74:
19:
93:
Very little is known about the NPLEX exam, and it has been called a mystery by those outside the naturopathic community. No external review has been conducted on the NPLEX to assess whether examinees can safely and effectively diagnose and treat disease using established medical standards. The exam
132:
Department of
Regulatory Agencies concluded that "there is little generalizable evidence that the NPLEX Part II clinical licensing examinations actually measure clinical competence" associated with the naturopathic profession. The report notes that NABNE, the exam administrator, claims that other
65:, but this has not been established by independent analysts due to the exam being withheld from external review. Unlike the USMLE and COMLEX-USA, the NPLEX is exclusively a written, multiple-choice exam and, therefore, does not contain sections to test clinical skills on modeled patients.
149:
Part I is a biomedical sciences examination which consists of 200 multiple-choice questions. Eligibility for the exam requires completion of biomedical sciences coursework at a CNME-approved naturopathic medicine program. The exam is stated to cover the following topics:
178:
Part II is a three-day, examination of naturopathic clinical sciences; it includes 3 main sections and 2 electives, organized in clinical cases with several multiple-choice questions about each case. The exam is stated to cover the following topics:
347:
Cherkin, Daniel C.; Deyo, Richard A.; Sherman, Karen J.; Hart, L. Gary; Street, Janet H.; Hrbek, Andrea; Cramer, Elaine; Milliman, Bruce; Booker, Jennifer; Mootz, Robert; Barassi, James; Khan, Janet R.; Kaptchuk, Ted J.; Eisenberg, David M. (2002).
486:
729:
516:
478:
696:
718:
105:
One section of this official study guide explains a clinical scenario of an after hours phone call to a naturopathic practitioner from a frantic mother with a child who has a severe
42:
programs accredited by the
Council on Naturopathic Medical Education (CNME) are required to pass the exams before being permitted to practice naturopathic medicine in a
665:
901:
896:
512:
327:
50:
that licenses naturopaths. (Some naturopaths who graduated prior to the advent of the NPLEX were licensed by examinations administered by state licensing boards.)
133:
testing formats that would better evaluate clinical skills, such as using standardized patients, are not feasible. In 2014, sample questions from the NPLEX
688:
307:
57:
medicine. However, naturopathic advocates claim that the NPLEX is equivalent to other standard medical licensing examinations, such as the
577:
47:
541:
399:
775:
655:
369:
753:
513:
Report to the
Maryland Board of Physicians Naturopathic Advisory Committee: Recommendations for Naturopathic Regulation
53:
There are concerns that the NPLEX does not test naturopathic examinees on the knowledge necessary for the practice of
576:(Report). Colorado Department of Regulatory Agencies Office of Policy, Research and Regulatory Reform. October 2005.
856:
827:
797:
479:"MMS Testimony in Opposition to H. 1992 and S. 1205, An Act to Create a Board of Registration in Naturopathy"
350:"Characteristics of Licensed Acupuncturists, Chiropractors, Massage Therapists, and Naturopathic Physicians"
289:
35:
255:
Both the Part I and Part II examinations are offered twice a year in nine locations in North
America:
906:
114:
269:
651:
194:
189:
183:
110:
86:
537:
73:
38:
exams administered by the North
American Board of Naturopathic Examiners (NABNE). Graduates of
633:
457:
361:
284:
217:
570:
623:
615:
447:
274:
118:
102:, whilst serving as a legitimate certifying examination of alleged medical professionals.
392:
113:; the following example questions do not recommend that the mother take the child to the
18:
767:
628:
603:
452:
435:
431:
890:
656:"Naturopaths have weaseled their way into the health care system, and they want more"
279:
151:
533:
209:
159:
155:
95:
54:
312:
238:
138:
78:
39:
619:
349:
322:
222:
199:
167:
122:
99:
62:
43:
137:
published by NABNE were entered into the public record of the
Colorado state
749:
393:
Performance Audit
Arizona Naturopathic Physicians Board of Medical Examiners
264:
204:
163:
82:
637:
461:
365:
852:
819:
789:
129:
436:"Naturopathy, pseudoscience, and medicine: Myths and fallacies vs truth"
660:
259:
81:
products to treat an eight-year-old child in respiratory distress with
317:
106:
72:
58:
17:
882:
North
American Board of Naturopathic Examiners official website
689:"Why Is Big Naturopathy Afraid Of This Lone Whistleblower?"
728:. Colorado Senate Committee on Health and Human Services.
847:
845:
881:
824:
North
American Board of Naturopathic Examiners website
794:
North
American Board of Naturopathic Examiners website
744:
742:
602:
Fleming, Sara A.; Gutknecht, Nancy C. (March 2010).
77:
Clinical case and questions illustrating the use of
234:(for certificate or licensure in some U.S. states)
774:. North American Board of Naturopathic Examiners.
752:. North American Board of Naturopathic Examiners.
354:Journal of the American Board of Family Medicine
328:Medical Council of Canada Qualifying Examination
506:
504:
772:North American Board of Naturopathic Examiners
473:
471:
28:Naturopathic Physicians Licensing Examinations
8:
571:2005 Sunrise Review: Naturopathic Physicians
426:
424:
422:
420:
604:"Naturopathy and the Primary Care Practice"
565:
563:
561:
559:
511:Society for Science-Based Medicine (2014).
627:
451:
608:Primary Care: Clinics in Office Practice
528:
526:
902:Medical regulation in the United States
897:Standardized tests in the United States
339:
89:, from 2009 NPLEX official study guide.
778:from the original on October 23, 2015.
756:from the original on October 23, 2015.
519:from the original on January 14, 2021.
405:from the original on December 22, 2016
308:Medical education in the United States
668:from the original on October 19, 2021
544:from the original on January 14, 2021
391:Arizona Auditor General (June 2000).
372:from the original on January 26, 2018
7:
859:from the original on October 7, 2013
830:from the original on October 7, 2013
800:from the original on October 7, 2013
22:Cover of the 2009 NPLEX Study Guide.
735:from the original on March 6, 2016.
699:from the original on March 22, 2020
583:from the original on August 9, 2017
14:
687:Senapathy, Kavin (May 31, 2016).
489:from the original on May 22, 2016
485:. Massachusetts Medical Society.
214:Physical & clinical diagnosis
726:CLICS Committee Summary Database
246:Pharmacology (as of August 2017)
125:remedy should be administered.
1:
483:Massachusetts Medical Society
750:"NPLEX Examination Overview"
719:"BILL SUMMARY for HB15-1075"
540:. ScienceBasedMedicine.org.
265:Vancouver, British Columbia
923:
768:"Eligibility Requirements"
232:Clinical Elective Sections
135:Blue Print and Study Guide
620:10.1016/j.pop.2009.09.002
538:"Naturopathy and Science"
440:Medscape General Medicine
188:Laboratory diagnosis and
98:for testing knowledge of
121:but rather test on what
94:has been criticized by
69:Performance and quality
432:Atwood IV, Kimball. C.
290:Stratford, Connecticut
90:
36:professional licensing
23:
536:(February 21, 2011).
76:
21:
853:"Test Sites | NABNE"
115:emergency department
652:Hermes, Britt Marie
297:Gurabo, Puerto Rico
270:Seattle, Washington
87:gasping respiration
434:(March 26, 2004).
195:Emergency medicine
190:diagnostic imaging
184:Botanical medicine
91:
24:
285:Lombard, Illinois
218:Physical medicine
48:Canadian province
914:
869:
868:
866:
864:
849:
840:
839:
837:
835:
816:
810:
809:
807:
805:
786:
780:
779:
764:
758:
757:
746:
737:
736:
734:
723:
715:
709:
708:
706:
704:
684:
678:
677:
675:
673:
654:(May 22, 2016).
648:
642:
641:
631:
599:
593:
592:
590:
588:
582:
575:
567:
554:
553:
551:
549:
530:
521:
520:
508:
499:
498:
496:
494:
475:
466:
465:
455:
428:
415:
414:
412:
410:
404:
397:
388:
382:
381:
379:
377:
344:
275:Portland, Oregon
260:Toronto, Ontario
119:standard of care
117:per the medical
922:
921:
917:
916:
915:
913:
912:
911:
887:
886:
878:
873:
872:
862:
860:
851:
850:
843:
833:
831:
818:
817:
813:
803:
801:
788:
787:
783:
766:
765:
761:
748:
747:
740:
732:
721:
717:
716:
712:
702:
700:
686:
685:
681:
671:
669:
650:
649:
645:
601:
600:
596:
586:
584:
580:
573:
569:
568:
557:
547:
545:
532:
531:
524:
510:
509:
502:
492:
490:
477:
476:
469:
430:
429:
418:
408:
406:
402:
395:
390:
389:
385:
375:
373:
346:
345:
341:
336:
304:
253:
176:
147:
111:gasping for air
71:
12:
11:
5:
920:
918:
910:
909:
904:
899:
889:
888:
885:
884:
877:
876:External links
874:
871:
870:
841:
811:
781:
759:
738:
710:
679:
643:
614:(1): 119–136.
594:
555:
522:
500:
467:
416:
383:
360:(5): 378–390.
338:
337:
335:
332:
331:
330:
325:
320:
315:
310:
303:
300:
299:
298:
295:
292:
287:
282:
277:
272:
267:
262:
252:
249:
248:
247:
244:
241:
229:
228:
225:
220:
215:
212:
207:
202:
197:
192:
186:
175:
172:
146:
143:
70:
67:
13:
10:
9:
6:
4:
3:
2:
919:
908:
905:
903:
900:
898:
895:
894:
892:
883:
880:
879:
875:
858:
854:
848:
846:
842:
829:
825:
821:
815:
812:
799:
795:
791:
785:
782:
777:
773:
769:
763:
760:
755:
751:
745:
743:
739:
731:
727:
720:
714:
711:
698:
694:
690:
683:
680:
667:
663:
662:
657:
653:
647:
644:
639:
635:
630:
625:
621:
617:
613:
609:
605:
598:
595:
579:
572:
566:
564:
562:
560:
556:
543:
539:
535:
534:Gorski, David
529:
527:
523:
518:
514:
507:
505:
501:
488:
484:
480:
474:
472:
468:
463:
459:
454:
449:
445:
441:
437:
433:
427:
425:
423:
421:
417:
401:
394:
387:
384:
371:
367:
363:
359:
355:
351:
343:
340:
333:
329:
326:
324:
321:
319:
316:
314:
311:
309:
306:
305:
301:
296:
294:San Diego, CA
293:
291:
288:
286:
283:
281:
280:Mesa, Arizona
278:
276:
273:
271:
268:
266:
263:
261:
258:
257:
256:
250:
245:
243:Minor Surgery
242:
240:
237:
236:
235:
233:
226:
224:
221:
219:
216:
213:
211:
208:
206:
203:
201:
198:
196:
193:
191:
187:
185:
182:
181:
180:
173:
171:
169:
165:
161:
157:
153:
144:
142:
140:
136:
131:
128:In 2005, the
126:
124:
120:
116:
112:
108:
103:
101:
97:
88:
84:
80:
75:
68:
66:
64:
60:
56:
51:
49:
45:
41:
37:
33:
29:
20:
16:
863:December 19,
861:. Retrieved
834:December 19,
832:. Retrieved
823:
820:"Test Sites"
814:
804:December 19,
802:. Retrieved
793:
790:"Test Sites"
784:
771:
762:
725:
713:
703:September 5,
701:. Retrieved
692:
682:
670:. Retrieved
659:
646:
611:
607:
597:
585:. Retrieved
546:. Retrieved
491:. Retrieved
482:
443:
439:
407:. Retrieved
386:
374:. Retrieved
357:
353:
342:
254:
231:
230:
210:Pharmacology
177:
160:Microbiology
156:Biochemistry
148:
134:
127:
104:
96:David Gorski
92:
55:primary care
52:
40:naturopathic
31:
27:
25:
15:
907:Naturopathy
313:Naturopathy
239:Acupuncture
139:legislature
123:homeopathic
79:homeopathic
891:Categories
515:(Report).
398:(Report).
376:August 29,
334:References
323:COMLEX-USA
223:Psychology
200:Homeopathy
168:Physiology
100:homeopathy
63:COMLEX-USA
44:U.S. state
446:(1): 33.
251:Locations
205:Nutrition
164:Pathology
83:tachypnea
857:Archived
828:Archived
798:Archived
776:Archived
754:Archived
730:Archived
697:Archived
672:June 26,
666:Archived
638:20189002
587:March 3,
578:Archived
548:March 3,
542:Archived
517:Archived
493:March 3,
487:Archived
462:15208545
409:March 3,
400:Archived
370:Archived
366:12350060
302:See also
227:Research
130:Colorado
661:KevinMD
629:2883816
453:1140750
174:Part II
152:Anatomy
109:and is
695:. US.
693:Forbes
636:
626:
460:
450:
364:
166:, and
145:Part I
34:) are
733:(PDF)
722:(PDF)
581:(PDF)
574:(PDF)
403:(PDF)
396:(PDF)
318:USMLE
107:cough
59:USMLE
32:NPLEX
865:2018
836:2018
806:2018
705:2017
674:2016
634:PMID
589:2016
550:2016
495:2016
458:PMID
411:2016
378:2015
362:PMID
85:and
61:and
26:The
624:PMC
616:doi
448:PMC
46:or
893::
855:.
844:^
826:.
822:.
796:.
792:.
770:.
741:^
724:.
691:.
664:.
658:.
632:.
622:.
612:37
610:.
606:.
558:^
525:^
503:^
481:.
470:^
456:.
442:.
438:.
419:^
368:.
358:15
356:.
352:.
170:.
162:,
158:,
154:,
141:.
867:.
838:.
808:.
707:.
676:.
640:.
618::
591:.
552:.
497:.
464:.
444:6
413:.
380:.
30:(
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.