Using PA-CAT in PA Program Admissions: What Does It Add to the Applicant File?

Using PA-CAT in PA Program Admissions: What Does It Add to the Applicant File?

Using PA-CAT in PA Program Admissions: What Does It Add to the Applicant File?

PA admissions committees already consider a substantial amount of information.

 

GPA and prerequisite coursework provide a record of prior academic performance. Healthcare experience provides another perspective on an applicant’s preparation. Interviews, personal statements, recommendations, and other program-defined criteria add context that academic measures alone cannot provide.

 

So why would a program add another measure?

 

For programs that use the Physician Assistant College Admissions Test (PA-CAT) during admissions, the value is not in replacing those existing sources of information. It is in answering a different question:

What does the applicant currently demonstrate across the prerequisite sciences relevant to PA education?

That makes PA-CAT one potential component of a broader admissions process—not a stand-alone decision about who should or should not be admitted.

 

Different Parts of an Application Provide Different Information

Holistic admissions works precisely because no single measure captures everything a program may want to understand about an applicant.

A transcript tells a program what courses an applicant completed and how that student performed academically.

An interview may provide insight into communication, experiences, goals, or other qualities the program has identified as important.

Clinical and healthcare experience document another part of the applicant’s preparation.

 

PA-CAT adds a standardized measure of knowledge and application across prerequisite science areas commonly relevant to PA education. The current assessment contains 240 items covering nine prerequisite science subjects.

 

Those measures should not be treated as interchangeable.

They answer different questions.

And for admissions committees, that distinction can be useful.

 

PA-CAT is an Additional Data Point—Not a Replacement For Holistic Review

One of the most important things to understand about using PA-CAT in admissions is what the assessment is not intended to do.

A PA-CAT score does not need to replace GPA.

It does not replace interviews, experiences, personal statements, or other information a program considers important.

And it should not be interpreted as a guarantee that an individual applicant will—or will not—succeed in PA school.

Instead, programs can consider PA-CAT results alongside the other information in the applicant file.

For one program, that may mean incorporating the score into a formal admissions rubric. Another may use it as one academic indicator among several. How much weight to assign it, how to interpret it, and how it fits within the admissions process remain program-level decisions.

There is no single implementation model that every PA program needs to follow.

 

Why an Additional Measure of Prerequisite Science Knowledge Can Matter

Applicants arrive through different academic pathways.

Some completed their prerequisite sciences recently. Others may have taken them years earlier. Some completed coursework across several institutions or returned to school after time in the workforce.

A transcript records that academic history.

A prerequisite-science assessment provides something different: a common measurement point at the time of application.

That distinction is important.

 

The question is not whether one measure should replace the other. It is whether the combination gives the admissions committee useful information that it would not otherwise have.

 

For programs considering PA-CAT, a useful starting question may therefore be: What do we want to know about an applicant that our current admissions data do not directly answer?

If the answer involves current prerequisite-science knowledge, a standardized assessment may add relevant information to the broader applicant picture.

 

Admissions Data Become More Valuable When Programs Follow Them Forward

The usefulness of admissions data does not end when the incoming class is selected.

Programs can also examine what happens next.

Standard C1.01 requires PA programs to conduct ongoing self-assessment using their own data, including program-defined admissions data. As part of ARC-PA’s Sixth Edition application and self-study process, programs must also address a related question directly: “Is the admissions process effective in selecting students who can successfully complete the program?

ARC-PA does not require PA-CAT, recommend a particular admissions test, or prescribe which admissions variables a program must use.

 

If a program chooses to incorporate PA-CAT into admissions, PA-CAT results can become one of the variables the program examines over time alongside subsequent student outcomes.

 

That shifts the conversation from:

“Should we use this admissions measure?”

to a more useful question:

“What does this measure tell us within our own program?”

 


A PROGRAM EXAMPLE

 

Miami Dade College

 

Miami Dade College offers a useful example of what longitudinal evaluation can look like.

The program has used PA-CAT within its admissions process and has participated in several analyses examining relationships between PA-CAT results and subsequent student performance.

Published Miami Dade studies have found positive associations between PA-CAT composite scores and a range of later outcomes across different cohorts, including didactic coursework, semester GPA, PACKRAT assessments, and PANCE performance. (Exam Master PA-CAT)

Those findings should not be interpreted as meaning that a PA-CAT score determines an individual student’s future performance.

Their value is different.

They show how a program can take an admissions variable and ask:

Does this information continue to tell us something once students enter our curriculum?

That is a question programs can investigate with their own data.


 

Your Program Does Not Have to Rely Only on Somebody Else’s Results

Published research can provide useful context, but every PA program has its own curriculum, admissions process, student population, grading practices, and outcomes.

For that reason, program-specific analysis can be especially valuable.

Programs using PA-CAT can share de-identified student outcome data with the PA-CAT team. We can then help analyze relationships between PA-CAT scores and the program’s own outcomes at no cost to the program.

Depending on what data are available, those analyses may include:

  • didactic GPA,
  • individual course performance,
  • PACKRAT performance, and
  • PANCE performance.

 

The goal is not to prove that PA-CAT must be used in a particular way. It is to help a program understand what the assessment data mean within its own context.

 

Over multiple cohorts, that can give faculty and admissions leaders a stronger basis for evaluating how individual admissions variables contribute to the overall process.

 

PA-CAT and Admissions Self-Assessment Are Related—But Not the Same Thing

Because ARC-PA requires programs to evaluate admissions effectiveness, it can be tempting to connect any admissions measure directly to accreditation.

That connection needs to be made carefully.

PA-CAT is not an ARC-PA requirement, and using PA-CAT does not by itself demonstrate compliance with Standard C1.01.

C1.01 is about the program’s ongoing process of collecting data, analyzing those data, drawing conclusions, and using the findings for improvement.

PA-CAT can simply be one source of admissions data within that larger process when a program chooses to use it.

 

That distinction matters because the real value is not having one more number in the applicant file. The value comes from understanding what that number contributes—and then evaluating that contribution over time.

 

 

Questions to Ask Before Adding PA-CAT to Admissions

Before deciding how PA-CAT might fit, admissions teams may find it helpful to ask:

  1. What additional information are we trying to obtain?
  2. How would PA-CAT complement the measures we already use?
  3. How would the score be considered within our broader admissions process?
  4. What student outcomes would we want to examine later?
  5. How would we evaluate whether PA-CAT is contributing useful information within our own program?

Those questions should come before decisions about weighting, cut scores, or implementation logistics.

The goal is not simply to add an assessment.

It is to determine whether the information it provides addresses a question the program actually needs answered.

Start With What You Want to Learn

The most useful admissions measures are not necessarily the ones that generate the most data.

They are the ones that help programs answer meaningful questions.

For programs considering PA-CAT as part of admissions, the question is therefore not simply:

“Should we add another assessment?”

It is:

“What would this information add to what we already know—and how will we evaluate its value over time?”

 

PA-CAT can provide one additional perspective on an applicant’s prerequisite-science preparation. What a program does with that information—and how it studies the results over time—remains a program-level decision.

 

Explore the PA-CAT research to review program-specific findings and published analyses.

If you would like to discuss how PA-CAT could fit within your own admissions process—or how the PA-CAT team can analyze your program’s de-identified student outcomes—connect with us, we’re happy to talk through the options.

Frequently Asked Questions

Does PA-CAT replace holistic admissions?

No. PA-CAT can provide an objective measure of prerequisite science knowledge that a program considers alongside the other academic and nonacademic information in its admissions process.

Does ARC-PA require PA-CAT?

No. ARC-PA requires programs to conduct ongoing self-assessment and examine program-defined admissions data, but it does not require PA-CAT or prescribe a particular admissions assessment.

Does a PA-CAT score determine whether an applicant will succeed?

No. An individual score should not be interpreted as a guarantee of future performance. Published PA-CAT research has found associations between PA-CAT scores and later measures including PACKRAT and PANCE performance, but those relationships do not determine individual outcomes.

Can programs study PA-CAT using their own student outcomes?

Yes. Programs can provide de-identified outcome data to the PA-CAT team for program-specific analysis. This analysis is available at no cost to the program.

Does every PA program need to use PA-CAT the same way?

No. Some programs use PA-CAT during admissions. Others administer it only after the incoming cohort has been selected. The appropriate approach depends on the information the program wants and when that information would be useful.

Related Topics:

How PA-CAT Results Help Programs Support Students Earlier

How PA-CAT Results Help Programs Support Students Earlier

How PA-CAT Results Help Programs Support Students Earlier

Across multiple physician assistant programs and cohorts, research consistently shows that students’ PA-CAT scores are meaningfully related to how they perform in specific PA courses, especially during the didactic phase of training.

 

In simple terms, students who score higher on the PA-CAT tend to perform better in foundational courses such as anatomy, physiology, pathophysiology, clinical medicine, and early clinical skills. Conversely, students with lower PA-CAT scores are more likely to struggle in these same areas.

This matters because the PA-CAT is taken before students ever enter the program. That means programs are not learning about academic risk for the first time after a student fails an exam or course. Instead, they already have an early signal that highlights which subject areas may require additional support.

 

Learn more about ongoing PA-CAT research by visiting our Reports & Research Abstracts page.

 

Programs can use this information proactively. Rather than waiting for poor grades, remediation, or academic probation, faculty can identify students who may benefit from early interventions such as targeted tutoring, structured study plans, supplemental instruction, or closer academic advising in specific courses. This shifts student support from a reactive model—responding after difficulties occur—to a preventive model focused on early success.

 

Hear how programs utilize the PA-CAT by watching our webinar “PA-CAT in Practice”.

 

Importantly, the research does not suggest that the PA-CAT determines a student’s outcome. Many students with lower scores still succeed. Instead, the data show that PA-CAT performance provides actionable insight that programs can use to allocate resources efficiently, support students earlier, and strengthen overall academic outcomes. Used this way, the PA-CAT becomes not just an admissions tool, but a student success tool.

Connect with Exam Master to explore PA-CAT as an early intervention tool for your program.

Related Topics:
Introduction and Welcome to PA Admissions Corner

Introduction and Welcome to PA Admissions Corner

ISSUE 1

Introduction and Welcome to PA Admissions Corner

By Jim Pearson and Dr. Scott Massey

As more PA programs are opening and competition for qualified candidates become more difficult, Dr. Scott Massey and I, Jim Pearson, thought it would be beneficial to re-fresh our PA Admissions Corner Newsletters as a resource for you and your admissions personnel.

Our hope is that the PA Admissions Corner Newsletter Series will be beneficial to you and your colleagues as you work through the challenges of enrolling, training, and graduating your PA students. The goal that we have in producing this PA Admissions Corner Newsletter Series is to share with PA program educators and admissions directors some of the best practices for admissions that we have learned through trial and error, over the last 20+ years while working in educational admissions. We will be sharing with you guidelines, insights, tips, and best practices to help you strengthen your admissions outcomes at your PA program.

As you read and review these PA Admissions Corner Newsletters, don’t hesitate to share with us your thoughts and feedback.

Best regards.
Jim Pearson, Former CEO
Exam Master

Dr. Scott Massey Ph.D., PA-C
Scott Massey LLC

Exam Master partners with PA programs by:

For information on any of the above products and/or services, contact us.

Introduction and Welcome to PA Admissions Corner

Understanding the Participants in the Admissions Process

ISSUE 2

Understanding the Participants in the Admissions Process

By Jim Pearson and Dr. Scott Massey

The admission process for graduate medical education is a challenging and ongoing effort. We find that traditional graduate medical educational programs like medicine, dentistry, and pharmacy have had decades of structured development, allowing them to hone their admissions practices and procedures over time. Extensive support staff can also help manage their admissions departments.

Within the PA educational space, the opposite is usually true. PA education is a newer medical discipline. Until the early 2000s, there were less than 100 PA programs nationally (there are over 300 active programs now). Most physician assistant programs have a smaller staff managing admissions responsibilities, usually while balancing other assigned duties.

In Issue 2 of PA Admissions Corner, we’ll take a closer look at the various participants in the admissions process and the roles that they play. A thorough understanding of these roles is essential to improving the overall admissions process; the roles of these participants will be discussed often and in greater detail in upcoming issues.

 

The Five Key Participants

These are the most important people in the PA admissions process.

Applicant
The applicant is your prospective student, the person who is considering enrolling in your PA school’s educational program. Many of these applicants come from highly-ranked undergraduate institutions with distinguished educational credentials, but an equal proportion may come from lesser-ranked undergraduate institutions. If screened properly and given the chance, less-obvious choices can also fit your PA program’s mission and become just as distinguished practicing physician assistants.

Consider what an applicant wants from your admissions Department. Ideally, they want to know their status as soon as possible, including:

  • Is their application accepted?
  • Can they have an interview?
  • Can they interview sooner rather than later?
  • How quickly after that interview will they know the results?
  • How interested is your PA program in them as a prospective student?

The applicant will go out of their way if they think they are likely to get an interview or acceptance letter early in their application cycle. But that same applicant will not bend over backward to accommodate a program that seems disinterested, disorganized, or nonresponsive.

Here’s a reminder of something often undervalued: most applicants have an affinity group of one or more people–like parents or partners–whose opinions will matter in the applicant’s admissions choice. There is much to be gained from incorporating these influential people into the process, at least peripherally. More to come on that subject later.

 

Admissions Director 
This may very well be you! An Admissions Director is the person in charge of managing the ongoing duties of the PA program’s admissions department: selecting admissions committee members, recruiting qualified interviewers, ensuring that proper goals are met for each year’s incoming cohort, and ensuring compliance in reporting/accreditation standards internally (parent university) and externally (ARC-PA). Like the CEO of a company, the Admissions Director steers the course of the entire process. A successful Director knows how to tell the difference between an excellent prospect and a poor one.

The Admissions Director carries a heavy load. In researching ways to improve PA program admissions processes, we have spoken with scores of PA educators across the country. We heard many common concerns. Directors worry that they are not screening, processing, interviewing, and selecting the best candidates that fit their PA program’s core vision and mission. They are concerned about selecting candidates who are unprepared for the rigors of PA education or are not emotionally equipped to become a physician assistant upon graduation. These concerns are almost universal, but each Director is also faced with unique problems, since no two programs are alike. We believe that our work and research have resulted in some innovative ways to reduce that load significantly while filling cohorts with ideal applicants.

 

Admissions Committee
This group mostly consists of the leadership and staff of each PA program, often pulling committee members from other graduate medical education programs. This Committee works together to set the admissions requirements for their PA program. As a group, they review, and screen applicants for their interview pool, select applicants for their waitlist, and select who will receive admittance offer letters.

We encourage programs to streamline their Admissions Committee process, beginning with appropriately adjusting the entire Admissions Cycle and reaching out quickly to the most qualified applicants. Outstanding applicants will likely receive multiple offers to matriculate; your program will lose a significant advantage if the Committee’s response time is slow. (Note: In the next Volume of PA Admissions Corner, we’ll discuss at length how to adjust the Admissions Cycle to your best advantage!)

 

Admissions Representative
The Admissions Representative is the front-line who initially communicates with applicants early in the admissions process. Your Admissions Department and its personnel must manage and succeed at:

  • Initial communications with applicants
  • Screening applicant application data
  • Processing applications
  • Scheduling interviews

Some PA programs’ initial screening and ranking of applicants are handled by the parent institution’s graduate education department or another graduate medical education program (a medical or pharmacy school admissions department, for example). If at all possible, however, we recommend having someone in your department who can serve as a contact representative by telephone, email, or both.

Unfortunately, many PA programs are short-staffed, especially when it comes to admissions—always behind the eight ball for focus and time commitments of Admission Department duties and responsibilities. Many PA programs tell us that they do not have sufficient time to handle admissions responsibilities on top of expected faculty duties. In future editions of PA Admissions Corner, we’ll discuss ways to evaluate and maximize your staff.

For simple applicant contact, we often recommend that understaffed programs deploy their secret weapon: current students who are enthusiastic about their program. Students are often eager to volunteer their time for a school they believe in. It looks good on their resume, and it’s an especially appealing prospect if their help means a shout-out in the campus newsletter or a helpful networking connection like a LinkedIn recommendation or a letter of reference.

We cannot emphasize strongly enough the importance of this role. Once a candidate’s application has been confirmed on CASPA, you should ensure that the communication process begins. Let the applicant know they are under strong consideration, and interviews will be scheduled soon. Remember that high-touch communication strategies help potential candidates perceive your program in a positive light. The benefits of making an applicant feel welcome and cared about are significant.

 

Interviewer
Experience has taught us that having at least two interviewers for each student is best so their two assessment scores can be averaged. Interviewers can be faculty members of the PA school. The Admissions Director, PA Program Director and other medical educational professionals from other disciplines (medical, dental, physical therapy school, etc.) often help in the interview process, too.

Admission Directors must evaluate their interviewers and interviewing methods to ensure that the methodology eliminates interviewer bias as much as possible while providing accurate and actionable information about the applicants. Will we cover these issues in detail in future Volumes of PA Admissions Corner? You bet we will!

 

Conclusion

Understanding the roles and responsibilities of everyone involved in the admissions process is only the beginning, and without this understanding, the process that follows becomes much more complicated. Clearly establishing and adequately filling these roles will streamline your process and encourage your applicants while also revealing where extra help or organization might be needed.

 

NEXT TIME…
Above all, remember that you, the PA Admissions Director, must retain control of the process. In the next Volume of PA Admissions Corner, we’ll talk about controlling the Admissions Cycle: the time when applications are accepted and applicants are selected. We’ll share proven best ideas for getting the most value and the best applicants out of your cycle time.

 

Best regards.
Jim Pearson, Former CEO
Exam Master

Dr. Scott Massey Ph.D., PA-C
Scott Massey LLC

Exam Master partners with PA programs by:

For information on any of the above products and/or services, contact us.

Introduction and Welcome to PA Admissions Corner

Controlling the Admissions Cycle

ISSUE 3

Controlling the Admissions Cycle

By Jim Pearson and Dr. Scott Massey

Welcome back to PA Admissions Corner. In Issue 2, we identified the major players in the admissions process. Now, as promised, we’ll begin dividing the aspects of admissions and illustrating how to take control and make the most of your program’s resources.

In evaluating your Admissions Cycle and processes, the key factor is control. You cannot improve your admissions department’s outcomes until you can take control of these four aspects of admissions:

  1. Personnel
  2. Cycle
  3. Process
  4. Data

In this Issue of PA Admissions Corner, we will look at controlling the cycle of admissions.

The Admissions Cycle is the annual timespan when applications may be submitted, which is followed by the selection of your cohort as applications are evaluated, interviews are conducted, and enrollment is selectively offered. The timing here can make a surprising difference in the quality of applicants your program attracts and the amount or lack of control you have over the entire process.

Through hundreds of interviews and observations of dozens of PA programs, we have found that the following measures are highly effective for keeping the control of the Admissions Cycle where it belongs: in your hands.

 

1. Run your Admissions Cycle from April to October 
Opening your program to applications beginning in April puts you first in line to accept applications and allows you to interview the most candidates. In fact, the pool of applicants can be as much as 40% larger when your admissions cycle opens early. It should come as no surprise that PA programs on a fixed cycle—that wait until August or later to start interviewing—can lose as much as 43% of their top applicants to competing programs.

Over 70% of all PA programs start their admissions cycle in April (when CASPA opens) and close their admissions cycle between August and October of the same year.

 

2. Maintain a Rolling Admissions Cycle
There are three major types of admissions cycles: Fixed, Rolling, and Hybrid (a combination of fixed and rolling cycles).

The Fixed Admissions Cycle reviews and selects applicants for interviews and enrollment at distinct intervals( for example in Oct after all of the applicants have been received and the application cycle is closed). Applications are reviewed only after a specific date. Interviews are conducted over a number of contiguous days. Then, applicants are selected. For some time, this was how things were done in PA schools, and those schools had the power to be controlling of their application process, candidates and exclusive in their decision-making.

Things are done differently now. With the onset of electronic communications, a sharp increase in the number of competing PA programs, and an increase in a candidate’s ability to choose where they matriculate, a fixed cycle is no longer the best option. Unless your PA program is highly ranked or in a famously desired destination, you’ll need to be competitive in your Admission Cycle.

Here is a breakdown of the type of admissions cycle PA programs use:

Type of Cycle Percentage
Rolling Cycle 68%
Fixed Cycle 26%
Hybrid Cycle 65

 

The Rolling Admissions Cycle reviews and selects applicants for interview on multiple occasions during the entire admissions cycle. The advantage of a Rolling Admissions Cycle is not needing to wait for all the applications to arrive before selecting applicants for interview. Qualified applicants can be interviewed right away and can be offered immediate seats for matriculation. Less qualified students can be put on a waitlist. This process can be repeated several times during the admissions cycle. The benefits are clear: a Rolling Admissions Cycle lets you open your program to top-qualified applicants much sooner than a Fixed Admissions Cycle.

 

3. Interview early in the Admissions Cycle
Following from our second point, the sooner in the Admissions Cycle you interview, the sooner you can offer seats to top-qualified applicants and the sooner they can accept. Don’t wait around while another program snatches them away from you. Those top-qualified applicants are motivated to select your program’s offer instead of waiting around to see what else is out there. PA programs with Fixed Admission Cycles and late interview start dates must go deeper into their waitlists, which inevitably leads to enrolling more students who may have academic concerns.

 

4. Send acceptance letters early in the Admissions Cycle
You have interviewed a top-qualified applicant and everything looks great.  Why wait to send an acceptance letter? Applicants who don’t get a quick response tend to interpret this as rejection and will look to your competitors for a better outcome. If those competitors are quick to offer acceptance letters, you’ve lost a valuable applicant. Regardless of whether you eventually send an acceptance letter, that applicant is likely to have established trust with the program that cared enough to invite them early – even if they have not already accepted, made plans to attend, and paid the tuition.

We have found that 72 hours is the time frame you can expect a student to retain the highest amount of interest in your PA program after the exposure to the environment (the interview). Waiting longer than that incurs a much greater risk of losing that student. We generally recommend that a PA program wait no more than seven days to respond. By expediting this communication process, you have a much higher likelihood of closing the candidate to joining your school and getting the student to deposit.

 

Keep Control of the Admissions Cycle in Your Hands

Your PA program will succeed or fail on enrollment and retention of your applicants, it sounds harsh, but running a PA program is a business. By following these four guidelines, you retain more control over the admissions process. Consider the trouble caused by waiting too long to act during any of the four steps: the top-qualified applicants will be prioritized by competitors, and your program will be scouring further and further down the waitlist. Just to fill the cohort, you may need to comb through far less-qualified applicants who will hopefully be able to handle the rigors of a PA program, but they may not. Just like that, the control of your admissions process is in the hands of the applicants and the competition.

Top-qualified applicants will not be ignored by your competition, and unless those top-qualified applicants specifically want your program and only yours, they will have applied to multiple PA programs. According to CASPA, each applicant will apply to approximately seven programs each year. This means you have about six other programs ready to invite every top-qualified applicant into their cohorts.

The good news is that by creating a flexible Rolling Admissions Cycle, your program improves its odds of bringing those top-qualified applicants eagerly to your doorstep. Your PA program has shown itself to be expedient, communicative, and desirable. Applicants will respond by chasing your program; the control is in your hands.

 

Key Points:

  • The pool of applicants can be as much as 40% larger when your Admissions Cycle opens early.
  • A Rolling Admissions Cycle lets you open your program to top-qualified applicants much sooner than a Fixed Admissions Cycle.
  • The sooner in the Admissions Cycle you interview, the sooner you can offer seats to top-qualified applicants, and the sooner they can accept.
  • 72 hours is the time frame you can expect a student to retain the highest amount of interest in your PA program after exposure to the environment.
  • According to CASPA, each PA applicant applies to approximately seven programs each year. Those other six programs are your competition. Don’t give them an early-bird advantage when you can offer the same.

 

NEXT TIME…
In the next Issue of PA Admissions Corner, we’ll turn our attention to keeping control of the interview process. By using the right kinds of questions, interview styles, and examining both sides of the interview coin, we’ll show you how to make the most of your time meeting and getting to know prospective students.

 

To your admissions and program success,

Jim Pearson, Former CEO
Exam Master

Dr. Scott Massey Ph.D., PA-C
Scott Massey LLC

Exam Master partners with PA programs by:

For information on any of the above products and/or services, contact us.

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