Core Competencies for Stroke

CorHealth Ontario provides provincial leadership and planning for Ontario’s 11 Regional Stroke Networks (RSN) by measuring performance, partnering to achieve best practices and creating innovations for stroke prevention, care, recovery and community reintegration.

There is Level A Evidence that Stroke Unit care reduces the likelihood of death and disability by as much as 30% for men and women of any age with mild, moderate, or severe stroke. One of the key components of Stroke Unit Care is that the core interprofessional team should consist of healthcare professional with stroke expertise.1 Furthermore, Quality Based Procedures for Stroke recommend that interprofessional stroke teams across the continuum receive education and training to promote stroke expertise.2

The purpose of the framework is to provide health care professionals working in stroke with a clear, comprehensive way to achieve the core competencies needed for evidence based stroke care.

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


  • 1Casaubon, LK, Suddes, M, on behalf of the Acute Stroke Care Writing Group. (2013). Chapter 4: Acute Inpatient Stroke Care. In Lindsay, MP, Gubitz, G, Bayley, M, and Phillips , S (Editors) on behalf of the Canadian Stroke Best Practices and Standards Advisory Committee. Canadian Best Practice Recommendations for Stroke Care: Ottawa, Ontario Canada: Heart and Stroke Foundation of Canada, and the Canadian Stroke Network.
  • 2Ministry of Health and Long Term Care, Quality Based Procedures: Clinical Handbook for Stroke, March 2013. Retrieved from

Guide for using the Stroke Core Competency Frameworks

The 12 STEPS to Success:

(Designed for individual use but can be modified to accommodate a team approach)

  1. Review FAQs (
  2. Print the PDF Self-Rating Scale document (
  3. Choose your Discipline Specific Framework ( and look at each of the 16 competencies individually.
  4. Read through learning objectives for each competency considering the competency as a whole
  5. Using the printed Self-Rating Scale document, enter the number that most closely reflects your knowledge/skill/experience for each of the 16 competencies
  6. Highlight the ones with the lowest scores and start with these
  7. Work on one competency at a time (Please note that the amount of time required for completion will vary depending on individual circumstances and original knowledge base)
  8. Review the suggested resources to help you learn the content of the objectives for each competency (Note: Some of the resources are repeated as occasionally a particular reference is the best resource for multiple objectives)
  9. Complete the relevant evaluation section for each learning objective
  10. Document your new self-rating score and the date you completed each competency
  11. Keep a portfolio of your evaluations; this will assist you in meeting respective college requirements, help with identifying stroke specific learning goals for performance appraisals, and serve as an individual ongoing learning tool
  12. Celebrate your success!

Download the Guide here

For more information please contact

It is important that you start by self-rating your level of competency within each of the stroke core competency areas. This will help you to identify your specific educational needs.

You can start by printing off the self-rating scale here.

Look at each of the 16 competencies individually. Read through the learning objectives for each considering each competency as a whole. In the start date column, enter the number that most closely reflects your knowledge/ skill / experience with respect to each of the 16 competencies. This should result in 16 ratings, one for each competency. Highlight the ones with the lowest scores and start with these. It is suggested that within a one year period, you aim to accomplish a “7” (competency achieved) rating for all 16 competencies.

If you have additional questions, comments, or feedback about the Provincial Interprofessional Core Competency Framework, please contact

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Competency: The capability to apply or use a set of related knowledge, skills, and abilities required to successfully perform “critical work functions” or tasks in a defined work setting. Competencies often serve as the basis for skill standards that specify the level of knowledge, skills, and abilities* required for success in the workplace as well as potential measurement criteria for assessing competency attainment.