Are you a PA student looking for help passing your own PANCE? Visit the student program here.
For PA Programs & Faculty

A safety net for your at-risk PA students, without adding to faculty workload.

33 days of study skills, test-taking strategy, and anxiety management for the students you're most worried about. It runs outside your curriculum, aimed straight at your first-time pass rates.
  • You nominate your at-risk and borderline students
  • We handle the daily coaching, accountability, and a mock PANCE
  • You get weekly visibility and an end-of-cohort debrief
Students we work with average a +79-point PANCE score change. No cost, no obligation. Pick a time, we look at your at-risk list together, and decide if a pilot fits.
Schedule your 20-minute call
Next Cohorts Start
October 1 & December 1, 2026
October 1 cohort runs through November 2. Fits students sitting for the PANCE in late fall or winter, and the clinical-year students you'd rather get ahead of now.To place students here, let's talk in July or August, so approvals have time to clear.
December 1 cohort runs through January 2. Fits December graduates and January or February exam dates, with structure that carries them through the holidays.Let's talk in September or October.
Just six cohorts a year, one every other month. Miss a window and the next start is two months out. For a borderline student, that's pre-exam runway they don't get back.
PA programs whose students have come through 33 Days to Pass the PANCE, or that have hosted workshops with us, include:
A.T. Still Pacific University Nova Indiana University Ashland University Pace University Elizabethtown College
Brian Wallace, PA-C, founder of Physician Assistant Exam Review
Brian Wallace, PA-C, creator of 33 Days to Pass the PANCE. He and his coaches specialize in one thing: turning a program's most at-risk students into exam-day performers. Across every student we have tracked, the average PANCE score change is +79 points.
Who We Are

We aren't content specialists. We're remediation specialists.

Working harder and more content usually isn't the issue. Students can get stuck in a lot of different places, and most of the ones we work with every day already know the content. They just can't translate it on exam day, whether that's nerves or the way the questions are written. Either way, what they know never turns into the scores they deserve.

Piling on more content and more time buried in review books isn't going to move the needle. Where we get results is by teaching them the skills they need to retain more and actually score points on a high-stakes exam. Content is one of the six pillars we work on inside the program. Not because we reteach cardiology, but because we teach students to find their own gaps and give them the techniques to close them. Anxiety management, self-confidence, clinical decision-making, test-taking, reading questions: that's the exact work we do every day.

It does not matter where a student is stuck: didactic year, clinical year, prepping for the PANCE, or coming back from a failed attempt. The skills are the same, and so is the work.

We take remediation off your plate and away from your faculty. For them it's one more job on top of teaching, precepting, and advising. For us, it's the only job.

What that means for your faculty

  • We run with them. Hand us the students you're worried about and we'll take it from there, so you can stop carrying the ones that keep you up at night.
  • You stay in the loop without the work. You'll get a weekly report on each student, plus a debrief at the end. No chasing required.
  • No new time burden on the student. They do this right alongside PA school, no scheduling headache, because we teach them to get more out of the hours they're already putting in. Most of them actually end up faster.
  • We protect your numbers. Better first-time pass rates, fewer decelerations and dismissals. That's the whole point.
The Stakes

When "working harder" isn't fixing the problem

It's rarely your top students who put your first-time PANCE rate at risk. It's the 28-32nd percentile EOR students and the 350-range test takers: the borderline group who can pull a small program's first-time pass rate down with one bad test day, or end up dismissed after six figures of tuition. You're working to protect those numbers, and your accreditation, while also teaching, precepting, and advising the rest of the cohort.

  • Students hovering near dismissal or delayed graduation
  • EORs in the 28-32nd percentile and 350-range PANCE scores that could swing either way
  • Test anxiety and poor test-day execution despite strong effort
  • Limited faculty time for one-on-one remediation and mindset coaching
What the evidence says

A cram course will not fix a struggling test-taker.

This is not just our experience. A 2017 study in the Journal of Physician Assistant Education, the PA profession's own education journal, followed 201 PA students at two programs after a commercial three-day board review course became mandatory. The course had no measurable effect on PANCE performance. Your borderline students usually don't have a content hole you can cram shut in the final weeks. They have a skills gap: how they study, how they read a question, and how they hold up when the clock is running. That is the gap we close, and it is the opposite of cramming.

Mirly AK, Domenech Rodriguez MM, Coombs JM. Board Review Course as Intervention: Impact on PANCE Performance. Journal of Physician Assistant Education. 2017;28(2):80-85.

The Offer

A 33-day intervention for your most vulnerable students

We partner with your program to run the At-Risk PA Student Rescue Pilot: a focused 33-day skills intervention for a small group of at-risk and borderline students you pick. We handle the structure, the coaching, and the accountability. You get a clear plan, eyes on it every week, and a straight debrief at the end.

Pillar 1

Daily skills training

Short, focused lessons on how to study, how to read an exam, and how to keep the nerves in check, right in the app and the group.

Pillar 2

Live coaching and accountability

Weekly group calls and a private chat, so we catch the test-taking problems in real time instead of after the exam.

Pillar 3

Program visibility

A simple weekly snapshot and a debrief at the end, so you know who showed up, who improved, and what changed.

What's Included

What your program gets

  • We work with your at-risk and borderline students through a full 33-day cohort
  • Done-for-you daily curriculum on the PANCE blueprint, built on the "Five Dailies" habit system so their studying is something you can actually see
  • Weekly live coaching calls, plus an optional full-length mock PANCE as a dress rehearsal
  • Weekly progress reports and a 20 to 30 minute debrief with a written summary at the end
  • Student safety net: if a student you refer completes the program and still doesn't pass, we start with a one-on-one coaching session to evaluate what went wrong, build an action plan around it, and re-enroll them in the next cohort at no additional tuition
Our promise to your program

If a student you refer finishes and still doesn't pass, they come back free.

You're handing us the students you're most worried about, so we carry the risk, not you. If a student completes the full 33 days and still doesn't pass the PANCE, here is exactly what happens next. First, a one-on-one coaching session to evaluate what went wrong. Then we build an action plan around it. Then we re-enroll them in the next cohort at no additional tuition, with a better plan than the last attempt. You're not betting your pass rate on a single try, and neither is the student.

The Results

The kind of score change that protects a pass rate

+79 points

The average PANCE score change across every student we've tracked. Every one of them, gains and declines counted, not a hand-picked highlight reel. The median change is +82, with students climbing 50, 100, 150, even 200-plus points. For a borderline student, that swing is the difference between a retake that fails and a name that stays on your roster.

What at-risk first-time PANCE passers say
"I was a decelerated student. I got diagnosed during PA school with inattentive ADHD. Didn't do well initially, was able to return... Thanks to all the skills that I learned from Brian, I was able to pass the PANCE on the first go."
Liz Arias, PA-C, 33 Days alum (June 2022), now a 33 Days coach
A borderline student who came back and passed
"...compared to my previous attempt, I improved by 72 points. For the first time, I truly trusted the process. I slowed down, breathed, took my breaks properly, stayed hydrated, and used the test-taking strategies we discussed instead of rushing through the exam. Looking back, I think the difference was not just knowledge. It was execution."
Yohanna, 33 Days alum, passed the PANCE on a retake (+72 points)
Even Better Earlier

So many of our students wish they'd had this before PA school

The Rescue Pilot is built for your at-risk students. But the study, test-taking, and anxiety skills behind it aren't only for the PANCE. Students tell us over and over that they wish they'd learned this at the start of their training, not after they were already behind. Here's one who started in his first two weeks of school:

Two weeks into his didactic year, and already ahead
"I put a lot of your stuff to practice like the active learning, the exercise, the drinking water, the reflection journal and I am glad to say that I got 92 on my first pathophysiology exam."
"I feel that I have all the tools necessary to succeed PA school- All because I decided to join your program."
Noor, first-year PA student
Simple to Start

How to try this with your program

1

Brief call with Brian (20 minutes)

We talk through your cohort, your timelines, and the students you're worried about, and decide together whether a pilot makes sense.

2

Select students and choose a cohort start date

You hand us your at-risk and borderline students. We get them into the next 33-day cohort that fits their timeline.

3

Run the pilot and debrief

We run the full 33 days. You get snapshots the whole way through and a short debrief at the end, so you can decide whether to expand.

Program Questions

A few quick answers

Does this replace our existing board prep?

No. This isn't a board review course. Content is one of the six pillars we work on, but we don't reteach cardiology. We teach your students to spot their own gaps and give them the techniques to close them, so they get more out of whatever review resources you already use. Your content and your assessments stay entirely yours.

What does a pilot cost?

That depends on how many at-risk and borderline students you'd like to see get better, and which cohort you run, so we set it together on the call once we've seen your list. We'll walk through the numbers and the options in the 20 minutes.

How much faculty time does this require?

Very little. You pick the students and the cohort. We handle the curriculum, the coaching, and the accountability. On your end it's a short kickoff call, the weekly snapshots we send you, and a 20 to 30 minute debrief at the end.

What if a student doesn't engage?

We track engagement from day one, so you're never guessing. We chase down the students who fall behind, and you'll see early if someone isn't showing up, instead of finding out at the end.

Can we include recent graduates?

Yes. Recent grads getting ready to retake the PANCE are a great fit, and they can go through the same pilot as your current students.

How do you handle students who fail after completing the program?

We don't just run it back. First, the student gets a one-on-one coaching session to evaluate what went wrong. Then we build an action plan around it. Then they re-enroll in the next cohort at no extra cost, with a better plan than the last attempt. The point is to give your most at-risk students more than one supported shot at it.

If you have even one student you're worried about, let's talk.

We're looking to take your at-risk and borderline students and turn them into your top performers, so you can sleep at night. A pilot is the lowest-risk way to start. Our next cohorts begin October 1 and December 1, and between approvals and placement, programs usually need a couple of months of lead time. Miss the October window and the next start is two months out, time a borderline student doesn't get back. Grab 20 minutes and we'll look at your list together.

Are you a PA student, not a program? Head to the student program here.
Schedule a 20-Minute Program Call