Which of the following is NOT typically required to obtain licensure?

• A. Graduating from an ACOTE-accredited program.
• B. Completing fieldwork hours.
• C. Passing the NBCOT exam.
• D. Submitting a portfolio of patient outcomes.

Answer: (D)

Licensure relies on verified education, supervised practice, and a national competency exam. Graduating from an ACOTE-accredited program ensures the educational standards are met, which licensure boards usually require to confirm a solid, recognized curriculum. Completing fieldwork hours demonstrates supervised clinical competence and is another standard eligibility criterion. Passing the NBCOT exam validates readiness to practice at the professional level. A portfolio of patient outcomes, while it may be useful in some settings or for other credentialing processes, is not typically required for licensure, which is why it’s the correct answer.