An Advanced Practice Board Certified Chaplain (APBCC) has demonstrated advanced skills in the provision of and leadership in spiritual and chaplaincy care by successfully completing a standardized test of core knowledge derived from evidence-based quality indicators for spiritual care as well as a simulated patient exam that evaluates competency in direct patient care. APBCC chaplains have been trained and tested in standardized curriculum based on the latest evidence in areas including department management, HIPAA regulations, the assessment, diagnosis and treatment of spiritual distress, cultural competency, advance care directives, patient clinical care, staff support, grief, and bereavement among other essential topics.