duties of a part iv examiner
TRANSCRIPT
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
Part I – Basic Sciences Examinations
Part II – Clinical Sciences Examinations
Part III – Written Clinical Competency Part IV – Practical Examination for
Licensure
To provide a testing format in which the candidate demonstrates his or her ability to perform occupational tasks in a clinical setting:
Developing Test Items NBCE Workshops Chiropractic College Clinical Instructors Technique Instructors Certified Content Experts Staff Consultants
Cases and questions selected by state licensing board representatives
A panel of experts State Licensing Board Representatives Content Experts
HIERARCHY OF CLINICAL SKILLS
DO
SHOW HOW
KNOW HOW
KNOWLEDGE PARTS I & II
PART III
PART IV
PRACTICE
Content Areas Diagnostic Imaging Chiropractic Technique Chiropractic Case Management
DIMCAMTEC
CAM 67%
TEC 17%
DIM 16%
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
5 five-minute stations Candidate demonstrates two adjusting
techniques per station Cervical spine Thoracic spine Lumbar spine Sacroiliac articulations Extremity articulations
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
Use of standardized patients Use of OSCE format and protocols
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
Post-Encounter Probe StationPost-Encounter Probe Station
0
500
1000
1500
2000
2500
3000
3500
4000
4500
1996 1998 2000 2002 2004 2006 2008
38
48
7
27
454342
36
46
Column 1 7 27 36 38 42 43 45 46 481996 1997 1998 1999 2000 2001 2002 2003/2004 2005
44,41944,419
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
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
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
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
Friday night training 50.00
3 Saturday rotations @ $125/rotation 375.00
3 Sunday rotations @ $125/rotation 375.00
$800.00
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
Questions?If you would like to know more about the NBCE Part IV examination, contact Paul Townsend, D.C. at [email protected]