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Start aligning your curriculum for success on the OTR® Exam​.  

Challenges Occupational Therapy Students Face
Preparing for and Passing the OTR® Exam

Nearly 1 out of 3 Students Fail the OTR® Exam

1.  Underestimate the difficulty – many students think if they scored well in their classes, they will easily pass the OTR® Exam.  This overconfidence prevents students from allocating the necessary time and resources to pass.

2.  Don’t know how to study for high-stakes certification exams – test prep has highly-benefited from the field of learning science.  There are new scientific methodologies that turn average test-takers into high-performers.  Many fail to identify their strengths and weaknesses by the OTR® Exam Domains/Tasks early in their study plan and spend time on areas that won’t have the greatest impact.

3. Don’t use the right study materials – many students will just use basic study materials that don’t provide rich answer explanations that give insight into correct & incorrect answers or create succinct and memorable “bottom-lines” that make it easy to remember the key information to getting the question right.  When incorporating this practice with high-focus on weak areas, it can have a dramatic impact on your ability to succeed.

50 %
Pass Rate for the OTR® Exam
It’s our mission to help you pass
the OTR® Exam the first time.

See How TrueLearn Prepares you for Success

Immersive Study Aid that Combines Practice Questions, Answer Explanations, & Learning Science!

Start with a 100 question practice test from 700+ questions that align to the the actual NBCOT® content outline.  Review TrueLearn’s rich answer explanations and succinct Bottom-Lines.


Track your Performance. Quickly see your category performance broken down into Domains and Tasks. Compare results to peers. Know exactly where to focus study time.


We proactively text you “Bottom-line” explanations that provide succinct & memorable insight at deliberately-spaced time intervals proven to improve knowledge retention.


Know you will succeed. TrueLearn’s  scientifically proven SmartBanks achieve an average of 20% improvement with an overall 96% pass rate.  First-Time Pass Guarantee

Effective Immersive Experience that is Backed by Science

We shift the burden of studying best practices from the student to our Software!

There are three key principles of learning science we embed into our SmartBank for the OTR® Exam to give you an advantage.

1.   Retrieval Practice:  The finding that long-term memory is increased when some of the learning period is devoted to retrieving the to-be-remembered information through testing with proper feedback.

2.  Spaced Repetition:  A learning technique that incorporates increasing intervals of time between subsequent review of previously learned material in order to exploit the psychological spacing effect. 

3.  Testing Effect: The well-established psychological effect that the mere act of testing someone’s memory will strengthen the memory, regardless of whether there is feedback.  Learn More

A PROVEn 96% Pass-Rate When Completing a SmartBank*

700+ Practice Questions that Mirror the OTR® Exam

Relentless Drive For High-quality Practice Questions for the OTR® Exam

OTR®-style questions are prepared by high-performing Occupational Therapist with specific expertise to ensure questions match the format of the exam for style and accuracy.

A proprietary psychometric algorithm ranks question quality, helping us identify items to revise and adjust to ensure content that most effectively helps you prepare for the OTR® Exam and ensure you pass the first time.


Rich Answer Explanations Fundamentally
Improve Your Understanding

We make it easy to see what you missed, understand why incorrect answers were wrong, and why the correct answer was the best choice.  

Opt-in to receive SmartText with easy-to-digest information for answers you marked incorrect to reinforce the content to long-term memory. 

We identify your weak areas and use the learning science principle of spaced repetition to enhance memory of that subject by texting you at deliberately timed increments.

Get your First SmartText Now!

When Everything is Combined...
It's Extremely Effective!

The average TrueLearn user improves their percentile by up to 20% when completing a SmartBank.  We evaluated 3900 students across all exam banks controlling for multiple variables and found clear improvement trends for students engaging in retrieval practice by completing a Smartbank.

View the independent study by the American Journal of Surgery that validates our own internal findings.

American Journal of Surgery Study

A Feature-Rich Test Prep Platform


Create custom quizzes to focus your study time on subjects or questions where you score low to have the biggest impact towards improving your score.


Board-style vignettes provide realistic scenarios where a series of questions tests both your understanding of the material and application of knowledge.


Realistic testing interfaces help reduce anxiety on test day.  You will know what to expect and be able to focus on the questions.


Rich answer explanations help you understand why answers were right or wrong.  Our Bottom-lines make understanding complex information easy.


Access from any device.  Take a quick quiz on your cell phone while on break.  Grab a coffee and your laptop or tablet for longer study sessions.


We identify your weak areas and use the learning science principle of space repetition to feed you information to bolster that area at deliberately timed increments through text messaging.

Get Free Demo Questions Right Now

We'll email you 5 high-quality demo questions.
Use as study notes, turn into flash cards, they are yours to keep.

SmartBank for the OTR® Exam Subscribe Options

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The OTR® Exam
  • 700+ SmartBank Questions
  • Pass Guarantee
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Group Discounts Available  –  Learn about our Ambassador Program where you can get discounts for each student by participating in your school’s group promotion. Click here for Details

Pass Guarantee  – If you purchase a subscription of 90 days or greater for a Pass/Fail exam (not an in-service exam), and you fail your exam, you will be provided a free subscription equal in length to the subscription you purchased.

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*NBCOT® and OTR® are registered trademarks owned by National Board for Certification in Occupational Therapy, Inc.  TrueLearn is not affiliated with or endorsed by National Board for Certification in Occupational Therapy, Inc.