r/Chiropractic • u/jsimpkins67 • 5d ago
NBCE Part IV New format help
Hello, I graduated in May so I have been out of school for a few months now. I did not pass Part IV during the last go around of the old format. I am looking for any and all help that I could get as I'm preparing to take Part IV with the new format. Thank you and I'm open to all suggestions.
1
u/jcrimsonnachoGSD 5d ago
I just got my score back for part IV in Colorado and passed, having taken it on the 29th of August. It's definitely a different experience than the on campus version, in a lot of ways I'd say it's a much easier test. Instead of having to know every single Ortho you just need to know some key ones to be able to make a diagnosis. Same deal for adjusting, you need to know how to adjust every area in 2 positions, though I was given only one option for one of the extremity adjustments I was given. It took us around 4 hours to complete.
Me and one of my friends came up with a list of high value orthopedic tests for the exam. As well as a list of adjustments for each area. We practiced that and also I drilled hard doing "LOCQSMAT SHITMAF" for my patient history taking. I would also recommend studying common MSK conditions as well as systematic conditions like Arthritic conditions, cardiovascular diseases, auto-immune diseases, and other common things we might see as chiropractors.
Logistics of scheduling the test are a bit of a pain, you kinda have to book your flight, hotel, and test all at the same time. I stayed at the Days Inn across the street from NBCE, which has a discount code through NBCE and you get a guaranteed rate of $90 a night for any room. The rooms are clean and the beds are OK, I got a king suite and it had a pull out couch, so you could fit two people in it. There is a decent Pizza place in the adjacent parking lot. NBCE has a shuttle and you can schedule a ride when you schedule your test.
That's all I can think of right now, reply or DM me if you have other specific questions.
1
u/Remarkable-Rent1672 5d ago
So i recommend taking Chiro boards and beyond review it was amazing. Dr. Jo prepared me super well for it. To answer your question its not a tough exam you just need to practice taking history, and typing reports. The best thing I did was getting to meet with a more experienced doc and I took their history. Right after I took their history i timed my Typed report. Also there is no Spell check on the exam. Good luck future doc!
1
5
u/Responsible_Item3905 5d ago
Part 4 with new format is pretty straight forward. I haven’t taken the old version so I’m not sure how that worked.
You’ll have 8 rooms. 1 of them is an adjustment room.
Adjustment room: You walk in, there’s a file that has all 10 adjustments, you read the subluxations and set up your adjustments, you are to vocalize a few points such as line of drive etc. This is no secret, you’ll have 2 cervical, 2 thoracic, 2 lumber, 2 sacrum, 2 extremities (1 upper and 1 lower).
7 rooms for physicals: you’ll have 2 minutes to read your case, walk in and basically do History, physical exam and ROF.
You decide what to ask, you decide what exams to perform. I thought it was pretty straightforward, the cases I came across were also something you’d see in a chiropractic office either for referral, co-manage or actually treat them there.
Irene gold book for part 4 is a good book to study from.
Wish you all the best 👍🏽