Preparing for the NBCOT OTR Exam
As a new-graduate Occupational Therapist (OT), I often get asked, “Is the examination difficult? How did you study for the examination?” While these are valid questions, discussing or disclosing exam content is prohibited, according to the National Board for Certification in Occupational Therapy (NBCOT) Code of Conducts. Instead, I have compiled a list of thoughts that went through my mind as a student preparing for the NBCOT® exam to support you on your journey.
Mindset is Key
Passing the NBCOT exam is a pivotal moment in our career—and as future clinicians, we are held to a high professional standard. As one of the final hurdles to complete in your journey towards becoming an occupational therapist, maintaining calm, collected, and positive mental health is key toward success. Prioritizing your mental health throughout the preparation process can make a meaningful difference.
Understanding the Exam Format
The NBCOT® Certification Handbook (subject to change depending on date of exam) is your guide to understanding the exam format. The NBCOT exam is a 1-day, 4-hour, 180-question test that includes both multiple-choice and multiple-select scenario-based questions that test entry-level knowledge and clinical reasoning. The exam is organized into four domains: Domain 1—Evaluation and Assessment; Domain 2—Analysis, Interpretation, and Planning; Domain 3—Selection and Management of Intervention; and Domain 4—Competency and Practice Management. Each domain is weighted differently.
Resources
Choosing a resource to utilize during your efforts can be intimidating. Many are free, but most require purchase prior to utilization. The resource you choose is entirely up to your specific budget, as well as your strengths and weaknesses. Take the time to research each resource, as some may be tailored to specific content areas or focus solely on practice questions. While you are preparing for the exam, remember that your professors are a valuable resource—don’t hesitate to reach out for class PowerPoints, if applicable, or ask peers about sharing textbooks. Remember your budget as well, as there is no “one-size-fits-all” approach—what matters most is finding a resource that works best for you.
Where Do I Start?
I began by taking the NBCOT Self-Assessment, to establish my strengths and weaknesses, and obtain additional information on which domains I was successful with, and whereI required additional studying. Next, I sat down and created a study plan. The frequency and duration of your study plan is entirely up to you! After creating a detailed study plan, stick to it! Think of your study plan as a date, or a meeting. If you have to cancel on your “date,” then reschedule it. Take time for your mental health and give your brain a break.
Taking the Exam
On exam day, remember to eat a well rounded breakfast. As the saying goes, “breakfast is the most important meal of the day!” I chose to wake up early, eat a nutritious breakfast, and reflect on my accomplishments. Remind yourself that you have graduated from an accredited occupational therapy program, completed 24-weeks of clinical experience as a student to gain hands-on experience in our field, and dedicated significant time and effort into studying for your board examination. Additionally, start your day how you typically would begin a normal test day. It could be as simple as eating the same breakfast, listening to your go-to song in the morning, or some other ritual that helps ground you. Remember, you are ready! Take a deep breath as you enter the testing center, and another when you finish. The wait is over—the time is now.
Tanner Daniel is an Occupational Therapist practicing in Stroke Rehabilitation in Indiana. Tanner completed his Master of Science in Occupational Therapy (MSOT) from the University of Southern Indiana.