Student development of clinical competencies is assessed throughout the classroom and clinical programs. All interns, upon completion of the clinical program, must demonstrate proficiency in those competencies consistent with the college's Expected Educational Results and the clinical competencies detailed by the Council on Chiropractic Education.
During the eighth quarter, interns enrolled in Pre Clinic must also complete the Clinic Entrance Examination. The Clinic Entrance Exam is a practical and written examination that assesses the fundamental clinical competencies required for the Sherman College Chiropractic Health Center. Students must pass all portions of the exam with a grade of C or better in order to advance to Student Clinic in the ninth quarter.
Assuring competence is vital, so students must pass practical
exams both to enter the clinic and to graduate. The tests are modeled on the NBCE
Part IV practical exams to maintain standards.

In addition to evaluation during the Clinic Entrance Exam and the Clinical Proficiency Examination, licensed clinical faculty members evaluate student interns on an on-going basis throughout quarters 9-14. Interns are evaluated on record keeping, patient management, patient examination, diagnosis, communication and spinal adjusting skills.
The
intern must perform not only clinical procedures, but also integrate and assess
critical patient information in order to determine accurate diagnoses and patient
management relative to a variety of patient presentations.

During the thirteenth quarter, interns enrolled in Clinic IV must take the Clinical Proficiency
Examination (Exit Exam). The Exit Exam is administered mainly in the Objective Structured
Clinical Examination (OSCE) format with some written assessments and is designed
to assess the intern's overall clinical competency necessary
for licensure and to begin the practice of chiropractic.
The exam is modeled after the NBCE Part IV examination. It requires the intern to not only perform clinical
procedures, but also to integrate and assess critical patient information in order to determine accurate diagnoses and patient management relative to a variety of patient presentations. Interns must pass all stations of the exam with a grade
of C or better to graduate