Examination Dates

Written, Oral and Practical exams are cancelled
for 2021. It is doubtful that we will be able to conduct oral and practical
exams in the Fall of 2022. We are still not sure if we will be able to conduct the oral and practical exams at Scarborough General Hospital. We can only conduct the exams if all sites are available, ie., Calgary, New Brunswick, etc.

No written exams will take place in 2022 until the backlog of oral and practical candidates have been done. Please don't email asking when the written exam will be done. We can assure you we are trying our best.

Letters are sent to all eligible candidates for the written exam.
The application form will be sent with the letter. Letters are sent out in late June.

The CSOT written examination is conducted annually between August 3l and October 31. The fee for the written exam is $200.00. A late fee of $50.00 is applied if received after the specified date. There is a cut off date after which applications WILL NOT be accepted. After successfully passing the written exam you must take part in the oral and practical examination in the Spring. A member will no longer be able to wait for a couple of years before completing the oral and practical exams.

Please allow 4-6 weeks for marking of the examinations which includes the oral and practical exam.

Only FULL members can sit the registry examinations. You must be a Full member by JULY 1st....no exceptions.

A rewrite exam will take place in February each year and the fee is $200.00. Notification will be sent to all eligible candidates.

A candidate has three opportunities to pass the written examinations. Failure to complete the process after three attempts will require the candidate to wait for a period of two years before being allowed to sit the exam again.

Sample Examinations (to assist you with your preparation) are available by CLICKING HERE



Oral and Practical Exams
All eligible candidates will be advised via letter.

Held each spring upon successful completion of the written examination. The fee for the oral and practical exams is $350.00. Once you have started the practical portion of your exam, you are allowed one year ONLY to complete. IE if you take part in the practical exam in the spring and are unsuccessful a redo exam is scheduled for the fall. You will be required to redo only the portions of the exam you failed. If you do not take part in the fall exam, you MUST attend the next oral and practical exam. If you choose not to you will be required to do the complete exam not just the portion(s) you failed. At the present time there are three sites for the oral and practical exams - Calgary, Toronto and New Brunswick.

Membership for the current year must be paid.

If you are a Registered Orthopaedic Technologist and interested in being a monitor for the oral and practical exams, please contact the CSOT office.

What you need to know

To be eligible for the CSOT examinations candidates must meet the following requirements

  • be a full member of the CSOT in good standing, ie. working a minimum of 850 hours per year
  • complete and file the application form and full payment of the required fee. Applications received after the deadline must include a late fee of $50.00
  • enclose a recent photograph with your application. Applications will be returned if not included
  • We only accept certified cheques or money orders. No debit/credit cards or personal cheques are accepted

The certification exam involves three phases. The written portion is held annually in October of each year and is comprised of approximately 147 questions and 17 diagrams and fill in the blanks. Two hours is allowed for this exam. The written exam must be completed before you may proceed to the oral and practical exam. Your pass or failure of any and all portions of your exam is based on marks and evaluations recorded. A fair and indepth assessment has been done prior to any notification of failure being mailed out. The decision of the Accreditation Committee is final and no further review will be entertained.

Content Areas
Fractures, Dislocations and Complications - 25% or 36 questions
Anatomy and Physiology - 18% or 26 questions
Muscles and Nerves - 13% or 19 questions
Diseases, Syndromes and Infections - 13% or 18 questions
Terminology - 8% or 12 questions
Splinting and Casting - 10% or 15 questions
Legalities - 6% or 9 questions
Traction - 8% or 12 questions

Diagrams account for 87 points or 60% of the total mark.

A rewrite exam for the written portion may be taken in February of the following year for those who fail the October exam. Two hours is allowed. The exam is comprised of 112 questions and 16 diagrams and fill in the blanks.

Candidates receiving a passing grade proceed to the final phases of the exams consisting of oral questions and practical demonstrations. This final phase is held in the spring following the written exam in Toronto, Eastern and Western Canada in a selected hospital fracture department.

Things you should know:

  • Be able to match terminology with the appropriate definition, ie., Abduction, Eversion, Varus, Pronation, anatomy, cell, anabolism, etc.
  • How to choose a Thomas splint
  • Match the sensory function with nerve location, ie., Peroneal nerve, median nerve, etc.
  • Match the fractures, ie., pathologic fracture, Bennett's fracture, etc.
  • Know the healing stages
  • Know the bones of the hand, foot, etc.
  • Be able to identify fractures on a diagram, ie., transverse, greenstick, etc.
  • Know the terms used to describe motion of the hand
  • Know the skeletal system
  • Know the heart, ie., right ventricle, inferior vena cava, endocardium, etc.
  • Know where the pressure points to avoid tight wrapping - See Zimmer handbook for the diagram
  • Know about compartment syndrome, avascular necrosis, functions of muscles, gamekeepers thumb, monteggia fracture, pilon fracture,
  • Know about traction
  • If possible, "buddy up" with a Registered Technologist in your area; seek their help and pick their brains.

Content outline of the written exam

  • Anatomy and physiology including muscles,(function, location, basic knowledge of the heart) bones, (name, types, location, basic structure, normal growth, joints, function) nerves, (function, location) cartilage, ligaments, tendons (function, location)
  • Orthopaedic conditions: Fractures (types, complications, healing); Dislocations; Disorders (congenital, pathological, developmental, traumatic); Infections; Inflammations.
  • Treatment of orthopaedic conditions: Casting (purpose, materials, types, application procedures, complications, instructions, support and immobilization devices); Traction (purpose, types, methods, procedures, complications, equipment); Surgical Intervention (purpose, sterile techniques, major procedures, minor procedures, instruments, postoperative care).

Oral and Practical Examination

The candidate will appear before three examiners. This portion of the exam has a maximum of 30 minute duration. X ray interpretation is included. NERVE TESTING FOR MOTOR AND SENSORY FUNCTION
We recommend that you read Practical Fracture Treatment 5th edition, Clinical Orthopaedic Examination or Pocketbook of Orthopaedics and Fractures all written by Ronald McRae. There are excellent resources for Xray interpretation on line.

Practical - Candidates must be fully aware that a knowledge of casting and application of casts (upper and lower extremity - p.o.p. and fibreglass) is a pre-requisite to the completion of the registration examination. Any candidate who does not or rarely applies a cast must be fully aware of the consequences this will have on the outcome of their mark (score) in this category. Included also is the removal of casts. Please note that plaster of paris and fibreglass casting material will be used

Please note: You must be able to teach cane/crutch fitting and crutch walking.

The candidate is required to demonstrate proficiency in each of the following

  • the use and maintenance of tools and equipment used in orthopaedic techniques
  • application of orthopaedic dressings and bandages
  • application of various types of casts - p.o.p and fibreglass
  • knowledge of principles of asepsis
  • fitting crutches and canes and instructions of walking

General Guideline outlining expectations of candidate

  • Treatment of fractures, dislocations and soft tissue injuries including Shoulder, Wrist, Upper and Lower Arm, Hand
  • Fractures and dislocation of the spine including Cervical supports, body jacket, minerva jacket, spinal deformity, scoliosis cast
  • Fractures and dislocations of Hip and Pelvis including hip spica single and double, CDH cast, abduction cast, commercial splints
  • Fractures and dislocations of Lower Extremity including, hip spica, cylinder cast, long leg cast, long leg supports, short leg, patella tendon bearing cast, forefoot cast, jones bandage, long and short splints, strapping and taping, paediatric casts
  • Cast and Splint Therapy
  • Special Casting Procedures

Since the equipment used at the examining Hospital may be different than what you are accustomed to, it is recommended that you bring your own scissors and spreader. You may also bring your own casting material.

A candidate has three opportunities to pass the registry examinations. Failure to complete the process after three attempts will require the candidate to wait for a period of two years before being allowed to sit the exam again.

A failure of any component of the oral or practical portion requires the candidate to be re examined on the failed portion at a later date. The decision of the Accreditation Committee is final and no further review will be entertained.

Upon successful completion of the examinations a diploma and registry pin with the registry number engraved on the back will be issued. A letter and your diploma is sent to the Chief of Service. Human Resources receives a letter and an Employer's Notification form informing them of the accomplishment. Copies of these letters are also sent to the candidate.

If annual dues are not paid, the Registry of the technologist is no longer valid. Hospital Administrators will be advised. When membership has been allowed to lapse for 12 months or more, the applicant for reinstatement will be asked to appear before an examining team at the next examining board and will be required to rewrite the exam.

Applicants residing outside of Canada and her territories will not be accepted as candidates for the registry examinations.

2019 Oral and Practical Exams
Congratulations to:

Shanna Brindley
Mary Caborubias
Erin Hardeman
Jennifer Hudson
Curtis Lockyer
Jordanna Lovenjak
Adam Mielnik
Shannon Morrison
Francesca Profenna
Karly Proulx
Megan Siegner
Teri-Lynn Timpany
Morgan Wood

2018 Oral and Practical Exams
Congratulations to:

Leanne Basha
Brent Dawn
Carlos Diaz
Myrian Fahey
Anshh Gray
David Grieve

2017 Oral and Practical Exams
Congratulations to:

Mohammed Al Ansari
Bobby Gale
Melissa Gelowitz
Daniel Gibson
Karen Holland
Kristin Miller
Daniel Salas
Stephen Samchyk
Darwin Sebastian
Michael Strutt
Krista Wallingham
Samantha Webster