Lucas,
Good question. There are so many competencies for massage that absolutely DEMAND assessment other than written means, which is why the Commission has been so careful about the verbs used for each one. These should dictate the assessment strategies. As far as realistic time obstacles, my first thought is to incorporate mini hands-on/practical exams that take the same amount of time as a written exam. For example, checklists or rubrics where students are required to DEMONSTRATE a skill (stroke, stretch, palpation, bone, technique, etc) can be quickly used for each student instead of always observing a full massage session.… >>>