Core Competencies

Located under: knowledge translation > articles

To provide health care professionals working in stroke with a clear, comprehensive way to achieve the core competencies needed for evidence based stroke care. This framework will support a baseline level of competency province-wide, and can encourage stroke specific professional development goals. Locally, it can be used to support stroke orientation and Stroke Distinction. For more information on Core Competencies, click here

This framework consists of a core set of stroke competencies for six disciplines:


Occupational Therapy

Physical Therapy

Speech-Language Pathology

Social Work

Recreation Therapy

It is intended to support professional development towards stroke expertise. The framework is intended for use by health care providers who are new to stroke as well as those who are very experienced. The self-rating scale included allows each health care provider to identify areas for learning. As a result, it is expected that those experienced in stroke care will not be working through all the competencies, but rather those that he or she identifies as areas for development.

It is suggested that all competencies identified as learning needs are achieved within a one year period.
Each discipline specific template identifies the same 16 competencies:

1. Principles of Stroke Care
2. Anatomy and Physiology of Stroke
3. Cardiovascular Respiratory Effects
4. Psychosocial Effects
5. Communication
6. Independence in Mobility and Prevention of Complications
7. Routine Activities of Daily Living
8. Instrumental Activities of Daily Living
9. Cognitive, Perceptual and Behavioural Changes Post Stroke
10. Nutrition
11. Dysphagia
12. Skin Care
13. Sexuality
14. Continence Management
15. Primary/Secondary Stroke Prevention
16. Transition Management

For each competency, there are a number of learning objectives, recommended learning resources/knowledge translation tools and suggested evaluation methods.