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Inspiring Excellence in Nursing Education


Course Description

Total Hours: 8

The FCN Clinical Refresher course is an 8 hour in-person clinical mentorship and evaluation course designed for experienced Foot Care Nurses (RN’s, NP’s, RPN’s & LPN’s) who wish to challenge and update their knowledge and skills in advanced and diabetic nursing foot care. The curriculum was developed by Foot Canada Training (formerly Foot Care Kingston) and is based on Part 2 (Clinical) of the FCN course. This course follows best practice guidelines and evidence-based practice and uses the Canadian Association of Foot Care Nurses’ National Competencies for Advanced Nursing Foot Care in Canada (2017) as exit competencies.

The FCN Clinical Refresher course is administered by Foot Care Nurse Educators, colleges and universities who have a license to access and use Foot Canada Training’s curriculum. Education providers teach and administer the FCN Clinical Refresher course independently from Foot Canada Training. Each education provider has access to the same standardized peer-reviewed education guidelines and suggested FCN Clinical Refresher Course Outline. Please visit the education provider page of the Foot Canada Training website for a list of FCN Educators and locations.

This is the suggested course outline for all FCN Clinical Refresher education providers. Sections of this course outline may be adjusted by the FCN Educator to meet local education needs. Students are invited to inquire directly with their FCN Educator to get a final version of the course outline for their location


  • FCN Part 1 - Applicants must start the FCN Clinical Refresher course within 12 months of having successfully completed Foot Canada Training’s FCN Part 1. Exceptions to the 12-month rule may be allowed in extenuating circumstances. Applicants are to contact their education provider to discuss their unique circumstances.
  • Non-restricted Nursing Registration/License - Applicants must hold a current non-restricted Nursing Registration/Licence (temporary or full) from the territory or province in which they will be taking the course.
  • Safety and Ethics – It is expected that nurses participating in this course will:
    • follow all applicable legislation;
    • use only the skills authorized within their scope of practice;
    • demonstrate the entry-to-practice competencies, practice standards and guidelines established by their provincial or territorial regulatory body. 

Nurses who fail to adhere to the above, resulting in safety and/or ethical concerns, will be removed from the course at the Educator’s discretion and marked as Incomplete. Re-entry to the course may or may not be possible based on the Educator's recommendations. Remedial assignment(s) and additional fees may be applicable. 

  • Insurance/ID- Each student will need to bring a printed copy of the following on the first day of class:
    • Proof of at least $2 million in personal protective insurance (malpractice insurance).
    • Current government issued photo ID.
  • CAFCN Membership - Applicants are required to be a current member of the Canadian Association of Foot Care Nurses (CAFCN)
  • Professional Reference - Applicants are required to have practised as a nurse for the last 2-5 years AND have a minimum of 750 nursing foot care practice hours within this timeframe. 

Required Reading

Students are expected to obtain the following:

  • Lazenby, Cindy. LM. (2017) Art & Science of Foot Care: A Clinical Resource for Nurses in Canada.
  • Canadian Association of Foot Care Nurses National Competencies for Advanced Nursing Foot Care in Canada (2017). Canada: CAFCN.


Students meeting the minimum passing grade requirement will be provided with a Certificate of Completion from their education provider.

FCN Clinical Refresher Course Exit Competencies

The 7 Domains of CAFCN’s National Competencies for Advanced Nursing Foot Care in Canada (2017)) are used as exit competencies for the FCN Clinical Refresher Course (see table below). Exit competencies consist of the minimum set of skills and knowledge required to competently practise as a Foot Care Nurse.


Evaluation is continuous and will consist of formative and summative methods, including step-by step guided-learning exercises and return demonstrations. There will be an emphasis on self-evaluation with the use of a personal learning plan, pre and post-tests and reflective practice.

Passing Grade- Students achieving a final grade of Satisfactory (S) are considered to have met the exit expectations and competencies for the FCN Clinical Refresher course at an entry level. 

Clinical Performance Evaluation


Absent for 1 hour or more - It is the student's responsibility to ensure that they arrive on time and attend the entire scheduled 8 hours of the course, as well as participate in all exercises in their entirety to receive a passing grade and certificate. Students will be marked as 'Incomplete' if missing a cumulative total of an hour or more. Students marked as 'Incomplete' may have to register to the FCN Clinical Refresher a second time to complete the course requirements. In exceptional circumstances, based on the Lead Educator's assessment, availability and location-specific policies, students who miss an hour of more of the course may be offered the possibility of remedial arrangements to make up the time missed. Additional fees may be applicable. The FCN Clinical Refresher certificate will only be issued once the student has participate in the full 8 hours required.

Interpretation of Final Grades

Final Grade Satisfactory (S) (Pass)

  • Competent - Meets expectations for exit competencies.
  • Recommendation - Practice within an agency with an onsite mentor or an easily accessible mentor, for a minimum of two years.

Final Grade Unsatisfactory (U) (Fail)  

  • Not CompetentDoes not meet exit competencies effectively or consistently. 
  • Recommendation - The student cannot practise foot care. Recommended to get remedial assistance prior to applying for re-entry to this course.         

Final Grade (Incomplete)

  • Not Competent– Student was absent for a portion of the course resulting in skill development and/or skill assessment being incomplete.
  • Recommendation - The student cannot practise foot care. Student must make remedial arrangements with their education provider or must re-take the FCN Clinical Refresher course. Note that additional fees may be applicable. The availability of remedial arrangements will be based on the education provider’s location-specific policies and procedures, the  Educator’s assessment of the student’s individual circumstances and the Educator’s availability to accommodate the student.

Clinical Refresher Lesson Plan (8 hrs)

Mentorship (1.5 hours) - Students will observe their FCN Educator or one of the FCN Preceptors performing one nursing foot care clinical appointment in a nursing lab or foot care clinical setting, including: risk assessments, treatment, development of individualized treatment plans, referrals and health education. 

Clinical Skills (6 hours) - This portion of the course is offered in a clinical care setting, where students will be expected to demonstrate advanced nursing foot care skills and required to complete risk assessments, treatment, develop individualized treatment plans, referrals and health education with 2-3 volunteer clients, per student group.

FCN Clinical Refresher Registration

Tuition for the Clinical Refresher is not included in tuition for Part 1. We strongly encourage all interested students to apply for FCN Clinical Refresher course during their first month of participating in Part 1. 

Please visit the education providerpage of the Foot Canada Training website for a list Foot Care Nurse Educators, colleges and universities with a license to teach the FCN Clinical Refresher course. 

We recommend that students get the following course information directly from their course educator prior to registering for this course:

Location-Specific Course Information

  • Course Outline
  • Course Dates and Registration Deadlines
  • Contact Information
  • Location(s)
  • Education Team Biographies
  • Registration Requirements and Process
  • Tuition
  • Tuition Refund, Course Cancellation and Waitlist Policy
  • Instruments and Supplies
  • Privacy and Confidentiality Standards
  • Dress Code
  • Unique Facility-Specific Policies and Procedures (including location-specific documents and forms, such as client confidentiality agreements).

Once location-specific documents and forms are reviewed, students must list the name of these forms/documents on the last page of this course outline and email a scan or clear copy of this page to their FCN Clinical Refresher course location.

Foot Canada Training Intellectual Property Policy

  • The Canada Copyright Act (R.S.C., 1985, c. C-42) protects all original literary, dramatic, musical and artistic work created in Canada or treaty countries, giving the author the sole "right to copy" (Canadian Intellectual Property Office, 2018). 

  • The Canadian Intellectual Property Office (2018) defines copyright as:

"In the simplest terms, "copyright" means "the right to copy." In general, copyright means the sole right to produce or reproduce a work or a substantial part of it in any form. It includes the right to perform the work or any substantial part of it or, in the case of a lecture, to deliver it. If the work is unpublished, copyright includes the right to publish the work or any substantial part of it." 
  • The content of Foot Canada Training's courses is copyrighted and cannot be copied, shared or published without written permission of Foot Canada Training's Director, Cindy Lazenby.

  • If written permission to copy, share or publish one of Foot Canada Training's original works is provided by Foot Canada Training's Director, proper reference to the author must be given when the work is used.

References used to develop this policy

FCN Refresher Course Student Declaration

As part of the registration process, students are to contact their education provider to request location-specific information, documents and forms that must be reviewed prior to registration. Once reviewed, students must complete the section at the bottom of the page and email a scan or clear copy of this page to their course location. 

Name of location-specific form/document reviewed                                                                              Date document last updated

1. _______________________________________________________________________                 ______________________

2. _______________________________________________________________________                 ______________________

3. _______________________________________________________________________                 ______________________

4. _______________________________________________________________________                 ______________________

5. _______________________________________________________________________                 ______________________

6. _______________________________________________________________________                 ______________________

7. _______________________________________________________________________                 ______________________

8. _______________________________________________________________________                 ______________________

9. _______________________________________________________________________                 ______________________

10. _______________________________________________________________________                 ______________________

In signing this document, I confirm that I have read this FCN Clinical Refresher Course Outline, reviewed the Policies and Procedures Manual for my location of choice and read all additional location-specific forms/documents listed above.


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Name                                                                  Signature                                                           Date