This is my 4th PANRE, I graduated 25 yrs. ago as a surgeon assistant and physician assistant. I have spent the last 20 years on a H+P service and I started my medical career as a USMC corpsman. The USMC uses the accolade OUTSTANDING, your entire program is such , the attention to details to the answers, the 230 plus pages on PDF, the flash cards, your program built my confidence BIG TIME, Jesus has richly blessed my life BECAUSE of you , I never have to take this brutal exam again and can retire at 66 yrs old you played a prodigious part in me passing amen!!!