Packrat to pance score calculator - Jun 13, 2018 · We can use the example provided above (PAEA Emergency Medicine End of Rotation exam, Version 6) where the mean scale score is 402.99 and the standard deviation is 22.55, and then calculate a z-score for a hypothetical test score of 450: The student has a z-score that is 2.08 standard deviations above the mean.

 
Very generally speaking 140-159 means you have a decent chance to pass the PANCE based off your current knowledge, 160-179 means you'll almost definitely pass, and 180+ means you can stroke out in the middle of taking the test and still likely do fine. Curivity • 2 yr. ago. Walmart plus tire benefits

There is no "good score"; only a score. I disagree with the other guy, I’m pretty sure 380k is above average. It’s hard to tell though because of how wide the range of skill is. Here’s a tip though: start on level 1 instead of 5, you’re missing out on free points from the first few levels. The PANCE exam is scored on a scale that ranges from 200 to 800. A score of 350 or greater is a passing score. Even though a 350 is a passing score, we believe that students should strive to understand the concepts tested on the PANCE versus settling for just a passing score. Healthcare is an essential industry and PA’s are a crucial part of ...If it's your didactic score, you're fine. In my program, you'd be "at risk" with a 120 or below. Agree, ours was 124 and below. My didactic score was like 119 and my clinical packrat was 159. Both below the national average and scored on the PANCE above average. Don’t worry!! You learn it first in didactic and forget it all. Then you learn it the second time in rotations studying for EORs and with patients and you forget less. And the final time you learn it is reviewing for you PANCE where you remember the most because you've gone through everything 3 times now.PAEA Assessment PACKRAT PACKRAT is administered more than 20,000 times each year. National comparative data are available for each version of PACKRAT once 300 students have taken it, and those data are updated weekly as more students take the exam.In a larger collaborative analysis, authors found a strong correlation between PACKRAT-1 and PACKRAT-2 scores and PANCE success. 8 This large multi-institutional study (N = 638) identified a PACK ...The purpose of this study was to evaluate End of Rotation exam scores and their relationship with poor PANCE performance (PPP). Methods: In an IRB-approved, multi-center, multi-year study, associations between PAEA End of Rotation exam scale scores and PANCE scores were explored. A taxonomy of nested linear regression models with random ...I took exam A about a month before PANCE and score almost all in yellow with a smidge in the red. I took exam B about 5 days before PANCE and scored about 1/3 in yellow and 2/3 in green. I passed PANCE with a 420. Ok-Service7661 • 2 mo. ago. This was my exact situation and I take the PANCE tomorrow.Results: The scores of the study participants from the originating institution were gathered between 2007 and 2010 and from five additional programs in 2011-2012 to determine correlational strength between the instruments and the PANCE. The SUMM I, SUMM II, and PACKRAT scores (N = 421) were combined in a regression model to generate a predicted ...PMID: 31124805 DOI: 10.1097/JPA.0000000000000256 Abstract Purpose: The Physician Assistant Clinical Knowledge Rating and Assessment Tool (PACKRAT®) is a known predictor of performance on the Physician Assistant National Certifying Exam (PANCE).Results: When the PACKRAT, SUMM I, SUMM II, and the surgery, women's health, and pediatrics EOREs were combined in a regression model, an Rvalue of 0.87 and an R2 of 0.75 were obtained. A predicted score was generated for the class of 2009. ... The predicted PANCE score based upon this model had a final correlation of 0.790 with the actual …PANCE = [PACKRAT x 5.74] - 287.47 My results using calculator: [134 x 5.74] - 287.47 = 481.69 My results using calculator: [146 x 5.74] - 287.47 = 550.57 I have gathered scores from several people (their PACKRAT & PANCE scores) ran the numbers and generally speaking this calculation has overshot the actual PANCE scores by about 100 points. Jun 7, 2020 · I got 85% correct in Rosh, with analysis of 92% chance of passing PANCE with predicted score of 585. I also read the full PPP book during clinical year and then the newest version (2 volumes) prior to taking the PANCE. I averaged 1-2 S.D.s above average on EORs and got a 651 on PANCE which I took 05/2020. 1. Passed the PANCE! Hey all! After many tough years on this journey, I can finally call myself PA-C. I've been on the PA subreddits since I was just a pre-PA and everyone has been such a huge help to me, I thought I'd return the favor by posting my stats and my study method for the PANCE. Didactic year was a huge adjustment for me as a non ...I got the Rosh PANCE study pack (like 3000 questions). I used my second PACKRAT to determine my areas of weakness then started there. I only had ~ 3 weeks to study prior to the exam after graduating. The last week leading up to the exam I did a randomized 250 question “practice test” using Rosh’s qbank on test mode. Passed the PANCE by a …Metrics: Didactic and clinical performance; PACKRAT I & II; PANCE; and summative evaluation performance. ... Metrics: PANCE scores, attrition, student ...The change in PACKRAT score from the end of didactic to the end of rotations was significant for me, and most of my class. But, I will say that I found the PACKRAT was way more difficult than the actual PANCE. It's been 3 years since I graduated, but that was my experience. As for questioning yourself...normal, and you will continue to do so on ...The rule of thumb is a PACKRAT score greater than 150 means your odds of passing the PANCE are astronomically high. The national mean is ~130 and a score of 110 has been correlated to not passing the PANCE. You should aim for a score of 70% on your PACKRAT, which is 157/225 correct answers. What is considered a good score on …PANCE Performance Guide. 2023 PANCE Exam. Administration window: 1/3/2023 – 12/16/2023; PANCE Passing Score. To pass the Physician Assistant National Certifying Examination (PANCE), an examinee must reach or exceed the passing score of 350, which is determined via a process called standard setting. Standard setting requires …There is a formula that relates PACKRAT to PANCE scores in the link I sent. I got 173 for my second packrat and used it as an excuse to not study too intensely for the PANCE. I did just fine on it, so i think you'll be fine.To convert z-score for a number above the mean to percentile, use the Standard Normal Table to find the area beyond Z and subtract this area from 1.00. Multiply the result by 100 to get the percentile. To convert z-score for a number below ...#Packrat score to pance pdf# Come back to the PAC webpage and click on the "Load Data" button at the bottom of the table. Click on CTRL+C to copy the page (or right-click "Copy"). ... I developed PACKRAT Analysis Calculator for my students and after positive feedback, I decided to make it available to everyone through my website. B's PAC …METHODS: A multiple linear regression was calculated to predict PANCE score indicators based on student attributes and performance metrics from 3 PA programs. Metrics included: PAEA End of Rotation exams, PACKRAT scores, academic performance in clinical medicine didactic courses, cumulative grade point average, and select …Best. Add a Comment. Praxician94 PA-C • 1 yr. ago. I found the PACKRAT to be a gauge of pass/not pass. Anything beyond that doesn't seem to correlate from what I've seen. I scored 151 didactic 153 clinical and scored a 551 on the PANCE. I've seen people with 130s score higher than me on PANCE and people with 170s barely pass the PANCE.pance score = [packrat x 5.74] - 287.47 Using this formula and a PACKRAT score of 157 would equate to a PANCE score as follow: [157 x 5.74] - 287.47 = 613.71 If you take the test and your score indicates you are on shaky ground, keep building your knowledge and working on the areas where you're weak. OSCE and PANCE scores also correlated, but to a lesser degree. Linear regression revealed a significant relationship between the PACKRAT and PANCE, with 59% of variance in PANCE scores being accounted for by the variance in PACKRAT scores. The OSCE scores accounted for 19% of variance in PANCE scores. Class P I P II O I O II …PACKRAT 1 I got a 145 like you did, which is 80 questions wrong, or 64.4% PACKRAT 2 I got a 198 which is 27 questions wrong or 88%. PANCE I got a 635 which ended up being 24 questions wrong or 92%. Of note I thought that the PANCE was the most difficult exam. So if i were in your position I would be careful. "A PANCE score of 350+ is generally accepted as “passing,” however, passing scores can and do range from 350-392 depending on the Form (though passing scores are no longer published) You can use the following formula to predict your PANCE scores PANCE = [PACKRAT x 5.74] - 287.47 The highest score attainable is an 800"First time through projected PANCE score was 490 with 75% correct average. Second time through was 531 with 81% average correct. Uworld is the shittt BTW. I did 500 or so questions and averaged a 75% correct. Did about 400 questions on Kaplan and averaged a 68% correct. I hate Kaplan. OK. What you actually care about. My PANCE score.I passed, yes. I scored a 436 with the average being a 463. My Rosh predicted was a 570. I scored a 161 on clinical packrat, 1581 on the EOC with great scores on my EORs. I was told that I should have been able to score close to 600 with my stats. Needless to say, I was pretty deflated. One of my classmates tested the same day as me and scored ...The panel then recommends the PANCE passing score, which the NCCPA Board of Directors reviews and approves. The NCCPA designs each test form from the same PANCE content blueprint. The blueprint is the official guide for topics and concepts tested on the certification exam. They also format the test forms according to the same …A PANCE score of 350+ is generally accepted as “passing,” however, passing scores can and do range from 350-392 depending on the Form (though passing …End of Curriculum exams are delivered in PAEA’s secure, web-based platform, ExamDriver. Questions are typically presented in vignette format so that the exams can better assess students’ capacity for problem-solving and critical thinking. The End of Curriculum exam contains 300 questions (250 scored) and should be delivered in the last four ...Scale scores are used to place all scores on a unified scale regardless of the difficulty of any specific test form, so examinees with the same level of ability will achieve the exact same score on PANCE regardless of the test form taken. The PANCE scale has a minimum score of 200, a maximum score of 800, and the passing score is 350.Packrat to pance score. In addition, programs must adequately prepare students for successful completion of the Physician Assistant National Certifying Examination (PANCE) ... PANCE Score Scale The PANCE scale has a minimum score of 200, a maximum score of 800, and the passing score is 350. cookie is used to store the user consent for the …The maximum score on the PANCE is 800, but you need at least 350 to pass. Because there are different versions of the PANCE, and since they are scaled with different levels of difficulty, a passing score on one version may be 350, while on another version it could be closer to 500.The PACKRAT guide and its supplement offer faculty information on the PACKRAT exam, including how its blueprint, guiding principles, topic list, exam items, and core tasks and objectives were created, and the continuous scientific review that occurs with each version. Detailed A pilot study by Massey and colleagues demonstrated that formative and summative examinations, including the PACKRAT, yielded a predicted score for the Physician Assistant National Certifying...The three predictor variables together explain about 11.7% of the variance in PACKRAT 2 scores. This research study demonstrates the potential value of PA-CAT scores in predicting PA program’s clinical performance, PANCE scores, and PACKRAT 2 scores. The study will be updated when additional data becomes available in the future. –P = .015 b. P = .000 METHODS DISCUSSION Statistical significance discovered in the study was very strong. The measured correlation coefficient of 0.602 and 0.744 demonstrated that performance on PACKRAT is correlated to the score on the PANCE.When most people talk credit scores, they’re talking about your General FICO score—the one lenders are most likely to use. FICO is tight-lipped about the formulas they use to calculate our scores, but we know the general categories they tra...The rule of thumb is a PACKRAT score greater than 150 means your odds of passing the PANCE are astronomically high. The national mean is ~130 and a score of 110 has been correlated to not passing the PANCE. You should aim for a score of 70% on your PACKRAT, which is 157/225 correct answers.The z-score can be calculated by subtracting the population mean from the raw score, or data point in question (a test score, height, age, etc.), then dividing the difference by the population standard deviation: where x is the raw score, μ is the population mean, and σ is the population standard deviation. For a sample, the formula is ...Best. Add a Comment. Praxician94 PA-C • 1 yr. ago. I found the PACKRAT to be a gauge of pass/not pass. Anything beyond that doesn't seem to correlate from what I've seen. I scored 151 didactic 153 clinical and scored a 551 on the PANCE. I've seen people with 130s score higher than me on PANCE and people with 170s barely pass the PANCE.20-Jul-2018 ... grade calculation. ... Additionally, students will take the Physician Assistant Clinical Knowledge Rating and Assessment Tool (PACKRAT) ...INTRODUCTION: Given the 2019 Physician Assistant National Certifying Exam (PANCE) blueprint update from the National Commission on the Certification of Physician Assistants, it is imperative that programs conduct analyses of student performance metrics and PANCE scores. The purpose of this multi-institutional study was to examine the relationship between PANCE scores and student performance ...PACKRAT scores to PANCE scores. Also of recent interest is. the correlation of the relatively new Physician Assistant. Education Association (PAEA) End of Rotation ...Another examined PANCE scores of 38 programs in the early 1990s and found master's-prepared PAs had higher average percent pass rates on the PANCE and higher average core scores than bachelor's ...The relationship between PACKRAT and PANCE scores has been previous- ly established. 1, 2, 3 Kazik and Sefcik examined the fea- sibility of predicting performance on the PANCE using norm ...Results: The scores of the study participants from the originating institution were gathered between 2007 and 2010 and from five additional programs in 2011-2012 to determine correlational strength between the instruments and the PANCE. The SUMM I, SUMM II, and PACKRAT scores (N = 421) were combined in a regression model to generate a …The change in PACKRAT score from the end of didactic to the end of rotations was significant for me, and most of my class. But, I will say that I found the PACKRAT was way more difficult than the actual PANCE. It's been 3 years since I graduated, but that was my experience. As for questioning yourself...normal, and you will continue to do so on ...Clinical Medicine II didactic course grades, PACKRAT I & II scores, and PAEA End of Rotation Exam scores in Family Medicine and Internal Medicine were all significant predictors of PANCE score.Mine correlated pretty well. PACKRAT 1 I got a 145 like you did, which is 80 questions wrong, or 64.4%. PACKRAT 2 I got a 198 which is 27 questions wrong or 88%. PANCE I got a 635 which ended up being 24 questions wrong or 92%. Of note I thought that the PANCE was the most difficult exam.Logistic regression showed a significant relationship between PACKRAT scores and PANCE performance (P<0.001). A PACKRAT score of < 55% (raw score = 124) had a sensitivity of 77.2% and specificity ...Post-didactic PACKRAT = 178. Post-clinical PACKRAT = 188. Average EOR = 475. PAEA End of Curriculum = 1674 (out of 1800) PANCE = 694. I have a good friend who struggles with test-taking that had scores more similar to yours for the PACKRAT and EORs, and she just recently passed her PANCE!Praxician94 • PA-C • 1 yr. ago. Rosh is harder than PANCE. I think I averaged around 75-79% and obliterated the PANCE. CryptographerUsed762 • 1 yr. ago. Agree! I got an 78% on rosh completing 45% of the bank and I scored 601 on the pance. My rosh predicted score was 513. CryptographerUsed762 • 1 yr. ago.PANCE SCORE = [PACKRAT x 5.74] - 287.47 Using this formula and a PACKRAT score of 157 would equate to a PANCE score as follow: [157 x 5.74] - 287.47 = 613.71 If you take the test and your score indicates you are on shaky ground, keep building your knowledge and working on the areas where you're weak. Smarty PANCE 225 Question Practice ExamsTo convert z-score for a number above the mean to percentile, use the Standard Normal Table to find the area beyond Z and subtract this area from 1.00. Multiply the result by 100 to get the percentile. To convert z-score for a number below ...PASSED PANCE. Wow finally I get to write this on here haha found out today that I passed PANCE. Here are my stats- know that I was a below avg student in pa school. PACKRAT 1 - 115 PACKRAT 2 - 158. Didactic GPA- 3.2-3 ish Clinical GPA- 3.68 ish. Failed one class didactic year and that let me down/struggled whole didactic year but did very well ...Mar 1, 2022 · A combination of PACKRAT I and PACKRAT II was the best predictor of PANCE score and explained a large amount of variance (77.0%) in PANCE scores. Conclusion: PAEA's End of Curriculum exam is one of the strongest predictors of PANCE score (r = 0.78). It offers an additional opportunity for programs to provide PA students with another layer of ... Packrat to pance score. 6/17/2023 0 Comments In response, the MEDEX faculty came together in the spring of 2012 for a retreat to discuss the challenge before them. ... MEDEX Northwest Program Director Terry Scott, MPA, PA-Cįacing a downward slide in the PANCE scores, there was a tendency to offer excuses based on this typical MEDEX student …Pre-clinical? The good news is, you have plenty of time to improve. At a score like that, you most likely need to improve in most areas, if not all. The packrat is HARD, but it is designed to diagnose knowledge gaps/study issues. Don't let it discourage you or make you think you aren't smart or worthy of passing the inevitable PANCE.Packrat 1: 111. Packrat 2: 149. Lowest EOR: 380. Highest EOR: 418. Average EOR: ~402. NCCPA Summative: could not take due to COVID restrictions in my state. PANCE: 491 (middle of bell curve) I personally found the 4-6 weeks study breakdowns very daunting and overwhelming. Once you complete clinical year, everyone should have a good idea of what ... ProSpectre. There are old PACKRATs on Quizlet, you just have to search a little for them. This page has a number of them with the full question and correct answer choices (there's a lot of other study sets too, the ones labeled something like "PACKRAT 5" or "PACKRAT 2" that have 225 flashcards are the ones you're looking for). Edited to …I was told that the average packrat score for 2021 nationwide was 150. Keep in mind that this is just a rough average. Some people score lower and have no problem passing pance. Others score higher and also pass just fine. You can say the same about scores for both spectrums (higher and lower) and wind up not passing.A combination of PACKRAT I and PACKRAT II was the best predictor of PANCE score and explained a large amount of variance (77.0%) in PANCE scores. Conclusion: PAEA's End of Curriculum exam is one of the strongest predictors of PANCE score (r = 0.78). It offers an additional opportunity for programs to provide PA students with another layer of ... Are there any updated predictor formulas out there? My second PACKRAT score only went up by 2 points and my program prefers a PANCE predictor score…Final Historical National Statistics. The historical national exam statistics for End of Curriculum can be found on our Assessment Resources page. Included in the Historical Statistics reports are details on means, standard deviations (SD), reliabilities, and standard errors of measurement (SEM) for all retired exams forms.• PACKRAT TM (PKRT) may be useful to identify poor performance on PANCE. TM 1,2 • PAEA End of Rotation Exams (EOR) measure medical knowledge gained during clinical rotations and correlate with PANCE score. • The purpose of this study was to evaluate the relationship between PACKRAT TM score and PAEA EOR TM score to evaluateStudy done early 2000s said PackRat score of 111 was equal to PANCE score 350. 1 point increase in PackRat score above that equaled 5.74 point increase in PANCE score. Next study done 2013 noted PackRat score of 124 or above had 77% sensitivity and 83% specificity in passing PANCE. That study also looked at PackRat and 2 summative exams given ...GYN EOR: 419. IM EOR: 438. PACKRAT 2 (after clinical year) = 159 (woohoo - much better place) EOC: 1515. PANCE Studying Methods. Rosh 100% completed, 75% correct, predicted score 489. Uworld: ~40% completed, 70% correct. Exhausting questions. Pance Prep Pearls in person review course with Dwayne Williams.I used Rosh Review, PANCE Prep Pearls, and did a CME4Life board review. I also had PrepU but wasn't a huge fan of it. I actually finished all of the Rosh Review questions and my final percentage correct was about 70%. I passed the PANCE by a decent margin and had a similar PACKRAT score to you.#Packrat score to pance pdf# Come back to the PAC webpage and click on the "Load Data" button at the bottom of the table. Click on CTRL+C to copy the page (or right-click "Copy"). ... I developed PACKRAT Analysis Calculator for my students and after positive feedback, I decided to make it available to everyone through my website. B's PAC …Didactic Packrat: 148. Clinical Packrat: 176. Scaled PAEA EORs: IM- 424, Fam- 416, Peds- 443, Surg- 428, Women's- 405, Psych- 410, EM- 411. Completed 70% of Rosh with 78% correct, predicted score 598 with 89% probability of passing. Update: PANCE was awful, there was a lot that I didn't recognize at all.In a larger collaborative analysis, authors found a strong correlation between PACKRAT-1 and PACKRAT-2 scores and PANCE success. 8 This large multi-institutional study (N = 638) identified a PACK ...We know that having solid national comparative data is a top priority for PAEA member programs using PAKCRAT. National Comparative Data is released after 300 student administrations and are updated regularly to reflect the most up-to-date statistics. The data on this page include the mean and standard deviation (SD) for the current version.I was told that the average packrat score for 2021 nationwide was 150. Keep in mind that this is just a rough average. Some people score lower and have no problem passing pance. Others score higher and also pass just fine. You can say the same about scores for both spectrums (higher and lower) and wind up not passing.Are there any updated predictor formulas out there? My second PACKRAT score only went up by 2 points and my program prefers a PANCE predictor score…Clinical Medicine II didactic course grades, PACKRAT I & II scores, and PAEA End of Rotation Exam scores in Family Medicine and Internal Medicine were all significant predictors of PANCE score.

PACKRAT Scores. Hello Everyone! Wanted to get your thoughts/advice on my PACKRAT scores and studying for the PANCE as I will be taking it on January 20th next year. We just took our post-clinical PACKRAT today and found out that I scored a 161 compared to my pre-clinical which was 126.. Mcdonalds now hiring

packrat to pance score calculator

Apr 27, 2017 · If the PackRat is taken late in clinical training, it is a better indicator of PANCE performance rather than one taken early in clinical training. A score of 135 on PackRat is a 60% score, OK coming out of didactic year, not OK late in clinical phase. Safer score is mid 150s to 160, indicates a 70% score or higher. I also just found out to pass the PANCE you need 350, not 300 as my program beat into our heads all didactic year long. So. I’m having a bit of a melt down about it. For comparison, I got a 145 at the end of didactic PACKRAT, 173 end of clinical packrat, and a 517 on the PANCE earlier this year (350 needed to pass).PANCE = [PACKRAT x 5.74] - 287.47 My results using calculator: [134 x 5.74] - 287.47 = 481.69 My results using calculator: [146 x 5.74] - 287.47 = 550.57 I have gathered scores from several people (their PACKRAT & PANCE scores) ran the numbers and generally speaking this calculation has overshot the actual PANCE scores by about 100 points. With rosh I always had to stop and think “what does ROSH want me to put”. I do recommend the NCCPA exams - i don’t think either is a crazy different from the other version. I took one prior to studying and the other like 4 days out from my exam. My post clinical packrat score was like a 176 I think and my PANCE was in the upper 500sDescriptive statistics for scaled scores, Clinical GPA, PANCE scores, and PACKRAT 2 scores are reported in Table 3. Table 3: Descriptive statistics (scaled scores, Clinical GPA, PANCE score, PACKRAT 2) Scaled Score Clinical GPA PANCE PACKRAT 2 Mean 503.3 3.68 474.1 152.4 SD 20.1 0.27 78.0 20.2 Median 503.0 3.75 471.0 152.0 PACKRAT® PACKRAT® Overview ... Version 6) where the mean scale score is 402.99 and the standard deviation is 22.55, and then calculate a z-score for a hypothetical test score of 450: The student has a z-score that is 2.08 standard deviations above the mean. Refer to a statistics textbook or online program for a z-table.Apr 6, 2021 · April 6, 2021. PA Student, PAEA Survey. If you’re a current PA student or have been scoping out the curricula of PA schools as an aspiring PA student, you’re likely acquainted with a couple of exams integrated into PA training: the PACKRAT (Physician Assistant Clinical Knowledge Rating and Assessment Tool) and the End of Rotation (EOR) exam. You can see the PACKRAT I exam is here with the PANCE – the relationship tends to be moderate. This is the R-squared (or R2, also referred to as “the variance”), and it is the percentage by which our correlation coefficient score predicts the PANCE score. The R2 in this case (noted in upper right corner of graph) is 0.4586.I finished only 44% of the rosh questions, 73% of questions correct (which was par for the course for all of my EOR q-banks as well). I did at least 100 from every section and 200-300 in the more heavy sections. My expected score on the pance was 483 with a 88% chance of passing. I did not take any NCCPA practice exams.I got the Rosh PANCE study pack (like 3000 questions). I used my second PACKRAT to determine my areas of weakness then started there. I only had ~ 3 weeks to study prior to the exam after graduating. The last week leading up to the exam I did a randomized 250 question “practice test” using Rosh’s qbank on test mode. Passed the PANCE by a …Specifically, we used the online scale score conversion tool to ensure that the standard deviation calculation we set for the new scale corresponds as closely as possible with appropriate “raw” failing scores on Versions 2 through 4 of the End of Rotation exams that had been taken by students who have already graduated and taken the PANCE.Scale scores are used to place all scores on a unified scale regardless of the difficulty of any specific test form, so examinees with the same level of ability will achieve the exact same score on PANCE regardless of the test form taken. The PANCE scale has a minimum score of 200, a maximum score of 800, and the passing score is 350.I wouldn’t sweat PACKRAT scores. I think I got a 138 or something on didactic and like a 150 on clinical and passed the PANCE by a good margin. Just do a lot of Packrat practice tests and read PANCE Prep Pearls in your spare time. Our class did that consistently and we have a 5 year 100% first time pass rate going .

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