Review the evidence signals before interviewing. Then use the anchored descriptions—not instinct alone—to choose the score that best matches each answer.
01
Evaluation factor
Clinical competence
35% weight
Probe adjusting technique range: Diversified, Gonstead, Activator, flexion-distraction, drop table. Ask about caseload mix, licensure and board exams (NBCE parts), and soft tissue or rehab adjunct work.
Evidence to listen for
Command of the procedures, anatomy, and equipment the role requires
Holds current registration or certification
Knows normal from abnormal and what to do about each
Recognises when a case is outside their scope
Five-point scoring guide
1
Poor
Unsafe knowledge gaps; registration missing or lapsed.
2
Needs Improvement
Knowledge gaps that would affect patient care.
3
Satisfactory
Competent for standard cases; needs support on complex ones.
4
Very Good
Strong clinical knowledge; safe and reliable across the usual range.
5
Excellent
Names specific techniques with patient presentations for each, holds current state licence and NBCE credentials, describes weekly caseload numbers.
02
Evaluation factor
Patient safety and protocol
30% weight
Test red flag screening: cauda equina, vertebral artery insufficiency, fracture, malignancy. Ask when they ordered imaging, deferred adjustment, or referred to a physician or emergency care.
Evidence to listen for
Follows identification, infection control, and documentation protocol without prompting
Can describe an error or near miss and what they did
Escalates deterioration early
Treats protocol as protection rather than bureaucracy
Five-point scoring guide
1
Poor
Casual about protocol; would not report an error.
2
Needs Improvement
Inconsistent protocol adherence; slow to escalate.
3
Satisfactory
Follows protocol reliably; documentation sometimes thin.
4
Very Good
Protocol is instinctive; escalates early and reports honestly.
5
Excellent
Cites concrete cases where they withheld cervical manipulation, documented informed consent, and referred out with clear clinical reasoning.
03
Evaluation factor
Patient communication
20% weight
Assess how they explain subluxation findings, care plans, and realistic timelines without overpromising. Look for handling of patients who expect one visit to fix chronic pain.
Evidence to listen for
Explains a procedure to an anxious or confused patient
Handles distress, pain, or refusal without losing control of the interaction
Respects privacy and dignity in practice, not just in principle
Works with families and carers
Five-point scoring guide
1
Poor
Dismissive of patients; no bedside awareness.
2
Needs Improvement
Task-focused; struggles with distressed patients.
3
Satisfactory
Adequate rapport; less confident in difficult interactions.
4
Very Good
Calm, clear, and respectful with anxious or difficult patients.
5
Excellent
Translates imaging and exam findings into plain language, sets measurable goals, and manages expectations on visit frequency honestly.
04
Evaluation factor
Working in a clinical team
15% weight
Check coordination with massage therapists, physical therapists, primary care and insurers. Ask about SOAP note quality, EHR systems used (ChiroTouch, Jane), and coverage during absence.
Evidence to listen for
Hands over cleanly and completely
Challenges a colleague when patient safety requires it
Takes direction from clinicians without deferring blindly
Handles shift work and pressure without becoming difficult to work with
Five-point scoring guide
1
Poor
Poor handover; cannot work in a clinical team.
2
Needs Improvement
Handover gaps; avoids raising concerns about colleagues.
3
Satisfactory
Reliable team member; handover adequate.
4
Very Good
Clean handovers and willing to speak up on safety.
5
Excellent
Describes documented referral loops with named providers, clean SOAP notes surviving audit, and smooth handovers within a multi-provider clinic.
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