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Curriculum License

Onsite FCN Refresher Course Outline

Inspiring Excellence in Nursing Education

This version of the course outline has been abbreviated. The full suggested course outline is provided with the curriculum license.

Course Description

Total Hours: 8 (1 day)

The Foot Care Nurse (FCN) Clinical Refresher course is an 8 hour in-person clinical mentorship and evaluation course designed for experienced Foot Care Nurses who have successfully completed the Online Foot Care Nurse Theory course and want to update their advanced and diabetic nursing clinical foot care skills. 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 Clinical Performance Standards. The curriculum is based on the Onsite FCN Clinical Course.

Recommended Refresher Timeline - In accordance with the benchmark set by the Canadian Nurses Association of Canada for specialty certifications, we recommend that Foot Care Nurses update their skills and knowledge every 5 years by taking both the FCN Theory course and one-day FCN Clinical Refresher course. Although nursing foot care is not currently a certification, the 5-year benchmark set by CNA is most relevant guideline available at this time for nurses to update their specialty knowledge and skills.

Foot Canada Training FCN Clinical Refresher Course Curriculum – The FCN Clinical Refresher course was developed by Foot Canada Training and 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 of these education providers have access to the same standardized peer-reviewed education guidelines, teaching materials and suggested FCN Clinical Refresher Course Outline. Please visit the Clinical Education Providers' page of the Foot Canada Training website for a list of FCN Clinical education providers using the Foot Canada Training curriculum.

This is the suggested course outline for all FCN Clinical Refresher education providers with a license to use the Foot Canada Training Curriculum.


  • FCN Theory - Applicants must start the FCN Clinical Refresher course within 12 months of having successfully completed Foot Canada Training’s Online FCN Theory course.
  • Non-restricted Nursing Registration/License - Applicants must hold a current non-restricted Nursing Registration/License (temporary or full) from the territory or province in which they will be taking the course.
  • 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.
  • Lazenby, Cindy, L. M. (v. Jan 1, 2020). Onsite Foot Care Nurse Clinical Refresher Course: Student Guide. Nelson BC: Foot Canada Training Inc.

Clinical Performance Standards

The 7 Domains of CAFCN’s National Competencies for Advanced Nursing Foot Care in Canada (2017) are used as Clinical Performance Standards for the FCN Clinical Refresher course. Clinical Performance Standards consist of the minimum set of skills and knowledge required to competently practise as a Foot Care Nurse.

This course emphasizes professional accountability through resourceful and self-directed learning.  Skills and knowledge will be evaluated by the student and the Educator.

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.

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 (6.5 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.