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Introduction to Part III Clinical Skills Examination (CSE) Test Accommodations

In accordance with the Americans with Disabilities Act Amendments Act (ADAAA), the National Board will provide reasonable test accommodations for all qualified candidates for the NBEO Part III Clinical Skills Examination (CSE). In order to request test accommodation, candidates are asked to read the Part III Test Accommodation Instructions, which include:

  • complete test accommodation information and application instructions;
  • this testing year’s accommodation process application and deadline dates; and
  • differentiation between ADA-Eligible and Non-ADA-Type test accommodations.

Summary of Sections Contained in the Part III Test Accommodation Instructions:

  1. General Information for All Candidates with Disabilities (ADA-Eligible & Non-ADA-Type)
  2. Information Specific for Candidates with ADA-Eligible Disabilities
  3. Information Specific for Candidates with Non-ADA-Type Disabilities
  4. Comparison and Examples of ADA-Eligible and Non-ADA-Type Disability Processes

Early application for ADA-eligible and non-ADA-type disability test accommodation, within their respective application intervals, will allow time for the entire accommodation process to take place, if needed. This will afford candidates the most favorable, appropriate accommodation decisions possible. All supportive disability and appeal documentation must be submitted according to the test accommodation rules, which are provided in the Part III Test Accommodation Instructions.

Though very rarely applied, the maximum possible stages of accommodation assignment collectively require a considerable time interval, and may include the following steps:

  • Candidate completes and submits Request for Test Accommodation form and asks documentation providers to send records to NBEO (ADA-eligible disability candidates have not yet registered for Part III; non-ADA-type disability candidates have registered and obtained exam appointments).
  • NBEO receives the candidate’s request form and original supporting documents.
  • NBEO may arrange for expert external review of the original submitted case file (requires up to 10-days).
  • NBEO performs preliminary evaluation of all original submitted materials.
    • If approved, approval letter and accommodation agreement are prepared/finalized.
    • If needed, NBEO requests supplementary information from the candidate.
      • Candidate has existing information sent to NBEO from the information source or acquires supplementary documentation and arranges to have it sent to the NBEO.
      • NBEO may send entire case file out for follow-up expert external review; follow-up recommendations are received back within approximately 10 days.
      • NBEO performs final review of entire case, including external reviewer’s comments, and approves or denies request for accommodation.
        • If approved, approval letter and accommodation agreement are prepared/finalized.
        • If denied, denial letter is sent to candidate.
          • Candidate may file staff-level appeal with NEW evidence of disability
          • NBEO may send entire case file out for follow-up expert external review; follow-up recommendations are received back within approximately 10 days.
          • NBEO staff considers appeal and upholds or denies.
            • If upheld, appeal fee is refunded; approval letter and accommodation agreement are prepared/sent.
            • If denied, denial letter is sent to candidate.
              • Candidate may file judicial-level appeal with NEW evidence of disability.
              • NBEO may send entire case file out for follow-up expert external review; follow-up recommendations are received back within approximately 10 days.
              • NBEO staff and Board of Directors Judicial Committee convene to review case.
                • If upheld, appeal fee is refunded; approval letter and accommodation agreement are prepared/sent.
                • If denied, denial letter is sent to candidate; no test accommodations will be assigned for the given Part III exam administration.
  • Following accommodation process resolution, ADA-eligible disability candidates register for Part III and schedule their exam appointments.

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