Annual Continuing Competence Review

The purpose of the Annual Continuing Competence Review (ACCR) is to support and enhance occupational therapists’ continued competence.

Highlights from COTBC’s 2019 ACCR


When completing the ACCR occupational therapists:

  • review their practice hours, roles, and reflect on current and pending personal and career transitions, and resources to support these transitions; and
  • complete a practice quiz using practice cases. This quiz helps occupational therapists to identify gaps in understanding regarding newly released standards, and recent changes in legislation (e.g. naloxone administration). In 2018 we introduced cases/questions focused on specific clinical areas where new evidence, best practices or new processses should trigger changes in practice.

After completing the required activities, occupational therapists immediately receive an individualized feedback report. It includes a record of their:

  • practice (currency hours)
  • perceived confidence in various roles;
  • identified transitions and resources impacting practice; and
  • practice quiz results with detailed College explanations including links to relevant resources on regulatory standards and practice resources to encourage further exploration and learning.

Individual results from the Annual Continuing Competence Review are not available to the College. The College will only know which occupational therapists completed it and can therefore renew their registration. The confidentiality of these results is ensured by directing OTs to a secure, password-protected website that is not accessible to the College. COTBC can request anonymized aggregate data to inform development of additional College resources and continuing professional development needs of occupational therapists but they do not have access to individual records.

Ongoing Evaluation

The Quality Assurance Committee encourages occupational therapists to complete the evaluation included as part of the Annual Continuing Competence Review. This feedback will inform ongoing improvements to the Quality Assurance Program that balances the needs of occupational therapists with the public’s right to safe, ethical and quality care.