Every few years the National Board for Certification in Occupational Therapy (NBCOT) publishes an executive summary of a Practice Analysis to ensure that the Certified Occupational Therapy Assistant (COTA) exams cover content relevant to practicing therapists. In addition to any changes to the content of the COTA exam, they may also make changes to the percentage of the exam that is dedicated to each domain area. Beginning in 2019, the NBCOT board COTA exam will include these changes. The good news is our textbook, Preparing for the Occupational Therapy Assistant National Board Exam: 45 Days and Counting, included our own focus groups and interviews, including: students who passed the NBCOT exam on the first attempt, students who had to repeat the exam, and had currently practicing senior level occupational therapists to construct the majority of chapter content. Therefore, the content presented in the 45 Days textbook remains in very good alignment with the changes included in the 2018 executive summary. The free PDF of the 2018 ‘Practice Analysis of the Certified Occupational Therapy Assistant Executive Summary’ can be found here.