Competency Assessment Supplement

CARE Centre’s Competency Assessment Supplement (CAS) Three-Day Workshop

CARE Centre has developed a comprehensive three-day workshop to assist CNO applicants with their CAS submission. Sessions are delivered several times a year.

Upon completion of the workshop, participants will be able to:

  • Identify the competencies related to the elements of communication, critical inquiry, problem solving, leadership, research, assessment, health promotion and ethical/legal/social/political considerations
  • Use the nursing process and critical thinking as a framework to structure CAS scenarios
  • Identify past experiences applicable to a scenario
  • Describe a rationale
  • Provide a rationale for each intervention and identify the competencies included in the scenario
  • Know the factors/questions to be considered in developing scenario
  • Develop CAS scenarios

For more information contact:
James Wilkie
Phone: 416-226-2800 x224


Frequently Asked Questions

What is a Competency Assessment Supplement?

A Competency Assessment Supplement (or CAS) is a document that you complete after the CNO has done an assessment of your nursing education and practice. If the CNO asks you to complete one, it means the CNO has identified gaps in your nursing knowledge, skill and judgment that must be addressed before you are eligible to be registered in Ontario. Completing a CAS gives you the opportunity to fill in those gaps by giving examples from your own nursing education and experience that show how you demonstrated those competencies in your day-to-day practice.

What else is assessed to meet the competency gaps?

If you have work experience as a nurse, then job descriptions forwarded to the CNO by employers are also assessed. Any additional nursing education (beyond your initial nursing program) is also used to assess your competencies. Essentially, any information sent to the CNO about your nursing education and practice is reviewed to determine if you have demonstrated the required knowledge, skill and judgment to practice in Ontario. If that assessment results in the CNO identifying competency gaps, then a CAS gives you the opportunity to address those gaps.

Why wasn’t my nursing education and experience enough?

Nursing education and standards of nursing competence differ from one country to the next, and they can also change over time. Because of this, applicants who completed a nursing program in another country may not have received an education equivalent to that of a recent Ontario nursing graduate. Similarly, if you completed your nursing program 20 years ago and you have not completed any additional education since that time, then it’s likely the knowledge you gained from that program did not prepare you with the same nursing knowledge, skills and judgment as that of a current graduate from an approved Ontario nursing program.

What happens if I decide that I don’t want to complete a CAS?

If you are asked to complete a CAS and refuse to do so, then the CNO will be unable to determine if you have met the nursing education requirement. If that happens, you can choose to either withdraw your application or submit it for review to the Registration Committee. The Committee may then decide one of two things: you do not meet the nursing education requirement (meaning your registration request will be refused) or you must complete the CAS.

CARE Centre’s Clinical, Career and Life Skills Workshops

CARE Centre offers many specialized workshops throughout the year on a range of topics. Some workshops are certification courses, such as CPR, others deal with nursing career topics, such as HIV Disclosure and the Law, and others focus on enhancing life skills such as Maintaining Your Psychological Well-being. Flyers for locations, times and costs will be posted regularly on the website for course open to IENs who are not members of CARE Centre.