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Athletic Trainer Life Cycle

Certification Renewal Requirements

To renew, Athletic Trainers must complete Continuing Professional Certification (CPC) Renewal or Legacy Renewal requirements, which include completion of:

  • Pathfinder (CPC Renewal ONLY)
  • Continuing education
  • Continuous emergency cardiac care certification
  • Annual renewal fee
  • Compliance with BOC Standards of Professional Practice

CPC Renewal and Legacy Renewal promote continued competence and contain familiar requirements. CPC Renewal goes a step further by using Pathfinder to engage ATs with their life-long learning to create a more meaningful professional development experience.

View Certification Renewal Handbook for Period Ending 1/31/28
View 2024-2025 Certification Maintenance Requirements

 

 

CPC Renewal

Continuing Professional Certification (CPC) Renewal is an ongoing, individualized process developed by and for ATs that ensures athletic trainers remain competent, up-to-date, and accountable for their professional growth. Implemented through the Pathfinder platform, CPC empowers ATs to take ownership of their longitudinal learning by setting goals, reflecting on practice, and selecting continuing education activities that best advance their growth across diverse practice settings.

CPC renewal requirements vary based on the year of initial certification. The tables below outline the Pathfinder segment and renewal requirements:

Certified Prior to 2026 –  CPC Renewal Requirements
Pathfinder Completion

  • My Goals – ATs must create 2 goals within the renewal period
  • My Challenge Questions – ATs must answer 15 questions per 3-month segment (7 of 8 segments are required)
  • My Learning Path – ATs must add at least 2 CE activities onto their learning path. Completion and/or purchase of these activities is not required.
  • My Reflection – ATs must complete reflection questions by the last period of the renewal period
40 CEUs Due

  • Minimum of 10 CEUs from Category A
  • 30 CEUs can be from any approved learning activity (Category A-D)
  • Alternative Learning Activities are optional
Certified in 2026 – CPC Renewal Requirements (Mandatory)
Pathfinder Completion

  • My Goals – ATs must create 1 goal within the renewal period
  • My Challenge Questions – ATs must answer 15 questions per 3-month segment (3 of the 4 segments are required)
  • My Learning Path – ATs must add at least 1 CE activity onto their learning path. Completion and/or purchase of this activity is not required
  • My Reflection – ATs must complete reflection questions by the last period of the renewal period
20 CEUs Due

  • Minimum of 5 CEUs from Category A
  • 15 CEUs can be from any approved learning activity (Category A-D)
  • Alternative Learning Activities are optional
Remediation for ATs Certified 2026 and Later

ATs certified in 2026 or later who fail to remain current with CPC Renewal requirements (falling behind two or more segments) will have an opportunity to complete CPC Renewal through remediation before January 31, 2028. Remediation includes:

  • Completion of all four My Challenge Questions (MCQ) segments in addition to any other incomplete CPC Renewal requirements
  • Compliance with a mandatory CE audit after the renewal period
  • Will be subject to disciplinary action by the BOC Professional Practice and Discipline Committee.

Failure to meet remediation requirements within the specified timeframe will result in expiration of your certification and compliance with reactivation and/or reinstatement policy and procedures to return to an active status.

 

Pathfinder

Pathfinder is an interactive professional development platform/tool that helps ATs map out their growth. It provides a personalized dashboard where ATs set goals, challenge themselves with evidence-based questions in segments throughout the renewal period, and explore recommended learning opportunities. Pathfinder makes professional development interactive, more engaging, timesaving and aligned with each AT’s goals.

▶️  Quick Start Guide Video
Quick Start Reference Resource
CPC/Pathfinder FAQ

Continuing Education – Certification Renewal

CPC Renewal builds on current requirements by using Pathfinder to further engage ATs with their life-long learning to create a more meaningful professional development experience. Learn more below.

ATs must complete a predetermined number of continuing education units (CEUs) during the certification maintenance period. The current period ends January 31, 2028.

View Certification Renewal Handbook for Period Ending 1/31/28

 

Category A

Category A programs are available through BOC Approved Providers. If you’re interested in live events, think about attending workshops, seminars, conferences, webinars, or other events. If you prefer taking CE programs in the comfort of your own home or while on the road, there are home study programs available for your convenience.

Requirements
CPC Renewal
Minimum 10 CEUs if 40 CEUs due

5 CEUs if 20 CEUs due

Maximum None
POSSIBLE ACTIVITIES NUMBER OF CEUs
Synchronous or asynchronous and delivered in a variety of methods (i.e., webinars, podcasts, multi-media, conferences) As awarded by provider
Post-certification coursework from a CAATE accredited athletic training post professional program 10 CEUs per credit hour
Graduate of a post-professional degree (e.g., PhD, EdD, DSc, DAT) may qualify if the scholarly product (e.g. dissertation, research project) has a narrow focus of athletic training3 10 CEUs if 40 CEUs required
5 CEUs if 20 CEUs required
Program faculty/speaker or author of Category A program (speaking engagements can be counted once per topic) Primary1=10 CEUs per topic
Secondary2=5 CEUs use per topic
CAATE accredited athletic training residency/fellowship 25 CEUs per year
Accredited medical or health care provider residency/fellowship with a focus closely related to athletic training. This may include, but is not limited to:

  • Medical residency for orthopedics, sports medicine, physical medicine and rehabilitation
  • Physical therapy
25 CEUs per year
Author of a peer-reviewed journal article or textbook chapter(s) addressing patient-oriented clinical research or translational research. This may include, but is not limited to:

  • Mechanisms of human disease
  • Therapeutic interventions
  • Clinical trials
  • Development of new technologies
  • Epidemiologic studies
  • Outcomes research
  • Health services research
  • Clinical epidemiology
  • Clinical prediction rules
  • Comparative effectiveness
  • Systematic reviews
  • Critically-appraised topics
Primary=15 CEUs per article/text
Secondary=10 CEUs per article/text
Competence Assessment Modules As awarded by BOC
Quality Improvement project 10 CEUs

1Primary faculty refers to the presenter who prepares the presentation.

2Secondary faculty refers to those who assist with conducting lectures, workshops or labs who must prepare based on the primary faculty’s instructions. A lead lab instructor would fall under secondary faculty.

3The college/university attended must be accredited by an agency recognized by the US Department of Education.

 

Category B

Category B programs include professional and scholarly activities. If you participate in speaking engagements, this activity could be counted once per topic. If an abstract and/or poster is connected to a presentation, CE credit can only be obtained for one activity or the other. If you’d like to use articles, textbooks, abstracts, home study programs and multimedia for your CE requirements, remember they must be published during the reporting period to receive CE credit.

Requirements
CPC Renewal
Minimum None
Maximum 26 CEUs if 40 CEUs due

13 CEUs if 20 CEUs due

POSSIBLE ACTIVITIES NUMBER OF CEUs
Program faculty/speaker at a conference/seminar that does not qualify for Category A Primary2=10 CEUs per topic
Secondary3=5 CEUs per topic
Panelist at a conference/seminar 5 CEUs per topic
Primary author of an article in a non-refereed journal4 5 CEUs per article
Author of an article in a refereed journal1,4 Primary=15 CEUs per article
Secondary=10 CEUs per article
Author of a published textbook1,4
  • CPC Renewal
    Primary=26 CEUs per book
    Secondary=16 CEUs per book
  • Legacy Renewal
    Primary=33 CEUs per book

    Secondary=20 CEUs per book
Contributing author of a published textbook1,4 10 CEUs per book
Author of a poster presentation – peer reviewed or refereed4 Primary=10 CEUs per presentation
Secondary=5 CEUs per presentation
Primary author of published multimedia material (CD ROM, audio or video)4 10 CEUs per publication
Participating member of a clinical research study team 10 CEUs per research project
Primary author of a home study program that does not qualify for Category A1 10 CEUs per home study course
Reviewer of a refereed publication 5 CEUs per publication (limit 10 CEUs per year)
Exam item writer5 5 CEUs per year of active item writing
Preceptor for a CAATE accredited athletic training program 5 CEUs per year (a minimum of 200 hours per calendar year)

1Does not qualify for Category A (does not address patient-oriented clinical research or translational research.)

2Primary faculty refers to the presenter of a conference/seminar who prepares the presentation.

3Secondary faculty refers to those who assist with conducting lectures, workshops or labs who must prepare based on the primary faculty’s instructions. A lead or assistant lab instructor falls under secondary faculty.

4The following explanations apply to publication activities:

  • Published: prepared for commercial distribution
  • Journal: a periodical containing scholarly articles and/or current information on research and development in a particular field
  • Refereed: the manuscript/document has been reviewed by an editor and one or more specialists prior to publication

5Includes BOC exam item writers and exam item writers for other health care professional exams.

 

Category C

In some cases, post certification college/university coursework can count for your CE requirements. College courses, including practicum courses (i.e. clinical and internship experiences) must be listed on an official transcript with assigned credit hours. A transcript will be requested if audited.

Teaching a college course is not acceptable for CE credit. Also, non-credit college courses are not acceptable for CE credit in Category C.

Requirements
CPC Renewal
Minimum None
Maximum 30 CEUs if 40 CEUs due

15 CEUs if 20 CEUs due

Learn More About Common Course Topics

 

Category D

Category D programs are reserved for a professional program that is sponsored by groups other than BOC Approved Providers. You can include activities that are offered by non-BOC Approved Providers. You can also view webinars, conferences, seminars, podcasts, multi-media, grand rounds, journal clubs, employee in-services (excludes orientation), and lunch and learns identified within the “Practice Analysis, 8th Edition“.

Requirements
CPC Renewal
Minimum None
Maximum 22 CEUs if 40 CEUs due

11 CEUs if 20 CEUs due

POSSIBLE ACTIVITIES NUMBER OF CEUs
Learning activities provided by non-BOC Approved Providers

  • Synchronous or asynchronous and delivered in a variety of methods (i.e., webinars, conferences, seminars, podcasts, multi-media, grand rounds, journal clubs, employee in-services (excludes orientation), lunch and learns
1 CEU per contact hour

 

Find BOC Approved Providers & Programs

Legacy Renewal

Legacy Renewal, the traditional method, requires ATs to complete a specific number of CEUs.

Legacy Renewal is not available for ATs Certified or Reinstated by Exam in 2026 or later. Those ATs should review the CPC Renewal requirements.

Certifiied Prior to 2026 – Legacy Renewal Requirements
50 CEUs Due

  • Minimum of 10 CEUs from Category A
  • 40 CEUs can be from any approved learning activity (Category A-D)
  • Alternative Learning Activities are optional

Continuing Education – Legacy Renewal

ATs must complete a predetermined number of continuing education units (CEUs) during the certification maintenance period. The current period ends January 31, 2028.

View Certification Renewal Handbook for Period Ending 1/31/28

 

Category A

Category A programs are available through BOC Approved Providers. If you’re interested in live events, think about attending workshops, seminars, conferences, webinars, or other events. If you prefer taking CE programs in the comfort of your own home or while on the road, there are home study programs available for your convenience.

Requirements
Legacy Renewal
Minimum 10 CEUs if 50 CEUs due
Maximum None
POSSIBLE ACTIVITIES NUMBER OF CEUs
Synchronous or asynchronous and delivered in a variety of methods (i.e., webinars, podcasts, multi-media, conferences) As awarded by provider
Post-certification coursework from a CAATE accredited athletic training post professional program 10 CEUs per credit hour
Graduate of a post-professional degree (e.g., PhD, EdD, DSc, DAT) may qualify if the scholarly product (e.g. dissertation, research project) has a narrow focus of athletic training3 10 CEUs if 40 CEUs required
5 CEUs if 20 CEUs required
Program faculty/speaker or author of Category A program (speaking engagements can be counted once per topic) Primary1=10 CEUs per topic
Secondary2=5 CEUs use per topic
CAATE accredited athletic training residency/fellowship 25 CEUs per year
Accredited medical or health care provider residency/fellowship with a focus closely related to athletic training. This may include, but is not limited to:

  • Medical residency for orthopedics, sports medicine, physical medicine and rehabilitation
  • Physical therapy
25 CEUs per year
Author of a peer-reviewed journal article or textbook chapter(s) addressing patient-oriented clinical research or translational research. This may include, but is not limited to:

  • Mechanisms of human disease
  • Therapeutic interventions
  • Clinical trials
  • Development of new technologies
  • Epidemiologic studies
  • Outcomes research
  • Health services research
  • Clinical epidemiology
  • Clinical prediction rules
  • Comparative effectiveness
  • Systematic reviews
  • Critically-appraised topics
Primary=15 CEUs per article/text
Secondary=10 CEUs per article/text
Competence Assessment Modules As awarded by BOC
Quality Improvement project 10 CEUs

1Primary faculty refers to the presenter who prepares the presentation.

2Secondary faculty refers to those who assist with conducting lectures, workshops or labs who must prepare based on the primary faculty’s instructions. A lead lab instructor would fall under secondary faculty.

3The college/university attended must be accredited by an agency recognized by the US Department of Education.

 

Category B

Category B programs include professional and scholarly activities. If you participate in speaking engagements, this activity could be counted once per topic. If an abstract and/or poster is connected to a presentation, CE credit can only be obtained for one activity or the other. If you’d like to use articles, textbooks, abstracts, home study programs and multimedia for your CE requirements, remember they must be published during the reporting period to receive CE credit.

Requirements
Legacy Renewal
Minimum None
Maximum 33 CEUs if 50 CEUs due
POSSIBLE ACTIVITIES NUMBER OF CEUs
Program faculty/speaker at a conference/seminar that does not qualify for Category A Primary2=10 CEUs per topic
Secondary3=5 CEUs per topic
Panelist at a conference/seminar 5 CEUs per topic
Primary author of an article in a non-refereed journal4 5 CEUs per article
Author of an article in a refereed journal1,4 Primary=15 CEUs per article
Secondary=10 CEUs per article
Author of a published textbook1,4
  • CPC Renewal
    Primary=26 CEUs per book
    Secondary=16 CEUs per book
  • Legacy Renewal
    Primary=33 CEUs per book

    Secondary=20 CEUs per book
Contributing author of a published textbook1,4 10 CEUs per book
Author of a poster presentation – peer reviewed or refereed4 Primary=10 CEUs per presentation
Secondary=5 CEUs per presentation
Primary author of published multimedia material (CD ROM, audio or video)4 10 CEUs per publication
Participating member of a clinical research study team 10 CEUs per research project
Primary author of a home study program that does not qualify for Category A1 10 CEUs per home study course
Reviewer of a refereed publication 5 CEUs per publication (limit 10 CEUs per year)
Exam item writer5 5 CEUs per year of active item writing
Preceptor for a CAATE accredited athletic training program 5 CEUs per year (a minimum of 200 hours per calendar year)

1Does not qualify for Category A (does not address patient-oriented clinical research or translational research.)

2Primary faculty refers to the presenter of a conference/seminar who prepares the presentation.

3Secondary faculty refers to those who assist with conducting lectures, workshops or labs who must prepare based on the primary faculty’s instructions. A lead or assistant lab instructor falls under secondary faculty.

4The following explanations apply to publication activities:

  • Published: prepared for commercial distribution
  • Journal: a periodical containing scholarly articles and/or current information on research and development in a particular field
  • Refereed: the manuscript/document has been reviewed by an editor and one or more specialists prior to publication

5Includes BOC exam item writers and exam item writers for other health care professional exams.

 

Category C

In some cases, post certification college/university coursework can count for your CE requirements. College courses, including practicum courses (i.e. clinical and internship experiences) must be listed on an official transcript with assigned credit hours. A transcript will be requested if audited.

Teaching a college course is not acceptable for CE credit. Also, non-credit college courses are not acceptable for CE credit in Category C.

Requirements
Legacy Renewal
Minimum None
Maximum 40 CEUs if 50 CEUs due
Learn More About Common Course Topics

 

Category D

Category D programs are reserved for a professional program that is sponsored by groups other than BOC Approved Providers. You can include activities that are offered by non-BOC Approved Providers. You can also view webinars, conferences, seminars, podcasts, multi-media, grand rounds, journal clubs, employee in-services (excludes orientation), and lunch and learns identified within the “Practice Analysis, 8th Edition“.

Requirements
Legacy Renewal
Minimum None
Maximum 28 CEUs if 50 CEUs due

 

POSSIBLE ACTIVITIES NUMBER OF CEUs
Learning activities provided by non-BOC Approved Providers

  • Synchronous or asynchronous and delivered in a variety of methods (i.e., webinars, conferences, seminars, podcasts, multi-media, grand rounds, journal clubs, employee in-services (excludes orientation), lunch and learns
1 CEU per contact hour

 

Find BOC Approved Providers & Programs

Continuing Competence

According to the National Commission for Certifying Agencies (NCCA), continuing competence is defined as  “demonstrating specified levels of knowledge, skills, or abilities throughout an individual’s professional career. Related to certification renewal, maintaining competence, and continuing education.” In line with this definition, the BOC CE requirements are intended to promote continued competence, development of current knowledge and skills and enhancement of professional skills and judgment not only at the time of certification but throughout their career. The BOC supports the ongoing professional development and renewal of BOC certification by:

  • Requiring reasonable and appropriate continuing education activities.
  • Encouraging the ongoing professional development of ATs.
  • Providing a standardized, objective and straightforward process for attaining and recording CE programs.

As a part of continuing competence, the BOC requires ATs to complete a predetermined number of continuing education units (CEUs) within a given time period. CE programs must be intended for credentialed health care providers and wellness professionals.

As information continually changes, it is important for professionals to learn the latest about athletic training. CE requirements are meant to ensure that ATs continue to:

  • Stay on the cutting edge in the field of athletic training.
  • Obtain current professional development information.
  • Explore new knowledge in specific content areas.
  • Master new athletic training-related skills and techniques.
  • Expand approaches to effective athletic training.
  • Further develop professional judgment.
  • Conduct professional practice in an ethical and appropriate manner.

BOC-Created CE Opportunities

Microcredential – Secondary School Mental Health Preparedness

The NATA–BOC Microcredential Series empowers athletic trainers with specialized, evidence-based education backed by credentialing rigor. It is a strategic partnership and joint initiative between the National Athletic Trainers’ Association (NATA) and the Board of Certification (BOC)—designed to set a new standard in continuing professional development.

This self-paced microcredential is designed to equip secondary school athletic trainers with essential knowledge and practical strategies to recognize, respond to and plan for mental health challenges among student-athletes. Through a combination of videos, research articles, discussions, and assessments, participants will gain a deeper understanding of athlete mental health and develop actionable skills to support holistic care.

Over the course of seven modules, you will explore topics including foundational mental health knowledge, ethical and legal considerations, communication strategies, stigma reduction, crisis intervention, emergency action planning and referral processes. The program emphasizes both professional reflection and real-world application.

Register Today – Course Access Begins December 1
Enrollment for the microcredential package is currently open. Participants will gain access to course materials and activities starting Dec 1.

Upon successful completion of all modules and a final assessment, participants will earn:

  • 10 CEUs
  • Certificate of Achievement
  • A digital badge issued by the BOC, recognizing your achievement and validating your specialized knowledge

Estimated Time to Complete:
1–2 months (flexible and self-paced to accommodate your schedule)

Additional Information:
Learners will have 12 months from the date of registration to complete this offering. Users who preregister will have 12 months from when course access opens on Dec 1, 2025. Modules must be completed in sequential order, and CEUs will be awarded only upon successful completion of all required components, including the final summative assessment. This offering is not available for non-certified students. Additional information can be found on the Microcredential FAQ page.

Learn More & Register

Quality Improvement (QI)

Complete a QI project to enhance your patient-centered care and outcomes. QI provides the framework to continuously and systematically evaluate Athletic Trainer’s healthcare delivery to improve their practice and quality of service for patients. These four-week projects provide a hands-on opportunity to apply a solution within your practice setting to a targeted quality problem. These projects involve short pre and post assessment items to help measure improvement. QIs address real problems in the workplace where the participant attempts to create real solutions that ultimately improves practice and patient outcomes.

Topic: Facility Principles

This quality improvement project focuses on facility principles, an important part of administration of any athletic training facility. Local, state and federal entities issue regulations and standards – which often overlap – to ensure the quality of facilities where health care services are delivered. You may not be aware of all regulations and best practices, which could open you up to increased exposure to liability. In this project, you will assess using the “BOC Facility Principles” to assemble baseline data of adherence to requirements. This evaluation will be followed by implementation of actions to address gaps in facility requirements. Finally, you will reflect and analyze the impact of your intervention.

Overview of FP Project

Project Time: 4 weeks, upon completion of this QI project 10 Category A CEUs will be issued.

Instructions:
  1. Track time spent preparing, implementing and reflecting on the project as you will be asked to report this time at the end
  2. Complete the worksheet below by following each week’s instructions and entering information as requested
  3. Identify and assemble personnel involved in your project
  4. Collect baseline data on an athletic training facility’s compliance with applicable regulations and best practices
  5. Define a goal, implement an improvement action
  6. Measure changes post-improvement action and reflect and summarize the impact of the intervention

Cost: 10 Category A CEUs for $30

Topic: Hand Hygiene

This quality improvement project focuses on hand hygiene, an important practice to reduce the spread of infection. Proper hand hygiene by health care providers will lead to decreased infections in patients. This four-week project includes implementation of a one question patient survey to gather baseline data. This step will be followed by implementation of an improvement process to increase the level of hand hygiene compliance in your setting. At the conclusion of the project, a final survey will measure change in improvement.

Overview of HH Project

Project Time: 4 weeks, upon completion of this QI project 10 Category A CEUs will be issued.

Instructions:
  • Track time spent preparing, implementing and reflecting on the project as you will be asked to report this time at the end
  • Complete the worksheet below by following each week’s instructions and entering information as requested
  • Identify and assemble personnel involved in your project
  • Collect baseline data on an athletic training facility’s compliance with applicable regulations and best practices
  • Define a goal, implement an intervention/improvement strategy
  • Measure changes post-intervention and reflect and summarize the impact of the intervention

Cost: 10 Category A CEUs for $30

Access Educational Opportunities

Competence Assessment Modules (CAMs)

Increase clinical expertise through professional article review and assessment

Topic: Cultural Literacy

Competence Assessment Modules (CAMs) provide meaningful learning in evolving areas of athletic training practice. Participating in the CAMs offers the ideal way for Athletic Trainers to identify areas of need for self-actualized learning. CAMs are also expected to increase the current foundation of knowledge, enhance clinical practice and improve patient care.
Cost: 3.5 Category A CEUs for $35

Topic: Mental Health

Competence Assessment Modules (CAMs) provide meaningful learning in evolving areas of athletic training practice. Participating in the CAMs offers the ideal way for Athletic Trainers to identify areas of need for self-actualized learning. CAMs are also expected to increase the current foundation of knowledge, enhance clinical practice and improve patient care.

  • The CAMs – Mental Health includes three modules:
    Identify Emergency Versus Non-Emergency Mental Health Issues
  • Emergency Action Plan
  • Psychological Adjustment to Injury (Essential Psychosocial Skills for the AT)

Cost: 7.5 Category A CEUs for $50

Access Educational Opportunities

Maintain Certification-Emergency Cardiac Care

According to the mission of the American Heart Association, Emergency Cardiac Care (ECC) programs are intended to reduce disability and death from acute circulatory and respiratory emergencies, including stroke, by improving the chain of survival in every community and in every health care system.

Athletic Trainers (ATs) must be able to demonstrate ongoing certification in ECC throughout the reporting period. Although continuing education units (CEUs) are not awarded for ECC certification, ATs need to be current with the ECC requirements throughout the reporting period. Full details of this category are located in the “Certification Maintenance Requirements.”

Requirements:
  • Documentation must be kept for two years after the reporting period has ended
  • The only acceptable documents are original certification cards, original certificates of completion or photocopies (front and back) of certification cards or certificates of completion
  • Online ECC courses are acceptable if skills are demonstrated and tested by a certified ECC instructor, a voice assisted manikin (VAM) or a visual assisted manikin. The in-person exam can include video technology.
  • The instructor and card holder must sign cards or certificates of completion if a QR code is not provided
  • Letters provided by instructors are not acceptable
ECC Must Include:
  • Adult CPR
  • Pediatric CPR
  • Second rescuer CPR
  • AED
  • Airway obstruction
  • Barrier devices (e.g., pocket mask, bag valve mask)
  • Demonstrated skills

*Online ECC courses are acceptable if skills are demonstrated and tested by a certified ECC instructor, a voice assisted manikin (VAM) or a visual assisted manikin. The in-person exam can include video technology.

Online ECC Courses

Online ECC courses are acceptable if skills are demonstrated and tested by a certified ECC instructor, a voice assisted manikin (VAM) or a visual assisted manikin.

The in-person test can include video technology. Examples of acceptable blended programs include:

AHA HeartCode® – students must attend a structured hands-on session with an AHA Instructor
ProTrainings LLC’s ProCPR – students must select the blended/hands-on option that requires a live instructor-led video conference

ACLS Certification Institute’s Advanced Cardiac Life Support is an example of an online ECC course that does NOT meet this requirement because it does not require skills to be demonstrated and tested.

ECC Providers

Acceptable ECC providers are those adhering to the most current “International Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care.” Please check with your ECC provider to confirm that the course includes all components.

Below is listed the current providers and courses offered.

American Heart Association: Resuscitation Quality Improvement Program (RQI), Advanced Cardiovascular Life Support (ACLS), Basic Life Support (BLS) Healthcare Provider, Basic Life Support (BLS) Provider, Basic Life Support (BLS) Instructor

American Red Cross: CPR/AED for the Professional Rescuer (CPRP), Basic Life Support (BLS) for Healthcare Providers, Advanced Life Support (ALS)

American Safety and Health Institute: Basic Life Support (BLS)

Emergency Care and Safety Institute: Health Care Provider CPR

National Safety Council: Basic Life Support (BLS) for Health Care and Professional Rescuers

Canadian Red Cross: First Responder CPR/AED HCP Level
Basic Life Support

Pre-Hospital Emergency Care Council (PHECC): Cardiac First Responder – Community Level, Cardiac First Responder – Advanced Level

Pro Training (with skills test): Healthcare Provider CPR/AED, Healthcare Provider (BLS) Adult, Child and Infant CPR/AED

American Health Care Academy (with skills test): Healthcare Provider CPR/BLS + Hands On Skills Evaluation

American CPR Care Association (with skills test): Healthcare Provider CPR/AED (BLS) + Hands On Skills Evaluation

Japan Athletic Trainers’ Organization: MFA CPR/AED

Heart & Stroke: Basic Life Support Provider

Japan Red Cross: Basic Life Supporter

Australia Wide First Aid: Basic Emergency Life Support and First Aid

Spain SEMICYUC: Basic Life Support and Automatic External Defibrillation

Australian Red Cross

155 Pelham Street
3053 Carlton VIC
Phone: (61) (3) 93451800
Fax: (61) (3) 93482513
Email: natinfo@redcross.org.au
Web: https://www.redcross.org.au/

Canadian Red Cross

170 Metcalfe Street
Suite 300
Ottawa, Ontario K2P 2P2
Phone: (1) (613) 7401900
Fax: (1) (613) 7401911
Email: cancross@redcross.ca
Web: https://www.redcross.ca/

German Red Cross

Generalsekretariat
Carstennstrasse 58
D – 12205 Berlin
Phone: (49) (30) 85404-0
Fax: (49) (30) 85404470
Email: drk@drk.de
Web: https://www.drk.de/

Pre-Hospital Emergency Care Council (PHECC) – Ireland

Abbey Moat House
Abbey Street
Naas, Co Kildare, W91 NN9V
Ireland
Phone: (045) 882070
Email: info@phecc.ie
Web: https://www.phecc.ie

Japanese Red Cross

1-3 Shiba Daimon
1-Chome
Minato-ku
Tokyo 105-8521
Phone: (81) (3) 34377087
Fax: (81) (3) 34358509
Email: kokusai@jrc.or.jp
Web: https://www.jrc.or.jp

Search Directory of International Red Cross and Red Crescent Societies

ECC Instructor Cards

The BOC accepts the American Heart Association BLS Healthcare Provider Instructor or American Heart Association BLS Instructor card. All other instructor cards are unacceptable unless the provider can confirm, in writing, that their instructors are required to maintain and successfully demonstrate provider skills to renew their instructor status.

Maintain Certification-Certification Renewal Fee

Every Athletic Trainer (AT) is required to pay an annual BOC certification renewal fee. The annual certification renewal fee supports the administrative, disciplinary, regulatory and professional development activities required of the BOC to retain NCCA accreditation and assure protection of the public. NCCA accreditation highlights the essential elements of a high-quality program and is necessary for continued recognition of ATs by employers and state regulators that identify the BOC exam and CE requirements in their state statutes, rules and regulations.

Requirements:
  • The BOC will waive the certification renewal fee for ATs who are certified in the same year the fee is assessed
  • The fee is non-refundable
  • To receive the NATA membership discount on your BOC certification maintenance fee, your NATA membership must be current and your member number must be entered in your BOC profile at the time of payment to receive the discounted fee.
  • ATs who are not NATA members, will receive notice at the beginning each year to pay the $65 certification maintenance fee by the end of that year.

FEE DEADLINES

NATA MEMBER

Fee: $50
Deadline Penalty If Not Paid By Deadline
2024 – Dec. 31, 2024 Remain certified and must pay $50 fee plus a $20 late fee by Feb. 2, 2026.
2025 – Feb. 2, 2026 Certification expires and must pay $50 fee plus a $20 late fee by March 2, 2026.

NON-NATA MEMBER

Fee: $65
Deadline Penalty If Not Paid By Deadline
2024 – Dec. 31, 2024 Remain certified and must pay $65 fee plus a $20 late fee by Feb. 2, 2026.
2025 – Feb. 2, 2026 Certification expires and must pay $65 fee plus a $20 late fee by March 2, 2026.

Maintain Certification-Standards of Professional Practice

Athletic Trainers are required to comply with the “BOC Standards of Professional Practice,” which consists of Practice Standards and the Code of Professional Responsibility.

Download BOC Standards of Professional Practice – Effective February 2026
Download BOC Standards of Professional Practice-Effective January 2024
Download BOC Standards of Professional Practice-Effective January 2022

Apply Standards

Liability Insurance – Code 6.3 of the Code of Professional Responsibility in the “BOC Standards of Professional Practice” states that an Athletic Trainer (AT): ‘Maintains adequate and customary professional liability insurance.”

ATs have the option of seeking liability insurance coverage through your own insurance provider. Otherwise, if you are a member of NATA, you can take advantage of their sponsored insurance plans. Learn more about NATA liability insurance coverage and managing your liability as a health care provider with the below resources.

Access NATA Liability Toolkit
Access NATA Professional Liability Insurance
Access NATA Preferred Providers
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