BOCO Certification Process

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1. As of July 31, 2016, BOC no longer accepts new applications for this certification program.

2. BOCO candidates will receive notification of approval to begin their exam series following a receipt of examination payment.

BOCO Exam Series

The BOCO examination series has been developed to ascertain your competence as an orthotist. The examinations have been developed in conjunction with accomplished subject matter experts and authorities in the field, as well as item writers, psychometricians and test development professionals. Test questions and procedures are based on national job requirements as determined by an analysis of practice conducted by BOC every five years. BOC exam preparation resources are available to assist you in preparing and studying for your examinations.

The Orthotist Detailed Content Outline provides a comprehensive description of all practice areas on which you will be tested. Instructions are available to help you fully utilize the outline for exam preparation purposes. The Orthotist Detailed Content Outline and Outline Instructions can be used to prepare for both the multiple choice and clinical simulation exams. 

BOC offers instant scoring for all computer-based examinations, and BOC administers these exams year round. That means that as a BOC certification candidate:

  •  You’ll enjoy the convenience of taking your multiple-choice and clinical simulation exams when you’re ready, without waiting for a limited testing window.
  •  You’ll get your exam results at the testing center immediately after you take your test—no more anxious waiting by the mailbox!

To become a BOCO, you must successfully complete three exams:

  1. Multiple Choice Examination (MCE) - The MCE assesses the knowledge base required for the profession. You will have three hours for completion of this segment, consisting of 150 multiple choice questions. The exam is computer-administered and once you complete the exam, you'll receive your results instantly. 

  2. Clinical Simulation Examination (CSE) - The exam explores the clinical decision-making and problem-solving skills involved in patient care. The CSE presents eight realistic cases which provide opportunities to solve clinical problems. You will have 3.5 hours to complete this computer-administered exam. The exam is computer-administered and once you complete the exam, you'll receive your results instantly.

  3. Video Practical Examination (VPE) - The VPE is a visual demonstration submitted to show your hands-on skills and craftsmanship in orthotic procedures. The tape will be independently evaluated by three expert reviewers. For more information, review the BOCO VPE Instructions.

NOTE: From the date you submit your application, you have a total of three years to register for and successfully complete all examinations.

3. Certification will be awarded upon successful completion and satisfactorily passing your exam series.

"My relationship with BOC started back in 1985. Since then, my BOC certification has opened avenues to the best training and opportunities in the industry and beyond. As BOC has grown, so have I. Thanks BOC!"

Theresa McLeod, COF, CMF

  • Boutique Manager, Evelyn H. Lauder Breast Center, New York, NY

"I really appreciate what you guys do and have done for the O&P field over the last several years.  I am very privileged to be a part of the group and look forward to working in and with this field and association."

Jason Eddy, BOCP, LOP

  • Snell Prosthetics and Orthotics, Hot Springs National Park, AR