|Health fields fight
cheating on tests
Reprinted from Pittsburgh Post-Gazette
Sunday, August 03, 2003
By Joe Smydo, Staff Writer
On the heels of cheating scandals that threatened the licensing
process in three health professions, test administrators are striking
back with novel legal strategies, Internet police work and a willingness
to bar suspected cheaters from the professions.
The group that gives the standardized exam that is used to license
physical therapists has filed federal lawsuits against four graduates
who they charge logged onto an Internet chat room last summer and
traded more than 100 questions that had been leaked from the standardized
The Federation of State Boards of Physical Therapy is claiming
that the four, two from California and two from Florida, violated
The National Association of Boards of Pharmacy said it was preparing
similar lawsuits against 15 foreign-trained pharmacists it caught
trading 200 exam questions last summer on two Web sites -- one
Indian, the other Korean. The association also has asked the FBI
The National Board of Podiatric Medical Examiners and its testing
agent, The Chauncey Group International, refused last summer to
validate the scores of hundreds of students from four of the nation's
seven podiatry colleges because of worries about cheating.
Chauncey attorney Keith Harris said some students traded exam
material by e-mail while others had access to a study guide containing
questions "remarkably similar" to those on the licensing
The scandals raise the question of how often students use inside
information, usually from previous test takers, to pass exams and
get licenses in technical fields.
"I see no reason it would affect one profession and not another," said
Leon Gross, associate executive director of the National Board
of Examiners in Optometry.
Gregory Cizek, professor of educational measurement and evaluation
at the University of North Carolina at Chapel Hill, said cheating
might be more prevalent on licensing exams than at other stages
of the educational process. The stakes, Cizek said, are higher.
Now, testing organizations hope to discourage cheating by showing
students how high the stakes can be. Gross said lawsuits against
students, now rare, might become more common in the developing "arms
race" between those who cheat and those who try to thwart
Copyright law typically is used to protects financial interests,
such as a record industry that sues those who download music free
from the Internet. Testing organizations said they had found a
more compelling use -- protecting the public welfare.
"Downloading records is one thing. But you know, getting
a shortcut to get a license to treat human beings is another one," said
the attorney for the physical therapy federation, J. Kent Culley
of the Pittsburgh law firm Tucker Arensberg.
Taking the problem public
William Hatherill, the physical therapy federation's chief executive
officer, said an anonymous tip last summer led him to an Internet
chat room where he found aspiring therapists trading questions
evidently memorized and put into circulation by those who had taken
the exam before. He said Matthew Estevez of Winter Park, Fla.,
gave his name and address, and offered to wash the cars of those
who could provide exam material.
The federation sued Estevez on June 13 and three others last month.
Estevez's attorney, Nancy Price, said her client participated in
an online study group but did not trade proprietary information.
Carmen Catizone, executive director of the pharmacy association,
said he suspended the educational equivalency exam for foreign-trained
pharmacists for seven months after finding test material on the
Korean and Indian Web sites. The test was given again, under heightened
security, two months ago.
The group uses the exam to determine whether foreign pharmacists
who want to work in the United States have educations equivalent
to pharmacists trained here. After passing the equivalency test,
candidates must take the licensing exam required of those who graduate
from U.S. pharmacy programs.
In a sting, the association's security officers posed as foreign
students and persuaded some of those trading questions to provide
their names. Catizone said the association invalidated the scores
of the 15 it caught, wouldn't permit them to take the exam again
and wanted them barred from U.S. residency.
Like the physical therapy group, the pharmacy association believes
that questions were leaked by those who had taken the exam. About
30 percent fail the first time, Catizone said.
Testing organizations must delete compromised questions from their "item
Students fight back
The podiatry board and The Chauncey Group offered one installment
of the profession's licensing exam during a three-day period last
summer, and students made appointments to take the exam one of
Harris, the Chauncey attorney, said a group of students at the
Miami podiatry school held a meeting before testing began and agreed
to circulate exam questions through a common e-mail account; the
address was written on the blackboard. He said the plan enabled
students who took the test earlier in the three-day period -- perhaps
the better students -- to help those testing later.
The board and Chauncey later learned about a similar e-mail arrangement
at the New York podiatry school and about the study guides circulating
in Cleveland, Miami and Philadelphia, Harris said. It isn't known
who created the guide or how it traveled, virtually intact, from
school to school, he added.
Harris said the board and Chauncey, not knowing how extensively
the exam had been compromised, refused to validate any score from
the four schools.
Thirty-three students from the Cleveland school went to federal
court, and a judge's order forced the board and Chauncey to validate
The Cleveland judge's ruling prompted the board and testing agency
to validate the scores of students from the Philadelphia school,
according to Harris. While the study guide was found on campus,
Harris said, investigators had no evidence of wrongdoing by individuals.
Cases in Miami and New York remain unresolved, and the students'
scores have not been validated. Harris said the board filed a countersuit
against the New York students, alleging copyright infringements.
The physical therapy, pharmacy and podiatry groups gave computerized
exams, believed to be more secure than the traditional paper-and-pencil
format because students can't steal a test booklet. But it's impossible
to stop students from remembering what they saw on the test or
keep them from discussing the exam later.
In an article last winter in the journal "CLEAR Exam Review," the
optometry board's Gross called systematic memorization of test
material an "invisible, silent adversary," and he warned
that an entire exam might be pirated by a large, organized university
The physical therapy and pharmacy cases show the Internet can
do just as much damage to a test, if not more, than the kind of
organized effort Gross described.
Chat rooms can assemble groups of unlimited size at any time,
without planning, for dissemination of test material around the
globe. The material can float in cyberspace for years, and the
test is further compromised each time it's given.
In the article, Gross predicted efforts to cheat and to stop cheaters
would become more intense.
He said hackers might penetrate computer systems and steal tests.
Or, perhaps, a camera inserted into a piece of jewelry or a cell
phone with video capabilities, hidden in a restroom, might be the
next weapon test takers use.
"As the cheating arms race evolves," he wrote, "the
test center of the future may require candidates to pass through
a metal detector."
Copyright, Pittsburgh Post-Gazette, 2003, all rights reserved
Reprinted with Permission