NBCOT Orthopaedic Technologist ® Certified (OTC ) JOB ANALYSIS

Conducted on behalf of

The National Board for Certification of Orthopaedic Technologists

The Eugene B. Casey Building 800 South Frederick Avenue Suite 200 Gaithersburg, MD 20877-4150 (301) 990-7979 Fax (301) 869-8492
by

Randy Becraft, M.S.
Thomson Prometric 350 S. 400 W. #200 Lindon, Utah 84042

April 2005

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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5 TEST OBJECTIVE WEIGHTING ................................................................................ 3 FINAL REPORT OF THE JOB ANALYSIS MEETING............................................. 3 CONDUCT OF THE JOB ANALYSIS MEETING..................................................................................................... 5 SUMMARY AND CONCLUSIONS................................................................................................ APPENDIX B ....................................................III INTRODUCTION ................. ....................................... III CONDUCT OF THE JOB ANALYSIS.......................................................................................................................................................................................................................................................... 4 REVIEW OF THE 1995 ROLE DELINEATION STUDY .. 6 APPENDIX A ..................TABLE OF CONTENTS TABLE OF CONTENTS ................................................................................................................................................................................................................................................................................................................................................................................ 3 TASK FORCE MEETING DOCUMENTATION ........................................ 4 TEST DEFINITION FOR THE NBCOT ORTHOPAEDIC TECHNOLOGIST CERTIFIED™ EXAMINATION ........................................................................................................................................................................................................ II EXECUTIVE SUMMARY ............ 3 CONDUCT OF PLANNING MEETINGS ......................... 5 EXAMINATION SECTION WEIGHTING ............................................................................................ ........................................................................................ 7 APPENDIX C ..............................................................................................III SUMMARY...................... 11 ii .................................................................................................................................................................................. ERROR! BOOKMARK NOT DEFINED................................................................................................................... ........... 1 METHOD........ ........................................................................... 4 DEVELOPMENT OF TEST SPECIFICATIONS FOR THE NBCOT OTC® EXAMINATION ............................................................................

The Job Analysis consisted of a Task Force Committee meeting where the current testing domain was examined.  Develop test specification recommendations for the NBCOT OTC® Examination. the Orthopaedic Technologist Certified® (OTC®) certification serves the public interest by developing. Conduct of the Job Analysis. Summary. The successful outcome of the Job Analysis was dependent on the excellent information provided by NBCOT practitioners. 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. The results of the Job Analysis can be used by the NBCOT Board to develop a new version of the NBCOT OTC® Examination. NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis iii . 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.  The NBCOT Orthopaedic Technologist Certified® (OTC®) Examination 1995 Role Delineation Study was the basis for the 2003 Job Analysis. and a test specification completed. The Job Analysis process allowed for input from a representative group of NBCOT professionals and was conducted within the guidelines of professionally sound practice.Executive Summary The National Board for Certification of Orthopaedic Technologists commissioned a Job Analysis through Thomson Prometric in early 2003. updated. 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. As described by NBCOT.  A Task Force Committee comprised of NBCOT professionals reviewed and revised: 1) the Test Definition Document 2) the 1995 Role Delineation Study’s tasks and knowledge 3) the test specification A listing of the Task Force Committee is contained in Appendix A. and for item development. communication of examination requirements to potential test candidates. 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. as well as for other purposes such as curriculum development. administering.

role and function study) to define the content domain is a critical component in establishing the content validity of licensure and certification examinations. has access to and benefits from competent and ethical orthopaedic technology. Content validity refers to the extent to which the content covered by an examination overlaps with the important components of a job (tasks.  methods used to define job-related tasks and topics. NBCOT reviews and revises the job analysis periodically to determine its continued relevance to the practice of Orthopaedic Technology.INTRODUCTION T he National Board for Certification of Orthopaedic Technologists (NBCOT) fosters professional standards in orthopaedic technology so that the public values. knowledge. NBCOT is a not-for-profit credentialing agency that has provided certification for the Orthopaedic Technology profession for over twenty years. skills. The examination is a criterion-referenced examination. and.  the weighting of the test objectives for the domain Job Analysis and Adherence to Professional Standards. or a very detailed job description of the profession of an Orthopaedic Technologist. 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. The specific type of job information collected for a job analysis is determined by the purpose for which the information will be used. The use of a job analysis (also known as practice analysis. This report describes the Job Analysis including the:  rationale for conducting the study. The examination is based on a job analysis.000 Orthopaedic Technologists have been certified by the NBCOT. Diversity refers to regional or job context factors and to NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 1 . The NBCOT Certification Examination for Orthopaedic Technologists measures entry-level knowledge and skill in Orthopaedic Technology. which is used to determine the examination content. As of 2004 over 5. Credentialing is achieved initially by a 150 question Certification Examination and subsequently by accumulating Continuing Education Units (CEUs) or by retaking the examination. and/or abilities. To fulfill aspects of its credentialing mission. a job analysis should identify important activities. Orthopaedic Physicians. knowledge. A job analysis refers to procedures designed to obtain descriptive information about the tasks performed on a job and/or the knowledge. and other professionals who have expertise in the areas that are measured on the examination. NBCOT solicits questions for the examination item banks from Certified Orthopaedic Technologists. skills. For purposes of developing licensure and certification examinations. 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. skills. role delineation. 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. or abilities thought necessary to adequately perform those tasks. 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. The certification examination is reviewed and revised by the NBCOT annually. The National Association of Orthopaedic Technologists (NAOT) formed the NBCOT in 1982 to credential those persons with proven measurable knowledge and experience as Orthopaedic Technologists.

The standards for educational and psychological testing. The Standards for Educational and Psychological Testing1 (1999) (The Standards) is a comprehensive technical guide that provides criteria for the evaluation of tests. by professional consensus. have come to define the necessary components of quality testing. DC: American Psychological Association.14. American Psychological Association. gender. the American Educational Research Association (AERA). (1999). “The content domain to be covered by a credentialing test should be defined clearly and justified in terms of the importance of the content for credential-worthy performance in an occupation or profession. 1 American Educational Research Association. The guidelines presented in The Standards. Demonstration of content validity is accomplished through the judgments of subject-matter experts. As a consequence. NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 2 .subject-matter expert factors such as experience. and the effects of test use.161) The NBCOT OTC® Examination Job Analysis was designed to follow the guidelines presented in The Standards and to adhere to accepted professional practice. and race/ethnicity. 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 instituted…Some form of job or practice analysis provides the primary basis for defining the content domain… (p. Washington. It was developed jointly by the American Psychological Association (APA). a testing program that adheres to The Standards is more likely to be judged to be valid and defensible than one that does not. testing practices. As stated in Standard 14. National Council on Measurement in Education. and the National Council on Measurement in Education (NCME).

Chairman of the Certification Committee for NBCOT. In these meetings the overall strategy for the Job Analysis was discussed. 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 specification Final Report of the Job Analysis Meeting. its purpose and constituent parts was explained. Thomson Prometric staff prepared this final report to document the process steps and outputs of this Job Analysis. 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.Method T his section describes the activities of the 2003 NBCOT Job Analysis. Conduct of the Job Analysis Meeting. NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 3 . and an initial review of the draft of the Test Definition Document was completed. Conduct of Planning Meetings Several planning meetings were held with Jeff Virgo. and Thomson Prometric Test Development staff. an agenda. The Task Force Committee members were advised they would be reviewing the 1995 NBCOT Role Delineation Study and updating that document during the meeting. and procedures for reviewing and revising the tasks and topics. the Test Definition Document.

a template of the Test Definition Document was sent to Jeff Virgo. The 1995 Role Delineation Study was approximately ten years old at the time of this work with the NBCOT. made changes as needed. 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.” (p. and the construct that the test is intending to assess should be clearly described. The information in this section generally is specific to an individual practice. the next activity was to review the tasks and knowledge for the test. NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 4 . and these practices can vary significantly region to region.Task Force Meeting Documentation T he documentation from the Task Force Meeting is explained and presented in this section. The one major change was the elimination of all of Section 2: Practice Management.2 states: “The test developer should set forth clearly how test scores are intended to be interpreted and used. The Test Definition Document is found in Appendix B. the audience intended. The subject-matter experts reviewed the tasks and knowledge for the 1995 Role Delineation Study. Jeff completed the document and then Thomson Prometric reviewed it prior to the workshop. The population(s) for which a test is appropriate should be clearly delimited. deleted some tasks and knowledge and added a few new elements that have changed in the past years. Prior to the conduct of the Job Analysis workshop with NBCOT. Standard 3. and the scope of the test. This document clearly 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. definition of the domain. and the test specifications should be stated clearly so that 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. 17) Additionally. 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.” (p. Standard 1.2 states: “The purpose(s) of the test. Review of the 1995 Role Delineation Study After the subject-matter experts approved the Test Definition Document. The finalized 2003 Job Analysis for the NBCOT Orthopaedic Technologist Certified® (OTC®) examination is provided in Appendix C. During the workshop the Test Definition Document was reviewed by the entire group of subject-matter experts and finalized after some minor changes. 43) Thomson Prometric created a Test Definition Document for the NBCOT OTC® examination. The majority of candidate complaints about the current test were about this section.

This exercise consists of two parts: a section weighting and a test objectives weighting. The test section weighting provides the overall weighting by domain (section). The following chart shows the group average and proposed group percentage to allocate to each section. 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. and Orthopaedic Appliances Section 4: Traction Section 5: Surgery TOTAL 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.42 40% 14. The total of the items to be written equals 150. Examination Section Weighting As a preliminary step to finalizing the test specification. This was done through a group activity with the facilitator asking if the “weight” listed for each test objective properly represents the importance that should be assigned to each objective in the final form of the examination.00 40% 0 0 41. NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 5 . The group average is then reviewed and a final section weighting agreed to by the group.00 100. The test specification is then weighted at the test objective level and provides the final specification for item writing. The finalized test specification for the OTC® Examination is provided in Appendix D.DEVELOPMENT OF TEST SPECIFICATIONS FOR THE NBCOT OTC® Examination T est specifications were developed during the workshop by the subject-matter experts present. Consensus Group Group Average Average 30.29 10% 14.29 10% 100.0% Section / Name Section 1: Assessment Section 2: Practice Management (Section deleted) Section 3: Casting. Splinting. the current number of test items. the participants each propose a percentage of the examination that should be applied to each of the sections. Thomson Prometric uses a test blueprint template to provide a structured exercise for the subject-matter experts to create the finalized test specification.

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 6 . 3) Create a test specification to will be used to develop a new version of the OTC® Examination.SUMMARY AND CONCLUSIONS T 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. 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. 2) Review and validate the tasks and topics important in the work performed by NBCOT practitioners.

Appendix A NBCOT Orthopaedic Technologist Certified (OTC®) Test Definition Document NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 7 .

plus six months full-time equivalent experience on orthopaedics. Two-year on the job. D. Completion of an Orthopaedic Technologist school/program. To prepare for this examination you should have completed one of the following tracks to certification: A. 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 NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 8 . Required or recommended WORK EXPERIENCES (indicate which). Completion of a NAOT-recognized Orthopaedic Technologist school/program. full-time experience in orthopaedics B. Certified as an ATC (Athletic Trainer Certified) with a minimum of six months experience on orthopaedics. CREDENTIALS awarded while progressing through the track. Required or recommended COURSES (indicate which).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 Athletic Trainers Cast Technicians X-Ray Technicians OPA/PA-Cs Major Job Responsibilities (bullets for each role) Casting Splinting Bracing Patient Assessment Surgery Traction      Orthopaedic Technologists  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. Certified on orthopaedic-related filed and an minimum of one year experience on orthopaedics E. You should consider including the following:      KNOWLEDGE or EXPERIENCE required before starting the track. C. Other TESTS that are part of the track.

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. 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. 9 .What products or technologies should be covered by the test?  NONE Is the test domain limited to one or more courses or documents? If No. What major tasks and topics are related to the test but are NOT relevant to the test domain? (e. Can supervise other Technologists.)  Practice Management  Billing  Scheduling  Inventory/Supplies  Product evaluation Description of the clearly qualified.  Knowledge of OSHA Standards will be assumed but not tested. Can teach or instruct other Technologist. and clearly not qualified to pass the test. Informed but Clearly Not Qualified Test Modules: Which of the following methods will be used for this test? NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 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. customer satisfaction skills. and orthopaedic appliances. Type of Candidate Clearly Qualified Description of Candidate Can work without supervision in all aspects of the Orthopaedic Technologist field as defined by the 2003 NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis. borderline qualified and clearly not qualified candidates: In order to establish the level of competence required by this test. list the specific documents  The 2003 NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis What major tasks and topics should be assumed but NOT tested?  This examination will not test the skills in assessment. it is important to define candidates who are clearly qualified. splinting. Does not supervise other Technologist.g. traction. Does not teach or instruct other Technologists. and x-ray identification. casting. medical terminology. 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. or surgery. skip this section If Yes. etc. borderline qualified. including assumed knowledge of anatomy and physiology. project management. but will test knowledge of all of these primary domains.

The candidate must achieve a combined passing score across all modules before passing the test. Test Stakeholders: 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. If none. 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 questioners Lab performance with human scorers Paper-pencil examination Will this test point have more than one separately scored module? Yes No If so. indicate NONE). indicate NONE. how will the modules be organized? The candidate must pass each module in order before passing the test.)  None In which geographical areas will the test be available?  All Into which languages will the test be translated? (Specify languages. etc. The candidate must pass all modules in any order before passing the test.Examination delivered and scored by computer To include hot start tools such as calculator. Excel. If English only.  Eventually Spanish Representative All Board Members General Membership Individuals Individuals Individuals NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 10 . Person or Organization NBCOT NAOT Athletic Trainers X-Ray Technologists OPA/PA-C 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 Analysis What reference materials or other tools will be made available to the client at the testing center? (Specify materials that will be made available.

Appendix B NBCOT Orthopaedic Technologist Certified (OTC®) 2003 Job Analysis NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 11 .

1.1.1.4.1. Conduct physical examination of the patient in order to provide pertinent information to the surgeon by using standard examination techniques.2. 2. This section did not represent knowledge that is applied in the key roles the Orthopaedic Technologist performs with patients.4. Evaluate products of different vendors in order to be DELETED familiar with new products by having on-site demonstrations. Diagnostic procedures 1. Apply upper extremity cast/splint to patient in order to comply with physician's orders by using accepted NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 12 . Orthopaedic conditions 1.1. Skills 1.5.8.1.6. Interviewing techniques 1. 2. Section 2 Practice Management DELETED NOTE: The entire Section 2: Practice Management.1.7. Knowledge 1.2. Complete billing form by providing sufficient information DELETED to process the patient with billing and insurance information.1. Written and verbal communication 2.2. Knowledge 1.2.1.2. 3.2.6. Proper patient charting 1. Orthopaedic physiology 1. Inventory and order supplies by using the appropriate DELETED techniques in order to ascertain the number and kind of supplies needed for replacement.2.5.1. Follow Occupational Safety and Health Administration DELETED (OSHA) guidelines by using accepted techniques in order to ensure office safety. 2.2.1.1.1. 1.1. was deleted by the group.1. Interview patient and family in order to obtain a complete history of the patient's complaints/condition by using effective interviewing techniques.1.Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions 1.1. Skills 1. Medical terminology 1. Universal precautions 1. Orthopaedic physiology 1.1.2.2.3.2.2.1.4.1. and Orthopaedic Appliances 3.2. Proper patient charting 1. Section 1 Assessment 1. 2. Written and verbal communication 1.1. Orthopaedic anatomy 1.1. 1. Performing physical examination 1.1.1. Medical terminology 1. Orthopaedic complications 1.1. Orthopaedic complications 1.2.1.1.2.2.1.2.1.7. Orthopaedic conditions 1.2.2.2. Splinting.1.1.1.3.3.1. Coordinate patient flow by scheduling procedures and DELETED work assignments in order to expedite evaluation and treatment.1.2. Section 3 Casting. Orthopaedic anatomy 1.1.

2. Knowledge 3.5.1.4. Trimming NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 13 .1.1.1.1. Casting/splinting complications 3.1. All casting/splinting materials 3.1.1. Specific orthopaedic equipment 3. 3.7. Padding techniques 3.2. Applying/casting/splinting materials 3.1.1.4. Orthopaedic anatomy 3.2.2. Anatomical position 3.2. Written and verbal communication 3.11.11.3.1.1.1.1.7.1. Knowledge 3.1.1.1.1.2.2.1.1. Proper patient charting 3.15.1.2.8.2.9. Orthopaedic anatomy 3.2. Trimming techniques 3. Orthopaedic physiology 3.1.2.8. Proper patient charting 3.1. Casting/splinting complications 3. Apply lower extremity cast/splint to patient in order to comply with physician's orders by using accepted casting/splinting practices and techniques.2.1.2.2.2. Type of lower extremity cast/splint applicable to the specific orthopaedic condition requiring treatment 3.2.1.6. Universal precautions 3.3.1.4.10. 3.5.1.1.2.13. Applying/casting/splinting materials 3.2. Orthopaedic condition 3. Trimming techniques 3.1.2.1.2.2.2. Positioning patient 3. Molding techniques 3.2.1.1.1.1.13.1.2.1.1.2.3.10.2. Specific orthopaedic equipment 3.4. All upper extremity casts/splints 3.1. Orthopaedic physiology 3.14. Molding techniques 3.1.1. Skills 3.5.1.1. Type of upper extremity cast/splint applicable to the specific orthopaedic condition requiring treatment 3.2.1.1. Medical terminology 3.2.1.9. Orthopaedic condition 3. Written and verbal communication 3.2. All casting/splinting materials 3.2.3.2.1. Positioning patient 3.1.1. Trimming 3.2. Molding 3.12.2.14.1.12.1. All lower extremity casts/splints 3. Anatomical position 3.2. Padding techniques 3.2.1.1.2.1. Universal precautions 3.1. Skills 3.2.15.Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions casting/splinting practices and techniques.1.1.1. Medical terminology 3.6.

1.1.9.13.1.1.14.1.4. Universal precautions 3.2.1.5.2.4. Type of specialty cast/splint applicable to the ADDED specific orthopaedic condition requiring treatment (added) 3.1. Orthopaedic anatomy 3.3.3.8.1.4.3.4. Orthopaedic condition 3. Type of torso cast/splint applicable to the ADDED specific orthopaedic condition requiring treatment (added) 3. Molding 3. Padding techniques 3.4.4.1. Trimming techniques 3.1.1.4.8.6.3.4. Apply torso cast/splint to patient in order to comply with physician's orders by using accepted casting/splinting practices and techniques.3.3.1.4. Molding techniques 3.1.4.1.2. Orthopaedic anatomy 3.3.2.1.1.2.6.3. Casting/splinting complications 3.4. Skills 3. Applying weight-bearing surface 3. 3.10.2.15. Casting/splinting complications 3.1.2. Universal precautions 3.1.2. Positioning patient 3.6.2.1. Padding techniques 3.2.1. Anatomical position 3.4.9.3. Medical terminology 3.1.3. Molding techniques 3.3.15.4.3. Proper patient charting 3.1.4.1.3.3. Proper patient charting 3.1.1.3. Knowledge 3.3.1.1.10. All casting/splinting materials 3.3.4.11.7.5.5.12.3.2.11. Knowledge 3.1. Applying/casting/splinting materials 3.1. Specific orthopaedic equipment 3.4.13. Skills NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 14 .3. All Upper Extremity casts/splints DELETED 3.1. Specific orthopaedic equipment 3. All upper extremity casts/splints DELETED 3. Medical terminology 3. Trimming 3.5. All casting/splinting materials 3.3.1.3.3. Trimming techniques 3.4.4.Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions 3.7.12.3.4. Written and verbal communication 3.1.3. Orthopaedic condition 3.2.2.2.3. Molding 3.1.14. Anatomical position 3. Apply specialty cast/splint to patient in order to comply with physician's orders by using accepted casting/splinting practices and techniques.3. Orthopaedic physiology 3.1. 3.4.4. Orthopaedic physiology 3.1.

Universal precautions 3..6.5. Orthopaedic anatomy 3.6. soft goods. Universal precautions 3.5. Written and verbal communication 3.1.1.5.5.4. Orthopaedic anatomy 3. Windowing.2.5.6. etc. Windowing techniques 3.2.2.4. contact cast) 3.6.5.1. Utilize cast/splint removal equipment to perform specific procedures in order to comply with physician's orders by using accepted practices and techniques.1.1.1.2.4. Apply orthopaedic devices to patient in order to comply with physician's orders by ensuring proper fit/placement.6.4.1. Written and verbal communication 3. CPM.9.1. etc. Knowledge NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 15 . Orthopaedic devices (i. hinges. Skills 3.7.10.5. Medical terminology 3.7.4. Maintaining cast/splint removal equipment 3. Ambulatory aids 3.6. Applying/casting/splinting materials 3. Proper patient charting 3.7.5.4. Proper patient charting 3.2.6.1. Orthopaedic physiology 3. Knowledge 3.e.e. Skills 3.2. Trimming 3.7. Orthopaedic conditions 3.1.10.2.2.3.4.6.3. Knowledge 3. Applying appropriate apparatus as specific to specialty cast/splint (i.5.6.1.5. 3.2.2.1.6.1.6.5.2.) 3.2. uni/bivalving. and wedging 3.5.5..2.6.8.2.6..2.6. Molding 3.2.6.3. removing. 3. Removal techniques 3.1. Ambulatory gait techniques 3.1.4.1.6.1.2.5.5.5.5.1. Fitting orthopaedic devices 3.1.8.7.e. Apply pre-fabricated orthotics and orthopaedic appliances to patient by ensuring proper fit in order to comply with physician's orders.9.1.1.5.6.4. Written and verbal communication 3.1.4.Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions 3. Positioning patient 3. turnbuckles.1.6.1.1.1.) 3. electrical stimulation.3.2. Fitting ambulatory aids 3. Applying weight-bearing surface (i. Medical terminology 3.2.3.2. Materials used in application of cast/splint 3. 3. Orthopaedic complications 3.1. Uni/bivalving techniques 3. All cast/splint removal equipment 3.6.1.5. Wedging techniques 3.

3. Universal precautions 3. Skills 4.2.2. Orthopaedic anatomy 3.1.2.7.7. Molding techniques 3.1. Casting materials 3.7.4.7. How to construct the specific traction ordered 4.2. Fitting orthotics appliances 3.7. Written and verbal communication 4. Knowledge 4.13.1.1.1. Creating negative molds 4. Medical terminology 3. Type of traction therapy applicable to the specific orthopaedic condition 4. Written and verbal communication 3.7.9.1.1. Thermal-plastic materials 3. Orthopaedic complications 3.7.2.1.6.7.1. Equipment necessary for application of traction for a specific orthopaedic condition 4.7. Contraindications associated with traction therapy 4. Skills NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 16 .4. Orthopaedic conditions 3. Functional orthosis 3.1.1. Orthopaedic conditions which may require traction therapy 4.12.1.7.5.2.2. Orthopaedic physiology 3.2.1.7.1. 4.7. Modifying/customizing braces 3.3.7.1.1.2.1.1.Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions 3.4. Biomechanics 3.7. Molding 3.14.7. Removing casts 3.7.15.1.1. post-op. Coordinating equipment and individuals for applications and use of traction therapy 4.7.2.1.3.2. 4.2.1.1.2.1.11.1. Pre-op.7.1. Functional bracing 3. and rehabilitation bracing 3.1.1. Anatomical position 3. Casting 3. Section 4 Traction 4. Skills 3.2.2.2.1.7.1.1.1.10. Proper patient charting 3. Knowledge 4.7.1.1.1.6.1.1. Apply traction apparatus to bed in order to prepare for application of skin or skeletal traction by using accepted practices and techniques. Medical terminology 4.7.1.1. Basic biomechanics of traction therapy 4.2.1.5.7.2.3.7.2.1.7.8.2.7.5.1.2.1. Type of traction applicable to the specific orthopaedic condition requiring traction therapy 4.2. Obtain equipment in order to apply traction therapy to patient by selecting appropriate items for the traction apparatus.2.

1.1.1. Medical terminology 4.4.3.2. Assist in discontinuing traction therapy in order to comply with physician's orders by using accepted practices and techniques.3.4. Orthopaedic anatomy 4. Orthopaedic conditions 4.3. 4.3.4. Written and verbal communication 4.3.2.3. Assembling components 4.3.3. Aseptic technique 4. Contraindications and complications associated with traction therapy 4. scrub. Orthopaedic anatomy 4.1.1.2.2.1.4. Knowledge 4.1.4.2.1.5.4.4.2. Drape.2. 4.1. Orthopaedic physiology 4.2.1. Skills 4.3.1.4.3.5.5.1.1.6. Knowledge 4.2.1. Contraindications and complications associated with traction therapy 4. Orthopaedic anatomy 4.7.1. Proper patient charting 4.1.3.3.2.4.3. Proper care of traction equipment NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 17 .3. Aseptic technique 4.4. Universal precautions 4.3.2. 4. Orthopaedic physiology 4.2. Knowledge 4.3.1.7.1.3.4. Universal precautions 4.3.5. Type of traction applicable to the specific orthopaedic condition 4.2. Equipment necessary for application of traction for a specific orthopaedic condition 4.2.1.Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions 4.1.5.5.3. Using instruments 4.6. Orthopaedic conditions 4.1.4.1.1.3.4. Moving an injured patient 4.4. Moving an injured person 4.9.2.4. Applying traction weight 4.5.1. Medical terminology 4.1. Assembling components 4.2. Proper patient charting 4.5.5.1.4.8.1. Basic biomechanics of traction therapy 4.2.1.4. Creating and maintaining aseptic field 4.1.3.4.1.8.5. Applying traction weight 4. and assist in the application of skeletal traction therapy in order to comply with physician's orders by using accepted practices and techniques.4.5.4. Apply skin traction therapy to patient in order to comply with physician's orders by using accepted practices and techniques. Skills 4.2.6. Medical terminology 4.1. Verbal and written communication 4. Orthopaedic physiology 4.1.4.5.

5. Proper patient charting 4.2. and drape patient by using accepted practices and techniques in order to prepare patient for surgery. Knowledge 5.1.2.1.2.3.2.1.Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions 4.1. Verbal and written communication 4.2.1. Orthopaedic procedures DELETED 5.2.3.2.1.3. Skills 4.2. Proper patient charting 5.2.5.1. Specific body part holders and devices 5.1.2. Surgical equipment and special instrumentation DELETED needed 5. Positioning patients for surgery 5. Maintaining traction equipment 5.8.2.6.3.2.2. 5. Using OR tables 5. Schedule types of cases and instruments needed for DELETED surgical procedures in order to comply with surgeon's orders by notifying operating personnel.1. Medical terminology 5.6.2.1. Skills 5.1.13. Scrubbing properly 5. prep.1.14.1. Orthopaedic conditions DELETED 5. Orthopaedic anatomy DELETED 5.1.12.2. Aseptic techniques 5.1.1. Skills DELETED 5.2.1.1.5. Surgical scrubbing 5. Position. Orthopaedic procedures 5.4.1. Operating room protocol DELETED 5.1.2. 5. Orthopaedic physiology 5.8.2.3.1. OR table types 5.7. NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 18 .2.5.2.1. Orthopaedic physiology DELETED 5.2.2.1.1.5. Preparing patient for discontinuance of traction therapy 4.2. Orthopaedic anatomy 5.7.1.1.2.11.1.1.1.5. Universal precautions 4. Patient’s conditions as they relate to the specific orthopaedic procedures 5.2. Written and verbal communication DELETED 5.2.5.5. Universal precautions 5. Prepping aseptic fields 5.1.2.1.2.1.5.1.2. Medical terminology DELETED 5.2.2.2.1.2.1.2.1.2.1. Proper positioning techniques 5. Using body part holders and devices 5.6.4.1. Proper patient charting DELETED 5. Assist the surgeon by using accepted surgical practices and techniques.8. Section 5 Surgery 5.9.1.7.1.2. Draping techniques 5.10.1.2.2.4. Knowledge DELETED 5.2.1.2. Using sterile drapes 5.1. Prep solutions 5.

Surgical approaches 5.5. Using special instrument systems 5.1.3.1.12.5.5. Casting and splinting materials and application 5. Instrumentation 5. Medical terminology 5. Surgical procedures 5.3.2.1. Applying casts and splints 5.1.5. Tying surgical knots 5.1.1.3.3.4.5.Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions 5.8.8. Assist the surgeon during reductions by supplying and applying the appropriate materials.11.2.4.1.1.3.6.10.4.3.4.1.1.9.3.5.5.1.2. Positioning 5.2.5.4.7.2.1. Medical terminology 5.1.3. 5. Using basic orthopaedic instruments 5.9.3.2. Suture types 5. Proper patient charting 5.4. Apply and manage post-operative dressings on wounds following aseptic techniques.6.3.2.1.6. Retracting tissues 5.4.2.4.3. Orthopaedic procedures 5.1.2.4.1.4.1. Knowledge 5.2.5.1.1.3.3.2.2.3.4.2. Universal precautions 5.3.1. Written and verbal communication 5.1.1. Tourniquet placement 5.3. Surgical incision appearances 5.4. Universal precautions NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 19 .10.1. Knowledge 5.3.1.4.1.1.7. Dislocation reduction techniques 5.1.6.3.4.2.2. Aseptic dressing application 5.5.6.1.1.3.4.5. Surgical knot tying 5.1.2.7. Orthopaedic physiology 5. Intraoperative bandaging 5.3. Specific body part holders and devices 5.2.1.4.1. Verbal and written communication 5. X-ray interpretation 5. Surgical protocol 5.5.2. Orthopaedic physiology 5. 5.3.3. Orthopaedic physiology 5. Using power instruments 5. Surgical incision closures 5.5.8.4.1.1.3. Medical terminology 5. Fracture reduction techniques 5.3.1. Application of intraoperative dressings 5.1. Skills 5. Knowledge 5. Universal precautions 5.4.4. Proper patient charting 5.1. Skills 5.6.3. Orthopaedic anatomy 5.1. Orthopaedic anatomy 5.13.4.5.2. Suturing and skin closure 5.1. Orthopaedic anatomy 5.3.3.1.3.

2.Orthopaedic Technologist Tasks and Knowledge 5.2. Written and verbal communication 5.2. Applying aseptic dressings 2003 Job Analysis Revisions NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 20 .5.1.5. Skills 5.5.2.

Appendix C NBCOT Orthopaedic Technologist Certified (OTC®) Test Specification NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 21 .

4 2. Assist the surgeon by using accepted surgical practices and techniques. Apply traction apparatus to bed in order to prepare for application of skin or skeletal traction by using accepted practices and techniques. and drape patient by using accepted practices and techniques in order to prepare patient for surgery. Position.2 4. Apply orthopaedic devices to patient in order to comply with physician's orders by ensuring proper fit/placement.4 3. scrub.3 2.1 1.2 2. Assist the surgeon during reductions by supplying and applying the appropriate materials. Apply lower extremity cast/splint to patient in order to comply with physician's orders by using accepted casting/splinting practices and techniques.5 2. Obtain equipment in order to apply traction therapy to patient by selecting appropriate items for the traction apparatus. NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 22 .2 3. prep. Utilize cast/splint removal equipment to perform specific procedures in order to comply with physician's orders by using accepted practices and techniques.4 3 4 4 4 2 Note: The numbering of the sections changed due to the removal of what was formerly Section 2: Practice Management. Apply upper extremity cast/splint to patient in order to comply with physician's orders by using accepted casting/splinting practices and techniques. Apply torso cast/splint to patient in order to comply with physician's orders by using accepted casting/splinting practices and techniques.6 2. Apply skin traction therapy to patient in order to comply with physician's orders by using accepted practices and techniques. Apply and manage post-operative dressings on wounds following aseptic techniques. Assist in discontinuing traction therapy in order to comply with physician's orders by using accepted practices and techniques.7 12 12 5 10 5 8 8 Section 3: Traction 3.1 3.3 4. Number of Exam Items 30 30 Section 2: Casting.2 Interview patient and family in order to obtain a complete history of the patient's complaints/condition by using effective interviewing techniques. Splinting. Apply specialty cast/splint to patient in order to comply with physician's orders by using accepted casting/splinting practices and techniques. Apply pre-fabricated orthotics and orthopaedic appliances to patient by ensuring proper fit in order to comply with physician's orders. and assist in the application of skeletal traction therapy in order to comply with physician's orders by using accepted practices and techniques.1 2. Drape. and Orthopaedic Appliances 2.3 3.1 4.5 3 3 3 3 3 Section 4: Surgery 4.Section2 / Performance Statement/ Test Objectives Section 1: Assessment 1. Conduct physical examination of the patient in order to provide pertinent information to the surgeon by using standard examination techniques.