Free Extensions
Made by Real OTs
For COTAs
For OTRs
Made by Real OTs
For COTAs
Free Extensions
Made by Real OTs
For COTAs
For OTRs
Made by Real OTs
For COTAs
Free Extensions
Made by Real OTs
For COTAs
For OTRs
Made by Real OTs
For COTAs
Other resources dump everything on you and hope something sticks. We built a 3-layer system that mirrors how your brain actually learns - so you remember it when it counts.
We start with overarching themes and frameworks - so every detail has a home before you even see it.
FrameworkWe strip away everything that will not show up on the exam. Zero filler. Just the content that earns you points.
No FluffEvery hard concept gets a mnemonic, a visual, or a trick. Your professors never made it this easy.
Memory ToolsMiles and Kim are practicing occupational therapists who figured out how to make this exam way less painful - and then built the courses they wished had existed.
Co-Founder · OT Exam Prepper
Miles is the host of the OT Exam Prepper podcast and the master of turning dry, difficult content into something that actually sticks - with humor, mnemonics, and zero condescension.
Co-Founder · TMPOT
Kim brings the clinical depth and the book smarts. Her ability to break down complex OT theory into clear, exam-ready frameworks is what makes 450 Formula truly different.
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Learn the fundamentals of pediatric occupational therapy for the NBCOT OTR exam, including child development, sensory integration, school-based interventions, and pediatric assessments.
Initially I was super intimidated by upper extremity and I just don't have a very good clinical reasoning of how things work. But after watching your videos, I now am able to break things down and understand the thought process of how the interventions for hands. All the protocols are no longer super overwhelming and scary. Thank you for having such a great sense of humor and keeping things cheerful, definitely very helpful to bring the dry subjects come alive :)
As a primarily adult therapist, I have been intimidated about diving into Peds for the exam. The combination of Kim's book smarts and Miles' tricks of simplification are on point!! They have made this topic digestible into short videos that pack a lot of punch. I highly recommend this course and hope it gives me the edge to push over that 450 mark. Thanks guys!
This course is the 'Clean Up' song of pediatrics material - what began as a messy preschool classroom spilling with milestone charts, legal jargon, assessment acronyms, and protocols - is now organized into color coded, labeled, cubbies and bins. Miles & Kim set you up for success by laying out what you 'need to know,' and what would be 'good to know' with a clear structured format, and lots of great tips for the exam.
Initially I was super intimidated by upper extremity and I just don't have a very good clinical reasoning of how things work. But after watching your videos, I now am able to break things down and understand the thought process of how the interventions for hands. All the protocols are no longer super overwhelming and scary. Thank you for having such a great sense of humor and keeping things cheerful, definitely very helpful to bring the dry subjects come alive :)
We hate that other resources charge students who struggle to pass again and again. If you don't pass after using 450 Formula, we extend your access - for free. No expiration. No extra charge.
Your enrollment stays open until you're a licensed OT or COTA - period.
Rewatch any module, any course, as many times as you need before your exam.
Miles and Kim genuinely want you to pass. That's why they built this and why they stand behind it.
Manage cohorts, track student performance, and access powerful insights - all in one place.
Thousands of new-grad OTs and COTAs have used 450 Formula to pass their boards and get on with their lives. You're next.
