Joe Gilboy PA-C graduate from Duke University 1984 and have been a PA-C in the ER for 34 years. I have been teaching the PANCE/PANRE review for over 26 years and started in 1992. I have had over 5000 students and have taught at many of the California and Arizona schools and also in Ohio and Tennessee. My pass rate is 98-100% but that's not the main message. I teach students how to CRITICALLY THINK and that creates a lifetime of positive change.