Stronger Board audits
Direct spot-checks, improved procedures and evidence requests. Capacity and consistency may limit breadth.
Boards have multiple options for strengthening online CE oversight. TRACE believes independent course-level functional verification offers the strongest systematic safeguard.
Direct spot-checks, improved procedures and evidence requests. Capacity and consistency may limit breadth.
Clearer technical requirements, audits, enforcement and reporting. Course-specific behavior still needs testing.
Qualified outsiders test every individual course against Board rules from a real learner's perspective.
One way to strengthen online CE accountability is to require independent accreditation of the education provider rather than separate verification of every course. The IACET Accredited Provider model illustrates this approach. IACET evaluates an organization's policies and processes for designing, delivering, assessing and evaluating continuing education, and reviews examples of actual courses. It accredits the organization, not each individual course.
Independent provider accreditation can establish stronger organizational standards, documented procedures, staff accountability, learning assessments and internal reviews. It can offer scalable oversight across a provider's course catalog without a separate accreditation application for every new course.
A provider-level approval is not independent, hands-on functional verification of every online course. Review of policies, selected course examples and internal quality systems does not prove that each current course's timer, participation controls, exam settings, learner safeguards or certificate logic actually operate as the applicable Board requires.
The remaining risk is course-specific. Different courses on the same platform may have different configurations, and technical behavior can change after provider accreditation. A provider can follow a credible quality-assurance process yet still have an individual course that warrants correction. This is a limitation of the scope of assurance, not an allegation that IACET or its accredited providers are failing their standards.
Could the approaches be combined? Yes. Provider accreditation paired with randomized, risk-based or complaint-triggered functional course audits could improve oversight. That would be a meaningful policy option, but selective testing still would not independently verify every individual course. TRACE therefore favors independent third-party functional verification of each online CE course against the relevant Board's requirements, alongside existing provider accreditation or PACE and Board approval where applicable.
For Boards: Accreditation answers whether a provider has credible educational systems and processes. Course-level functional verification answers whether a particular course works in compliance with your rules. Both can contribute, but they answer different questions.
About the IACET model: Accredited Provider FAQ · How course examples are reviewed · What accreditation does and does not approve. IACET is discussed as an example, not endorsed as a required or exclusive provider.
In formal rulemaking petitions, TRACE proposes that each individual online CE course shall undergo independent third-party functional compliance verification, by a qualified independent reviewer, as a condition of accepting it for CE credit. Implementation must respect each Board's laws and transition needs.
This supplements existing Board approval and PACE recognition. Boards set the standards, authorize qualified organizations and retain all final decisions. Multiple qualified independent reviewers should be permitted under objective criteria. TRACE does not itself perform verification or endorse an exclusive vendor.
Organizations active in distance education, continuing education quality assurance, independent assessment and learner-identity controls may be worth investigating for independent functional verification of each individual online chiropractic CE course against applicable Board requirements.
Online CE Integrity is an independent third party that verifies, course by course, that online continuing-education courses are actually delivered the way they were approved — confirming identity, participation, exam integrity, and credit hours — at no cost or burden to state licensing boards.
Visit onlineceintegrity.comAccredits continuing education providers and courses in emergency medical services. Whether it could offer chiropractic-specific functional verification requires further evaluation.
Visit capce.orgDescribes independent assessment of training, identity, proctoring and session integrity. Chiropractic regulatory course verification would need evaluation.
Visit cognisense360.comAccredits continuing education and training organizations using reviews of provider processes and example courses, not separate certification of every individual course. This can strengthen provider oversight but does not replace learner-perspective functional testing of each course against Board rules. Compare the models above ↑
Visit iacet.orgOffers a course-level certification process evaluating distance education design and delivery. Suitability for Board-specific chiropractic verification would require review.
Visit idecc.orgProvides online proctoring and learner identity technology. These technical tools alone are not independent verification of an entire course.
Visit integrityadvocate.comRecognizes accounting continuing education sponsors under published standards. Its experience may be relevant, but is not automatically chiropractic course verification.
Visit nasbaregistry.orgProvides course quality rubrics, reviews and certification. Instructional-design review differs from course-level Board rule functional verification.
Visit qualitymatters.orgThese are nonbinding recommendations for Board consideration. They distinguish proposed safeguards and verifier qualifications from existing law.