Mock Practice Sample Submission

Individuals who attend the 2020 AACN Conference in Washington, DC and register for Workshop #14 (Preparing for the ABPP Board Certification Examination in Clinical Neuropsychology: Everything You Wanted to Know but Didn’t Know Who to Ask – Oral Examination and the Practice Sample Defense, Session 2 of 3) may submit a mock practice sample for the instructors to review. To submit a mock practice sample, please review the following instructions. Click here for a copy of the instructions in PDF format.

You must be logged in and registered for the workshop in order to access the submission portal, which appears at the bottom of this page. Mock practice samples must be received by May 29, 2020 to be reviewed.


A Mock Practice Sample submission should consist of one neuropsychological evaluation. It is acceptable for technicians or students to administer the test battery under the supervision of the workshop attendee. However, Psychology Interns or Postdoctoral Fellows should not be involved in the cases as they would have been expected to play a conceptual role, not just a technician role. The clinical report must be the complete and original work of the workshop attendee, not an edited version of a trainee’s report and not the workshop attendee’s work completed under someone else’s supervision.

For the mock practice sample, the following materials should be uploaded:

  1. A copy of the original report (with appropriate confidential and identifying information obscured). The report may be modified only to the extent that information identifying the patient and other individuals is removed (identifying information includes patient name and address including city and state, birthdate [please substitute age], any other Protected Health Information, name of patient’s employer and in some cases a specific occupation, and names of referral sources).
  2. A test score summary table that contains test name, raw score, transformed normative score and normative source. If abbreviations are used, there must be one place in which a key is provided relating all abbreviations to the full test titles. The type of score must be identified (e.g., raw scores, percentile ranks, standard scores, T-scores, or other type scores). It is acceptable (and sometimes preferred) to profile certain test results, especially if they are commonly presented in a profiled format (e.g., MMPI-2).
  3. Optional: Up to three pages in total (double-spaced in 12-point font) of supporting material that addresses issues not included in the report (e.g., differential diagnosis, the constraints of the clinic population affecting case selection, the range of clinical decisions considered in the cases selected, etc.).


Mock Practice Sample cases should lend themselves to a neuropsychological conceptualization and consideration of brain-behavior-diagnostic relationships. Cases that provide less than an ideal opportunity to demonstrate a workshop attendee’s skills in neuropsychological case conceptualization should be avoided. The workshop attendee needs to be able to demonstrate a level of neuropsychological conceptualization that typically would not be present in general mental health or psychoeducational evaluations, or evaluations with normal findings.

Either in the original report or in the supplementary material, the workshop attendee should identify the relevant characteristics of the patient, the background information provided by other professionals (or in the medical records reviewed), salient aspects of an informant interview (i.e., patient, significant other, or both) obtained by the workshop attendee, and brief summaries of medical, social service agency, school, and employment records that were reviewed. It is desirable, but not required, to have follow-up knowledge of the case in question.

The workshop attendee should submit a typical report for his or her practice – it is not expected to be a treatise or contain a review of the literature. Most clinical reports do not include citation references or a detailed exploration/discussion of potential differential diagnoses. If the workshop attendee’s work setting requires short reports, that is fine. In that case, it is advisable to include the optional three-page supplementary material where the workshop attendee makes explicit his or her clinical decision making and analysis including: pertinent history of the present illness, test selection and interpretation, diagnostic formulation with differential, and any additional comments on management/disposition.


The Mock Practice Sample should demonstrate that the workshop attendee is practicing Clinical Neuropsychology at the specialist level of competence. Clinical Neuropsychology is not merely the administration, scoring and reporting of neuropsychological evaluation techniques in a clinical setting; rather, it is a specialty practiced by a psychologist who can demonstrate to ABCN the integrated application of the broad range of neuropsychological, neurological, and allied clinical and research literature and concepts required of the practitioner in this field. The Mock Practice Sample should reflect this ability and should also reflect a high level of professional skill and maturity. The Practice Sample should demonstrate that the workshop attendee possesses a coherent rationale for the work he/she is doing. The Mock Practice Sample must follow APA ethical and professional standards.


  1. Although technicians or students may have administered the test battery under the supervision of the workshop attendee, the clinical report must be the original, independent, unsupervised work of the workshop attendee. It must also not be an edited version of a trainee’s report.
  2. Sufficient diversity is presented in the Mock Practice Sample to demonstrate the workshop attendee’s breadth of clinical proficiency.
  3. The referral source is specified.
  4. There is a reasonable presentation of the history of the present illness; the report captures the context of the symptoms, illness, or dysfunction; there is some coverage of relevant past history and background as appropriate.
  5. The assessment reflects a reasonably comprehensive approach sufficient to address the diagnostic and management issues inherent in the case. Important cognitive and psychological domains are adequately assessed (e.g., language, visuospatial, attention/concentration, learning/memory, executive, and psychological functioning)
  6. Test data are accurately reported and clearly presented.
  7. There was a proper selection of a normative reference group with a reasonable match between the patient and the normative reference sample.
  8. Interpretation demonstrates knowledge and integration of brain-behavior relationships, addresses the clinical question and meets the needs of the identified consumer. (Mock Practice Sample cases should lend themselves to a neuropsychological conceptualization and consideration of brain-behavior-diagnostic relationships.)
  9. Conclusions are supported by the data and reflect current standards of evidence-based neuropsychological practice. Relevant historical and medical risk factors are identified and inform the diagnostic formulation and recommendations.
  10. Treatment recommendations include suggestions for further diagnostic work-up where appropriate and reasonable suggestions for therapeutic interventions, psychosocial adaptations, and other follow-up given in sufficient detail to foster their implementation.
  11. Emotional and psychopathological factors are appropriately assessed and incorporated into the report.
  12. Individual and cultural diversity issues are considered in test selection, normative references group used, and case formulation.
  13. Any legal/ethical issues raised in the evaluation are identified and managed appropriately.
  14. Any consultations with other professionals were appropriate and documented accordingly. Appropriate referrals for other consults are recommended.
  15. The clinical report is written in a clear, professional style tailored to the background and needs of the identified primary consumer of the report.


_____   The clinical report is the original, independent, unsupervised work of the workshop attendee, not an edited version of a trainee or supervisor’s report

_____   Original clinical report with identifiable information redacted (i.e., patient’s, applicant’s, and any other providers’ names or personally identifiable information)

_____   Summary Table of test scores: (a) Test name, (b) Raw score, (c) Transformed normative score and (d) Normative source

_____   If desired, optional supplementary material (not to exceed 3 pages of double-spaced in 12 point font) that describe specifics about the history and the clinical decision making underlying the approach to assessment, formulation, differential diagnoses considered, and any special features related to recommendations or case follow-up not covered in the original report.

You must be logged in and registered for the workshop in order to submit a mock practice sample.