December 4, 2025 Newsletter
Ivermectin will be available without prescription in Texas starting Thursday
Texas began allowing over-the-counter access to ivermectin December 4, with the medication kept behind pharmacy counters and provided upon request. Pharmacists and physicians emphasize that safety counseling remains essential, particularly because ivermectin can interact dangerously with blood thinners. Supporters frame the policy as expanding medical autonomy, while clinicians caution that many people may seek the drug for unapproved COVID-19 treatment despite ongoing safety concerns.
Read the Article: Ivermectin will be available without prescription in Texas starting Thursday
How Do I Become Certified as a Physician Assistant?
Earning your certification as a PA is a significant milestone that demonstrates your commitment to providing high-quality, evidence-based patient care. The certification process ensures that all PAs meet rigorous national standards for medical knowledge and clinical skills. Through the National Commission on Certification of Physician Assistants (NCCPA), aspiring PAs complete the Physician Assistant National Certifying Examination (PANCE) after graduating from an accredited PA program. Achieving certification is not only a professional requirement for licensure in all U.S. states but also a reflection of your dedication to excellence in the PA profession.
The NCCPA PANCE & PANRE: A Comprehensive Guide

What Are People Missing on the Exams?
Med-Challenger offers a FREE Most Missed Exam Prep Questions Course.
Now updated to include November's most missed questions!
This FREE course includes our most missed exam questions with remediation, and covers multiple specialties. You'll get test taking tricks, additional practice questions, case discussions, and more. Perfect for residents or anyone studying for an ITE or board exam.
It's FREE to sign up and FREE to use, so pass it on, https://fuse.challengercme.com/product/256

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What is the Most Missed Exam Prep Question This Week?
We want to explore what is being missed on exams. That is why we have started our "most missed questions" series; to examine and report exactly which questions and question types are being missed most, why, and even hone in on some exam tricks to make test taking more successful. Take a look!
Most Missed in Peds EM Prep – Airway Opening in Pediatric Trauma
What are common myths about board exams?
Board exams, regardless of the specialty or discipline, often come with a myriad of misconceptions surrounding them. While these misconceptions can vary based on specialty or cultural context, some common myths span multiple fields. Let's look at, and debunk, three general myths about taking board exams.
For a more in depth look, see: Myth Versus Reality - Debunking the Three Biggest Board Exam Myths

