ATC
Athletic Trainer Certification Examination (ATC)
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Cheat sheet
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ExploreAbout this exam
The Athletic Trainer Certification Examination - often called the ATC exam or the BOC exam - is the credentialing examination administered by the Board of Certification, Inc. (BOC) for individuals pursuing the Athletic Trainer, Certified credential. It is designed for students and graduates of CAATE-accredited athletic training education programs whose program director has confirmed their candidacy, and it sits within a wider athletic trainer life cycle that runs from initial certification through continuing education and renewal.
The exam samples entry-level professional competence across the full scope of athletic training rather than one specialty: prevention and wellness, clinical evaluation and diagnosis, immediate and emergency care, therapeutic intervention and rehabilitation, and the administrative and professional responsibilities that surround patient care. Expect clinically framed multiple-choice items that reward reasoning from a scenario over recall of isolated definitions, with emergency care and differential diagnosis producing many of the hardest items.
Preparation is best treated as a planned cycle: map the content areas against your coursework, take a full-length diagnostic to expose weak domains, then rotate practice questions, hands-on skill review (emergency procedures, taping, modality setup) and spaced review of anatomy, pharmacology and evidence-based practice. Verify current logistics - length, format, fees, scoring and retake rules - directly with the BOC, since published details change between exam cycles. This page is independent study material and is not affiliated with or endorsed by the BOC.
What you'll study
About ATC preparation
What is the ATC exam, and who administers it?
The ATC exam is the certification examination for athletic trainers, administered by the Board of Certification, Inc. (BOC), based in Omaha, Nebraska. Passing it is part of earning the Athletic Trainer, Certified credential. Note that the acronym 'ATC' is also used for unrelated programs such as air traffic control testing, so confirm you are looking at athletic training materials.
Am I eligible to sit for the exam?
Candidacy is tied to your education program. In the BOC's own wording, an individual must be confirmed by the recognized program director of the CAATE-accredited education program. If you are a student or recent graduate, your program director is the person who confirms eligibility, so start that conversation early in your final term.
How is the exam formatted and how long is it?
We could not verify current item counts, seat time, or delivery details because the BOC exam page did not load when this page was last reviewed. Do not rely on secondhand figures from older prep materials. Confirm the current format, appointment length, and any break policy through your BOC360 account or by contacting the BOC directly.
What score do I need to pass?
The passing standard is set by the BOC and is not something we can confirm from available source material. Rather than target a guessed percentage, aim for comfortable mastery of every content area, since a strong average can still hide a failing weakness in emergency care or administration. Your official score report will state the standard that applied.
What happens if I fail - can I retake it?
Retake rules, waiting periods, and any limits on attempts are set by the BOC and were not verifiable for this page. Policies change, so check your candidate handbook or BOC360 account before assuming a specific waiting window. In practice, candidates who fail usually need a diagnostic-driven study plan rather than simply repeating the same preparation.
How much time should I give myself to prepare?
Allow a few months of consistent, scheduled study rather than a last-minute cram, especially if you are finishing clinical rotations. Front-load a full-length diagnostic, then allocate the largest blocks to your two weakest content areas. Short, frequent sessions with spaced repetition retain better than long weekend marathons, and hands-on skill review needs its own time.
In what order should I study the content areas?
Start with a diagnostic rather than a syllabus. Study your weakest areas first while you still have time to fix them, then protect emergency care and clinical evaluation, which drive many difficult scenario items. Leave administration and professional responsibility for a dedicated later block - candidates often skip it and lose easy points there.
What are the most common failure modes?
Three recur: memorizing definitions instead of practicing scenario-based decision-making, neglecting emergency care and administrative content because it feels less familiar, and never simulating timed conditions. A fourth is studying only from notes you already know. Build question sets that force you to justify why each wrong option is wrong.
Where do I get official exam information?
Go to the BOC directly: bocatc.org, [email protected], or (402) 559-0091, with offices at 1411 Harney Street, Suite 100, Omaha, NE 68102. Candidates can log in through BOC360, where account access has recently changed - use the 'Forgot your password?' option if you have not yet accessed your new account.