Together, we can push for a shift to competency-based assessments that better align with real-world practice, reduce unnecessary financial and logistical burdens on students, and promote a more transparent and effective evaluation system.
Educate, advocate, and participate in creating a chiropractic education system that reflects the future of healthcare and ensures the success of both students and the profession.
The chiropractic profession is evolving, and it’s time for the National Board of Chiropractic Examiners (NBCE) to update its Part IV Examination.
This outdated, unnecessary exam no longer serves the needs of chiropractic students or the profession as a whole. We believe that it's time to transition to more relevant, real-world competency assessments and reduce unnecessary burdens on students.
The Issue: The NBCE Part IV Exam is outdated and out of step with modern healthcare education.
This petition highlights the growing concerns from chiropractic students, educators, administrators, and practitioners about the continued reliance on this high-stakes, centralized examination process.
The Part IV Examination does not align with current trends in healthcare education, where ongoing competency-based assessments have replaced high-stakes practical exams.
In line with best practices in the medical and osteopathic professions, program-based competency assessments involving continuous, real-world evaluations are now the gold standard in healthcare education.
Why isn't the NBCE following the best practices in education?
"All of that money on the backs of students and their debt for an exam that’s completely unnecessary. The schools already certify clinical competency. The MDs and DOs did away with their Part IV. This is all about money and power."
— Matthew McCoy
Forcing students to travel to a single testing location creates significant financial and logistical hardships, particularly when more effective, program-based evaluations are already in place.
Demand: Release Outcomes Data to Validate Exam Necessity.
The burden of proof is on the NBCE to publish comprehensive data on the effectiveness of NBCE exams in ensuring public safety and student competency, allowing stakeholders to evaluate their continued relevance. Especially when their testing goes against the trends and current standard in healthcare education.
"We already pay so much in tuition. We shouldn’t have to pay an extra $4,295 for five board exams. My state requires PT. It’s absolutely disgusting."
— Candace Brady
Issue: Despite repeated requests from chiropractic colleges and other stakeholders, NBCE has not provided outcomes data to validate the necessity or effectiveness of Part IV, raising concerns about its relevance to public safety.
Demand: Increase Transparency of NBCE Financial Operations.
Students and stakeholders deserve a clear and detailed breakdown of how exam fees are allocated to ensure accountability and build trust..
"Are they going to cover travel expenses for the students that have to go there to test?!!! I'm going to go with NO. Let’s just take even more money from students that are already struggling to make ends meet to get through school."
— Robin Boshears
Issue: Students, as the primary contributors to NBCE operations, deserve a detailed breakdown of how their fees are allocated to ensure responsible stewardship of funds.
Demand: Encourage Stakeholder Representation in Policy Decisions.
NBCE needs to engage representatives from chiropractic colleges, students, and practitioners in developing future policies to create collaborative solutions that meet the needs of the profession and maintain public safety.
Get Involved!
Join the movement to reform the outdated, redundant and financially driven practices in chiropractic testing