Much of my assessment work involves people preparing for high-stakes licensing and admissions exams — medical students seeking accommodations for Step I and Step II, nursing students facing the NCLEX, and graduate and professional school applicants navigating the GRE, LSAT, bar exam, and similar requirements. These evaluations require something more than a brief screening. Boards and licensing bodies expect thorough documentation: comprehensive testing, a detailed clinical interview, record review, and a written report that makes a careful case. That's what I provide. 

For over a decade I've done this work at the University of Colorado Anschutz, evaluating graduate students and medical residents in demanding academic and professional environments. That experience has given me a close understanding of what rigorous evaluation looks like in complex cases — and what it takes to produce findings that hold up under scrutiny.

Assessment is also useful beyond the accommodation context. Sometimes someone is unable to perform at the level their ability suggests they should, and prior testing raised more questions than it answered. Sometimes the question isn't accommodations at all but a clearer picture of how someone thinks, works, and approaches demands — and what may have been getting in the way for a long time.

Evaluations typically address attention and executive functioning, learning and academic skills, cognitive functioning, and the personality and emotional factors that affect performance. Findings are shared in a detailed written report and in a feedback conversation, where results can be connected to practical next steps.

If you're wondering whether an evaluation might be useful in your situation, I'd welcome the chance to talk it through.