For many physician assistants, July 1st marks the beginning of a new fiscal year and the immediate refresh of employer-provided Continuing Medical Education (CME) stipends. Most clinical contracts operate on a "use it or lose it" basis, meaning funds that were not exhausted by June 30th are permanently forfeited. With a fresh balance available as of July, PAs must prioritize high-yield educational resources that satisfy national certification requirements while maximizing the utility of their professional funds.
The following guide details how to efficiently allocate your refreshed stipend toward comprehensive review materials and high-value add-ons.
Core Logistics of the CME Review Courses Packages
When selecting a CME program, logistical transparency is essential for reimbursement and planning. Our courses are designed to provide maximum flexibility and long-term utility.
- Base Price: $399.99
- Access Duration: 30 Months
- CME Deliverables: 100 Hours of AAPA Category 1 Self-Assessment CME Credit (specifically for the PANRE Review Course)
- Question Bank: 1,672 Board-Style Questions with detailed explanations
- Gift Card Options: Amazon or Apple Gift Cards available as add-ons ($100–$1,500)
Strategic Use of July Stipend Funds
The July refresh is the optimal time to secure a CME with Gift Card package. By selecting a package that bundles 100 hours of AAPA Category 1 credit with an Amazon or Apple gift card, you consolidate your educational expenses and professional incentives into a single transaction. This is particularly advantageous for PAs in their recertification window who need to bank a significant number of credits quickly.
For PAs maintaining NCCPA certification, the 100 hours of Category 1 AAPA Self-Assessment credit offered in our PANRE Review Course is automatically weighted by the NCCPA. When logged, these 100 credits are applied as 150 credits toward your maintenance requirements, effectively covering 1.5 times the standard requirement in a single course.


Internal Medicine and Specialty Review
While the PANRE Review provides a broad clinical foundation, many PAs utilize their refreshed stipend for specialty-specific mastery. Our Internal Medicine Hospitalist CME Package and other specialty modules cover essential topics including Emergency Medicine, Family Medicine, Orthopedics, Dermatology, Psychiatry, Neurology, Cardiology, and OB/GYN. These modules are written by physician assistants for physician assistants, ensuring the content is relevant to the current scope of practice.
Physicians and Nurse Practitioners also find significant value in these packages. For physicians, these activities meet requirements for Category 2 CME. Nurse Practitioners can often claim credit for AAPA Category 1 offerings, though they should verify specific state board acceptance.
Clinical Vignettes and Practice Questions
In accordance with our educational standards, every review session must include clinical assessment. Use the following vignettes to test your clinical knowledge.
Scenario 1: Cardiology
Your patient is a 68-year-old male with a history of hypertension and tobacco use who presents to the Emergency Department with sudden onset of substernal chest pain radiating to the left jaw. His vitals are HR 105, BP 155/92, SaO2 96% on RA. An EKG shows ST-segment elevation in leads II, III, and aVF.
Which of the following is the most appropriate immediate management step?
A. Oral beta-blocker therapy
B. Emergent cardiac catheterization for PCI
C. Intravenous thrombolytics
D. Immediate administration of high-dose NSAIDs
Correct Answer: B. Emergent cardiac catheterization for PCI
The patient is presenting with an inferior ST-elevation myocardial infarction (STEMI). The standard of care for a STEMI is immediate reperfusion, preferably via percutaneous coronary intervention (PCI) within 90 minutes of medical contact. While beta-blockers (A) are part of long-term management, they are not the immediate priority in the acute phase of a STEMI. Thrombolytics (C) are reserved for cases where PCI is not available within the recommended timeframe. NSAIDs (D) are generally contraindicated in acute MI as they can increase the risk of myocardial rupture.


Scenario 2: Gastroenterology
Your patient is a 42-year-old female complaining of recurrent episodes of epigastric pain that occurs 2-3 hours after eating and often wakes her up at night. She notes that the pain is frequently relieved by food or antacids. Physical exam is unremarkable except for mild epigastric tenderness.
What is the most likely diagnosis?
A. Gastric ulcer
B. Duodenal ulcer
C. Acute pancreatitis
D. Cholecystitis
Correct Answer: B. Duodenal ulcer
Duodenal ulcers typically present with pain that is relieved by food and recurs several hours after eating, often causing nocturnal symptoms. Gastric ulcers (A) usually present with pain that is exacerbated by food, leading to weight loss. Acute pancreatitis (C) presents with severe, constant pain radiating to the back and elevated lipase levels. Cholecystitis (D) typically involves right upper quadrant pain, Murphy's sign, and is often triggered by fatty meals.


Scenario 3: Reproductive Health
Your patient is a 28-year-old G2P1 at 34 weeks gestation who presents with sudden onset of painful vaginal bleeding and firm, tender uterine contractions. She has no history of trauma. Her BP is 150/95. Fetal heart rate monitoring shows late decelerations.
What is the most likely diagnosis?
A. Placenta previa
B. Placental abruption
C. Vasa previa
D. Normal labor
Correct Answer: B. Placental abruption
Placental abruption is characterized by painful vaginal bleeding and uterine tenderness in the third trimester, often associated with maternal hypertension and fetal distress. Placenta previa (A) is typically characterized by painless vaginal bleeding. Vasa previa (C) involves fetal vessel rupture and rapid fetal exsanguination, but without the maternal uterine tenderness seen here. Normal labor (D) does not involve significant vaginal bleeding or late decelerations.
Pharmacology and Maintenance
Beyond the PANRE Review, the Pharmacology Course provides targeted AAPA Category 1 credit. This is particularly useful for PAs needing to fulfill specific state requirements for pharmacology-focused education. Like the PANRE course, it utilizes a blueprint-driven approach to ensure that the content is directly applicable to clinical practice and board examinations.

Maximizing the Amazon/Apple Gift Card Add-On
When checking out with a Premium CME Package, you have the option to select a gift card ranging from $100 to $1,500. This add-on is integrated into the total invoice price, allowing you to utilize your employer’s CME stipend for a gift card that can be used for further educational materials, technology upgrades (such as an iPad for clinical use), or other professional needs.
Gift cards are processed and delivered via email within 2-3 business days. Note that once gift cards are emailed, they are non-refundable.
Conclusion
The July stipend refresh provides a critical window for Physician Assistants to secure their educational requirements for the coming cycle. By choosing the PANRE Review Course, you gain 100 hours of Category 1 AAPA credit, access to over 1,600 board-style questions, and the ability to leverage your stipend through Amazon or Apple gift card add-ons.
Secure your access today and ensure your CME credits are locked in with high-yield, peer-written content.










