The literature examining the relationship between occupational therapy academic course work and fieldwork performance was reviewed. Responding to a recent suggestion calling for a reexamination of this relationship with a sample of significantly larger size, we initiated the present study. The results are similar to earlier studies, with little or no correlation found in most analyses. Further investigation of the results provides strong evidence supporting the conclusion that correlation analysis is inappropriate for this investigation; thus, it would be incorrect to assume that there is little or no relationship between occupational therapy academic course work and fieldwork performance. Suggestions of ways to study the relationship between course work and fieldwork are presented.