The purpose of this paper was to compare the professional education of occupational therapy (OT) between Taiwan and US programs. Student recruitment and course design were compared between National Cheng Kung University (NCKU) in Taiwan and Shenandoah University (SU) in US, along with professional licensure between Taiwan and US. Through the presentation and discussion in joint class seminars among the two schools, as well as the opinions given in a focus group of NCKU students, we gained more understanding of the similarities and differences of OT education in Taiwan and US. This understanding further provides insight into OT curriculum design in Taiwan and enhances the global awareness of OT education.