CTR Maintenance 


CE Requirements to Maintain the CTR Credential

Continuing education is necessary to maintain a high level of knowledge and skills in cancer registry practice. During the two-year period prior to recertification, CTRs must participate in at least 20 hours of continuing education (CE). A CTR must complete 20 hours of continuing education credits every two years to maintain a certified status. The required 20 CEs helps keep CTRs current on new developments in the field of oncology and registry data management. The two-year CE cycle ends on December 31. Additional CE credits earned cannot be carried over to the next CE cycle. The deadline to submit required CE hours and pay the annual CTR maintenance fee is January 31. CTRs are out of compliance when requirements are not met by the January 31 deadline.   

NCRA’s Council on Certification established a 10 percent random audit of all submitted CE Summary Forms. If audited, CTRs are asked to submit copies of attendance documentation of CE activities. The purpose of the audit is to ensure compliance with the CE requirements. 

NCRA’s Council on Certification established a 10 percent random audit of all submitted CE Summary Forms. If audited, CTRs are asked to submit copies of attendance documentation of CE activities. The purpose of the audit is to ensure compliance with the CE requirements. 

CE Eligibility  

Eligible CE programs must present materials beyond the level required for certification of a cancer registrar. These continuing educational activities must improve/expand a registrars existing base of knowledge or skills as a CTR; they cannot be basic or fundamental courses. NCRA reserves the right to reject CE activities not deemed applicable to cancer registry practice. Learn more about eligibility of specific educational activities and restrictions.

CTR Maintenance Fee  

CTRs are required to pay an annual maintenance fee. The fee for NCRA members is $25; the non-member fee is $105. NCRA members can pay the maintenance fee when they renew their membership. The fee ensures NCRA’s Council on Certification is able to:
  • Safely and securely maintain individuals' CTR credentials
  • Provide timely replies to questions about the CTR program
  • Offer a formal process for employers to verify credentials
  • Review and process CE Summary Forms
  • Issue validation certificates to all CTRs
  • Publish a list of NCRA pre-approved education programs
  • Properly audit CTRs