Price: Starting at $599 up to $2,099 (depending on gift card value).
Duration: 12 months of unlimited online access.
Deliverables: 100 Hours of AAPA Category 1 CME Credit (PANRE Review), Pharmacology Category 1 Credit, and $100–$1,500 Amazon or Apple Gift Card.
Maximizing a professional development budget requires strategic planning, particularly for Physician Assistants (PAs) and Nurse Practitioners (NPs) who have fixed annual CME stipends. For many, a significant portion of this stipend remains unused at the end of the fiscal year or is spent on travel costs that do not directly contribute to clinical knowledge. The inclusion of an Amazon or Apple gift card add-on provides a mechanism to convert these professional funds into tangible educational resources. By adding a gift card ranging from $100 to $1,500 to a CME purchase, clinicians can acquire medical equipment, textbooks, or technology necessary for their practice while fulfilling mandatory certification requirements.
Most hospital systems and private practices allocate between $1,500 and $3,000 annually for professional development. A common inefficiency in the use of these funds is the failure to consolidate credit acquisition with resource procurement. Our PANRE Review Course is designed to solve this by offering 100 hours of AAPA Category 1 Credit in a single package. This allows PAs to meet their entire two-year requirement in one cycle while utilizing the gift card add-on to purchase peripheral tools, such as high-quality stethoscopes or tablets for bedside patient education.
For Nurse Practitioners, while AAPA Category 1 Credit is widely accepted, credit reciprocity varies by state. It is the responsibility of the individual NP to verify with their state board if these credits satisfy local requirements. Physicians often purchase these packages for the high-yield clinical content, though they should note that the credits count as Category 2 CME for MDs and DOs.
The content within our review courses is written by Physician Assistants specifically for Physician Assistants. This ensures the material aligns with the NCCPA blueprint and focuses on the clinical decision-making required for both the traditional PANRE and the PANRE-LA. The curriculum covers a broad range of specialties, ensuring relevance for clinicians in various settings:
The Pharmacology Review Course is another critical component for clinicians seeking to maintain their prescribing authority. This course also provides AAPA Category 1 Credit and focuses on the latest therapeutic updates, drug-drug interactions, and prescribing safety. Utilizing the gift card add-on with this course allows clinicians to stay current with pharmacological standards while maximizing the value of their CME stipend.
Your patient is a 64-year-old male with a history of hypertension and Type 2 Diabetes Mellitus who presents for a routine follow-up. His home blood pressure readings have averaged 152/94 mmHg over the last two weeks. Today, his clinic BP is 156/96 mmHg, Heart Rate is 72 bpm, and SaO2 is 98% on room air. He is currently taking Lisinopril 20mg daily. Laboratory results show a Serum Creatinine of 1.1 mg/dL and a Potassium of 4.2 mEq/L.
Which of the following is the most appropriate next step in the management of this patient’s hypertension?
A) Increase Lisinopril to 40mg daily.
B) Add Amlodipine 5mg daily.
C) Discontinue Lisinopril and start Losartan 50mg daily.
D) Add Spironolactone 25mg daily.
The correct answer is B: Add Amlodipine 5mg daily.
Current clinical guidelines suggest that for patients who are not at goal on a single agent, adding a second drug from a different class is often more effective than maximizing the dose of the initial agent. In patients with diabetes and hypertension, the combination of an ACE inhibitor (Lisinopril) and a Calcium Channel Blocker (Amlodipine) or a thiazide diuretic is recommended. Option A is less effective than dual-class therapy. Option C is inappropriate as both are RAS blockers and should not be switched unless there is a specific contraindication like a cough. Option D is typically reserved for resistant hypertension after a three-drug regimen including a diuretic is attempted.
Your patient is a 19-year-old female athlete who presents with acute right knee pain after a non-contact pivoting injury during a soccer match. She reports hearing a "pop" followed by immediate swelling. On examination, there is a significant joint effusion. The Lachman test is positive, and the anterior drawer test shows increased laxity compared to the contralateral side. The McMurray test is negative.
What is the most likely diagnosis?
A) Medial Collateral Ligament (MCL) tear.
B) Medial Meniscus tear.
C) Anterior Cruciate Ligament (ACL) tear.
D) Patellar Dislocation.
The correct answer is C: Anterior Cruciate Ligament (ACL) tear.
The clinical history of a non-contact pivoting injury, an audible "pop," and immediate swelling (hemarthrosis) is classic for an ACL tear. The Lachman test is the most sensitive physical exam maneuver for confirming ACL insufficiency. MCL tears usually involve a valgus stress injury and would show laxity with valgus stress testing. Meniscus tears typically present with delayed swelling and a positive McMurray test. Patellar dislocations often involve a visible deformity that may have spontaneously reduced, but the primary finding would be tenderness along the medial patellofemoral ligament.
Your patient is a 72-year-old male presenting with a lesion on his left forearm that has been changing over the past six months. He has a history of significant sun exposure. Physical examination reveals an asymmetric, 8mm pigmented macule with irregular borders and multiple shades of brown and black. There is no associated lymphadenopathy.
Which of the following is the most appropriate next step?
A) Perform a shave biopsy of the most suspicious area.
B) Perform an excisional biopsy with narrow margins.
C) Treat with topical 5-Fluorouracil for 4 weeks.
D) Cryotherapy to the lesion.
The correct answer is B: Perform an excisional biopsy with narrow margins.
The lesion described follows the ABCDE criteria for melanoma: Asymmetry, Border irregularity, Color variegation, Diameter >6mm, and Evolving. The definitive diagnostic step for a suspected melanoma is a full-thickness excisional biopsy with 1–3 mm margins. This allows the pathologist to determine the Breslow depth, which is the most important prognostic factor. Shave biopsies (Option A) are contraindicated for suspected melanoma as they may "transect" the lesion and prevent accurate depth measurement. Topical 5-FU (Option C) and cryotherapy (Option D) are used for actinic keratoses or superficial basal cell carcinomas but are inappropriate and dangerous for suspected melanoma.
Your patient is a 28-year-old female presenting with a 3-day history of dysuria, urinary frequency, and urgency. She denies fever, chills, or flank pain. Her last menstrual period was 2 weeks ago. Physical examination reveals mild suprapubic tenderness but no costovertebral angle tenderness. A urine dipstick is positive for nitrites and leukocyte esterase.
What is the most appropriate first-line treatment for this patient?
A) Ciprofloxacin 500mg BID for 7 days.
B) Nitrofurantoin 100mg BID for 5 days.
C) Ceftriaxone 250mg IM once.
D) Doxycycline 100mg BID for 7 days.
The correct answer is B: Nitrofurantoin 100mg BID for 5 days.
This patient presents with an uncomplicated cystitis. Nitrofurantoin (Macrobid) is a first-line agent due to its high efficacy and minimal impact on vaginal flora. Trimethoprim-sulfamethoxazole (Bactrim) is also first-line if local resistance rates are low (<20%). Ciprofloxacin (Option A) is no longer considered first-line for uncomplicated cystitis due to the risk of significant side effects and the need to preserve fluoroquinolones for more severe infections like pyelonephritis. Ceftriaxone (Option C) is used for gonococcal infections or complicated pyelonephritis. Doxycycline (Option D) is used for urethritis but is not a first-line agent for E. coli cystitis.
Selecting a CME course involves more than just fulfilling a credit requirement. It is an opportunity to maximize professional benefits and clinical proficiency. Our packages offer a comprehensive review of the NCCPA Blueprint, providing the 100 hours of AAPA Category 1 Credit needed for recertification, alongside the financial flexibility of an Amazon or Apple gift card add-on. This combination ensures that PAs, NPs, and physicians can efficiently manage their education and their budget simultaneously.
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