Table 4 Descriptions used by CCEs of the three selected representative domains of “assessment & diagnosis”, “professional jurisprudence and ethics” & “intellectual and professional development”

Background clinical sciences

Understand the pathophysiology and history of NMSK conditions

X

X

Understand the signs and symptoms of NMSK conditions

X

X

Understand the prognosis of NMSK conditions

X

Case history

Data gathering (CCE USA)

X

X

X

X

Data recoding

X

X

X

X

Take a comprehensive problem-focused or case-appropriate history

X

X

X

X

Psychosocial factors considered in case history taking

X

X

X

X

Cultural ethnic issues considered specific to case history taking

X

X

X

Patient centred/comfort when history taking

X

X

X

History taking subcomponents specified eg chief complaint, family, past, systems review

X

X

Practitioner behaviours describe during the process

X

X

Physical exam/assessment

Perform an appropriate general physical exam

X

X

X

X

Perform an appropriate case appropriate/NMSK physical exam

X

X

X

X

Description of physical exam components

X

Incorporate psychosocial assessment

X

X

X

X

Incorporate subluxation/neuro-biomechanical dysfunction

X

X

X

Reliability of data/tests/ examinations considered

X

X

Patient-centered requirement, comfort, respect + psychosocial factors assessment

X

X

X

Doctor hygiene and patient safety

X

Explanation of findings to patient

X

X

Radiology – with specific requirements

Radiological Interpretation

X

X

Radiographic technology

X

X

Laboratory tests

General statement for requirement of utilization & interpretation competence

X

X

X

X

Risk/cost benefit analysis

X

X

X

Within scope of practice

X

X

X

Ordered based on previously obtained clinical data

X

X

Explained to patient

X

X

X

Diagnosis

Formulate a diagnosis(es) based on information gathered-general statement

X

X

X

X

Documentation of diagnosis

X

X

X

All material considered in the diagnosis

X

X

X

X

Use diagnosis for recognition of when condition exceeds capacity/referral

X

X

X

Explanation of diagnosis to patient

X

X

X

Within the context of clinical reasoning skills/problem-solving skills

X

X

X

X

Competency dimension : professional ethics and jurisprudence

CCE-USA

CCE-Aust

ECC-Europe

CCE-Canada

Ethical principles & professional conduct

X

X

X

X

Patient – practitioner boundaries: physical, communication (verbal, non-verbal) emotional

X

X

X

Knowledge of health care law

X

X

X

Professional conduct with peers

X

X

X

X

Professional conduct with patients

X

X

X

X

Professional conduct with staff

X

X

X

Compliance with ethical and legal dimensions

X

X

X

Patient records and patient billing meets state and federal law

X

X

X

Ethical business practices

X

X

Professional participation/support

X

X

Explain the importance of research participation

X

X

Competency dimension : intellectual and professional development

CCE-USA

CCE-Aust

ECC-Europe

CCE-Canada

Seeking and application of new knowledge

X

X

X

X

Ability to adapt to change

X

X

X

X

Critical appraise literature and apply it to clinical practice/patient care

X

X

X

X

Understanding of research methods and significance in modern health care

X

X

X

X

Provide evidence of critical thinking skills

X

X

X

X

Reflect on personal and professional learning skills

X

X

X

Application into patient care

X

X

X

X

Demonstration of basic, social and clinical sciences sufficient to promote intellectual development and effective patient care

X