Clinical Competency Exam

The Clinical Competency Examination assesses the clinical skills, communication, and professional behaviours expected of an entry-level chiropractor in Canada. It is completed in person using an Objective Structured Clinical Examination (OSCE), where you’ll interact with standardized patients while demonstrating your ability to assess, communicate, and manage patient care.

Examination Format

The Clinical Competency Examination is an Objective Structured Clinical Examination (OSCE) consisting of 12 scored clinical stations. Throughout the examination, you’ll interact with standardized patients while demonstrating the knowledge, clinical skills, communication, and professional behaviours expected of an entry-level chiropractor.

Competencies Assessed

The Clinical Competency Examination is based on the CCEB competency framework. Understanding the competencies assessed can help you focus your preparation and better understand the clinical skills, communication, and professional behaviours expected during the examination.

The examination assesses four competency domains:

Neuromusculoskeletal Expert

Apply chiropractic knowledge and clinical expertise to assess, diagnose, manage, and monitor patient care.

Communicator

Build effective relationships and communicate clearly with patients, families, and other healthcare professionals.

Collaborator

Work effectively with patients and healthcare professionals to support coordinated care.

Professional

Demonstrate professionalism, ethical practice, accountability, and patient-centred care.

Examination Day

On examination day, you’ll complete the registration process before receiving instructions about the examination procedures.

Throughout the examination, you’ll move through each clinical station as directed. Trained examiners observe and score your performance using standardized scoring criteria, while standardized patients participate in realistic patient care scenarios.

Please arrive on time and bring the required identification listed in your examination confirmation.

Testing Accommodations

Candidates requiring testing accommodations, including additional time or approved assistive devices, must submit an accommodation request with supporting documentation before the application deadline.

Clinical Exam Experience Videos

OSCE

SP Interaction

Candidate Handbook

The CCEB Examinations Candidate Handbook is the official reference for the written and clinical examinations.

It includes detailed information about:

  • Examination procedures
  • Written Examination sample items
  • Examination blueprints 
  • Examination format
  • Scoring overview
  • Written examination sample items
  • Clinical examination sample items
  • Clinical examination sample case
  • Assessable competency framework
  • Sample performance reports
  • Examination policies
  • Candidate responsibilities

Use the handbook whenever you need more detailed guidance about the examinations.