Orthotic/Prosthetic Fit Lead

Rochester, NY


Provides independent patient care related to patient evaluation, prescription recommendation, applying all manner of fracture casts, fitting and adapting of assistive devices and coordination of patient care with other health care professionals. Usually works in accordance with standard procedures and practices. Exercises a high degree of judgment and skill.

Career Ladder: The three bands within this position are differentiated by level of independence, supervision required, ability to precept new employees in the use of all equipment and the ability to lead and meet established departmental goals. Orthotics/Prosthetics Fitter levels and criteria for each level is defined below:

Band I: Entry level Orthotics/Prosthetics Fitters who are new to URMC who require training as well as regular direct supervision or guidance from a more senior Orthotics/Prosthetics Fitter. This generally involves orientation to the Department's infrastructure, policies, protocols, workflows, procedures and routines. During this period the Orthotics/Prosthetics Fitter must demonstrate an ability to progress towards proficient and competent performance of required tasks of an Orthotics/Prosthetics Fitter. Ability to interact with patients and physicians on a professional level and a willingness and ability to learn must be demonstrated at this level.

Band II: With minimal supervision, demonstrates proficiency and competence in all aspects of job responsibilities and expectations. Fitters at this level meet all level I performance criteria, are certified by the American Board for Certification or equivalent, and have a minimum of 1 year of experience as an independent fitter. Able to work with students and residents as needed. Demonstrates consistent attention to detail in all clinical services including complete documentation. Scope of practice includes all fracture casts and all prefabricated devises with the exception of Halos.

Band Two status requires a minimum of 1 year of progressively responsible professional work experience in an Orthotics/Prosthetics Fitter role.

Lead: Exceeds standards for a level II Fitter and demonstrates advanced clinical skills in one or more of the following areas: teaching, advanced certification, research, publication or program development. Program development includes assisting in supervision, training, compliance, and operations of a program staffed by Orthotics/Prosthetics Fitters. Responsibilities include assisting in supervision, training, compliance, and operations of Orthotics and Prosthetics programs. May serve as a preceptor in the on-boarding of newly hired Orthotics/Prosthetics Fitters directly orienting to equipment, routines and procedures, computer programs and software, as well as departmental and hospital policies. Directly assists in the mentoring of newer Orthotics/Prosthetics Fitters by providing one-on-one assistance when needed. Able to effectively troubleshoot issues that arise within the department and deal with accordingly. Able to represent the department on various committees such as safety, quality, and operations groups.

Band Three status minimally requires 2 years of progressively responsible professional work experience as an Orthotics/Prosthetics Fitter in a clinical care role with 1 year dedicated to URMC preferred.


  1. Clinical Assessment: Obtains a history of the patient, evaluates patient, and examines the patient manually. Determines the needs of the patient by integrating the information obtained from history, examination and observation in order to assess the specific needs of the patient. Analyzes the data obtained by empirical methods in order to prepare a recommendation. Collaborates with patient, family and involved providers to develop a treatment protocol for the specific patient and to determine a specific device recommendation and plan for its use. Obtains and accurately records appropriate measurements and other data from the patient in order to produce the device recommended.

  2. Patient management: Measures a patient by utilizing proper instruments and tests in order to compile data to be used in prosthetic and orthotic design and fabrication. Manipulate the patient's body or body segments to provide correction. Properly fist orthotic designs by utilizing accepted prosthetic/orthotic techniques in order to achieve optimum fit, function and cosmesis. Evaluates a patient's gait by visual observation in order to achieve optimum prosthetic or orthotic function. Achieves optimum alignment of patient's prosthetic/orthotic device by evaluation of the sagittal, transverse and coronal planes in order to provide maximum function. Manages a simple, stable fracture utilizing prefabricated orthoses. Follows up with patient care in order to assure proper fit and function of the prosthetic/orthotic device by periodic evaluation. Provides the solution to a patient's prosthetic/orthotic problem by appropriate evaluation in order to achieve proper function. Educates the patient on the various procedures you are about to perform and/or explain his/her role and responsibilities regarding these procedures by utilizing appropriate communication skill in order to achieve successful fabrication and utilization of the prosthetic/orthotic device.

  3. Practice Management: Communicates patient information to referring physicians and other healthcare providers to achieve ultimate patient care. Follows procedures for patient care that comply with accepted medical/legal requirements by maintaining current education in these areas to provide appropriate patient care in order to avoid legal ramifications.

  4. Directly supervises and educates fitters under the direction of Site manager and O&P Chief: Organizes, schedules, and assigns walk-in volume of Fitters on a daily basis. Includes ensuring appropriate staffing levels during sick calls and vacation. Manages and monitors meal and rest breaks. May enter, edit, verify, and approve time records for each employee. Coordinates In-patient duties with O&P In-patient fitter and Site Manager. Supervises O&P residents, medical residents, and students.

  5. Responsible for inventory management: Ensures inventory is available promptly. Ensures inventory is returned in a timely manner. Ensures inventory storage is neat, accurate and complete.

  6. Communicates regularly with O&P Site manager and Chief. Makes recommendations in regard to hiring and promotions; gives input regarding staff performance; counsels staff; develops and implements training activities to ensure high standards of performance and patient care.

Other duties as assigned


  • High School Diploma required; Associate's Degree preferred.

  • Minimum of 3 years of experience as an independent fitter required or equivalent combination of education and experience.

  • Ability to interact with patients and physicians on a professional level and willingness and ability to learn required.

  • Certification by American Board for Certification of Orthotics, Prosthetics and Pedorthics required

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $22.12 - $29.86 Hourly

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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Location: Strong Memorial Hospital
Full/Part Time: Full-Time