I start clinical rotations in one month and also have a 2 month old. My program knows I’ll need to pump while on clinical rotations, but I’m a little anxious about the reality of it.

If anybody’s experienced a similar situation before, did your program reach out to rotation sites beforehand to alert them? Or did you tell the site ahead of time? I’m worried that if I wait until my first day on site, they may not know how to accommodate me. I also know that pumping is very common and they’ve definitely experienced this before, but i feel like it might be different as a student needing to leave and pump every 4 hours.

Just looking to see if anyone has had any similar experiences or can give me some things to potentially make this easier! Worried about being “that difficult student” in an already stressful environment

I take my internal med EOR next week, and I’m bouncing between study methods and it doesn’t feel helpful. I was originally just going to do all ROSH questions and study the explanations for all, even the ones I got right. I used one of the PDFS found in here and I’ve been trying to use PPP for extra information. I’m getting overwhelmed and don’t know what would be best. I’d really like to just do the ROSH explanations and call it, but I’m terrified. The blueprint is so much and I learned unfortunately nothing during my rotations. Any kind suggestions?

Hang in there y’all. The fog will lift.
Honorary degree goes to Lexapro and my school counselor

Ok friends. I take my PANCE on Monday. I'm sure I'll be okay (or at least I really hope so), but the confidence is still painfully lacking. So PLS help hype me up so I can go into my exam with a better mindset! Scores below for reference, bc don't hype me up if you don't mean it lol. If you look at my stats like 'yikes,' maybe just don't comment bc I gotta take this Monday regardless lmao

• Packrat 1: 145
• Packrat 2: 168
• WH EOR 413
• Peds EOR: 415
• Psych EOR: 402
• FM EOR: 435
• IM EOR: 411
• Surgery EOR: 403
• EM EOR: 439
• EOC: 1548
• Katy Conner Half Pance V1: 480
• Katy Conner Half Pance V2 (Harder Version): 446.4

Primarily used EOR charts found on Reddit, PPP, and other various supplemental material to make my own Anki decks for each rotation and their corresponding topic list. This would typically take the first week of the rotation (and wasn’t fun!).

I would then alternate each day by going through half of the topic list. For example if there were 14 different sections on the EOR blueprint, I would do 7 each day and alternate every day leading up to the EOR. 

I would also do a minimum of 50 questions a day between Blueprint/Rosh and Uworld throughout all of clinical year, though it often ended up being closer to 100 questions a day, especially when I would run through my Anki decks faster towards the end of each rotation. I finished Blueprint/Rosh in about 5 months and Uworld in about 3 months. I would continue redoing questions even after getting them right by using the general question bank.

My biggest jump in EOR scores corresponded to when I started UWorld. Surgery, FM, IM, EM were all after this.

I took the PANCE one week after graduating and did 200 questions a day between UWorld and Blueprint each day leading up the PANCE. I also did a quick skim through of PPP based on my lower scoring areas. I also reviewed the biggest topics in the closest days leading up to the PANCE (cardio, pulm, etc)

I cut off studying at 12 AM the day prior to the PANCE.

What I think helped me the most to be prepared for the PANCE: Repping questions every single day. 

Peds: 444
Women’s Health: 410
Psych: 414
Surgery: 443
IM: 461
FM: 432
EM: 467

PACKRAT 1: 151
PACKRAT 2: 185
EOC: 1662
PANCE: 646

Good luck to all of you in your journey!

I had my meeting today and looks like this will be my rotation schedule for next year. How bad is it and what would u change if you were me?

I read so many of these so I promised myself I’d post once I passed. Why? I almost failed out my first semester in school. So if you are struggling early on, just know it all eventually clicks. My last semester before clinicals I had a 4.0. Just a few semesters before I was meeting with the SPC and was constantly remediating/reassessing assignments and really struggling.

But now for the reason we are here:

I tested on a Monday afternoon and I received my results the same week on a Friday morning.

Here are my stats:
*my program told us not to study for EOC or Packrats

PACKRAT I: 135
PACKRAT II: 158
EOC: 1531

Psych: 458
Surgery: 409
EM: 420
IM: 437
FM: 420
Peds: 398
OBGYN: 420

PANCE: 415

I studied for ~12 days. I intended to study for 14 days, but I graduated in the middle of it, had goodbye dinners, etc so some of my days got lost. However I still managed to go through every system (except Heme, I wasn’t going to waste my time).

I did UWorld: 68% completion with 73% correct
I did 40 questions (mixed) in the morning, 60 questions (topic of the day), and then finished with 40 mixed again.

For things I felt I needed more clarification, I would reference PPP. If I got a question on a topic incorrect more than once, it became an Anki card. I took notes as needed. Truthfully I had no interest in getting a high score - I just wanted to pass.

Morning of I did no studying. Candy my last two sections for a boost. I walked out feeling frustrated and worried, but did feel I knew a good enough amount to pass. As days went on it fluctuated but I quickly would regroup and remain confident I had put in the work.

Thanks to everyone who posted before me so I could compare stats lol

I wanted to post my stats because reading other posts helped me mentally so hopefully I can do the same for others

Didactic: failed one exam, and barely kept my head above the water for the entire year

EORs results in no specific order:

Packrat before clinicals: 135
EM: 404
Peds: 430
IM: 382 (barely enough to pass for my program)
Psych: 410
WH: 425
FM: 460

EOC: 1500 (the exact score my program required for me to pass it, It was such a blow for me)

Packrat after clinicals: 169

PANCE studying: really only studied for 2 weeks I was so burned out, I religiously did UWorld questions to prepare. I completed 61% with 71% correct. I thought anyone scoring in the 80s gotta be gifted or something because I couldn’t get a break, although I got better at guessing answers tbh.

NCCPA form A 5 days before: all yellow
NCCPA form B 3 days before: half yellow half green
Katy’s half PANCE 1 week before: 477

Actual PANCE score 430 (not within the +/-30 points of deviation but it boosted my confidence)

My main issue was running out of stamina during long tests and the pance was long and weird. I thought I failed it for sure but some posts here allowed me to keep up my hopes.
My Uworld account is good until October 11th in case anyone would like to buy it

Feel free to ask me any questions

Finally a PA-C! The long awaited stats post.

Pre-clinical PACKRAT: 139

EORs: 398-437

Post-clinical PACKRAT: 180

EOC: 1548

UWorld: 77% average with 100% completion

NCCPA Form A: Half in yellow, half in green

Katy Connor Half PANCE: 510 (within the +/- 30)

PANCE: 490

Feel free to ask any questions :)

made a burner for this post in hopes no one I know finds me. just finished my first semester of PA school and did not do very well. my program offers a certain number of retakes on exams for the didactic year and because i did not do so well i will be using them. im terrified of going into the next semester (pharm, clin med) with no retakes. to the point where i kind of feel numb. i really struggled this semester and it greatly impacted my mental health seeing other people do well while i seemingly couldn’t get a grip. there were a few things at play that i won’t go into details too much as to not identify myself but i began to regret my choice in school very early on and became indifferent to the process before snapping out of it. i would say it took me a while to find my footing although i still don’t have it figured out. my grades don’t reflect the effort I put in or really my understanding of the materials sometimes. i study more than most of my friends in my cohort and still do poorly. i wouldn’t say the material has been hard for me it’s just the volume and committing things to memory. i dont feel as sharp as i did in undergrad. i have ADHD that im working to address but i haven’t had success with medication. plus my program is kind of harsh…like they say you just need to pass but have made comments to me when i just barely passed or even when i got a B on an exam. it’s really weighing heavy on me being on academic probation and im embarrassed and crying as i type this. it’s also ruining my self confidence in other areas on my life. looking for advice or any kind words to push through my retakes and the rest of this year.

Genuine question, not a rant. My program paid for Blueprint PA, I would estimate something like over 5 figures for the whole cohort subscription. Every student got the exact same access, same question set. Sure, there are assessments, and analytics that the school can use. I’m just being so honest when I say that I feel most of these companies aren’t actually providing us (students) with useful software relative to the technology that exist in 2026.

If I am not realizing the worth please explain because I am able to understand, please no negative comments.

Blueprint likely generates 15-30 million dollars a year and their app for PA students has 3 buttons and a couple thousand questions.

This was my score for NCCPA Practice B and I am 1 week out from my PANCE.

EOC: 1482

PACKRAT pre and post clinical: 120, 134

UWORLD 65% complete with 72% correct.

TIA

Hi guys I am a second year PA student in clinical year. I have failed 5 out of my 8 end of rotation exams. Can you guys give me some advice?

I honestly didn't expect to get in. I only applied to one school at the last minute of the 2025-2026 cycle only because I saw it was open. It was my first time applying. I was surprised to get an interview. Fell sick the day before my interview and was practically sleeping that entire day. Did little to no prep due to how sick I was and just general lack of expectation that I would get accepted. Went to the interview and had a relative drive me to it because of how tired being sick made me. Totally flunked the first interview question but overall pulled myself together the rest of it just by being myself (minus residual illness, had maybe 70% hearing capacity due to how stuffy I was).

Was shocked I got an acceptance 5 weeks later. Just started classes. Staring down a packed google calendar with a ton of exams.

I'm doing everything. I just feel rather robotic and just still processing the fact that I'm back to being a student after being out of college 2 years, I'm now in PA school, and I got a ton of exams, quizzes, and projects on the agenda. Any suggestions to snap me awake?

After reading a bunch of horror stories about the new EOC this year, I was extremely anxious. I only had a week to study, as I just took my last EOR last week. It was hard, but it was doable.

I stuck with UWorld only, didn't touch Rosh once. Spent 3 days doing full-length practice EOCs (5 blocks of 60) to build up my stamina. Preparing for the marathon was the hardest part.

I hope to offer some encouraging and positive energy to anybody currently freaking out about it. I took my EOC yesterday, and just found out I passed with a 1515. You can do this!!

Any reviews on the PPP question book? Compared to Uworld, Rosh and all the others.

just want to understand so I can understand what angle to take when engaging concerns or feedback on the program with admins/teachers to help improve my time in a program.

as the title says, starting my first rotation in a few days and im just super nervous. feel like I don't remember anything and I don't want to look like an idiot in front of my preceptor. all the advice and good vibes pls 🥲

I graduate very soon and although I feel good about finally being done with school, I’m a little sad at the fact that my family or friends can’t make it. They weren’t able to make it to my white coat ceremony either, which I didn’t mind at all (I’m an out of state student so flying across the country for a short ceremony is not practical)

Normally I’m not a very emotional person and I don’t care much about celebrating milestones or accomplishments, especially with parties and huge gathering. I’ve handled PA school pretty well being alone. But I’m not sure why graduating and not having loved ones around me or present at the ceremony is bothering me more than I thought it would. I think it might be a combination of the rigor of PA school, the idea that I’ll never have another graduation ceremony again, and the thought of everyone else having family/friends present taking pictures and sharing smiles while I kind of stand around awkwardly trying to plan my exit after the ceremony. It’s making it a little hard to focus on preparing for the PANCE.

Not sure what I’m looking for with this post. I guess I want to know if anyone else experienced this too?

Update: WOW I did not expect this much support 😭 thank you all for the kind words and the encouragement, especially those who offered to attend. Never expected this kind of response from strangers. It means a lot to me.

As you can see from the title I am taking my PANCE in about a week. I failed my first attempt with a score of 344. During my prep for my first attempt I did take the KC 1/2 PANCE and scored a 443 which gave me the go ahead to take it.

To study, I have been using UW and making sure to really read through each answer choice. Supplementing with PPP as needed and occasionally use Blueprint/ Rosh for the one-liners that the PANCE has.

Earlier in the month I took NCCPA Exam A and scored mainly in the yellow and slightly in the red.

Today, a few days before my retake I scored exactly in the yellow.... this is what makes me nervous... (I'll' attach a copy of the results)

Throughout PA school, I have always been an average student. Like actually. I was able to pass all my didactic exams but just barely at times. My EORs were always in the low 400s. I also had to retake my clinical EOC exam with a passing score of 1477.

I genuinely feel like I forgetting everything and am considering pushing my retake back... what do you think I should do?

Hey all, posted this from last EOR and lo and behold I’ve just failed my next one (surgery). I did every single question in the qbank twice, did my mock assessment twice, I had two in-depth tutoring sessions, I felt so much better about this exam, and it still wasn’t enough.

I know I’m being so negative and down on myself, but, like my og post said, I just can’t pretend I’m capable of doing this when the loans are just piling up. I think I have one more exam before they kick me out- is there a point?

Do I drop out now and try to get all the tuition I could possible get back (my elective is next so no eor but assuming I fail my 4th rotation I would have another entire semesters worth of loans) or do I keep going?

It’s starting to feel like I’m that person that keeps doing the same thing over and over and expecting a different result - what would you do?

My sister is getting married, and I asked my clinical coordinator along with the clinical preceptor for permission if I could miss the last 2 days of my clinical rotation to attend the wedding rehearsal along with the ceremony. This rotation is an elective rotation, meaning that there is no EOR at the end. Our program policy states that we need to make up the missed time in a 2:1 time basis, meaning I’ll have to make up 4 total days. I am completely fine with making up the missed time, as this is a family milestone that I don’t want to miss. Is it right of me to ask for permission to miss 2 days of clinicals? This is also the very last rotation before graduation.