In consideration of the Quality Assurance Committee’s on-going work in evaluating and further developing the Competence Assessment component of the QAP Framework, as well as the proposed changes related to the B.C. Ministry of Health’s modernization of health professional regulation, the College has decided to defer the administration of the 2022 Continuing Competence Exam at this time. Registrants can expect to receive further communications from the College regarding changes to the QAP Framework as decisions are made.

The Continuing Competence Exam (CCE) is one element of the College’s Quality Assurance Program. Once every six years, occupational therapists in BC are asked to demonstrate that they meet the profession’s standards of practice and professional conduct by successfully completing the CCE. The exam is an online test that uses cases and questions to assess the occupational therapist’s reasoning and decision-making with regards to daily practice issues.

Who writes the CCE?

All occupational therapists in the full registration category as of September 30, 2015 wrote the CCE in 2016 and will write again in six (6) years.

All new full registrants and former non-practising registrants returning to full registration status after September 30, 2015 are required to complete the next available administration.

The next CCE is currently scheduled for 2022.

Where is the CCE held?

The exam is accessed online. A list of compatible devices, broswers and other requirements is available here.

Is the exam proctored?


What if someone fails the CCE?

If unsuccessful after two attempts, the College assists the occupational therapists to improve their competence by working with them to develop a customized and confidential learning plan.

The occupational therapists can continue to practice. They do not lose their registration to practice.

The goal is to help the occupational therapists update and improve their competence to meet the profession’s standards and professional code of conduct.

What’s on the CCE?

The 2016 CCE had four different exam forms each representing the following practice contexts.

1. Adult and Older Adult Physical Health
2. Adult and Older Adult Neurological Health
3. Adult and Older Adult Mental Health
4. Child and Youth Health

Occupational therapists were asked to choose from one of these to demonstrate competence. Each form included up to 100 questions (20-25 cases). A case includes a client scenario and 3-5 questions testing some aspect of regulation or clinical practice.

BC occupational therapists who work in each of these practice contexts and represent various practice settings, roles and geographical regions wrote the scenarios and questions. The cases and questions are based on currently accepted practice.

Who can access the results?

The scores on the Continuing Competence Exam are confidential and obtained for the sole purpose of confirming the occupational therapist is competent to provide safe, ethical and effective care. The Health Professions Act provides for the College to maintain confidential records or information that an occupational therapist provides to the College under the Quality Assurance Program.

The exam results cannot be used for any other purpose without the occupational therapist’s permission. For example, if an employer contacted the College requesting the scores or any other information collected as part of the program, they would not be released unless the occupational therapist had given the College written permission to do so.

Under very narrow and specific circumstances dictated by the Health Professions Act, (s. 26.2) the College does have the responsibility to act if an occupational therapist participating in the program knowingly gave false information or if on reasonable grounds the College believes a registrant has committed an act of professional misconduct or demonstrated professional incompetence that puts the public safety at risk. In this case, the Inquiry Committee must be notified. Protection of the public is the mandate of the College and the public would expect the College to fairly investigate conduct or practice that might pose a safety risk.


We welcome your questions. College staff is available for webinars and onsite information sessions on the exam or any aspect of the Quality Assurance Program.

Please email COTBC at

Updated June 14, 2017