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The certification examination has been developed by NCRA's Council on Certification. Test questions have been written by persons in the Cancer Registry profession from diverse backgrounds and job descriptions. The examination is intended to evaluate the applicant's level of knowledge and skill in comparison to the demands on a CTR.

Certified Tumor Registrars represent individuals with a wide variety of backgrounds and job descriptions. Satisfactory completion of the NCRA Certification Examination indicates that the applicant has attained the minimum level of education and experience required of a Certified Tumor Registrar.

The world of cancer surveillance is a constantly changing work environment for the Certified Tumor Registrar. For that reason, the Certification Program and the certification examinations will be a continually evolving project, which will be directed by the needs of those that are certified.


All CTRs are asked to participate in the certification process. Specifically, the Council asks for your help in developing questions for the next certification examination. The questions you submit should be in multiple choice format, with one correct and three wrong answers. Send questions and the references directly to NCRA.

Your questions will then be reviewed by the Council on Certification's Item Review Committee and incorporated into the exam item bank. You are eligible to receive one continuing education hour for submitting at least five questions and answers and their references to the certification item bank. Learn more information in the Item Development Guide (PDF 1294KB).

Learn how to easily submit questions for the certification examination and receive 1 CE hour toward maintaining your CTR. Download the instructions here (PDF 69KB).

Documents are in PDF format and can be downloaded and printed from your computer. You will need Adobe's Acrobat Reader to view or print these documents.

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