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National Board of Osteopathic Medical Examiners, Inc.THE EXAMINERA quarterly publication of the NBOME1934 - 200975 Years ofEnsuringCompetence inOsteopathicMedicine75 Years Young: Celebrating the Past, Moving Toward the FutureIn this edition: NBOME Celebrates 75thAnniversary with new look President Meoli recognized by AACOM on eve ofhis retirement New President named Candidate contest Spring 2009NCCST updateInside this issue:AAOE Expresses Congratulations2Candidate Contest2What’s in a Logo?3What’s Happening at theNCCST?5COMLEX-USA Results2006—20086John Gimpel, D.O., NamedNew President6A Whole New Look: Updated Website LaunchedBackPageThe NBOME was establishedby charter in 1934 and hasserved the public and theosteopathic medical profession with quality service fornearly 75 continuous years.The Board was first established as the National Boardof Osteopathic Physiciansand Surgeons under theleadership of Charles Hazzard, D.O. who served as thefirst President until 1939.The initial licensing examination was offered in an essaytype format. The NBOP issued its first Diplomate’sCertificate in 1935 to Margaret Barnes, D. O.For many years, the licensing examination was administered as the NationalBoard of Osteopathic Physicians and Surgeons, Parts 1,2 and 3. That examinationsequence used test items inan objective type format.From the late 1960s throughthe early 1980s Part 3included of a live-patientexamination under the supervision of approved examiners. Although the conceptwas years ahead of its time,the “practical examination”was eliminated in the 1986 1987 testing cycle and replaced with a multiplechoice examination with adiscipline-based in design.In the late 1980s, the National Board of OsteopathicMedical Examiners was incorporated in the State ofIndiana, and in the early1990s the COMLEX-USAexamination sequence wasdeveloped. The new basisfor the sequence arose fromthe concept that patientspresent clinically to the physician with problems, andnot as a set of organs ordisciplines. Further, theseproblems require that thephysician possess certainMargaret Barnes, D.O.,recipient of the ient of the firstknowledgeperform cerDiplomateandcertificate.tain tasks in order to dealeffectively with those problems. Sensitivity to diseaseprevention, health promotion and an awareness ofthe nature of the healthcaredelivery systems were alldeemed to be requisites forthe competent practice ofosteopathic medicine. Thethree Levels of COMLEX-USAbecame fully implemented inthe new bi-dimensional(problems vs. tasks) designin 1998.(Continued on page 4)Frederick Meoli, D.O., Recognized for Outstanding AchievementFrederick Meoli, D.O., President of the NBOME wasawarded the American Association of Colleges of Osteopathic Medicine (AACOM)Outstanding AchievementAward at their AnnualAwards Banquet on April 17,2009.The AACOM OutstandingAchievement Award is presented to individuals whohave made extraordinarycontributions to osteopathicmedical education duringtheir careers. For more than30 years, Dr. Meoli has provided superior leadershipand outstanding contributions to the field of osteopathic medical education.Dr. Meoli received his D.O.degree from the Kansas CityCollege of Osteopathy andSurgery in 1968, and com(Continued on page 7)

Page 2National Board of Osteopathic Medical Examiners, Inc.Candidates Invited to Participate in 75th Anniversary CelebrationIt’s our anniversary but youmight win the surprise!The NBOME is launching acontest to encourage candidates to learn more aboutthe organization’s history.Each candidate has the opportunity to read a brief article on the history and thenanswer five questions. Ifthey complete this process,their name will be enteredinto a drawing. Four namesfrom each College of Osteopathic Medicine will bedrawn at the executive com-mittee meeting in September. Winners will receive arebate on their COMLEX feesof 75.The NBOME is conductingthis program to commemorate 75 years of continuousquality service to the osteo-

Spring 2009Page 3What is in a Logo? Focusing on Our Osteopathic RootsLogos and seals have beenused by individuals, groups,associations, organizationsand even nations to reveal amessage about who they areand what they stand for. Ithas been said that a pictureis worth a thousand words,and perhaps that extends toseals and logos as well.The NBOME was charteredby the American OsteopathicAssociation following thework of a foresighted committee that recognized theneed for a “universal examination” for osteopathicmedical licensure in theUnited States of America in1934. The Board was thencalled the National Board forOsteopathic Physicians andSurgeons. The Board administered its first examinationin 1935, and the first Diplomate’s Certificate was issued in 1936. However,research indicates that aseal or logo (Figure A) wasnot adopted until 1951when the Board becameincorporated, in the State ofIndiana, as the NationalBoard for Osteopathic Physicians and Surgeons.This seal was only used tostamp the gold seal placedat the bottom of each Diplomate’s Certificate and forother official documents,and it captures the respectthe Board and the osteopathic profession had for itsfounder A.T. Still. The nameof the Board is inscribedabout the circumference ofthe seal. The A.T. Still sealremained the symbol of theBoard until it was reincorporated in Indiana in 1986.The seal created in 1986(Figure B) embodied the newname and direction of theBoard as the National Boardof Osteopathic Medical Examiners. The name of theBoard is written in full titlearound the periphery of theseal, and the acronym isinscribed obliquely withinthe central area of the seal.The book located in thelower left portion of innercircle of the seal symbolizesosteopathic medical knowledge and education. Thespecially reproduced caduceus represents the importance of the NBOME’s relations with all stakeholderswithin the osteopathic profession. The closed doublering of the inner circle of theseal represents a commitment to quality, excellence,and the protection of thepublic. The year 1934, observed between the circlesof the seal, indicates theyear in which the NBOMEwas originally chartered.The seal and logo used bythe NBOME from 1986 until2009 is pictured below.osteopathic profession andthe public, the NBOME redesigned its logo (Figure C) toreflect changing times and arespect for its heritage. Thename of the organization isplaced in the periphery of theseal, and mention is againgiven to indicate that theNBOME has served the publicand the profession well since1934. The single inner circular line continues to representthe dedication and commitment of the NBOME to promote its organizational values, including quality, integrity, accountability, professional commitment, and public safety. The book in thelower left portion of the innercircle defines the importanceof osteopathic medical knowledge and education to thepractice of osteopathic medicine.The DO caduceusspeaks to the mission of theNBOME “To provide for thepublic welfare a means toassess competency in thehealthcare disciplines relevant to Osteopathic Medicine.”The most notable feature inthe new seal and logo of theNBOME are the hands placedat the bottom of the innercircle. This symbol carriesmany meanings within thecontext of the seal. They include the “laying of the hands“for diagnosis, treatment andIn celebration of 75 years of healing, which is a corner(Continued on page 7)continuous service to theFigure AFigure BFigure CThe Mission of the NBOME is to provide for the public welfare ameans to assess competency in the healthcare disciplinesrelevant to Osteopathic Medicine.

Page 4National Board of Osteopathic Medical Examiners, Inc.NBOME on DisplayIn celebration of our first 75 years theNBOME has put together an Anniversary display for the AACOM, FSMB andAOA conferences. Be sure to stop by,learn a little more about us and pickup a pen.We are offering an opportunity for youto be a part of our written history. Weare collecting stories of D.O.’s whohave taken the examinations of theNBOME.You can forward your stories to us athistory@nbome.org or mail them to ourChicago office, Attn: Laura Hadley.NBOME: Looking Back(Continued from page 1)“Join us as wecelebrate 75 Yearsof EnsuringCompetence inOsteopathicMedicine”In the late 1990s, it becameapparent to the NBOME thatit was not fully testing thecompetence of the futurepractitioners as the actualperformance of clinical skillswas not being assessed.The NBOME undertook theresearch and developmentof the COMLEX-USA Level 2PE (Performance Evaluation)to evaluate the clinical skillsof candidates about to enterpost-graduate medical training. In September of 2004,the NBOME introduced theimplementation of the Level2 PE. The successful completion of this examinationbecame an accreditationrequirement for all graduates of osteopathic medicalschools beginning with theClass of 2008.Until 2005, the COMLEX-USAhad been administeredtwice annually in each of thethree Levels in a paper andpencil format at a limitednumber of locations withinthe United States. In 2005,the NBOME converted theCOMLEX-USA to a computerbased administration offered 40 times per year foreach Level nationwide atover 300 professional testcenters. Approximately12,000 administrations ofCOMLEX-USA are given eachyear, and the number isgrowing rapidly as the number of osteopathic medicalschools has increased overthe years.As an organization, we havecontinued to explore innovative avenues in testing. Newproducts and services wereintroduced in 2008 includ-ing, but not limited to, theComprehensive OsteopathicMedical Self-AssessmentExamination (COMSAE),which permits students toaccess their osteopathicknowledge level prior to taking COMLEX-USA; the Pediatric Dentists In-Service Examination; and the AOBME Part1 Certifying Examination.The NBOME has also madesubject examinations available and is working on aweb-enabled system forthese examinations in thefuture.So join us as we celebrate75 Years of Ensuring Competence in OsteopathicMedicine and work toward atleast 75 more.

Spring 2009Page 5What’s Happening at the NCCSTCandidate Scheduling for COMLEX-USA Level 2-PEThe NBOME staff has beenextremely responsive to thisyear’s scheduling challenges inthe face of COCA’s enforcementof its policy requiring all students to pass COMLEX-USALevel 2-PE prior to graduation.The NCCST has taken extraordinary efforts, unprecedented byany other licensing examinationor body, to accommodate students so that they may havemore than one attempt prior tograduating from medical schooland matriculating in a postgraduate medical educationprogram. In order to addressthis concern, staff took severalmeasures: emailed schedulingreminders to students anddeans, offered 4000 testingspots prior to January 31, decreased score release intervalto 8-10 weeks after examination, and offered online andtelephone scheduling supportfor repeaters.With 4800 open seats for the2008-9 testing cycle (4000before January 31), it appearsthat our strategy for accommodating students has been successful. More than 93% of the2009 graduates took the exambefore January 31, 2009. Numerous seats remained available for the months of January,February and March. For thosefirst time failers, nearly all rescheduled and retook theexam prior to April 2, 2009,allowing adequate time to receive a second score reportprior to graduation.We were successful in implementing new scheduling strategies to accommodate students,while working closely withNBOME’s staff and board,AACOM, deans and students.This is a fantastic achievementand deserves special recognition.Expanded Testing CapacityWith the current constructionand expansion at the NationalCenter for Clinical Skills Testingin Conshohocken, our staff isvery excited to provide additional testing for the increasingnumber of osteopathic students entering the profession.With the anticipated openingon September 2009, our staffhas been preparing and meeting regularly with contractors,subcontractors (networking,computer software and hardware, HVAC, etc.), and realitymanagement.Staff needs to be congratulated for their dedication, attention to detail and flexibilityas we begin to move into ournew space in Conshohocken.Greg Folk, IT Coordinator forthe NCCST and project manager for the expansion, andCrystal Wilson, Managing Director, deserve special recognition. Their contributions andinput to the project have beeninvaluable; because of theirdedication to the project,NBOME will be able to accommodate the increase in candidate testing for the PE in anewly renovated and state-ofthe-art addition. The project ismoving forward, and the staffis eager to move into the newspace. We look forward toaccommodating the increasednumber of candidates for theclinical skills exam.ResearchUnder Bill Roberts, Ed.D., Director of Psychometrics andResearch, the NCCST ResearchTeam remains quite active andproductive. With multiple publications and presentationsover the last year, COMLEXUSA Level 2-PE and the NCCSTis attaining a great deal of public and academic recognitionfor its research accomplishments. Projects include multitrait analysis of Global PatientAssessment Tool, SOAP notefabrication, generalizabilitytheory, divergent and convergent validity of COMLEX Scoresand American College of Osteopathic Pediatricians (ACOP)Program Director’s Annual Reports, case sequencing, per-Erik Langenau, D.O., F.A.A.P.,F.A.C.O.P.Vice President, Clinical SkillsTesting, NBOME“We weresuccessful inimplementing newscheduling strategiesto accommodatestudents.”formance based on handedness, and timing study. Futureprojects are planned for Osteopathic Manipulative Treatmenttechniques, Fundamental Osteopathic Medical Core Competencies, videotaped physicalexam database impact onstandardized patient recall,standardized patient demographics, and emerging technologies. Many more projectsare in development, and welook forward to seeing whattranspires in the comingmonths from our researchteam at the NCCST.A larger clinical skills testingfacility, more candidates fortesting, and more research:what more could we ask for atthe National Center for ClinicalSkills Testing? We are eagerand look forward to the challenges and opportunitiesahead of us in 2009-2010.

Page 6National Board of Osteopathic Medical Examiners, Inc.Summary of COMLEX-USA Results by Percent Passing2006 - 2008YearPass Rate(1st Time)Number Candidates(1st Time/Total)Pass Rate(Re-taker)Pass Rate(Total)Level Level 2 32287.0%61.6%82.9%Level The chart presented above represents the report as of the close of the 2007-2008 year. It has been thepolicy of the NBOME to not report partial cycle data due to the nature of the distribution of the testingpopulation and the bias of the results that may be obtained by making assumptions based on less thanthe entire cohort. However, to date, there does not appear to be any suggestion of any unanticipated shiftsin the pass/fail scores for any Level of the COMLEX-USA examination, including the PE. A more detailedanalysis of the performance of candidates taking the COMLEX-USA Level 2 PE is included below.First-Time Takers Pass/Fail oth ass2,72195.32,89693.53,24893.6All Tested2,856Total Fail3,0993,470

Spring 2009Page 7NBOME Announces Selection of New President/CEOThe National Board of Osteopathic Medical Examiners isproud to announce that JohnR. Gimpel, D.O., M.Ed. willbecome the CEO and President on July 1, 2009. Dr.Gimpel brings over 15 yearsof experience with theNBOME as a Board Member,then later as Director ofClinical Skills Testing andthen Vice President for Clinical Skills Testing. Dr. Gimpelalso has served as Dean ofthe University of New Eng-land College of OsteopathicMedicine.Dr. William Ranieri, Chair ofthe Board of Directors, believes that the organizationwill have a smooth leadership transition because ofthe dedication of our currentPresident and CEO, Dr. Frederick Meoli, who will officially retire in mid-summerof 2009 and Dr. Gimpel’sexperience and knowledge.Join us in welcoming ournew CEO & President. Dr.Gimpel. The leadership ofthe NBOME, under the leadership of Dr. Gimpel, willcontinue to meet our mission to protect the public byproviding the means toassess competencies forosteopathic medicine andrelated health care professions and to strive towardsour vision to be the testingorganization for the entireosteopathic profession.John Gimpel, D.O., M.Ed.Logo(Continued from page 3)stone in the philosophy andpractice of the osteopathicprofession. It also standsfor the appropriate andtimely use of manualmedicine in the form ofosteopathic manipulativetreatment and, lastly, for theuse of hands to save andpreserve life as one woulddo with cardiac compressionfor resuscitation or surgicalintervention. Interestingly,few organizations within themedical field have adoptedthe figure of a hand orhands with the exception ofthe American College ofOsteopathic Surgeons andthe American College ofSurgeons.The change in the seal andlogo of the NBOME is a microcosm of its history, itsmission and its vision for thefuture. It is the symbol ofthe dedication and commitment of the NBOME to thepublic welfare and to theosteopathic medical profession every time, every day,and in every thing we do.at both the Philadelphia College of Osteopathic Medicine and the University ofMedicine and Dentistry ofNew Jersey - School of Osteopathic Medicine. Dr.Meoli became involved withthe NBOME in the late1980s, and became aBoard member in 1988. Hiswork with the organizationeventually culminated in hisappointment as the President of the Board.“They represent thelaying of hands.which is thephilosophy andpractice of theosteopathicprofession.”Meoli honored(Continued from page 1)pleted his residency in General Surgery at the John F.Kennedy Memorial HospitalUniversity Medical Center inStratford, New Jersey. Hespent many years in academic medicine, includingservice in various capacitiesFollowing a reorganization bythe NBOME, Dr. Meoli became the organization’s firstPresident/CEO, a position hehas held since 2002.Frederick Meoli, D.O., FACOSFirst President/CEOof the NBOME

National Board of OsteopathicMedical Examiners, Inc.8765 W. Higgins Rd. Suite 200Chicago, IL 60631Phone: 773.714.0622Fax: 773.714.06311934 - 200975 Years of EnsuringCompetence in OsteopathicMedicineA Whole New Look: Updated Website LaunchedIf you’ve had a chance to visitour website - www.nbome.org you've probably noticed that ithas changed its look and feel,and it has gained numerous newfeatures!As the gateway for informationconcerning osteopathic medicallicensure, bio-medical and clinical self-assessment, and clinicalskills performance, it providesaccess to the registration system, examination FAQ’s, andresources for candidates, osteopathic schools, licensing boardsand other stakeholders.So check us out - let us knowwhat you think.Visit our new website at www.nbome.org

Board until it was reincorpo-rated in Indiana in 1986. The seal created in 1986 (Figure B) embodied the new name and direction of the Board as the National Board of Osteopathic Medical Ex-aminers. The name of the Board is written in full title around the periphery of the seal, and the acronym is inscribed obliquely within

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