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The British Casting Certificate courses and examinations are Validated by the British Orthopaedic Association (BOA) and the Association of Orthopaedic Practitioners(AOP) and supported by the Royal College of Nursing [Society of Orthopaedic and Trauma Nursing]. This is now a joint award with Glasgow Caledonian University. They are run under the control of the Casting Techniques Subcommittee of the British Orthopaedic Association. Their object is to teach the best way to look after patients who need to have any form of cast or similar support. In order to concentrate teachers and resources, the Course is held over a continuous five-week period. We are fortunate to be able to hold them in premises at the Royal National Orthopaedic Hospital NHS Trust, Stanmore. GLASGOW CALEDONIAN UNIVERSITY A total of 60 credits at University Diploma Level will be awarded by Glasgow Caledonian University to students who satisfactorily complete the course (theory, simulated practice and clinical practice) and attain a pass in each of the assessments. The assessments comprise a theoretical component (3000 words) and an Objectively Structured Clinical Examinations (OSCE). The course fee includes this accreditation. WHO ARE THE INSTRUCTORS? The instructors on the Course are chosen from orthopaedic surgeons, orthopaedic nurses/tutors and nurses and/or technicians specialising in casting techniques. CONTENT Theory Teaching is given in anatomy and physiology. There is a wide subject matter relating to trauma and orthopaedic conditions. This theoretical knowledge is linked to practical patient care. In addition, health and safety, legal aspects, documentation and much more are covered. Practical The emphasis is on hands on practical sessions and the Courses are kept small in order to provide a very high instructor/student ratio. In this way, participants on the Course can build rapidly on their previous casting room experience. The aim is to perfect existing skills, learn new and alternative methods and be able to discuss and critique work in a constructive way. What materials are used? Most cast application techniques are taught in resin-based materials and plaster of Paris. Participants will have experience with a full range of modern materials and will learn how to use their special properties for particular applications.

ARE YOU INTERESTED? ARE YOU ELIGIBLE TO APPLY FOR THE COURSE? The practical nature of the Course means that places are limited and necessarily more costly than would be the case for a mainly theoretical Course. As a prerequisite you must have a minimum of 1


year of experience in casting application. Applications must be supported by a recommendation from a Consultant Orthopaedic Surgeon, who is a Fellow of the British Orthopaedic Association, and from your Line Manager. Nursing staff, casting room technicians and others who need to become expert in practical casting techniques are all equally welcome. Prior to attending the Course, it is a requirement for candidates to study the theory as shown in the Syllabus.

WORSHIPFUL COMPANY OF BARBER SURGEONS Each year the Worshipful Company of Barber Surgeons generously supports one Course place which is awarded to a candidate who can prove that he/she has been unsuccessful in obtaining funding. This award is only open to United Kingdom Citizens who work in the UK. If you require further information about this Award please contact Casting Course Coordinator at the British Orthopaedic Association on 020 7406 1757. Members of the Association of Orthopaedic Practitioners may apply directly to the AOP for help with funding. THE EXAMINATION The Course is followed by an examination. The examination fee is included in the fee for the Course. The British Casting Certificate is awarded to successful candidates and is being increasingly recognised by employing authorities and gives added support when responsible posts are being considered. REGISTER British Casting Certificate holders names are held on a Register at the BOA and must recertify every 3 years and provide evidence of Continuing Professional Development to stay on the Register. From 1st January 2006 the examination is no longer available to those who have not previously attended a BOA Committee Validated Course. APPROVED COURSES RUN IN UK CENTRES Details of all approved full courses can be found on page 8 of this booklet. REFERENCE LIST There is a list of recommended reference books on page 7 of this booklet. ADDITIONAL LEARNING AIDS Details of additional resources, including tape-slide materials are on page 9 of this booklet.

For the booklet, further information or enquiries on the Course and Examination please go to or contact: Conference and Committee Administrator British Orthopaedic Association 35-43 Lincolns Inn Fields London WC2A 3PE Email:


Telephone: 020 7405 6507 option 0 Fax: 020 7831 2676


Course 1: Exam: Monday 11th February to Friday 15th March Friday 15th and Saturday 16th March Monday 18th March Monday 15th April to Friday 17th May Friday 17th and Saturday 18th May Monday 16th September to Friday 18th October Friday 18th and Saturday 19th October

Course 2: Exam: Course 3: Exam:

These courses and examinations run as five-week blocks at RNOHT, Stanmore. Further courses are run on a day release basis at Bradford Royal Infirmary, Glasgow Caledonian University, Royal Gwent Hospital (Newport). A total of 60 credits at University Diploma Level will be awarded by Glasgow Caledonian University to students who satisfactorily complete the course (theory, simulated practice and clinical practice) and attain a pass in each of the assessments. The assessments comprise a theoretical component (3000 words) and an Objective Structured Clinical Examinations (OSCE) .
Exam Only: this is available only for those for those who have previously undertaken a BOA Approved full Casting Course in the previous 2 years

Enquiries preferably through the website at Or contact: British Orthopaedic Association 35-43 Lincolns Inn Fields London, WC2A 3PE Tel:0207 405 6507 option 0 Fax:0207 831 2676

Funding: Each year the Worshipful Company of Barber Surgeons generously supports one course place and will pay part of the course fees. This is awarded to a candidate who can prove that he/she has been unsuccessful in obtaining funding. Members of the Association of Orthopaedic Practitioners may apply directly to the AOP for help with funding. If you require further information about this Award please contact the Casting Course Secretary at the British Orthopaedic Association. REFRESHER COURSES for holders of the British Casting Certificate will be running on Tuesday 4th and 5th SEPTEMBER 2012 (Please see above web site for further details)



CRITERIA FOR ENTRANCE TO: a] Attend an approved course and examination At least 1 Years experience in casting application, sufficient theoretical knowledge and experience in caring for in patients and outpatients with trauma and orthopaedic conditions, see below Previous attendance at a BOA Validated Full Casting Course. All retakes of this Examination must be completed within 2 years of course attendance.


Attend the examination only Committee

A Fellow of the BOA and your Line Manager MUST validate this information, and must also certify that the candidate has, in their opinion, sufficient experience in: 1. 2. 3. Casting techniques The care of inpatients and outpatients with orthopaedic conditions and trauma Sufficient theoretical knowledge

to enable him/her to enter the examination relevant to the published syllabus. Under certain circumstances, the Casting Techniques Subcommittee may allow a candidate to take the course and examination without the full prerequisite experience. In this situation, if successful, the candidate would have their certificate withheld until they have achieved the length of experience required and had this verified by their sponsoring BOA Fellow and line manager.

EXAMINATION RULES AND REGULATIONS The examination consists of viva and practical sessions. All sections must be passed individually and at the same sitting. There will be two external examiners



RELEVANT ELEMENTARY ANATOMY AND PHYSIOLOGY LOCOMOTOR SYSTEM Basic knowledge of the skeleton: nomenclature. major joint movements. Details of bones and surface anatomy of the upper and lower limbs. The vertebral column, bony structures, normal curves and intervertebral discs. Joints: basic details of the upper and lower limb joints. Muscular system: main groups of muscles moving the limbs. Nervous system: spinal cord in brief. positions of nerves relevant to casting work. Circulatory system: main blood vessels of the limbs. TRAUMA Fractures: types, healing and complications. Description, treatment and any specific complications of trauma to: Wrist and hand Forearm Elbow Humerus Clavicle and shoulder Foot and ankle Tibia and fibula Knee Femur

Awareness of complications and handling of patients with these injuries: Trauma to the Pelvis and Spine ORTHOPAEDICS Brief description of each condition and treatment, especially those where casting is involved: Bone infections: osteomyelitis/tuberculosis Congenital talipes equino varus Developmental dysplasia of the hip Foot conditions, e.g. hallux valgus Knee conditions Osteoarthritis and Rheumatoid disease Osteochondritis e.g. Perthes disease Osteoporosis BANDAGING WALKING AIDS Techniques of bandaging and the use of slings, collar n cuff Basic principles and instructions

CASTING ROOM ISSUES HEALTH AND SAFETY MEDICO LEGAL: Record keeping / documentation Informed consent Ethical matters



CASTING TECHNIQUES Assessment of patient including relevant history Basic casting technique Use of apparatus in the casting room Care of patients in casts: Trimming, drying and windowing Checking of patients in casts Verbal and written advice given to patients Communications skills Complications of cast fixation, prevention, detection and treatment Walking attachments for leg casts Removal of casts and subsequent care SPECIFIC CASTS Appropriate use of materials including plaster of Paris and alternative casting materials. Understanding of how to use and create: Soft products and combicast techniques. Producing the correct layers of resin based materials and using products making use of their properties Positions, extent of cast and basic technique of: Slabs: Metacarpal slabs Below elbow Above elbow Knee Below knee 'U' Slab Casts: POP Below Elbow Bennetts type Above elbow Below knee Above knee Casts for clubfoot

Lightweight resin based materials Below elbow Bennetts type Scaphoid Arm cylinder Above elbow Slipper Below knee Leg cylinder Above knee Sarmiento type

Should have applied these casts on the course and understand the principles. Should be able to discuss care and troubleshoot any problems Corset/jacket Hip spica Frog type Broomstick Shoulder spica Minerva jacket (demonstration only) Functional bracing: Humerus Femur Tibia Resting splints for limbs Negative casting ADDENDUM TO SYLLABUS During the practical part of the examination, candidates may be required to apply casts in Plaster of Paris and one of the following resin based materials:
BSN Medical Deltacast Conformable Lohmann Cellacast Extra 3M Scotchcast Premium Benecare _ Polyester or Advanced It is therefore essential for candidates to familiarise themselves with all these products.



REFERENCE BOOKS This list is intended as a guide to help you find reference books in a hospital or public library

TITLE A practical guide to casting

AUTHOR Members of the Society of Orthopaedic Nursing, RCN

PUBLISHER BSN Medical Tel: 01482 670100

DATE 2001


Plaster Technology Book

Basic anatomy and physiology Rowett, HGQ Clinical Anatomy The Concise Book of the Moving Body Monkhouse, W.S. Jarmey,C. Myers,T.W.

Department of Orthopaedic and Trauma Surgery Wards 18/19 Distance Learning Section Ninewells Hospital & Medical School Dundee DD1 9SY Tel: 01382 496278 John Murray Churchill Livingston Lotus publishing North Atlantic Books

2003 2002

0-7195-8592-9 0443 063958 1-905367-01-5

The Concise Handbook of Human Anatomy

McMinn, RMH Hutchings, RT Logan, BM Dandy, David J

Wolfe Medical Publications Ltd



Essential orthopaedics and trauma

Churchill Livingstone



Textbook of orthopaedics and trauma

Hughes, Sean P F Porter, Richard W




Practical fracture treatment

McRae, Ronald

Churchill Livingstone


0-443 06876-3

Orthopaedics and Trauma

McRae Ronald Kinninmonth A.W.G.

Churchill Livingstone





For the five week full-time course held at RNOHT, Stanmore: Conference and Committee Administrator British Orthopaedic Association 35-43 Lincolns Inn Fields LONDON WC2A 3PE

Tel: 020 7406 1757 Email: Website:

For the Day-Release Course in Bradford: Julie Parr Plaster Room Bradford Royal Infirmary Duckworth Lane BRADFORD BD9 6RJ

Tel: 01274 364155 Email: Mobile 07786580024

For the Day Release Course in Glasgow: Marty Wright 0141 331 8085 and for all information about the Glasgow Course and the national accreditation , including recognition of prior learning For Application forms for the Glasgow Course, academic accreditation or Recognition of Prior Learning claims . Angela Miller, Administrator Glasgow Caledonian University City Campus Cowcadden Road GLASGOW G4 0BA

Tel: 0141 331 3468 email:

Course content and other enquiries John Mooney

Tel: email:

01236 748748 (Plaster Room)

For the Day Release Course in Newport, Gwent:

Marion Williams FOU Clinic Royal Gwent Hospital Cardiff Road Newport NP20 2UB

Tel: 01633 234408 Email :




RESOURCES Eye Witness Video Productions PO Box 141 Stroud Gloucester GL6 9YJ BOA Library Cat no 524/613 CD of Casting Upper/ Lower Limb S. Miles; L. Barr Available in other formats. Other videos available _____________________________________________ Tel: 01453 884800

Department of Orthopaedic and Trauma Surgery Wards 18/19 Distance Learning Section Ninewells Hospital & Medical School Dundee DD1 9SY Distance Learning Modules available

Tel: 01382 496278

______________________________________________ Most of the manufacturing companies produce their own teaching aids - contact the individual companies for more information.




Travel to:

Royal National Orthopaedic Hospital NHS Trust [RNOH] Brockley Hill Stanmore Middlesex HA7 4LP Telephone: 020 8954 2300

Bus to the RNOHT from: Watford Edgware Stanmore via 142 bus to the Vine Public House [Stanmore Hill] via 107 bus to the top of Brockley Hill via 142 bus from Stanmore Broadway to the Vine Public House [Stanmore Hill]

Underground to Stanmore from: London Stanmore station (Jubilee Line) 30 minute, uphill walk or taxi (taxis available outside the tube station) Edgware station (Northern Line) Catch 107 bus from stop F at bus station to hospital gates
Elstree & Borehamwood station (Thameslink) Catch 107 bus to hospital gates

Hospital Minibus The RNOH provides a minibus shuttle service for patients and visitors. This service runs both to and from the Stanmore site to both Edgware bus and tube station (Northern Line) and Stanmore tube station (Jubilee line). The minibus has a large number of pickup points on the site including Orthotics, Outpatients and the Main Gate. This popular service is provided by Barnet PCT on behalf of the hospital from Monday to Friday, commencing at 6.30am and terminating at 5pm. (N.B. Lunch break is between 12.30-13.30, there will be no service during this time).

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The following list has been collated to assist you in finding accommodation in the Harrow/Watford area whilst you are on the course. Candidates are responsible for making their own reservations for accommodation and this is entirely at their own risk as the premises mentioned have NOT been vetted. It may be difficult to commute from some of these places by public transport to the Royal National Orthopaedic Hospital, Stanmore, and this should be borne in mind when booking. .

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Mrs Ruth Farley Harrow Weald Guest House North Medburn Farm Janets B&B Mrs Hiliary Hubbers Mrs Susan Ash Mr & Mrs Sydney Mrs Eileen Holland Ms Christine Harvey Premier Travel Inn Premier Travel Inn Toby Village Hotel Accommodation Office RNOH B&B
Guest house

Birchfield Cottage, Heathbourne Rd, Bushey Heath, WD23 1PB High Road, Harrow Weald, HA3 5EE Watling Street, Elstree, Herts WD6 3AA

020 8950 4073 020 8427 4699 020 8953 1522 020 8952 8130 020 8952 2197 020 8905 7963 020 8958 8949 07790 292852 0208 205 3575 0780 2294 560 0208 205 4266 0870 242 8000 0870 242 8000 020 8905 1455 0844 980 0302 020 8909 5872

Bus and /or Walk Two buses plus 10 minutes walk (car preferable) 10 minutes walk to direct bus route Two buses or Train and bus/walk Short Walk to direct bus route Train one stop and Bus Walk and direct bus route Two buses required to get to the hospital Two buses required to get to the hospital 5 mins walk and bus for 10-15 mins


31, Gyles Park, Stanmore, HA7 1AN 106 Whitchurch Gardens, Edgware, Middx, HA8 6PB 188, Whitchuch Lane, Edgware, Middx, HA8 6QJ 33 Ashcombe Gardens, Edgware, Middlesex, HA8 8HR 10 Pear Close, Kingsbury NW9 0LJ 14 Pear Close, Kingsbury, NW9 0LJ 435 Burnt Oak Broadway, Edgware Warwick Rd, Borehamwood Studio Way, Borehamwood Centennial Ave, Centennial Park, Elstree, WD6 3SB RNOH Trust, Stanmore, Middx HA7 4LP

B&B B&B B&B B&B Hotel Hotel Lodge hotel Hotel Bed only or flat share Use of kitchen

2 buses Walking distance Limited availability so phone early. May not be available in 2013

FOR PEOPLE WITH OWN TRANSPORT Radlett Mrs Pam Schooling B&B Tessa Carrington B&B Mrs D Turner B&B Red Lion Hotel Watford Pegasus Guest House Premier Travel Inn

25 Letchmore Rd, Radlett, WD7 8HU Williams Way, Radlett, 43 Craigwell Avenue, Radlett, Herts WD7 7ET Watling Street, Radlett, Herts

01923 855407 01923 855331 01923 469245 01923 855341

Train and Bus or 4 miles by car Train and Bus or 4 miles by car Approximately 30 minutes by car Approximately 30 minutes by car; or train and bus

Guest House

30 Westland Road, Watford, Herts Water Lane, Watford, Herts

01923 240154 0870 242 8000

Bus to Stanmore, plus 10 minutes' walk across common Twin or double rooms Own transport advised, although possible by bus and walking


Disclaimer: Please note that the inclusion of an establishment in this list does not imply recommendation
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updated 08/09/2011