CCLA Exam Structure
The exam is divided into three sections:
- Introduction and General Instructions
The first section is an introduction and warm-up exercise intended to help put the candidates at ease with the system and to allow them to practice their target language briefly prior to the formal portion of the exam.
- Sociocultural Competence
This section of the exam contains and assesses general medical discourse, terminology, and concepts. In addition, this section is particularly designed to elicit language samples that reflect a candidate’s sociocultural competence. This tests the physician’s ability to change registers to suit the age, gender, and educational background of the patient. It also tests the physician’s ability to understand the culturally appropriate language required in certain medical settings. Section II is comprised of four (4) pre-recorded scenarios, each of which represents a different medical domain and varied sociocultural tasks.
- Symptoms, Diagnoses, and Treatment
This section is designed to elicit language samples that represent the range of doctor/patient interaction from initial presentation of symptoms through diagnosis and treatment. It is divided into two pre-recorded scenarios, each addressing a different medical domain.
How the CCLA is Scored
The CCLA exam is scored using objective scoring units and a subjective assessment protocol. The objective units represent significant words, phrases, and clauses that are found in and critical to doctor/patient communication. These include specialized medical terminology, register variation, rhetorical features, general vocabulary, grammatical structures, and appropriate sociocultural discourse. Candidates are also assessed in the five subjective scoring categories of “Fluency,” “Pronunciation,” “Customer Service,” and “Cultural Proficiency.”
Scoring is assigned on a four-point scale for the subjective scoring categories:
Subjective Scoring Scale
- Superior Proficiency
- Approaching Proficiency
- Novice Proficiency
A prescribed percentage of scoring units must be rendered correctly in each section of the exam. Only objective scoring units directly contribute to a candidate’s passing or failing the exam. The subjective assessment serves to give candidates recommendations for improvement.
To register your organization for Language Testing, or if you have additional questions, please contact Derek Ford by email or telephone at 404.920.3832.