Pam is what I would regard to as Crème de la crème (Best of the best) of certification review courses. How do I know you ask? I attended a CEN course, went took it and passed with relative ease. Less than 12 months thereafter, I attended her TCRN 2 days review course, passed that as well, with an even improved score. I am hugely thankful to her for that. Her attention to detail in sifting/narrowing through the critical must know for the exam content is unmatched. For both review courses, I had to make the travel to the hospitals hosting these classes and it was worth every effort and time invested.