In line with the Competence and Curriculum Framework for the physician assistant (2006) revised (2012) and as stipulated by the physician associate managed voluntary register as a condition to remain on the register physician associates have to recertify every six years. Physician associates are given three attempts to sit and pass the recertification examination.

The first opportunity will be at the beginning of their 5th year of practice since qualifying as a physician associate. Physician associates must pass the exam by the end of the 6th year and have three attempts. If any physician associate fails the recertification exam on three occasions within the two period, they will be removed from the physician associate managed voluntary register and their employer notified of this change. They will then have to take the qualifying exam or follow the process that the statutory regulator stipulates in order to enter on to the register again.