Hello Renrenspeakers! I am feeling like a weight has been lifted off my shoulders! I have amazing news to share. After 9 days of some grueling waiting, I found out that I passed the last, huge hurdle to becoming an OT – the NBCOT board exam, whoohoo! Last Wednesday at 7 am, I begrudgingly opened my computer and nervously logged into my account, just to be pleasantly gifted with the words, Welcome, Irene! and saw my certification status as ACTIVE. I immediately began bawling and praising God for this achievement, because I can tell yall that I literally had no idea how to feel about the exam that I took. I ran upstairs, woke everyone up with my excitement, and cried with joy alongside my family. I am so thankful I had the support of my family to be with me regardless of the outcomes, but boy was I thrilled to not have to ever think about repeating the exam ever again. Let me take yall through my pre-NBCOT and post-NBCOT experience because I think I learned a lot about myself throughout these vigorous few weeks of intense studying. It required a LOT of introspection and self-reflection to make it to the other side. I have a ton to share about this experience, so brace yourselves.
Graduation is such a beautiful and fun time to celebrate the wonderful achievement of being done with school and obtaining a degree that I longed to achieve for so long. However, I quickly had to shift my focus on prepping my mind for the last hurdle – the NBCOT exam. As we know, standardized tests are never fun and easy because half of it is about knowing the content, and half of it is about knowing how to take the exam. I like to consider myself an average standardized test taker – not the best, not the worst. However, being a Type A girlie like myself (I know, it is something I need to work on), I wanted to ensure that I used my last brain cells to give my all to the NBCOT exam. To me, that meant making sure that I aimed to overstudy rather than understudy. The exam itself is daunting because it is a 180 question test with an allotted time of 4 hours to complete it. Thus, test takers must read diligently and swiftly to ensure that they finish the test. This is a lot to do, especially when still coming off the high of graduation!
So, what did I do to prepare for the NBCOT exam? I kick started my pre-NBCOT exam period by first taking a week long break after graduating before starting up my studying because I was SO mentally tired. I took this week to lounge around and find comfort in doing absolutely nothing. I was able to do this for about 75% of the week, not gonna lie. Yes, I know I said I needed to give myself a week off, but I guess I was itching to start studying so I could just get the test over with sooner rather than later and move onto bigger and better things. During my “week” off, I did start to reach out to friends I knew who passed their exams relatively recently to get a gage for how they went about bracing themselves for studying. I also did a lot of Googling and joining Facebook groups to compare and contrast the best study materials that would equip me for successful study sessions. Man, there is a LOT of material out there, so the choices were overwhelming. Pro-tip for current OT students out there – save about a good cushion of $800 – $1000 after graduation to pay for the cost of the exam itself, possible study materials, AND the licensing process because I was very surprised to see how expensive study materials became.
The Saturday after graduation, I attempted to get into the studying mindset by taking my first TherapyEd practice exam without any prior preparation and got a 53%. My initial goal was to get a 50% to see where I was at content-wise, so I was rather pleased with reaching my benchmark lol. I heard from many people that TherapyEd is very difficult, and as long as I scored around the 60% range I would be good, so this checked out for me haha. With that, I created a study schedule via Google Docs that broke down my day and content that I wanted to review each week. Before creating my schedule, at the top of my document, I wrote down an affirmation to refer back to that I knew I was going to need as the weeks went by. It stated, You are a DOCTOR so you can do anything! Just focus, concentrate, and be confident. Take this studying as a fun time! Now truthfully looking back – did I refer to my affirmation frequently? Unfortunately, no. Was studying fun? Nah, not really lol. BUT when I wrote it at the time, it did help me reframe my mindset going into this exam. I refused to see it as this catastrophic event that was waiting to happen, but instead as one last step to getting closer to finally becoming an OT. After I typed out the sentence, I included three links from my fav, OT Miri about inspiring/motivating passing stories from other people who’ve taken the NBCOT once, twice, or multiple times. Reading these stories and reflecting on their advice actually helped to take away nerves and worries that began to creep up going into my pre-NBCOT study period.
After setting a skeletal outline of my study plan, I ended up deciding to dedicate about 6 weeks of full-time studying. I aimed for about 6, sometimes 7 hours a day of diligent studying for 6 days a week. Sundays were STRICTLY no studying and a much needed self-care day. I did have a bit of an interruption in which I did some light traveling for a few days, but overall, my goal was to aim for 6 hours a day with rest breaks in between. At the beginning, I was overly ambitious and thought that I could do a timed practice test each week, but after doing three my first three weeks, I merely could not do it. I realized I was doing the absolute most haha. I did end up completing probably like five timed practice exams total throughout because I was worried that I would not be able to finish the real thing on time. The stamina that it takes to sit at a computer for 4 hours and train your brain is wild! Burnout was so real for me, as I felt like I was crashing and could not do it anymore during week 4 of my study schedule. I started to incorporate more prayer and listen to positive accounts of testing experiences to subside the worry and negative attitude that began to fester as I continued my pre-NBCOT study sessions. The local library and a local coffee shop became my second home, and I believe that this change of scenery helped me a ton because it was a new environment that was more stimulating. I also began to pick up my daily yoga stretches again to physically release the built-up tension that I realized was trapped in my body.
You might be wondering, what study materials did I end up using that helped me the most? I want to give several shoutouts to my faves lol. Big shoutout to AOTA Study Pack, Truelearn, OT Miri, OT Rex and OT Exam Prepper Podcast for being my favorite resources ever. I wished I discovered these during grad school, specifically the free resources. Also, honorable mention to my previously made study guides from grad school and random people’s Quizlets haha. And SPECIAL SHOUTOUT to my friend for passing along her Truelearn account to me for free because the dollars were starting to stack up!
I ended up spiraling my fifth week and decided to purchase the NBCOT study pack after I completed the AOTA study pack. I will be very honest – it was somewhat helpful for me personally even though there are no rationales for the exams, but it also was anxiety-inducing when I took my last practice exam. From the Facebook group threads that I read, people said that practicing with the NBCOT practice exams are a good resource (which they are, do not get me wrong) to see which domains you might be struggling with. I also read a LOT of threads saying that people’s NBCOT practice exams were similar to what they ended up scoring like on the real exam. With 5 days left to go, I said, “Alright, I got this!” That last practice exam was interesting for sure, but I believed that I did the best that I could do and used my clinical reasoning skills pretty wisely throughout. Now mind you, the minimum score to pass (both on the practice and the real exam) is 450, so that magic number was what I was waiting for. When I clicked “submit” and received my practice exam score, a 422 popped up on my screen. Now that was not what I wanted to see! I was overwhelmed with a sinking feeling of worry, desperation, and panic. I was rather upset to see that what I thought would be a score that reflected all the weeks of my meticulous studying was actually a score that seemingly showed that I was not ready for this exam. Of course my Type A self cried out of frustration and started to panic, especially since I found myself wandering to study prep Facebook groups and comparing my practice exam to what others were getting as a gage for their readiness for the real NBCOT. Now was this helpful? Absolutely not. I decided that it was time for me to hop off the Facebook groups, as it was only feeding my panic even more.
With 5 days left before the big day, of course I could not let the strength and stamina that I put into prepping for this exam become void by the 422 that tried to haunt me. I said, “Alright God, how are we gonna push past this and make sure this doesn’t happen again?” I ended up religiously using TrueLearn and did concentrated study sessions, completing about 5-10 practice questions at a time from each domain and topic that I was still struggling with. For some reason, when it gets close to the wire, the sudden motivation and drive comes full force. This was the single most helpful thing for me (besides listening to my free resources in the background when I could not stare at a screen any longer). With their bomb rationales, I almost felt like I unlocked a new skill of tapping into the mindset of the exam. I also listened to OT Miri’s motivational video, The Passing Mindset to reset my mind and go forth with these last few days with the upmost optimism.
Taking the exam was an experience for sure, yall. I will say, God was definitely with me throughout this time. My exam time was at 12 pm. Usually, I would have preferred an early start such as 8 am or 10 am. However, I believe that it all worked out because I got to take the morning to make a hearty breakfast, watch some of the Olympics, listen to More Than Able by Maverick City Music and The Best is Yet to Come by Donald Lawrence to get my mind right, and even do some light exercise on the treadmill. Luckily, I was 5 minutes away from the testing site, so I was able to do these things without feeling rushed. Asking God for peace and endurance throughout the exam helped me to center myself and know that I can do all things in Christ who strengthens me. In my prayer, I also asked God to ensure that I just continue to trust myself and my clinical judgement as I took the exam because I can be a notorious second guesser! One thing I also did to declare that victory would be mine is that I took a video of myself before I left my house proclaiming that I would walk out of the exam as a new clinician and that all my hard work and dedication was going to pay off. Self-talk and recording myself has been something I’ve implemented every first day of grad school, so I said, why not do the same on my first day of unofficially becoming an OTR that I believe I will become?
Before I started my exam, I wrote down Irene the OTR and Jesus got me! at the top of my scratch paper to refer back to when I started to become tired or anxious. Like with any exam, there were questions that I felt certain about, and then there were questions I had no idea how to approach. Because I was losing steam, I started to second-guess myself toward the end of the exam, which made me a bit worried and distracted. However, I centered myself by referring to the top of my scratch paper again and taking a few deep, calming breaths to continue the stamina and pace I established. I finished with 10 minutes to spare, attempted to review my flagged questions, reviewed the first 5 flagged questions, changed one answer, and then decided that I was done and what I didn’t know then I still wouldn’t know now.
When I walked out of my exam, I went into my car, and of course, started to cry because I could finally let out all of the pent up emotion and stress that I had buried all these weeks to stay focused (I know, I am supposed to be in touch with my emotions but I personally had to compartmentalize my emotions to grind better). The cry felt so nice to release, yall. 50% of it was that I felt that the test could have gone either really well or really horribly (I had no idea how to feel about my performance), and 50% of it was pure relief that I was actually done and never had to do that again (hopefully). I was surrounded by such comfort and support from my loved ones afterward, which made me feel a lot better as the days went on.
The waiting game was definitely not fun, friends. 9 days of waiting around for a score is hard! Pro tip for future NBCOT test takers – take your exam as close to the scoring deadline as possible for your own peace of mind. The more days that passed, the less confident I felt with my performance and started thinking about all of the worse case scenarios. I started to ruminate on all the potential wrong answers instead of thinking about all the answers that I did know. Overall, I think I did pretty well with distracting myself post-NBCOT while waiting. It all worked out at the end because I got my desired results, thank God!
The biggest lesson that I learned about prepping and taking this exam is that it is all about mindset. The mind can be the biggest enemy and threat to your success because the way it will have you thinking self-limiting thoughts and beliefs and then manifest into worry, anxiety, etc. is really wild! Mental health is SO important, and I can admittedly say that sometimes I ignored it for the sake of raking in another hour of “content” that ended up just going out the other ear anyway. I also feel like prepping and taking the NBCOT exam was a true reflection of literally leaving it in God’s hand and trusting Him to lead the way (which He always comes through!) So remembering that God is with me even through difficult times was very comforting for me, which I really believe contributed greatly to the success of my NBCOT experience.
If you made it this far, thank you for reading! I had a lot to say, clearly, because I just wanna remind future NBCOT test takers that the key to success is to trust yourself! You do know a LOT more than you do, and your clinical judgement is there because you completed an entire grad program and graduated, right? And if you do need to take the exam again, it is not an indication of how smart you are or of the type of clinician that you will be. Regardless of how many times you take the exam, you WILL be a great clinician! I did get lucky and passed on my first attempt, but through even the experience of failing what I thought was the most important practice test 5 days before my real exam, I did not let that define my capabilities and undermine all the work and effort I put into prepping for my test. Practice occupational balance during your studies! Find something that is meaningful to you and stick to it, whether that is exercising, praying, talking with loved ones, drawing, or even watching TV (Love Island USA was my jam for rest breaks and my evenings off, lol). The NBCOT is hard for so many different reasons, BUT it can be done with the right tools, the right mindset, and the continuous self-reflection and confidence in yourself. Good luck to the future OTRs out there!
Peace and love,
Irene