BOC Athletic Trainer Exam Pass Rate, Format & Study Guide

The BOC AT exam has 175 questions in four hours, and some of them are unscored. The BOC does not publish how many questions are scored or which item types appear. The exam follows the BOC Practice Analysis, 8th Edition (effective for the AT exam from March 2023), which has five domains: Risk Reduction, Wellness and Health Literacy (20%); Assessment, Evaluation and Diagnosis (25.6%); Critical Incident Management (20.8%); Therapeutic Intervention (25.6%); and Health Care Administration and Professional Responsibility (8%). The passing score is a scaled score of 500. The BOC candidate page lists an exam fee of US$375 for testing in the U.S. or Canada (the same for first-time and retake candidates) and says the BOC allows an unlimited number of retakes within one year of the date your exam results are posted.

BOC certification is the credential athletic trainers earn by passing this exam, and many employers and state regulators refer to it.

Athletic training students and recent graduates preparing for the BOC certification exam.

The certifying body does not publicly publish an official pass rate for this exam. Be wary of third-party sites citing a specific number here — treat any pass-rate claim you see elsewhere for this exam as unverified.

The BOC candidate page says it allows an unlimited number of exam retakes within one year of the date your exam results are posted; confirm the current policy with the BOC before you rebook.

The BOC reports a scaled score and the passing score is 500. A scaled score is not a percentage of correct answers, so the percent score in the portal practice exam is only a self-check. Format: 175 questions in four hours with some unscored; the portal practice exam uses 125 multiple-choice questions in 171 minutes at the same minutes-per-question pace, so it is shorter than the real test. No official pass rate is available for this exam, so none is quoted here.

The BOC AT exam has 175 questions in four hours, and some of them are unscored. The BOC does not publish how many questions are scored or which item types appear. The exam follows the BOC Practice Analysis, 8th Edition (effective for the AT exam from March 2023), which has five domains: Risk Reduction, Wellness and Health Literacy (20%); Assessment, Evaluation and Diagnosis (25.6%); Critical Incident Management (20.8%); Therapeutic Intervention (25.6%); and Health Care Administration and Professional Responsibility (8%). The passing score is a scaled score of 500. The BOC candidate page lists an exam fee of US$375 for testing in the U.S. or Canada (the same for first-time and retake candidates) and says the BOC allows an unlimited number of retakes within one year of the date your exam results are posted. 175 questions (some unscored) · 4 hours · scaled passing score 500 · Practice Analysis, 8th Edition. The BOC reports a scaled score and the passing score is 500. A scaled score is not a percentage of correct answers, so the percent score in the portal practice exam is only a self-check.

• Risk Reduction, Wellness and Health Literacy20%
• Assessment, Evaluation and Diagnosis25.6%
• Critical Incident Management20.8%
• Therapeutic Intervention25.6%
• Health Care Administration and Professional Responsibility8%

The content outline spreads questions across 5 areas: Risk Reduction, Wellness and Health Literacy (20.0%); Assessment, Evaluation and Diagnosis (25.6%); Critical Incident Management (20.8%); Therapeutic Intervention (25.6%); Health Care Administration and Professional Responsibility (8.0%).

The BOC candidate page says candidates must be enrolled in a CAATE-accredited athletic training program or be eligible through the BOC International Arrangement, and must meet the application deadline for the exam window. Read the current rules before you apply.

The BOC candidate page lists a US$375 exam fee for testing in the U.S. or Canada, a non-refundable exam application fee of US$75 (NATA members) or US$100 (non-members), and a higher fee for testing abroad. Confirm all amounts on the BOC site.

The BOC sets the recertification and continuing-education rules for certified athletic trainers; check the current rules on the BOC site.

Start with assessment and therapeutic intervention, then critical incident management and risk reduction, finish with health care administration, and use timed practice exams to build pacing.

This guide follows the BOC Practice Analysis, 8th Edition and the BOC candidate page, checked November 2, 2026. Fees and policies can change, so confirm them with the BOC.