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Certified physician assistants need to take the Physician Assistant National Recertifying Exam (PANRE) during the last two years of the six-year certification maintenance or the 10-year certification maintenance cycle.
Physician assistants typically begin their careers in the same way doctors do, with a four-year science degree that provides them with the foundational science and math courses they'll need to learn medicine. Often, PAs complete exactly the same pre-medical program used by future doctors.