Models were adjusted for demographic and socioeconomic variables. Receiver operating characteristic (ROC) curves were used to examine the sensitivity, specificity, positive predictive values, and negative predictive values for various PACKRAT metrics/cut points. Likelihood ratio tests were used to evaluate differences in associations between programs and effect modification by demographic and socioeconomic variables. Linear and logistic hierarchical regression models (HRMs) were used to evaluate associations between PACKRAT metrics and (1) continuous PANCE scores and (2) odds of low PANCE performance (LPP), respectively. It is unknown, however, whether these associations (1) vary across programs (2) differ by PACKRAT metrics (first-year, second-year, and composite score ) or (3) are modified by demographic or socioeconomic variables. The Physician Assistant Clinical Knowledge Rating and Assessment Tool (PACKRATĀ®) is a known predictor of performance on the Physician Assistant National Certifying Exam (PANCE). Swanchak, PhD, PA-C, is an interim dean for the College of Health and Human Services at Marywood University, Scranton, Pennsylvania. Theresa Riethle, MS, PA-C, is a program director and an associate professor in the Physician Assistant Studies Program at Bay Path University, Longmeadow, Massachusetts. Alison McLellan, MMS, PA-C, is the director of academic education and an assistant professor in the School of Physician Assistant Studies at Pacific University, Hillsboro, Oregon. Hibbard, PhD, is the director of assessment and evaluation and an assistant professor in the Division of Physician Assistant Studies at Duke University School of Medicine, Durham, North Carolina. Garbas, DHSc, PA-C, is an assistant professor in the School of Physician Assistant Studies at the University of Florida, Gainesville, Florida. Buchs, MHS, PA-C, is an associate director and an assistant professor in the School of Physician Assistant Studies at the University of Florida, Gainesville, Florida. Carey Barry, MHS, PA-C, is an assistant clinical professor in the Northeastern University Physician Assistant Program, Boston, Massachusetts. 1 Trenton Honda, PhD, PA-C, is a division chief and associate professor in the Division of Physician Assistant Studies at the University of Utah, Salt Lake City, Utah.
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