The National Commission on Certification of Physician Assistants (NCCPA) is the organization that administers the PA National Certifying Examination (PANCE) at the time a PA student graduates, as well as the Physician Assistant National Re-certifying Examination (PANRE). The Board of the NCCPA is responsible for determining eligibility for the exam and evaluating the results. Currently, satisfactory completion of the PANCE is required for eligibility to practice in most states. To ensure continued competency, all certified PAs must document 100 hours of continuing medical education (CME) every two years in order to retain certification. Re-certification is required every six years and involves successful completion of the PANRE as well as documentation of appropriate CME hours.