Written Exam

The Written Examination assesses the knowledge and clinical reasoning expected of an entry-level chiropractor in Canada. It is completed online using live remote proctoring and includes multiple-choice and case-based questions designed to evaluate your ability to apply knowledge and make clinical decisions in realistic patient care situations.

Examination Format

The Written Examination is completed online using live remote proctoring. Questions are designed to assess how you apply knowledge in clinical situations rather than simply recall information.

The examination includes both standard multiple-choice questions and case-based questions that require you to interpret clinical information, apply clinical reasoning, and select appropriate patient management strategies.

Competencies Assessed

The Written Examination is based on the CCEB competency framework and assesses knowledge and clinical reasoning across all seven competency domains. Understanding the competencies can help guide your preparation by showing the knowledge, skills, and professional behaviours expected of an entry-level chiropractor.

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.

Health Advocate

Promote health, wellness, disease prevention, and the best interests of patients and communities.

Scholar

Use evidence-informed practice and commit to lifelong learning and continuous improvement.

Professional

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

Leader

Support quality improvement and contribute to the advancement of chiropractic practice.

About Remote Proctoring

Frequently Asked Questions

The Written Examination is delivered through live remote proctoring, allowing eligible candidates to complete the examination online from an approved testing location. Before examination day, you’ll need to ensure your computer, internet connection, and testing environment meet CCEB’s technical and environmental requirements.

Candidates with an approved testing accommodation may be eligible to write the Written Examination in-person or receive other approved accommodations.

The Remote Proctoring FAQ answers common questions about:

  • Technical requirements
  • System testing
  • Writing from another country
  • Examination security and privacy
  • Permitted materials
  • Technical issues during the examination
  • Examination day procedures

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.