Implementation Plans for the Korean Certified Tumor Registrar Qualification System

  • Boo, Yoo-Kyung (Department of Healthcare Administration, College of Health Industry, Eulji University) ;
  • Lim, Hyun-Sook (Department of Public Health Administration, Hanyang Women's University) ;
  • Won, Young-Joo (Cancer Registration and Statistics Branch, National Cancer Center)
  • Published : 2014.11.28


Background: Cancer registration data is used to understand the nation's cancer burden, and to provide significant baseline data for cancer control efforts, as well as, research on cancer incidence, mortality, survival, and prevalence. A system that approves, assesses, and manages the qualification of specialists, responsible for performing cancer registration, has not been developed in Korea. This study presents ways to implement a certification system designed for the qualification of tumor registrars in Korea. Materials and Methods: Requirements for implementing a certified tumor registrar qualification system were determined by reviewing the system for establishing qualifications in Korea and the American qualification system via the National Cancer Registrars Association (NCRA). Moreover, a survey was conducted on Korean medical records administrators, who had taken the U.S. Certified Tumor Registrar (CTR) examination, in order to review their opinions regarding these requirements. Results: This study verified the feasibility of a qualification examination based on the opinions of CTR specialists by determining the following: items, and the associated ratings, of the qualifications necessary to register individuals as certified tumor registrars in a private qualification system; status of human resources required for the examination or training processes; plans regarding the organization needed for management, and operation of qualifications, examination standards, subject areas, examination methods, examination qualifications, or education and training programs. Conclusions: The implementation of a certified tumor registrar qualification system will lead to enhanced job competency for specialists and a qualitative improvement of cancer registration data. It will also reliably foster human resources that will lay the groundwork needed to establish scientific and reasonable national cancer management policies.


Supported by : Ministry for Health and Welfare


  1. Bray F, Parkin DM (2009). Evaluation of data quality in the cancer registry: principles and methods. Part 1: comparability, validity and timeliness. Eur J Cancer, 45, 747-55.
  2. Chapman SA, Mulvihill L, Herrera C (2012). Workload and time management in central cancer registries: baseline data and implication for registry staffing. J Registry Manag, 39, 178-84.
  3. Hsieh MC, Yu QZ, Wu XC, et al (2012). Evaluating factors associated with unknown SEER Summary Stage 2000 derived from collaborative stage at central registry level. J Registry Manag, 39, 101-6.
  4. Hutchison CL, National Cancer Registrars Association (NCRA), et al (2004). Cancer registry management: principles and practice (2nd ed.). kendall hunt publishing Co., Dubuque IA.
  5. Soon-Hie Kang, Korea's qualification system: current issues and measures, paper prepared for international workshop on qualification systems: the experience of Korea and Germany, Seoul, Korea, November 8, 2002.
  6. Knight KL, Pearson M, Tingle W, et al (2008). The cancer registry profession: a unique role in cancer care and control. N C Med J, 69, 309-12.
  7. Korea Medical Record Association (KMRA), (2012). Analysis of status to improve accuracy and fidelity of CS registration data. In Final report on the current subsidy to private sector project for the national health promotion fund in 2012.
  8. Korea research institute for vocational education & training (KRIVET). Overview of the Korean qualification systems and prohibited areas. Accessedat:
  9. KRIVET (2013). Private qualification management and operation guide. framework act on qualifications, article 23 (institution and registration of private qualifications). Accessed at:
  10. Larsen IK, Smastuen M (2008). Data quality at the Cancer Registry of Norway: an overview of comparability, completeness, validity and timeliness. Eur J Cancer, 45, 1218-31.
  11. Moore MA, Shin HR, Curado MP, Sobue T (2008). Establishment of an Asian cancer registry network-problems and perspectives. Asian Pac J Cancer Prev, 9, 815-32.
  12. Moore MA (2013a). Overview of cancer registration research in the Asian Pacific from 2008-2013. Asian Pac J Cancer Prev, 14, 4461-84.
  13. Moore MA (2013b). What and where for publications by cancer registries in the Asian Pacific?-roles for the APJCP in the future. Asian Pac J Cancer Prev, 14, 4939-42.
  14. National Cancer Center (NCC), (2013a). Annual report of cancer statistics in Korea in 2011. Accessed at:
  15. National Cancer Center (NCC), (2013b). Cancer facts and figures 2013. Accessed at:
  16. National Cancer Registrars Association (NCRA), (2013). Certified tumor registrar continuing education handbook: a guide for maintaining the CTR credential. Accessed at:
  17. NCRA (2012). Full report of the job analysis study for cancer registrars. Accessed at:
  18. NCRA (2014). CTR certification examination: candidate handbook and application. Accessed at:
  19. Peterson J (2012). Implementing quality oncology practice initiative (QOPI) participation in a community oncology practice. J Registry Manag, 39, 154-7.
  20. Shin HR, Won YJ, Jung KW, et al (2005). Nationwide cancer incidence in Korea, 1999-2001; first result using the National Cancer Incidence Database. Cancer Res Treat, 37, 325-31.