General Information

Requirements for Diplomate Examination

A certificate of completion is required from a CCE-approved chiropractic college/university noting that the candidate has completed a course of education as presented by the institution. The minimum requirement is 300 hours to sit the Diplomate examination offered by the International Academy of Neuromusculoskeletal Medicine.

To secure the position to sit the Diplomate examination process, send a letter of intent to the Academy Executive Director at least 90 days before the date you wish to take the examination. You will receive a packet of information detailing the requirements, and forms to assist you in obtaining the required documentation to sit the examination. This information includes the application form, request for transcripts, and license information. Once you receive this packet, you will have the opportunity to choose the date and location of the online Part I examination. You must send a letter of intent to the Executive Director at [email protected] or for more information; you can call the Academy office at (612) 454–1472.

The Academy Part I and Part II examinations are an online process. The packet received will outline the necessary steps to take the online examination. The Academy website will post the days and months that are available for the candidate to choose on the Exam Calendar page. A non-refundable application fee of $95 USD is required to start the application process. The Examination Fee for Part I and Part II is $950 each payable in USD. Payment information is located on the Exam Calendar page

Successful completion of Part I qualifies the candidate for Part II Objective Structured Clinical Examination (OSCE).

Themes of the Examination:

The Diplomate examination content and questions closely follow the job analysis for the chiropractic orthopedist. The job analysis is performed every five years by the Academy to be assured of the current methods and practices of the chiropractic orthopedist. The next analysis is due in 2020.

A copy of the current job analysis is found here.


Reference material list for developing the neuromusculoskeletal Diplomate examination is available in the PDF titled The Academy of Chiropractic Orthopedists Board Exam Reference Books. The Academy does not expect nor does it feel it necessary that every book listed is in your library. It is recommended that you have at least one good reference book that covers the material in the job analysis. Education is continually changing as far as methods for obtaining study material. There is not one textbook or article that can be used that covers all of the Part I or Part II testing material. The job analysis is a guideline for study.

The Academy of Chiropractic Orthopedists Board Exam Reference Books