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View All PackagesThe Certified Tumor Registrar (CTR) credential is the
national standard of excellence for professionals working within cancer
registries. Recently rebranded as the Oncology Data Specialist (ODS),
this certification demonstrates a high level of competence in capturing the
complete history, diagnosis, treatment, and health status of every cancer
patient in the United States. This vital data is essential for researchers,
healthcare providers, and public health officials to monitor cancer trends,
advance treatments, and ultimately work towards cures. This practice exam is
designed for individuals dedicated to high-quality data collection and
analysis, typically those with an associate degree or higher who have completed
specialized coursework in cancer registry management. Preparing for the ODS
(formerly CTR) exam is the definitive step toward a rewarding career in health
information and oncology surveillance.
What the Course
Entails and Exam Details
To earn your ODS credential, you must master a diverse set
of competencies that span the entire lifecycle of cancer data. While
educational pathways vary, core study areas required by the National Cancer
Registrars Association (NCRA) include anatomy and physiology, pathophysiology,
medical terminology, and oncology disease processes. You will delve deeply into
the official standards for disease surveillance, learning the intricate rules
of cancer staging, sequencing, and treatment coding using systems like the AJCC
TNM Manual and SEER standards. The exam itself is a rigorous assessment of your
ability to apply this knowledge. It is a computer-based test comprising 180
multiple-choice questions. A significant component of the exam is its unique
two-part structure: 120 questions constitute a standard closed-book exam, while
60 questions constitute an open-book session focusing on complex abstracting
and coding scenarios.
What to Expect in
the Final Exam
When you sit for the final examination, you are allotted a
total of four hours to complete both the closed-book and open-book portions.
The open-book section is designed to simulate the real-world environment of a
registrar, allowing you to reference specific, approved manuals—such as current
staging guides and coding standards—to solve complicated case studies. The
remainder of the test must be completed without assistance, testing your
knowledge retention in registry operations, analysis, and data utilization. To
pass, you must achieve a predetermined scaled score; however, immediate results
are not typically provided. Candidates can expect to receive their official
results via email approximately eight weeks after the close of the testing
window, giving the Council on Certification sufficient time to analyze and
verify all scores.
How to Study and
Exam Centers
Effective preparation is key to success on this challenging
exam. We recommend a balanced strategy that combines theoretical study with
practical application. Begin by acquiring the official NCRA ODS Exam Study
Guide, which provides a targeted review of the core domains. Complement
this by utilizing official practice tests to gauge your understanding and
identify weak areas. To master the practical aspects of abstracting, you should
engage with free tools like SEEREducate*, which offers numerous online
case studies for practicing staging and coding. Many candidates also benefit
from structured review webinars or in-person workshops offered by the NCRA or
other accredited organizations. When you are ready to test, the exam is
administered at authorized computer-based testing centers located throughout
the United States and worldwide, ensuring accessible locations for all eligible
candidates.
Job Opportunities
from the Course
Earning your ODS (formerly CTR) credential unlocks a
distinct career path within the healthcare and information management sectors.
Accredited registries in hospitals and cancer centers are legally required to
employ certified specialists, ensuring strong and consistent demand for your
skills. The following are specific job titles and career paths available to
certified professionals:
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