The rules are forever changed. If you're a practicing physician assistant and need to take your recertification exam, as you know, in 2019, the rules have changed. In teaching board review courses and teaching at colleges for years, I've always said you need to know how the game is played. You need to know the test writers, how they're writing their tests, and where they're getting their content from. Well, the NCCPA has revealed their 2019 blueprint for how and what you need to study.