When Realism in Testing Backfires: Lessons From an Unstructured Practical Exam Pairing

Physical therapists must adapt quickly and independently in diverse neurologic settings. To reinforce diagnostic readiness and self-sufficiency, students were not assigned partners in advance and received their exam schedule only on the day of testing. This format was designed to challenge adaptability under realistic conditions, promote independent preparation across all course skills, and reduce reliance on rehearsed teamwork.