3 Post-Licensure ExamsSpecial Purposes Examination for Chiropractic (SPEC)Ethics and Boundaries Examination (now administered through the Ethics and Boundaries Assessment Services)
4 What Is SPEC? Special Purposes Examination For Chiropractic Designed for re-assessing clinical competency and licensing eligibilityTo be used in special circumstances at request/requirement of state licensing boards
5 When to Use NBCE Post-licensure Examinations State licensing agencies have discretion over use of SPEC scores in their jurisdictionsCircumstances to use exams include:Disciplinary action, includingAssessment of clinical competency (SPEC)Knowledge of ethics and boundaries issues (E&B)Suspension, revocation or licensure lapseSPEC and/or E&B depending on requirementsState-to-state reciprocity/endorsement
6 What the NBCE Post-licensure Examinations Are Not Exams are not designed to be used to assess studentsExams are not for those who are entering practice for the first timeExams are not for initial licensing purposesExams are not for routine license renewalExams do not replace NBCE Parts I, II, III and IVE&B is not to be used in place of SPECE&B is not a diagnostic psychological evaluation
7 The SPEC Test PlanThe SPEC test plan is derived from information gathered from a practice analysis survey conducted by the NBCE.We are currently conducting the practice analysis survey for 2015 so if you were selected to participate, we are asking you to complete the survey as soon as possible.
8 SPEC Test PlanTest contains 200 multiple-choice questions selected by a committee that includes state regulatory board membersSPEC includes clinical case presentations requiring the examinee to demonstrate the appropriate clinical understanding and judgments required in unsupervised general chiropractic practice.
9 SPEC Test Plan Weightings Topics includePatient interview (16%)Physical examination (11%)Neuromuskuloskeletal examination (13%)X-ray examination (11%)Clinical lab and special studies (6%)Diagnosis or clinical impression (12%)Chiropractic techniques (11%)Supportive techniques (8%)Case intervention strategies (12%)
10 Applicant Eligibility To establish eligibility, individuals must meet all of the following requirements:The applicant must hold or have held a license to practice chiropractic.Note: The license may have lapsed or been suspended or revoked, etc.The applicant must provide written authorization from a state or international licensing agency.This authorization may be in the form of a requirement or request.
11 Preparing for SPECA thorough review of the subjects to be tested is the most helpful preparation.A sample test is available on the NBCE website: https://sampleexams.nbce.org/The sample test costs $15 and consists of 50 multiple choice questions.
12 Administration of the Exams SPEC is a computerized exam.It is offered six times per year at Pearson Professional Centers located throughout the U.S.Applications and other required forms available online
14 SPEC ScoresThe NBCE recommends a passing score of Examinees with a score below 375 will be required to retake the exam.Scores are mailed directly to examinees within three weeks after the exam date.Scores are also sent to the state board that initially requested or required that the examinee take SPEC. The state has the sole determination of how SPEC scores are used in their licensing of chiropractors.
15 To Find Out More… Visit the NBCE website at www.nbce.org. Call us at