your own schedule, from any device, with no live session to attend and no travel. To claim credit you complete the module’s graded question bank at 70% or better and submit the course evaluation. Your certificate is issued to you on completion, and PAs log these credits with NCCPA as Category 1. Physicians who take the same activity should claim it as Category 2 CME.

Every question in every bank is board-style, referenced, and written with a full rationale, so a missed question teaches you something rather than just costing you a point.

Recertification and board review

PANRE Review Course

PANRE Review Course — 100 AAPA Category 1 CME credits

Five full-length PANRE practice exams at 240 questions each — 1,200 questions in total — plus the PANRE Study Library. This is the deepest course in the catalog and the one most PAs use to sit the PANRE with a real sense of where they stand. Every exam scores against the same 70% threshold that governs the credit.

PANRE-LA Review Course

PANRE-LA Review Course — 100 AAPA Category 1 CME credits

Built for the Longitudinal Assessment pathway: five full-length exams at 240 questions each — 1,200 questions — plus the PANRE-LA Study Library. If you are taking PANRE-LA rather than the traditional PANRE, this is the course written for that format.

Specialty CME modules

Each specialty module is a 200-question referenced board-style bank paired with recorded lecture video. They are listed here highest credit first.

Emergency Medicine — 25 credits

200 questions plus 5 hours of lecture video covering cardiac and neurologic emergencies, shock, sepsis and trauma, and toxicology, abdominal and vascular emergencies.

Family Medicine — 25 credits

200 questions plus 5 hours of lecture video across the breadth of primary care — the widest-scope module we offer, and the natural fit if you practice in an outpatient setting.

Pediatrics — 25 credits

200 questions plus 5 hours of lecture video spanning newborn through adolescent care, development, and the pediatric presentations that behave nothing like their adult equivalents.

Internal Medicine — 24.5 credits

200 questions plus 4 hours and 30 minutes of lecture video across cardiopulmonary, GI, renal and endocrine, infectious disease, hematology, rheumatology and geriatrics.

Urgent Care — 24.5 credits

200 questions plus 4 hours and 30 minutes of lecture video built around what actually walks through an urgent care door, including where the line sits between urgent care and the emergency department.

Cardiology — 23 credits

200 questions plus 3 hours of lecture video on the cardiovascular system — the single largest content area on the PANCE and PANRE blueprints.

Psychiatry and Behavioral Health — 22.5 credits

200 questions plus 2 hours and 30 minutes of lecture video on mood, anxiety, psychotic and personality disorders, substance use, and the psychiatric presentations that show up in every other setting.

Obstetrics and Gynecology — 22 credits

200 questions plus 2 hours of lecture video across prenatal care, labor and delivery, gynecologic disorders and reproductive health.

Dermatology — 21.75 credits

200 questions plus 1 hour and 45 minutes of lecture video on the rashes, lesions and skin findings that are easy to misname and expensive to miss.

Neurology — 21.5 credits

200 questions plus 1 hour and 30 minutes of lecture video across stroke, seizure, headache, neuromuscular and degenerative disease.

Orthopedics and Musculoskeletal — 21.5 credits

200 questions plus 1 hour and 30 minutes of lecture video on fractures, joint and spine disorders, and the musculoskeletal complaints that fill a clinic schedule.

Pharmacology — 12.5 credits

A focused 120-question pharmacology bank plus 30 minutes of lecture video. The shortest course in the catalog, and the one to reach for when you need pharmacology-specific credit rather than a full specialty review.

Add an Amazon or Apple gift card to any course

Amazon and Apple gift card add-on

This is the part that surprises people. Every course on this page can be purchased with a gift card bundled in, from $100 up to $1,500, in your choice of Amazon or Apple. Select the amount from the add-on menu on the product page before you check out.

It exists for a practical reason. Most PAs have an annual CME allowance from their employer, and most of those allowances expire unused at the end of the year. If your allowance covers the course, the gift card comes back to you as something you actually wanted — a tablet to read on, a laptop, books, or whatever else you would have bought anyway. Gift cards are processed and sent separately after your order.

Amazon gift cardApple gift card

Choosing between them

A few rules of thumb from the questions we get most often:

  • Recertifying this cycle? Start with the PANRE or PANRE-LA course, whichever pathway you are on. They carry the most credit and the most practice questions.
  • Need credit that matches your practice? Pick the specialty module you work in. The content is written for a practicing PA, not for a student.
  • Just need to close a gap before a deadline? Pharmacology at 12.5 credits is the fastest complete course in the catalog.
  • Have an employer allowance to spend? Take the module you need and put the rest toward the gift card add-on.

PA studying online CME

Accreditation

All fourteen courses above are approved AAPA Category 1 CME, reference number CME-2016187, valid from August 26, 2026 through August 26, 2027, in the enduring material format. The full accreditation statement appears on each individual course page. Credit is awarded per module, at the credit figure listed beside that module above.

Browse all 14 courses and start earning credit →