OTC Task Analysis

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.
i
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 ................................................................................................................... 3
CONDUCT OF THE JOB ANALYSIS MEETING. ...................................................................................................... 3
FINAL REPORT OF THE JOB ANALYSIS MEETING. .............................................................................................. 3
TASK FORCE MEETING DOCUMENTATION ............................................................................................ 4
TEST DEFINITION FOR THE NBCOT ORTHOPAEDIC TECHNOLOGIST CERTIFIED™ EXAMINATION .................. 4
REVIEW OF THE 1995 ROLE DELINEATION STUDY ............................................................................................ 4
DEVELOPMENT OF TEST SPECIFICATIONS FOR THE NBCOT OTC® EXAMINATION ................ 5
EXAMINATION SECTION WEIGHTING ................................................................................................................. 5
TEST OBJECTIVE WEIGHTING ............................................................................................................................. 5
SUMMARY AND CONCLUSIONS................................................................................................................... 6
APPENDIX A ...................................................................................... ERROR! BOOKMARK NOT DEFINED.
APPENDIX B ....................................................................................................................................................... 7
APPENDIX C ..................................................................................................................................................... 11
ii
Executive Summary
The National Board for Certification of Orthopaedic Technologists commissioned a Job Analysis through
Thomson 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 was
the 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 Study’s 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.
NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis iii

INTRODUCTION
T 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 from
competent 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 credential
those 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, Orthopaedic
Physicians, and other professionals who have expertise in the areas that are measured on the examination. The
certification 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 domain
Job 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 will
be 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
NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 1
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 Research
Association (AERA), and the National Council on Measurement in Education (NCME). The guidelines
presented in The Standards, 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 terms
of 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 instituted…Some form of job or practice analysis provides the
primary 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.

Method
T
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 specification
Final Report of the Job Analysis Meeting.
Thomson Prometric staff prepared this final report to document the process steps and outputs of this Job
Analysis.

Task Force Meeting Documentation
T
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. The
population(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 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.” (p. 43)
Thomson Prometric created a Test Definition Document for the NBCOT OTC® examination. 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.
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, made
changes 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.

DEVELOPMENT OF TEST SPECIFICATIONS FOR THE NBCOT
OTC® Examination
T
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 the
examination 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.
Consensus
Group Group
Section / Name Average Average
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 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.
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.

SUMMARY AND CONCLUSIONS
he NBCOT Orthopaedic Technologist Certified® (OTC®) Examination Job Analysis was conducted to:
T 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.

Appendix A
NBCOT Orthopaedic Technologist Certified (OTC®)
Test Definition Document

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
Athletic Trainers  Splinting
Cast Technicians  Bracing
X-Ray Technicians  Patient Assessment
OPA/PA-Cs  Surgery
 Traction
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

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, skip this section
If Yes, 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, 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 Must be supervised by a clearly qualified Technologist in all aspects of the
Not Qualified 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?
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 questioners
Lab 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. 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.
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 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. If none, indicate NONE.)
 None
In which geographical areas will the test be available?
 All
Into which languages will the test be translated? (Specify languages. If English only, indicate NONE).
 Eventually Spanish

Appendix B
2003 Job Analysis

Orthopaedic Technologist Tasks and Knowledge 2003 Job Analysis Revisions
1. Section 1 Assessment
1.1. 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. Knowledge
1.1.1.1. Orthopaedic anatomy
1.1.1.2. Orthopaedic physiology
1.1.1.3. Medical terminology
1.1.1.4. Orthopaedic conditions
1.1.1.5. Orthopaedic complications
1.1.1.6. Interviewing techniques
1.1.1.7. Diagnostic procedures
1.1.1.8. Proper patient charting
1.1.2. Skills
1.1.2.1. Written and verbal communication
1.2. Conduct physical examination of the patient in order to
provide pertinent information to the surgeon by using
standard examination techniques.
1.2.1. Knowledge
1.2.1.7. Universal precautions
1.2.2. Skills
1.2.2.1. Performing physical examination
2. Section 2 Practice Management DELETED
NOTE: 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 and DELETED
work assignments in order to expedite evaluation and
treatment.
2.2. Complete billing form by providing sufficient information DELETED
to process the patient with billing and insurance
information.
Inventory and order supplies by using the appropriate DELETED
techniques in order to ascertain the number and kind of
supplies needed for replacement.
2.3. Evaluate products of different vendors in order to be DELETED
familiar with new products by having on-site
demonstrations.
2.4. Follow Occupational Safety and Health Administration DELETED
(OSHA) guidelines by using accepted techniques in order
to ensure office safety.
3. Section 3 Casting, Splinting, and Orthopaedic Appliances
3.1. Apply upper extremity cast/splint to patient in order to
comply with physician's orders by using accepted
casting/splinting practices and techniques.
3.1.1. Knowledge
3.1.1.4. Anatomical position
3.1.1.5. Orthopaedic condition
3.1.1.6. All upper extremity casts/splints
3.1.1.7. Type of upper extremity cast/splint applicable
to the specific orthopaedic condition requiring
treatment
3.1.1.8. All casting/splinting materials
3.1.1.9. Specific orthopaedic equipment
3.1.1.10. Padding techniques
3.1.1.11. Molding techniques
3.1.1.12. Trimming techniques
3.1.1.13. Casting/splinting complications
3.1.2. Skills
3.1.2.2. Positioning patient
3.1.2.3. Applying/casting/splinting materials
3.1.2.4. Trimming
3.1.2.5. Molding
3.2. Apply lower extremity cast/splint to patient in order to
comply with physician's orders by using accepted
casting/splinting practices and techniques.
3.2.1. Knowledge
3.2.1.6. All lower extremity casts/splints
3.2.1.7. Type of lower extremity cast/splint applicable
to the specific orthopaedic condition requiring
treatment
3.2.2. Skills
3.2.2.4. Trimming

3.2.2.5. Molding
3.2.2.6. Applying weight-bearing surface
3.3. 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. Knowledge
3.3.1.6. All upper extremity casts/splints DELETED
3.3.1.7. Type of torso cast/splint applicable to the ADDED
specific orthopaedic condition requiring
treatment (added)
3.3.2. Skills
3.3.2.4. Trimming
3.3.2.5. Molding
3.4. Apply specialty cast/splint to patient in order to comply
with physician's orders by using accepted casting/splinting
3.4.1. Knowledge
3.4.1.6. All Upper Extremity casts/splints DELETED
3.4.1.7. Type of specialty cast/splint applicable to the ADDED
specific orthopaedic condition requiring
treatment (added)
3.4.2. Skills

3.4.2.4. Trimming
3.4.2.5. Molding
3.4.2.6. 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 specific
procedures in order to comply with physician's orders by
using accepted practices and techniques.
3.5.1. Knowledge
3.5.1.3. All cast/splint removal equipment
3.5.1.4. Materials used in application of cast/splint
3.5.1.5. Removal techniques
3.5.1.6. Wedging techniques
3.5.1.7. Windowing techniques
3.5.1.8. Uni/bivalving techniques
3.5.2. Skills
3.5.2.2. Windowing, removing, uni/bivalving, and
wedging
3.5.2.3. Maintaining cast/splint removal equipment
3.6. Apply orthopaedic devices to patient in order to comply
with physician's orders by ensuring proper fit/placement.
3.6.1. Knowledge
3.6.1.4. Orthopaedic devices (i.e., soft goods, electrical
stimulation, CPM, etc.)
3.6.1.5. Ambulatory aids
3.6.1.6. Ambulatory gait techniques
3.6.2. Skills
3.6.2.2. Fitting orthopaedic devices
3.6.2.3. Fitting ambulatory aids
3.7. Apply pre-fabricated orthotics and orthopaedic appliances
to patient by ensuring proper fit in order to comply with
physician's orders.
3.7.1. Knowledge

3.7.1.6. Biomechanics
3.7.1.9. Pre-op, post-op, and rehabilitation bracing
3.7.1.10. Functional bracing
3.7.1.12. Thermal-plastic materials
3.7.1.13. Casting materials
3.7.1.14. Functional orthosis
3.7.2. Skills
3.7.2.2. Casting
3.7.2.3. Molding
3.7.2.4. Removing casts
3.7.2.5. Modifying/customizing braces
3.7.2.6. Fitting orthotics appliances
3.7.2.7. Creating negative molds
4. Section 4 Traction
4.1. Obtain equipment in order to apply traction therapy to
patient by selecting appropriate items for the traction
apparatus.
4.1.1. Knowledge
4.1.1.1. Type of traction applicable to the specific
orthopaedic condition requiring traction therapy
4.1.1.2. Equipment necessary for application of traction
for a specific orthopaedic condition
4.1.1.3. Orthopaedic conditions which may require
traction therapy
4.1.1.4. Contraindications associated with traction
therapy
4.1.2. Skills
4.1.2.2. Coordinating equipment and individuals for
applications and use of traction therapy
4.2. Apply traction apparatus to bed in order to prepare for
application of skin or skeletal traction by using accepted
4.2.1. Knowledge
4.2.1.1.1. Type of traction therapy applicable to
the specific orthopaedic condition
4.2.1.1.2. How to construct the specific traction
ordered
4.2.1.1.3. Basic biomechanics of traction therapy
4.2.2. Skills

4.2.2.1. Assembling components
4.3. 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. Knowledge
4.3.1.5. Aseptic technique
4.3.1.6. Contraindications and complications associated
with traction therapy
4.3.2. Skills
4.3.2.1. Creating and maintaining aseptic field
4.3.2.2. Moving an injured person
4.3.2.3. Using instruments
4.3.2.4. Applying traction weight
4.3.2.5. Verbal and written communication
4.4. Apply skin traction therapy to patient in order to comply
with physician's orders by using accepted practices and
techniques.
4.4.1. Knowledge
4.4.1.4. Type of traction applicable to the specific
orthopaedic condition
4.4.1.5. Equipment necessary for application of traction
for a specific orthopaedic condition
4.4.1.6. Basic biomechanics of traction therapy
4.4.1.7. Contraindications and complications associated
with traction therapy
4.4.2. Skills
4.4.2.1. Assembling components
4.4.2.2. Moving an injured patient
4.4.2.3. Applying traction weight
4.5. Assist in discontinuing traction therapy in order to comply
with physician's orders by using accepted practices and
techniques.
4.5.1. Knowledge
4.5.1.5. Aseptic technique
4.5.1.6. Proper care of traction equipment

4.5.2. Skills
4.5.2.1. Preparing patient for discontinuance of traction
therapy
4.5.2.3. Maintaining traction equipment
5. Section 5 Surgery
5.1. Schedule types of cases and instruments needed for DELETED
surgical procedures in order to comply with surgeon's
orders by notifying operating personnel.
5.1.1. Knowledge DELETED
5.1.1.1. Orthopaedic anatomy DELETED
5.1.1.2. Orthopaedic physiology DELETED
5.1.1.3. Medical terminology DELETED
5.1.1.4. Operating room protocol DELETED
5.1.1.5. Surgical equipment and special instrumentation DELETED
needed
5.1.1.6. Orthopaedic conditions DELETED
5.1.1.7. Orthopaedic procedures DELETED
5.1.1.8. Proper patient charting DELETED
5.1.2. Skills DELETED
5.1.2.1. Written and verbal communication DELETED
5.2. Position, prep, and drape patient by using accepted
practices and techniques in order to prepare patient for
surgery.
5.2.1. Knowledge
5.2.1.4. OR table types
5.2.1.5. Proper positioning techniques
5.2.1.6. Specific body part holders and devices
5.2.1.7. Orthopaedic procedures
5.2.1.8. Patient’s conditions as they relate to the
specific orthopaedic procedures
5.2.1.9. Prep solutions
5.2.1.10. Aseptic techniques
5.2.1.11. Surgical scrubbing
5.2.1.12. Draping techniques
5.2.2. Skills
5.2.2.1. Using OR tables
5.2.2.2. Positioning patients for surgery
5.2.2.3. Using body part holders and devices
5.2.2.4. Prepping aseptic fields
5.2.2.5. Using sterile drapes
5.2.2.6. Scrubbing properly
5.3. Assist the surgeon by using accepted surgical practices and
techniques.

5.3.1. Knowledge
5.3.1.4. Orthopaedic procedures
5.3.1.5. Instrumentation
5.3.1.6. Surgical protocol
5.3.1.7. Tourniquet placement
5.3.1.8. Surgical approaches
5.3.1.9. Suture types
5.3.1.10. Surgical knot tying
5.3.1.11. Surgical incision closures
5.3.1.12. Application of intraoperative dressings
5.3.2. Skills
5.3.2.2. Using basic orthopaedic instruments
5.3.2.3. Using power instruments
5.3.2.4. Using special instrument systems
5.3.2.5. Retracting tissues
5.3.2.6. Tying surgical knots
5.3.2.7. Suturing and skin closure
5.3.2.8. Intraoperative bandaging
5.4. Assist the surgeon during reductions by supplying and
applying the appropriate materials.
5.4.1. Knowledge
5.4.1.4. X-ray interpretation
5.4.1.5. Specific body part holders and devices
5.4.1.6. Fracture reduction techniques
5.4.1.7. Dislocation reduction techniques
5.4.1.8. Casting and splinting materials and application
5.4.2. Skills
5.4.2.1. Positioning
5.4.2.3. Applying casts and splints
5.5. Apply and manage post-operative dressings on wounds
following aseptic techniques.
5.5.1. Knowledge
5.5.1.5. Surgical procedures
5.5.1.6. Surgical incision appearances
5.5.1.6.1. Aseptic dressing application
5.5.1.6.2. Universal precautions

5.5.2. Skills
5.5.2.2. Applying aseptic dressings

Appendix C
Test Specification

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

OTC Task Analysis

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NBCOT Orthopaedic Technologist

The National Board for Certification of Orthopaedic Technologists

The Eugene B. Casey Building

Randy Becraft, M.S.

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

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

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

Conduct of the Job Analysis.

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis iii

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

This report describes the Job Analysis including the:

 rationale for conducting the study,

Job Analysis and Adherence to Professional Standards.

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 2

Conduct of Planning Meetings

Conduct of the Job Analysis Meeting.

 proposed Test Definition Document

Final Report of the Job Analysis Meeting.

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 3

Test Definition for the NBCOT Orthopaedic Technologist Certified™ Examination

Standard 1.2 states:

Additionally, Standard 3.2 states:

Review of the 1995 Role Delineation Study

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 4

Examination Section Weighting

Test Objective Weighting

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 5

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 6

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 7

Job Role Major Job Responsibilities (bullets for each role)

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 8

Important Test Information:

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 10

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 11

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 13

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 14

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 15

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 16

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 17

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 18

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 19

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 20

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 21

NBCOT Orthopaedic Technologist Certified® (OTC®) Job Analysis 22

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