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Why Students Love Us

We teach it differently.

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.

Big Picture First

We start with overarching themes and frameworks - so every detail has a home before you even see it.

Framework

Only What You Need to Know

We strip away everything that will not show up on the exam. Zero filler. Just the content that earns you points.

No Fluff

Mnemonics That Actually Stick

Every hard concept gets a mnemonic, a visual, or a trick. Your professors never made it this easy.

Memory Tools

Common Struggles

  • Overwhelmed by scattered study materials
  • No structured learning path available
  • Lack of practice questions & mock exams
  • Feeling unprepared on exam day

Our Solutions

  • All-in-one organized study platform
  • Step-by-step structured curriculum
  • Thousands of practice questions & exams
  • Confidence through proven preparation
Meet the Founders

Built by OTs who get it.

Miles 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.

Miles Mock, co-founder of 450 Formula

Miles Mock

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.

Kim, co-founder of 450 Formula

Kim

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.

The Courses

Study what you need. Pass on your own terms.

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Psychology & Gerontology

Geropsychology and gerontology study the complex process of aging, focusing on the psychological, social, and physical changes in older adults.

2 Topics 2 Sections 2 Lessons

$39.00 $33.15/Only
Original Price (All Topics): $64.00

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Anatomy and Psychology

Anatomy and Psychology

1 Topic 1 Section 1 Lesson

$89.00 $80.10/Only
Original Price (All Topics): $99.00

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Limited Time Discount

Start learning and unlock full access with exclusive limited-time pricing.

Psychology & Gerontology

Psychology & Gerontology

Bundle
OTR 2 Topics 2 Sections 2 Lessons

Actual Value : $39.00

$33.15/Only

Ends in 00 : 00 : 00 : 00
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Original Price (All Topics):
Anatomy and Psychology

Anatomy and Psychology

Bundle
OTA 1 Topics 2 Sections 2 Lessons

Actual Value : $89.00

$80.10/Only

Ends in 00 : 00 : 00 : 00
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Original Price (All Topics):
Anatomy and Psychology

Anatomy and Psychology

Topic
OTA 1 Sections 1 Lessons

Actual Value : $99.00

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Foundation Course  Success

Foundation Course Success

Topic
OTA 1 Sections 1 Lessons

Actual Value : $10.00

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Student Reviews

Students love it

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 :)

Emily M Passed OTR — First Attempt

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!

Casey D. Passed OTA — First Attempt

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.

Madeleine D. Passed OTR — First Attempt

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 :)

Emily M Passed OTR — First Attempt

We stick with you ’til the end.

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.

Enroll Today

Access never expires

Your enrollment stays open until you're a licensed OT or COTA - period.

Every video, every time

Rewatch any module, any course, as many times as you need before your exam.

We're rooting for you

Miles and Kim genuinely want you to pass. That's why they built this and why they stand behind it.

Frequently Asked Questions

Find answers to common questions

The COTA exam is a certification test conducted by the
National Board for Certification in Occupational Therapy (NBCOT)
to become a Certified Occupational Therapy Assistant 

  • Complete an OTA (Occupational Therapy Assistant) program
  • Program must be approved by
    Accreditation Council for Occupational Therapy Education
For Administrators

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Manage cohorts, track student performance, and access powerful insights - all in one place.

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Ready to join the 450 Club?

Thousands of new-grad OTs and COTAs have used 450 Formula to pass their boards and get on with their lives. You're next.