Competency Assessment

The Competency Assessment is an interview that evaluates your ability to apply your occupational therapy knowledge, your skills and your judgment to ensure that you have the entry-level competencies required for safe and ethical practice. 

A competent occupational therapist must be able to:

  • Assume Professional Responsibility
  • Think Critically
  • Demonstrate Practice Knowledge
  • Utilize an Occupational Therapy Process to Enable Occupation
  • Communicate and Collaborate Effectively
  • Engage in Professional Development
  • Manage His/Her Own Practice and Advocate Within Systems

These competencies are defined and detailed more fully in "The Essential Competencies of Practice for Occupational Therapists in Canada (3rd Ed.)" and form the basis of the CA Interview.

What you need to know about the Competency Assessment Interview

Please Note:  Due to the COVID-19 pandemic, the in-person competency assessment has been replaced with an on-line competency assessment.  Internationally educated occupational therapists registered in the Substantial Equivalency Assessment System (SEAS) program do not have to be in Canada to complete the on-line competency assessment.

The competency assessment interview is a six-hour in-person interview. The interviewer will be an occupational therapist trained in the art of conducting structured interviews. The CA has two parts. The first part will focus on everyday activities and scenarios that you would experience in occupational therapy practice. The second part will focus on critical thinking and problem solving skills.  You can prepare by thinking about these sample questions. You will be allowed to do the Competency Assessment interview only after you have:

  • Completed the ACA
  • Met the Language Readiness requirement
  • Completed the Curriculum and Fieldwork - PSCA Review
  • Completed the Jurisprudence Knowledge Assessment Test

You should prepare for the interview by reviewing ACOTRO's "The Essential Competencies of Practice for Occupational Therapists in Canada (3rd Ed.)", and by reviewing the Assessment Day information and procedures.

How Do I Apply to complete the CA Interview?

  1. Pay the third installment of the SEAS Fee ($2,000.00). Payment is by credit card only, on the SEAS Portal. A partial refund of this fee may be requested if you decide not to continue with the SEAS process after paying the fee. The request for a refund must be in writing before the assessment date. The amount of the refund will depend on the timing of your request. For more information, see the Applicant Fees Policy.

  2. Schedule the Competency Assessment Interview using the SEAS Portal.

  3. Appear for the Competency Assessment Interview at the designated time on the designated date. NOTE: You must present one government-issued identification that includes your signature and photographIf you forget your identification you will not be allowed to complete the interview. The fees you have paid will be forfeited.  

What Happens Next?

  • The competency assessor completes your assessment and submits her report for review to ACOTRO
  • ACOTRO reviews and finalizes the report and its outcomes.
  • You will be notified that your results have been sent to the SEAS Determination Committee for review, together with the results from all other SEAS assessment components.  


You can request a re-sitting of the CA interview if you feel your performance was impacted by illness on the day of the assessment, personal emergency, or procedural irregularities. You must request a re-sitting within 7 days of receiving the results of the assessment. The cost for a second sitting of the competency assessment interview is $2,000.

ACOTRO will not reconsider the result of your Competency Assessment based on the content or case studies used during the CA interview.

There is an additional cost for re-sitting and/or reconsideration.