Board members received an extensive update on recent national and international developments in chiropractic education and licensure testing from a board presenter who attended the meetings.

The presenter reported that the National Board of Chiropractic Examiners is redesigning the Part IV practical exam and building a centralized testing center in Louisville, Colorado, with advanced audio-video capture, remote grading and standardized-patient training. "They're going to centralize our practical exam…there's going to be 3 cameras in each room," the presenter said, describing a shift from examiner-in-room assessments to recorded performance and remote grading.

The board was told the centralized center will allow more frequent administrations — offered roughly 48 weeks a year rather than twice a year now — and that construction is expected to be complete by late 2025 with pilot testing in early 2026 and candidate testing beginning in March or April 2026. The presenter added the Part IV redesign will include seven case-based stations, a dedicated technique station, and a SOAP-note station to assess documentation.

The National Board has also expanded computer-based testing for Parts I–III (from three to nine administrations per year, with plans to expand further). The presenter described CIRA (Chiropractic Education Readiness Assessment), a research assessment for cognitive and noncognitive skills intended as support for enrolled students; roughly one-third of chiropractic colleges have committed to using it so far.

The Federation of Chiropractic Licensing Boards (FCLB) updates included new leadership elections and educational sessions on competency-based education and the regulatory implications of artificial intelligence in clinical decisionmaking. "We're hearing speakers saying they use AI for clinical decision making — where's how do you regulate that?" a board member asked; staff said legislative work on AI was active at the state capital.

The presenter also noted scholarship and student-support activity by national boards and a partnership with the World Federation of Chiropractic to create an international assessment for use in jurisdictions without chiropractic regulation.