At the annual meeting of the National Board of Chiropractic Examiners on May 3, 2002, NBCE President Peter Ferguson,DC, reported to state delegates that the board would not implement computer-based testing at this time. Dr. Ferguson's report reflected a recommendation by the NBCE's computerization and executive committees that computerization be delayed until testing technology can truly provide improved test delivery methods. The recommendation of the committees was unanimously approved by the full NBCE Board of Directors.
The computerization committee met over a two-year period. Vernon Temple,DC, and Jerry Blanchard,DC, served as co-chairmen. Other committee members included Drs. Peter Ferguson; Frank Hideg; James Badge; and Kenneth Padgett. Advisors to the committee were Drs. Gerard Clum, president and CEO of Life Chiropractic College-West, and Cynthia Vaughn, president of the Texas State Board of Chiropractic Examiners. Dynamic Chiropractic Editor/Publisher Don Petersen participated as an observer.
The computerization study included a full review of the current testing procedures. The committee examined the impact of testing on the state boards; trends in chiropractic college enrollment; future cost projections; and test designs of paper and pencil exams vs. computerized exams. The committee concluded:
Conversion to a computer-based testing (CBT) format would result in more costly exams, possibly increasing student fees by as much as 100 percent.
A sample of 1,116 students indicated by a margin of 3 to 1 that the expected increase in expense is not considered worth the perceived benefit of switching to CBT.
The level of security the NBCE currently maintains cannot be matched by existing third-party testing centers, thereby jeopardizing the integrity of NBCE's written examinations.
As cost was one of the primary considerations, information on how computerization has affected the cost of licensing exams in other professions was assembled and presented:
The NBCE asserts it will maintain open lines of communication with all constituencies. The computerization committee, noting that circumstances may change, said that computerized testing would be reconsidered in the future.
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This article focuses on nine severe injuries that are generally not diagnosable until the third to fourth week following the date of injury, including how to diagnose these severe injuries. The discovery of any of these injuries early can make a significant difference in the case outcome.
While canes, braces and posts represent extrinsic methods for lessening adductor moment arms, an intrinsic method for lessening the development of medial knee osteoarthritis occurs when the hip abductor musculature and the iliotibial band are strong enough to create a compressive force capable of stabilizing the lateral knee.
