During your first term as an intern in the clinic here at Cleveland, you will take part in an exam called the entrance OSCEs, which is short for Objective Structured Clinical Examination. This is a practical-type exam where examiners watch you perform through different stations to test your proficiency as an intern. This exam has three different stations: the OSCE portion, a radiology portion and a lab portion. All three of these sections require competency to pass.
This exam is important for a number of reasons. First, after the term that you take the entrance OSCE, you will be eligible to treat members of the general public, and it is important to be proficient while treating the public. The radiology and lab portion of the exam are in the practical because, in the clinic at Cleveland, an intern is able to order labs and X-rays for patients as needed.
Now, to elaborate on the OSCE portion: there are six stations that range from testing the competency of history taking, and diagnosis, as well as a variety of orthopedic exams that would rule in or rule out a condition. The final importance of this exam is that it is set up in the same format that Part IV board exams are in.
So, to quickly recap about Part IV boards, it is a practical format board exam that is required in order to receive your chiropractic license. You take this Part IV exam in the last 60 days of your chiropractic education, and different states have a variety of baseline requirements for that exam; so it is very important to perform well. For instance, Kansas requires a 375 on Part IV board exams to practice, whereas in North Carolina (where I am going to practice after I graduate) the minimum requirement for Part IV is a score of 450.
Knowing the requirements for the state where you want to practice is important, and during the course of the chiropractic program, you’ll learn where to find those requirements. So, in summary, the entrance OSCE exams are a very important exam that tests the proficiency of the intern before they are allowed to treat the public, and it also prepares the intern for Part IV board exams.
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