Exams may be proctored at regional testing centers. Students at Bluffton are not proctored during exams. All exams are given at proctored facilities. Many of these programs have their pre-clinical or didactic courses taught online with proctored examinations. At the fully online Western Governors University, 30,000 exams are proctored online each month. Once participants complete a module, they sit for a proctored exam. The exams themselves are proctored by the CSI. The EFSET is not a proctored exam. The IFPA requires individuals to take a closed book, proctored exam. E-Proctoring allows for the exam to be taken in a webcam proctored environment. To become registered they have to pass the registry proctored by CCI (Cardiovascular Credentialing International). It is proctored, as DIT spokesman reported. The US Open has been unproctored since 2009 (it was proctored prior to that).