What is the COMPASS Exam?

Professional regulators are required to establish and monitor the competency of registrants for whom they are responsible. Common practices for regulators include assessment of knowledge concerning applicable legislation, establishment of good character through such investigations as a criminal record check and assessment of professional competency. The assessment of professional skills occurs on several levels:
  • You need to know that clients are interviewed.
  • You need to know how clients are interviewed.
  • You need to show how you would interview clients if someone asks.
  • You need to do interviews with actual clients.
In some professions such as medicine or physiotherapy, entry to practice practitioners are required to conduct mock interviews with actors as clients who have been trained to present a standardized set of symptoms typical of known medical conditions. The proposed diagnosis and the observed methods of interaction enter into the evaluation of the practitioner’s skill level. Such an evaluative process is very costly and many alternative approaches have been developed to try to capture the key components of interviewing a  standardized client without actually engaging with real clients. The COMPASS exam is an example of this approach.
The COMPASS test itself is an online, remotely proctored simulation style assessment that presents 10 to 12 realistic settings and clients for test candidates at the entry-to-practice level. This style of assessment allows for in-depth measurement of the candidate’s approach to handling the complexity of client issues without any risk to clients. Simulation-style assessments require the active participation of the candidate being tested. The candidate makes profession-based decisions and receives immediate feedback from the simulated client as in the real world. This particular style of assessment allows for broad sampling and documentation of the candidate’s performance in terms of multiple entry-to-practice competencies in combination with each other and across multiple contexts. The standardization of the tasks and their alignment to practical, real-world issues that bring people to therapy is another value-added feature of this style of assessment [1].
The simulated settings and clients contained in the exam are created by panels of experienced clinicians from many different schools of thought, who jointly agree that the simulation is representative of what an entry to practice psychotherapist might encounter. They also agree that the available choices of action which are provided include options which reflect the style of different modalities and schools of therapy and they agree on the helpfulness score for each choice, reflecting the competencies which underlie the simulation. Your score summed over the simulations determines whether you Pass or Fail the exam. Here is a (simplified) example of what a simulation might be like, with some introductory information about the client (Jane) and a series of choices which the psychotherapist might make. For each therapist action, there is a client response. In a separate column there is an indication of how that choice would influence the final test score.
[1] Paragraph adapted from content in “Canadian Professional Standard for Counselling and Psychotherapy Competency Assessment 2025: Relational Alignments to FACTBC Entry-to-Practice Publications.” Author: Compass Centre for Examination Development.

Simulation Example – an Intake Interview with Jane

Presenting problem: Jane was referred to the agency by her family doctor, who recommended psychotherapy to deal with her depression, instead of prescribing medication as Jane had requested.

Jane’s demographics and background information: age 37; mother of two teen daughters (the older has just been suspended from school for bullying); recently separated; has a full time job as a mortgage loan officer in the local bank (currently on indefinite stress leave).

The test taker is then given a set of possible actions (see table below) and chooses which they would do. After an action choice has been made, a “response by the client” is displayed on the computer screen, to provide the test taker with further information relevant to the client.

The table also shows the helpfulness score which the test developers have assigned to each choice (+3 is very helpful – good thing to do, 0 is neutral, -3 is very unhelpful – bad thing to do). These are the “competency points” that go towards your total score on the test.

Of course, the test taker doesn’t get this information about helpfulness while taking the test, but the client responses should help build a greater understanding and guide subsequent choices.

Therapist actionClient responseScore
You introduce yourself.Jane smiles a bit.+1
You ask Jane how she is feeling about her doctor’s unwillingness to prescribe antidepressants.Jane says she is disappointed and doubts working with you will help.-2
You ask what she thinks about your agency’s bad parking situation.Jane grimaces but doesn’t comment.-1
You inquire about her recent separation.Jane energetically describes how it came about.+2
You ask about visitation agreements for the daughters.Jane indicates that, sadly, the older daughter refuses to visit with father.+3
You ask Jane how often she cries at work.Jane is silent.-3
You ask Jane about her depressive symptoms.Jane sighs dismissively.0
You ask what Jane expected to have happen at this interview.Jane says “I thought you’d tell me what to do!”-1
You ask Jane about her use of recreational drugs.Jane clams up and refuses to answer your question.-2
You ask about Jane’s upbringing and her family of origin.Jane says her folks were not demonstrative of love, or any other emotion for that matter.+2
You encourage Jane to book another interview next week.Jane agrees and says she looks forward to it+2

This is not an actual example from the COMPASS exam system, but indicates how the content of the available choices provides information which allow the test taker to decide about next steps in the simulated interview. In the above simulation, focusing on Jane’s family issues is deemed more helpful than taking a more individualistic approach.

The test developers state that the exam is based on approximately 70% of the competencies which appear in the Competency Profile. It is understood that the remaining competencies are better evaluated in actual practice settings, and these are primarily going to be identified in the context of clinical supervision.

FACTBC suggested using the COMPASS exam in the Registration Process which was developed in 2017-18, when we were pursuing our own College. The model for registration included grandfathering for legacy practitioners and the thoroughly thought through competency based template for subsequent registration. The template was quite reliant on the development of a very strong tradition of Clinical Supervision for our profession.

To learn more, watch an overview video about the COMPASS Registration Exam published by College of Registered Psychotherapists of Ontario.

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