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The current CTR Examination content is:

  • Registry organization and operations.
  • Anatomy, physiology, and histology of the human body related to the disease processes of cancer.
  • Abstracting and coding of cancer data items using standard registry coding references.
  • Statistical and graphic concepts used in the presentation of cancer incidence, treatment, and survival information
  • Practical application of registry principles to determine appropriate registry responses.
  • Computerized data management.

The Certification Examination for Cancer Registrars is a two-part examination composed of a maximum of 225 multiple-choice, objective questions. Part I will be a closed book examination with no reference materials permitted. Part II is open book which requires the use of specific coding & staging references. Questions for the examination are obtained from individuals with expertise in the Cancer Registry field and are reviewed for construction, accuracy, and appropriateness by representatives of NCRA’s Council on Certification.

The 225-item CTR Examination Content and Weighting
I. Data Collection
Closed Book    (78)
   A. Case Finding
   B. Abstracting / Coding
   C. Follow-up, Survivorship & Outcomes
Open Book    (45)
   A. Case Finding
   B. Abstracting / Coding
II. Data Quality Assurance    (23)
III. Analysis and Data Usage    (27)
IV. Operations & Management    (18)
V. Cancer Committee and Conference    (23)
VI. Activities Unique to Centralized Registries    (11)

View the CTR Exam detailed Content Outline & Blueprint (PDF).

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