OTC Task Analysis

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NBCOT Orthopaedic Technologist

Certified (OTC

)JOB ANALYSIS

Conducted on behalf of

The National Board forCertification of Orthopaedic Technologists

The Eugene B. Casey Building800 South Frederick Avenue

Suite 200Gaithersburg, MD 20877-4150

(301) 990-7979Fax (301) 869-8492

by

Randy Becraft, M.S.Thomson Prometric350 S. 400 W. #200Lindon, Utah 84042

April 2005


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i

Acknowledgments

We would like to thank the individuals who provided invaluable assistance throughout the conduct of the

NBCOT Orthopaedic Technologist Certified (OTC) Job Analysis for the National Board for Certification of

Orthopaedic Technologists.

Jeff Virgo, Chairman of the Certification Committee provided invaluable guidance throughout the study.


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ii

TABLE OF CONTENTS

TABLE OF CONTENTS .................................................................................................................................... II

EXECUTIVE SUMMARY ............................................................................................................................... III

CONDUCT OF THE JOB ANALYSIS. .....................................................................................................................III

SUMMARY. ........................................................................................................................................................III

INTRODUCTION ................................................................................................................................................ 1

METHOD .............................................................................................................................................................. 3

CONDUCT OF PLANNING MEETINGS................................................................................................................... 3CONDUCT OF THE JOB ANALYSIS MEETING. ...................................................................................................... 3FINAL REPORT OF THE JOB ANALYSIS MEETING. .............................................................................................. 3

TASK FORCE MEETING DOCUMENTATION ............................................................................................ 4

TEST DEFINITION FOR THE NBCOTORTHOPAEDIC TECHNOLOGIST CERTIFIEDEXAMINATION .................. 4REVIEW OF THE 1995ROLE DELINEATION STUDY ............................................................................................ 4

DEVELOPMENT OF TEST SPECIFICATIONS FOR THE NBCOT OTC EXAMINATION ................ 5

EXAMINATION SECTION WEIGHTING ................................................................................................................. 5TEST OBJECTIVE WEIGHTING............................................................................................................................. 5

SUMMARY AND CONCLUSIONS ................................................................................................................... 6

APPENDIX A ......................................................................................ERROR! BOOKMARK NOT DEFINED.

APPENDIX B ....................................................................................................................................................... 7

APPENDIX C ..................................................................................................................................................... 11


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NBCOT Orthopaedic Technologist Certified(OTC) Job Analysis iii

Executive Summary

The National Board for Certification of Orthopaedic Technologists commissioned a Job Analysis throughThomson Prometric in early 2003. As described by NBCOT, the Orthopaedic Technologist Certified (OTC)

certification serves the public interest by developing, administering, and continually reviewing a certification

process that reflects current standards of competent practice in orthopaedic technology thereby protecting the

public by assuring that individuals are at the appropriate level of competency required for practice.

A job analysis is designed to obtain descriptive information about the tasks performed in a job and the

knowledge needed to adequately perform those tasks. The purpose of the NBCOT OTC Job Analysis was to:

Review and update the list of the tasks and knowledge related to work performed by NBCOT practitioners; Develop test specification recommendations for the NBCOT OTC Examination.NBCOT will use the results of the study to ensure that its OTC Examination and certain other initial and

renewal certification requirements continue to be based on validated tasks and knowledge important to the

work performed by NBCOT practitioners.

Conduct of the Job Analysis.

The Job Analysis consisted of a Task Force Committee meeting where the current testing domain was

examined, updated, and a test specification completed. The successful outcome of the Job Analysis was

dependent on the excellent information provided by NBCOT practitioners.

The NBCOT Orthopaedic Technologist Certified (OTC) Examination 1995 Role Delineation Study wasthe basis for the 2003 Job Analysis.

A Task Force Committee comprised of NBCOT professionals reviewed and revised:1) the Test Definition Document

2) the 1995 Role Delineation Studys tasks and knowledge

3) the test specification

A listing of the Task Force Committee is contained in Appendix A.

Summary.

The Job Analysis process allowed for input from a representative group of NBCOT professionals and was

conducted within the guidelines of professionally sound practice. The results of the Job Analysis can be used by

the NBCOT Board to develop a new version of the NBCOT OTC

Examination, as well as for other purposes

such as curriculum development, communication of examination requirements to potential test candidates, and

for item development.


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NBCOT Orthopaedic Technologist Certified(OTC) Job Analysis 1

INTRODUCTION

he National Board for Certification of Orthopaedic Technologists (NBCOT) fosters professional

standards in orthopaedic technology so that the public values, has access to and benefits fromcompetent and ethical orthopaedic technology. NBCOT is a not-for-profit credentialing agency that has

provided certification for the Orthopaedic Technology profession for over twenty years.

The National Association of Orthopaedic Technologists (NAOT) formed the NBCOT in 1982 to credentialthose persons with proven measurable knowledge and experience as Orthopaedic Technologists.

The NBCOT Certification Examination for Orthopaedic Technologists measures entry-level knowledge and

skill in Orthopaedic Technology. Credentialing is achieved initially by a 150 question Certification

Examination and subsequently by accumulating Continuing Education Units (CEUs) or by retaking the

examination. As of 2004 over 5,000 Orthopaedic Technologists have been certified by the NBCOT.

The examination is a criterion-referenced examination, meaning it is designed to assess what a particular

candidate knows or can do and not how the candidate performs in relation to an outside reference group. The

examination is based on a job analysis, or a very detailed job description of the profession of an Orthopaedic

Technologist, which is used to determine the examination content. NBCOT reviews and revises the job

analysis periodically to determine its continued relevance to the practice of Orthopaedic Technology. NBCOT

solicits questions for the examination item banks from Certified Orthopaedic Technologists, OrthopaedicPhysicians, and other professionals who have expertise in the areas that are measured on the examination. Thecertification examination is reviewed and revised by the NBCOT annually.

To fulfill aspects of its credentialing mission, NBCOT contracted with Thomson Prometric to conduct a Job

Analysis in 2003 to ensure that their NBCOT Orthopaedic Technologist Certified (OTC) Examination

reflects the most important and current practices in the work performed by Orthopaedic Technologists.

The major purpose of the Job Analysis was to verify and update the existing domain for the examination that is

important for competent performance by Orthopaedic Technologists practitioners.

This report describes the Job Analysis including the:

rationale for conducting the study, methods used to define job-related tasks and topics; and, the weighting of the test objectives for the domainJob Analysis and Adherence to Professional Standards.

A job analysis refers to procedures designed to obtain descriptive information about the tasks performed on a

job and/or the knowledge, skills, or abilities thought necessary to adequately perform those tasks. The specific

type of job information collected for a job analysis is determined by the purpose for which the information willbe used.

For purposes of developing licensure and certification examinations, a job analysis should identify important

activities, knowledge, skills, and/or abilities.

The use of a job analysis (also known as practice analysis, role delineation, role and function study) to define

the content domain is a critical component in establishing the content validity of licensure and certification

examinations. Content validity refers to the extent to which the content covered by an examination overlaps

with the important components of a job (tasks, knowledge, skills, or abilities).

A well-designed job analysis should include the participation of a representative group of subject-matter

experts who reflect the diversity within the job. Diversity refers to regional or job context factors and to

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subject-matter expert factors such as experience, gender, and race/ethnicity. Demonstration of content validity

is accomplished through the judgments of subject-matter experts.

The Standards for Educational and Psychological Testing1

(1999) (The Standards) is a comprehensive

technical guide that provides criteria for the evaluation of tests, testing practices, and the effects of test use. It

was developed jointly by the American Psychological Association (APA), the American Educational ResearchAssociation (AERA), and the National Council on Measurement in Education (NCME). The guidelines

presented in TheStandards, by professional consensus, have come to define the necessary components of

quality testing. As a consequence, a testing program that adheres to The Standards is more likely to be judged

to be valid and defensible than one that does not.

As stated in Standard 14.14,

The content domain to be covered by a credentialing test should be defined clearly and justified in termsof the importance of the content for credential-worthy performance in an occupation or profession. A

rationale should be provided to support a claim that the knowledge or skills being assessed are required for

credential-worthy performance in an occupation and are consistent with the purpose for which the

licensing or certification program was institutedSome form of job or practice analysis provides theprimary basis for defining the content domain (p.161)

The NBCOT OTC Examination Job Analysis was designed to follow the guidelines presented in The

Standards and to adhere to accepted professional practice.

1 American Educational Research Association, American Psychological Association, National Council on Measurement in Education. (1999). The

standards for educational and psychological testing. Washington, DC: American Psychological Association.


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Method

his section describes the activities of the 2003 NBCOT Job Analysis.

Conduct of Planning Meetings

Several planning meetings were held with Jeff Virgo, Chairman of the Certification Committee for NBCOT,

and Thomson Prometric Test Development staff. In these meetings the overall strategy for the Job Analysis was

discussed, the Test Definition Document, its purpose and constituent parts was explained, and an initial review

of the draft of the Test Definition Document was completed.

Conduct of the Job Analysis Meeting.

Thomson Prometric staff sent a pre-meeting mailing to the Task Force that included a document describing the

Job Analysis and the role of the Task Force Committee, an agenda, and procedures for reviewing and revising

the tasks and topics. The Task Force Committee members were advised they would be reviewing the 1995

NBCOT Role Delineation Study and updating that document during the meeting.

Activities conducted during the one-day in-person meeting included reviewing and revising the:

proposed Test Definition Document 1995 Role Delineation Study content weighting document for the test specificationFinal Report of the Job Analysis Meeting.

Thomson Prometric staff prepared this final report to document the process steps and outputs of this Job

Analysis.

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Task Force Meeting Documentation

he documentation from the Task Force Meeting is explained and presented in this section.

Test Definition for the NBCOT Orthopaedic Technologist Certified Examination

The Standards recommend that the test should begin with a very clear definition of its purpose, the audience

intended, and the scope of the test.

Standard 1.2 states:

The test developer should set forth clearly how test scores are intended to be interpreted and used. Thepopulation(s) for which a test is appropriate should be clearly delimited, and the construct that the test is

intending to assess should be clearly described. (p. 17)

Additionally, Standard 3.2 states:

The purpose(s) of the test, definition of the domain, and the test specifications should be stated clearly sothat judgments can be made about the appropriateness of the defined domain for the stated purpose(s) of the

test and about the relation of items to the dimensions of the domain they are intended to represent. (p. 43)

Thomson Prometric created a Test Definition Document for the NBCOT OTC

examination. This documentclearly delineates all of the necessary elements of the examination and is used throughout the process to ensure

that the domain described and the test items created meets the intended purpose of the examination definition.

Prior to the conduct of the Job Analysis workshop with NBCOT, a template of the Test Definition Document

was sent to Jeff Virgo. Jeff completed the document and then Thomson Prometric reviewed it prior to the

workshop.

During the workshop the Test Definition Document was reviewed by the entire group of subject-matter experts

and finalized after some minor changes. The Test Definition Document is found in Appendix B.

Review of the 1995 Role Delineation Study

After the subject-matter experts approved the Test Definition Document, the next activity was to review the

tasks and knowledge for the test.

The 1995 Role Delineation Study was approximately ten years old at the time of this work with the NBCOT. In

that ten years very little had changed in the industry and NBCOT felt that there would be few major changes to

the testing domain resulting from the 2003 Job Analysis.

The subject-matter experts reviewed the tasks and knowledge for the 1995 Role Delineation Study, madechanges as needed, deleted some tasks and knowledge and added a few new elements that have changed in the

past years.

The one major change was the elimination of all of Section 2: Practice Management. The majority of candidate

complaints about the current test were about this section. The information in this section generally is specific to

an individual practice, and these practices can vary significantly region to region.

The finalized 2003 Job Analysis for the NBCOT Orthopaedic Technologist Certified (OTC) examination is

provided in Appendix C.

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DEVELOPMENT OF TEST SPECIFICATIONS FOR THE NBCOTOTC

Examination

est specifications were developed during the workshop by the subject-matter experts present. Thomson

Prometric uses a test blueprint template to provide a structured exercise for the subject-matter experts to

create the finalized test specification. This exercise consists of two parts: a section weighting and a test

objectives weighting.

Examination Section Weighting

As a preliminary step to finalizing the test specification, the participants each propose a percentage of theexamination that should be applied to each of the sections. The group average is then reviewed and a final

section weighting agreed to by the group. The test section weighting provides the overall weighting by domain

(section). The test specification is then weighted at the test objective level and provides the final specification

for item writing.

The following chart shows the group average and proposed group percentage to allocate to each section.

Section / NameGroup

Average

Consensus

GroupAverage

Section 1: Assessment 30.00 40%

Section 2: Practice Management (Section deleted) 0 0

Section 3: Casting, Splinting, and Orthopaedic Appliances 41.42 40%

Section 4: Traction 14.29 10%

Section 5: Surgery 14.29 10%

TOTAL 100.00 100.0%

Test Objective Weighting

The next step in the weighting process was to review each of the test objectives and assign the number of test

items that will be written to each of the objectives. This was done through a group activity with the facilitatorasking if the weight listed for each test objective properly represents the importance that should be assignedto each objective in the final form of the examination.

The group reviewed each test objective in the test specification and a number was assigned for total test items

to be written to that objective. The total of the items to be written equals 150, the current number of test items.

The finalized test specification for the OTC

Examination is provided in Appendix D.

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SUMMARY AND CONCLUSIONS

he NBCOT Orthopaedic Technologist Certified (OTC) Examination Job Analysis was conducted to:

1) Validate the test definition for the NBCOT Orthopaedic Technologist Certified (OTC) Examination.2) Review and validate the tasks and topics important in the work performed by NBCOT practitioners.3) Create a test specification to will be used to develop a new version of the OTC Examination.

The results of the study can be used as a foundation of validated information for the development of a new

version of the OTC Examination.

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Definition Document for the NBCOT Orthopaedic Technologist Certified

(OTC)

Test Title:

Orthopaedic Technologist Certification

Credential Name:

Orthopaedic Technologist Certified (OTC)

Test Purpose:This test will certify that the successful candidate has important knowledge necessary to perform all duties

required by an NBCOT Orthopaedic Technologist Certified (OTC)

Intended Audiences (Job Roles) for the Credential:

What are the job roles of the intended audiences for the credential(s) listed above?

What are the major job responsibilities of each of these intended audiences?

Job Role Major Job Responsibilities (bullets for each role)

Orthopaedic Technologists Casting Splinting Bracing Patient Assessment Surgery Traction

Athletic Trainers

Cast Technicians

X-Ray Technicians

OPA/PA-Cs

Certification Program Path Description:

Describe the certification program track where this test resides by filling in the table cells. This table should

represent the path a person takes to achieve certification. You should consider including the following:

KNOWLEDGE or EXPERIENCE required before starting the track. Required or recommended COURSES (indicate which).

Required or recommended WORK EXPERIENCES (indicate which). Other TESTS that are part of the track. CREDENTIALS awarded while progressing through the track.To prepare for this examination you should have completed one of the following tracks to certification:

A. Two-year on the job, full-time experience in orthopaedics

B. Completion of an Orthopaedic Technologist school/program, plus six months full-time equivalent

experience on orthopaedics.

C. Completion of a NAOT-recognized Orthopaedic Technologist school/program.

D. Certified on orthopaedic-related filed and an minimum of one year experience on orthopaedics

E. Certified as an ATC (Athletic Trainer Certified) with a minimum of six months experience on

orthopaedics.

Domain Covered by the Test:

What major topics or issues should be covered by the test?

All tasks and topics listed in the 2003 NBCOT Orthopaedic Technologist Certified (OTC)Job Analysis


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What products or technologies should be covered by the test?

NONEIs the test domain limited to one or more courses or documents?

If No, skip this section

If Yes, list the specific documents

The 2003 NBCOT Orthopaedic Technologist Certified (OTC) Job AnalysisWhat major tasks and topics should be assumed but NOT tested? This examination will not test the skills in assessment, casting, splinting, and orthopaedic appliances,

traction, or surgery, but will test knowledge of all of these primary domains, including assumed knowledge

of anatomy and physiology, medical terminology, and x-ray identification.

Knowledge of OSHA Standards will be assumed but not tested.What major tasks and topics are related to the test but are NOT relevant to the test domain? (e.g. project

management, customer satisfaction skills, etc.)

Practice Management Billing Scheduling

Inventory/Supplies Product evaluation

Description of the clearly qualified, borderline qualified and clearly not qualified candidates:

In order to establish the level of competence required by this test, it is important to define candidates who are

clearly qualified, borderline qualified, and clearly not qualified to pass the test.

Clearly qualified candidates are those possessing the knowledge and skills desired of passing candidates

Borderline qualified candidates are those persons who are neither clearly qualified nor clearly unqualified

to pass the examination

Informed but clearly not qualified candidates are those not possessing the knowledge and skills desired of

passing candidates.

Please first review the test purpose and then in the table below provide a description of the skills and/or

knowledge of each candidate type.

Type of Candidate Description of Candidate

Clearly Qualified Can work without supervision in all aspects of the Orthopaedic Technologist

field as defined by the 2003 NBCOT Orthopaedic Technologist Certified

(OTC) Job Analysis.

Can supervise other Technologists.

Can teach or instruct other Technologist.

Borderline Qualified Can work with limited supervision in all aspects of the Orthopaedic

Technologist field as defined by the 2003 NBCOT Orthopaedic Technologist

Certified (OTC) Job Analysis.

Does not supervise other Technologist.

Does not teach or instruct other Technologists.

Informed but Clearly

Not Qualified

Must be supervised by a clearly qualified Technologist in all aspects of the

Orthopaedic Technologist field as defined by the NBCOT Orthopaedic

Technologist Certified (OTC) Job Analysis.

Test Modules:

Which of the following methods will be used for this test?


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Examination delivered and scored by computer

To include hot start tools such as calculator, Excel, etc.

To include simulations of actual environment

To include lab performance in actual environment through intranet/Internet

Essay with human scorers

Live performance with human scorers

Oral with human questionersLab performance with human scorers

Paper-pencil examination

Will this test point have more than one separately scored module?

Yes

No

If so, how will the modules be organized?

The candidate must pass each module in order before passing the test.

The candidate must pass all modules in any order before passing the test.

The candidate must achieve a combined passing score across all modules before passing the test. TestStakeholders:

What persons or organizations will be served by this test? Specify stakeholder representatives who will be

involved in the test content development and objectives creation.

Person or Organization Representative

NBCOT All Board Members

NAOT General Membership

Athletic Trainers Individuals

X-Ray Technologists Individuals

OPA/PA-C Individuals

Important Test Information:

What written sources can be used to develop and document test questions?

Orthopaedic Texts and Reference Materials 2003 NBCOT Orthopaedic Technologist Certified (OTC) Job AnalysisWhat reference materials or other tools will be made available to the client at the testing center? (Specify

materials that will be made available. If none, indicate NONE.)

NoneIn which geographical areas will the test be available?

AllInto which languages will the test be translated? (Specify languages. If English only, indicate NONE).

Eventually Spanish


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Appendix B

NBCOT Orthopaedic Technologist Certified (OTC)

2003 Job Analysis


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Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions

1. Section 1 Assessment1.1. Interview patient and family in order to obtain a complete

history of the patient's complaints/condition by using

effective interviewing techniques.

1.1.1. Knowledge1.1.1.1.

Orthopaedic anatomy1.1.1.2.Orthopaedic physiology

1.1.1.3.Medical terminology1.1.1.4.Orthopaedic conditions1.1.1.5.Orthopaedic complications1.1.1.6.Interviewing techniques1.1.1.7.Diagnostic procedures1.1.1.8.Proper patient charting

1.1.2. Skills1.1.2.1.Written and verbal communication

1.2. Conduct physical examination of the patient in order toprovide pertinent information to the surgeon by using

standard examination techniques.1.2.1. Knowledge

1.2.1.1.Orthopaedic anatomy1.2.1.2.Orthopaedic physiology1.2.1.3.Medical terminology1.2.1.4.Orthopaedic conditions1.2.1.5.Orthopaedic complications1.2.1.6.Proper patient charting1.2.1.7.Universal precautions

1.2.2. Skills1.2.2.1.Performing physical examination1.2.2.2.Written and verbal communication

2. Section 2 Practice Management DELETEDNOTE: The entire Section 2: Practice Management, was deleted by the group. This section did not

represent knowledge that is applied in the key roles the Orthopaedic Technologist performs with

patients.

2.1. Coordinate patient flow by scheduling procedures andwork assignments in order to expedite evaluation and

treatment.

DELETED

2.2. Complete billing form by providing sufficient informationto process the patient with billing and insurance

information.

DELETED

Inventory and order supplies by using the appropriate

techniques in order to ascertain the number and kind of

supplies needed for replacement.

DELETED

2.3. Evaluate products of different vendors in order to befamiliar with new products by having on-site

demonstrations.

DELETED

2.4. Follow Occupational Safety and Health Administration(OSHA) guidelines by using accepted techniques in order

to ensure office safety.

DELETED

3. Section 3 Casting, Splinting, and Orthopaedic Appliances3.1. Apply upper extremity cast/splint to patient in order to

comply with physician's orders by using accepted


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casting/splinting practices and techniques.

3.1.1. Knowledge3.1.1.1.Orthopaedic anatomy3.1.1.2.Orthopaedic physiology3.1.1.3.Medical terminology3.1.1.4.Anatomical position3.1.1.5.Orthopaedic condition3.1.1.6.All upper extremity casts/splints3.1.1.7.Type of upper extremity cast/splint applicable

to the specific orthopaedic condition requiring

treatment

3.1.1.8.All casting/splinting materials3.1.1.9.Specific orthopaedic equipment3.1.1.10. Padding techniques3.1.1.11. Molding techniques3.1.1.12. Trimming techniques3.1.1.13. Casting/splinting complications3.1.1.14. Proper patient charting3.1.1.15. Universal precautions

3.1.2. Skills3.1.2.1.Written and verbal communication3.1.2.2.Positioning patient3.1.2.3.Applying/casting/splinting materials3.1.2.4.Trimming3.1.2.5.Molding

3.2. Apply lower extremity cast/splint to patient in order tocomply with physician's orders by using accepted

casting/splinting practices and techniques.

3.2.1. Knowledge3.2.1.1.Orthopaedic anatomy3.2.1.2.Orthopaedic physiology3.2.1.3.Medical terminology3.2.1.4.Anatomical position3.2.1.5.Orthopaedic condition3.2.1.6.All lower extremity casts/splints3.2.1.7.Type of lower extremity cast/splint applicable

to the specific orthopaedic condition requiring

treatment

3.2.1.8.All casting/splinting materials3.2.1.9.Specific orthopaedic equipment3.2.1.10. Padding techniques3.2.1.11.

Molding techniques3.2.1.12. Trimming techniques

3.2.1.13. Casting/splinting complications3.2.1.14. Proper patient charting3.2.1.15. Universal precautions

3.2.2. Skills3.2.2.1.Written and verbal communication3.2.2.2.Positioning patient3.2.2.3.Applying/casting/splinting materials3.2.2.4.Trimming


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3.2.2.5.Molding3.2.2.6.Applying weight-bearing surface

3.3. Apply torso cast/splint to patient in order to comply withphysician's orders by using accepted casting/splinting

practices and techniques.

3.3.1. Knowledge3.3.1.1.

Orthopaedic anatomy3.3.1.2.Orthopaedic physiology

3.3.1.3.Medical terminology3.3.1.4.Anatomical position3.3.1.5.Orthopaedic condition3.3.1.6.All upper extremity casts/splints DELETED3.3.1.7.Type of torso cast/splint applicable to the

specific orthopaedic condition requiring

treatment (added)

ADDED


3.3.2. Skills3.3.2.1.Written and verbal communication3.3.2.2.Positioning patient3.3.2.3.Applying/casting/splinting materials3.3.2.4.Trimming3.3.2.5.Molding

3.4. Apply specialty cast/splint to patient in order to complywith physician's orders by using accepted casting/splinting


3.4.1. Knowledge3.4.1.1.Orthopaedic anatomy3.4.1.2.Orthopaedic physiology3.4.1.3.Medical terminology3.4.1.4.Anatomical position3.4.1.5.Orthopaedic condition3.4.1.6.All Upper Extremity casts/splints DELETED3.4.1.7.Type of specialty cast/splint applicable to the

specific orthopaedic condition requiring

treatment (added)

ADDED


3.4.2. Skills


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3.4.2.1.Written and verbal communication3.4.2.2.Positioning patient3.4.2.3.Applying/casting/splinting materials3.4.2.4.Trimming3.4.2.5.Molding3.4.2.6.Applying weight-bearing surface (i.e., contact

cast)3.4.2.7.Applying appropriate apparatus as specific to

specialty cast/splint (i.e., hinges, turnbuckles,

etc.)

3.5. Utilize cast/splint removal equipment to perform specificprocedures in order to comply with physician's orders by

using accepted practices and techniques.

3.5.1. Knowledge3.5.1.1.Orthopaedic anatomy3.5.1.2.Medical terminology3.5.1.3.All cast/splint removal equipment3.5.1.4.Materials used in application of cast/splint3.5.1.5.Removal techniques3.5.1.6.Wedging techniques3.5.1.7.Windowing techniques3.5.1.8.Uni/bivalving techniques3.5.1.9.Proper patient charting3.5.1.10. Universal precautions

3.5.2. Skills3.5.2.1.Written and verbal communication3.5.2.2.Windowing, removing, uni/bivalving, and

wedging

3.5.2.3.Maintaining cast/splint removal equipment3.6. Apply orthopaedic devices to patient in order to comply

with physician's orders by ensuring proper fit/placement.3.6.1. Knowledge

3.6.1.1.Orthopaedic anatomy3.6.1.2.Orthopaedic physiology3.6.1.3.Medical terminology3.6.1.4.Orthopaedic devices (i.e., soft goods, electrical

stimulation, CPM, etc.)

3.6.1.5.Ambulatory aids3.6.1.6.Ambulatory gait techniques3.6.1.7.Orthopaedic conditions3.6.1.8.Orthopaedic complications3.6.1.9.

Universal precautions3.6.1.10. Proper patient charting

3.6.2. Skills3.6.2.1.Written and verbal communication3.6.2.2.Fitting orthopaedic devices3.6.2.3.Fitting ambulatory aids

3.7. Apply pre-fabricated orthotics and orthopaedic appliancesto patient by ensuring proper fit in order to comply with

physician's orders.

3.7.1. Knowledge


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3.7.1.1.Orthopaedic anatomy3.7.1.2.Orthopaedic physiology3.7.1.3.Medical terminology3.7.1.4.Orthopaedic conditions3.7.1.5.Orthopaedic complications3.7.1.6.Biomechanics3.7.1.7.Anatomical position3.7.1.8.Universal precautions3.7.1.9.Pre-op, post-op, and rehabilitation bracing3.7.1.10. Functional bracing3.7.1.11. Molding techniques3.7.1.12. Thermal-plastic materials3.7.1.13. Casting materials3.7.1.14. Functional orthosis3.7.1.15. Proper patient charting

3.7.2. Skills3.7.2.1.Written and verbal communication3.7.2.2.Casting3.7.2.3.Molding3.7.2.4.Removing casts3.7.2.5.Modifying/customizing braces3.7.2.6.Fitting orthotics appliances3.7.2.7.Creating negative molds

4. Section 4 Traction4.1. Obtain equipment in order to apply traction therapy to

patient by selecting appropriate items for the traction

apparatus.

4.1.1. Knowledge4.1.1.1.Type of traction applicable to the specific

orthopaedic condition requiring traction therapy

4.1.1.2.Equipment necessary for application of tractionfor a specific orthopaedic condition

4.1.1.3.Orthopaedic conditions which may requiretraction therapy

4.1.1.4.Contraindications associated with tractiontherapy

4.1.1.5.Medical terminology4.1.2. Skills

4.1.2.1.Written and verbal communication4.1.2.2.Coordinating equipment and individuals for

applications and use of traction therapy

4.2.Apply traction apparatus to bed in order to prepare forapplication of skin or skeletal traction by using accepted


4.2.1. Knowledge4.2.1.1.1. Type of traction therapy applicable to

the specific orthopaedic condition

4.2.1.1.2. How to construct the specific tractionordered

4.2.1.1.3. Basic biomechanics of traction therapy4.2.2. Skills


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4.2.2.1.Assembling components4.3. Drape, scrub, and assist in the application of skeletal

traction therapy in order to comply with physician's orders

by using accepted practices and techniques.

4.3.1. Knowledge4.3.1.1.Orthopaedic anatomy4.3.1.2.

Orthopaedic physiology4.3.1.3.Medical terminology

4.3.1.4.Orthopaedic conditions4.3.1.5.Aseptic technique4.3.1.6.Contraindications and complications associated

with traction therapy

4.3.1.7.Universal precautions4.3.1.8.Proper patient charting

4.3.2. Skills4.3.2.1.Creating and maintaining aseptic field4.3.2.2.Moving an injured person4.3.2.3.Using instruments4.3.2.4.Applying traction weight4.3.2.5.Verbal and written communication

4.4. Apply skin traction therapy to patient in order to complywith physician's orders by using accepted practices and

techniques.

4.4.1. Knowledge4.4.1.1.Orthopaedic anatomy4.4.1.2.Orthopaedic physiology4.4.1.3.Medical terminology4.4.1.4.Type of traction applicable to the specific

orthopaedic condition

4.4.1.5.Equipment necessary for application of tractionfor a specific orthopaedic condition

4.4.1.6.Basic biomechanics of traction therapy4.4.1.7.Contraindications and complications associated

with traction therapy

4.4.1.8.Universal precautions4.4.1.9.Proper patient charting

4.4.2. Skills4.4.2.1.Assembling components4.4.2.2.Moving an injured patient4.4.2.3.Applying traction weight4.4.2.4.Written and verbal communication

4.5.Assist in discontinuing traction therapy in order to complywith physician's orders by using accepted practices and

techniques.

4.5.1. Knowledge4.5.1.1.Orthopaedic anatomy4.5.1.2.Orthopaedic physiology4.5.1.3.Medical terminology4.5.1.4.Orthopaedic conditions4.5.1.5.Aseptic technique4.5.1.6.Proper care of traction equipment


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5.3.1. Knowledge5.3.1.1.Orthopaedic anatomy5.3.1.2.Orthopaedic physiology5.3.1.3.Medical terminology5.3.1.4.Orthopaedic procedures5.3.1.5.Instrumentation5.3.1.6.Surgical protocol5.3.1.7.Tourniquet placement5.3.1.8.Surgical approaches5.3.1.9.Suture types5.3.1.10. Surgical knot tying5.3.1.11. Surgical incision closures5.3.1.12. Application of intraoperative dressings5.3.1.13. Universal precautions

5.3.2. Skills5.3.2.1.Verbal and written communication5.3.2.2.Using basic orthopaedic instruments5.3.2.3.Using power instruments5.3.2.4.Using special instrument systems5.3.2.5.Retracting tissues5.3.2.6.Tying surgical knots5.3.2.7.Suturing and skin closure5.3.2.8.Intraoperative bandaging

5.4. Assist the surgeon during reductions by supplying andapplying the appropriate materials.

5.4.1. Knowledge5.4.1.1.Orthopaedic anatomy5.4.1.2.Orthopaedic physiology5.4.1.3.Medical terminology5.4.1.4.X-ray interpretation5.4.1.5.Specific body part holders and devices5.4.1.6.Fracture reduction techniques5.4.1.7.Dislocation reduction techniques5.4.1.8.Casting and splinting materials and application5.4.1.9.Universal precautions5.4.1.10. Proper patient charting

5.4.2. Skills5.4.2.1.Positioning5.4.2.2.Written and verbal communication5.4.2.3.Applying casts and splints

5.5. Apply and manage post-operative dressings on woundsfollowing aseptic techniques.

5.5.1. Knowledge5.5.1.1.Orthopaedic anatomy5.5.1.2.Orthopaedic physiology5.5.1.3.Medical terminology5.5.1.4.Proper patient charting5.5.1.5.Surgical procedures5.5.1.6.Surgical incision appearances

5.5.1.6.1. Aseptic dressing application5.5.1.6.2. Universal precautions


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5.5.2. Skills5.5.2.1.Written and verbal communication5.5.2.2.Applying aseptic dressings


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Appendix C

NBCOT Orthopaedic Technologist Certified (OTC)

Test Specification


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Section2

/ Performance Statement/ Test ObjectivesNumber of

Exam Items

Section 1: Assessment

1.1 Interview patient and family in order to obtain a complete history of the patient'scomplaints/condition by using effective interviewing techniques.

30

1.2 Conduct physical examination of the patient in order to provide pertinentinformation to the surgeon by using standard examination techniques. 30

Section 2: Casting, Splinting, and Orthopaedic Appliances

2.1 Apply upper extremity cast/splint to patient in order to comply with physician'sorders by using accepted casting/splinting practices and techniques.

12

2.2 Apply lower extremity cast/splint to patient in order to comply with physician's

orders by using accepted casting/splinting practices and techniques.12

2.3 Apply torso cast/splint to patient in order to comply with physician's orders by

using accepted casting/splinting practices and techniques.5

2.4 Apply specialty cast/splint to patient in order to comply with physician's orders by

using accepted casting/splinting practices and techniques.10

2.5 Utilize cast/splint removal equipment to perform specific procedures in order to

comply with physician's orders by using accepted practices and techniques.5

2.6 Apply orthopaedic devices to patient in order to comply with physician's orders by

ensuring proper fit/placement.8

2.7 Apply pre-fabricated orthotics and orthopaedic appliances to patient by ensuring

proper fit in order to comply with physician's orders.8

Section 3: Traction

3.1 Obtain equipment in order to apply traction therapy to patient by selecting

appropriate items for the traction apparatus.3

3.2 Apply traction apparatus to bed in order to prepare for application of skin orskeletal traction by using accepted practices and techniques. 3

3.3 Drape, scrub, and assist in the application of skeletal traction therapy in order to

comply with physician's orders by using accepted practices and techniques.3

3.4 Apply skin traction therapy to patient in order to comply with physician's orders by

using accepted practices and techniques.3

3.5 Assist in discontinuing traction therapy in order to comply with physician's orders

by using accepted practices and techniques.3

Section 4: Surgery

4.1 Position, prep, and drape patient by using accepted practices and techniques in

order to prepare patient for surgery.3

4.2 Assist the surgeon by using accepted surgical practices and techniques. 4

4.3 Assist the surgeon during reductions by supplying and applying the appropriate

materials.4

4.4 Apply and manage post-operative dressings on wounds following aseptic

techniques.4

2Note: The numbering of the sections changed due to the removal of what was formerly Section 2: Practice Management.

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