duties of a part iv examiner

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Dr. Paul Townsend, D.C. Director of Practical Testing, Research & Development NBCE Part IV Practical Examination Duties of a Part IV Examiner Dr. LeRoy Otto, D.C. Part IV Chief Examiner, NWHSU Test Site

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Page 1: Duties of a Part IV Examiner

Dr. Paul Townsend, D.C.Director of Practical Testing, Research & Development

NBCE Part IV Practical Examination

Duties of a Part IV Examiner

Dr. LeRoy Otto, D.C.Part IV Chief Examiner, NWHSU Test Site

Page 2: Duties of a Part IV Examiner

Part I – Basic Sciences Examinations

Part II – Clinical Sciences Examinations

Part III – Written Clinical Competency Part IV – Practical Examination for

Licensure

Page 3: Duties of a Part IV Examiner

To provide a testing format in which the candidate demonstrates his or her ability to perform occupational tasks in a clinical setting:

Page 4: Duties of a Part IV Examiner

Developing Test Items NBCE Workshops Chiropractic College Clinical Instructors Technique Instructors Certified Content Experts Staff Consultants

Page 5: Duties of a Part IV Examiner

Cases and questions selected by state licensing board representatives

Page 6: Duties of a Part IV Examiner

A panel of experts State Licensing Board Representatives Content Experts

Page 7: Duties of a Part IV Examiner

HIERARCHY OF CLINICAL SKILLS

DO

SHOW HOW

KNOW HOW

KNOWLEDGE PARTS I & II

PART III

PART IV

PRACTICE

Page 8: Duties of a Part IV Examiner

Content Areas Diagnostic Imaging Chiropractic Technique Chiropractic Case Management

Page 9: Duties of a Part IV Examiner

DIMCAMTEC

CAM 67%

TEC 17%

DIM 16%

Page 10: Duties of a Part IV Examiner

10 Four-minute Stations Candidate identifies radiological signs

on plain film x-rays Candidate determines most likely

diagnoses Candidate makes most appropriate

initial case management decisions

Page 11: Duties of a Part IV Examiner

5 five-minute stations Candidate demonstrates two adjusting

techniques per station Cervical spine Thoracic spine Lumbar spine Sacroiliac articulations Extremity articulations

Page 12: Duties of a Part IV Examiner

10 five-minute patient encounter stations 10 linked post-encounter probe (PEP)

stations Candidate performs focused case histories Candidate performs focused physical

examinations Candidate evaluates patient clinical

database Candidate makes differential diagnoses Candidate makes initial case management

decisions

Page 13: Duties of a Part IV Examiner

Use of standardized patients Use of OSCE format and protocols

Page 14: Duties of a Part IV Examiner

Successful candidates use organized approach while obtaining case history information

Successful candidates communicate effectively with patients

Successful candidates respect patient dignity

Successful candidates elicit adequate historical information

Page 15: Duties of a Part IV Examiner
Page 16: Duties of a Part IV Examiner
Page 17: Duties of a Part IV Examiner

Post-Encounter Probe StationPost-Encounter Probe Station

Page 18: Duties of a Part IV Examiner
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0

500

1000

1500

2000

2500

3000

3500

4000

4500

1996 1998 2000 2002 2004 2006 2008

Page 20: Duties of a Part IV Examiner

38

48

7

27

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36

46

Column 1 7 27 36 38 42 43 45 46 481996 1997 1998 1999 2000 2001 2002 2003/2004 2005

Page 21: Duties of a Part IV Examiner
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44,41944,419

Page 23: Duties of a Part IV Examiner

Part IV provides a highly reliable assessment of the chiropractic clinical skills required for licensure

The dependability of the pass/fail decision is consistently at or above .90

The inter-rater reliability across the 15 rated stations is .93 - .96

The key to these high correlations is adherence to NBCE scoring protocols and consistent performance by the Part IV examiners

Page 24: Duties of a Part IV Examiner

Must have been in licensed chiropractic practice for a minimum of 5 years

Chiropractic license must be in good standing with the FCLB (vis a vis Cin-Bad) and with the state chiropractic licensing board

There cannot be any outstanding actions against the chiropractor’s license

Chiropractors serving on state chiropractic licensing boards may be nominated by their boards to participate on Part IV test committees or as chiropractic examiners during Part IV exam administrations

Part IV examiners may not be currently serving on Chiropractic College Boards of Trustees, be chiropractic college faculty members, or serve as preceptors for students enrolled in the Part IV exam

Page 25: Duties of a Part IV Examiner

Reports to the Chief Examiner Follows instructions of the Chief Examiner Conducts himself/herself in a professional manner Strives to be fair and objective in the assessment of

examinees Does not prompt or give unfair advantage to any

examinee Has no contact with students/examinees prior to or

following the exam Avoids any appearance of impropriety or conflict-of-

interest Consults with the Chief Examiner when any question

about the exam or exam content arises Accepts the Chief Examiner’s decision as final

Page 26: Duties of a Part IV Examiner

Part IV Examiners must: Attend the Friday evening Examiner Orientation & Training

Examiners receive training in areas that impact test site personnel relations and examinee assessment

• Sexual Harassment• Gender and Racial Bias

Examiners receive training in candidate skills assessment and checklist marking

Examiners receive feed back on errors made in previous exam administrations

It is absolutely essentially essential that examiners understand the NBCE scoring protocols, and how examiner errors affect student scores

It is absolutely essential that examiners adhere to the standards set by the NBCE

Page 27: Duties of a Part IV Examiner

Friday night training 50.00

3 Saturday rotations @ $125/rotation 375.00

3 Sunday rotations @ $125/rotation 375.00

$800.00

Page 28: Duties of a Part IV Examiner

Currently 47 states including Washington, DC recognize participation in the Part IV for CE credit

CE credit ranges from 12 to 30 credits per year Letters are mailed to participating examiners by the

NBCE Department of Practical Testing Examiners must keep these letters on file in case they

are audited If the letter from the NBCE is not received within four

weeks following the exam, the examiner should contact Debora Beeman at [email protected] or call 1-800-964-6223 Ext. 154

Page 29: Duties of a Part IV Examiner

Questions?If you would like to know more about the NBCE Part IV examination, contact Paul Townsend, D.C. at [email protected]