Trauma-informed care training

Trauma-informed care training is a mandatory requirement due by May 31 annually.

Trauma-informed Training is required under the Health Professions Act. This training is in consideration of patients that are dealing with a history of trauma.

New training format

During 2022-2023, the Trauma-informed Care Training is an online self-directed assessment (open text book format) with approximately 52 questions. It focuses on the significant importance of professional boundaries to trauma-informed care. It is a mandatory requirement to complete the free training each year by May 31 and completion earns you two CC credits.

How to complete your requirement

  1. The CCOA has developed specific resources and tools for regulated members on professional boundaries, shown in the resources section below. They should be reviewed and accessible prior to starting the assessment.

  2. Take the Assessment (CCOA Trauma-Informed Care and Professional Boundaries Awareness and Implementation Assessment).


    • A grade of 100% is required.
    • The assessment follows an “open text book exam” style. You will be prompted to click into various CCOA and external resources to read and find the answer to questions.
    • Your results will be automatically sent to the CCOA.
    • You will receive an email from CCOA that confirms that you have completed the assessment.
    • Within 10 days, you can look under the Continuing Competence tab on your profile in the Members’ Centre to see that two CC credits have been applied to your profile and that your trauma-informed training is not longer required.

The value of Trauma-informed Care training

Trauma-informed care recognizes that many of the patients that chiropractors provide care for will have a non-disclosed history of trauma. Professional boundaries create clarity in the chiropractor-patient relationship and protect patients. Chiropractors who establish and maintain clear professional boundaries do so to the benefit of themselves and their patients. When professional boundaries are not clear the risk of harm to patients including trauma from unprofessional conduct is elevated.

Competency in trauma-informed care is not a one-time effort. Similar to all professional competence, the skills, attributes, knowledge, understanding and application of trauma-informed care and professional boundaries should continue to progress throughout the professional career span of a practitioner.

Resources and documents

External resources