The author proposes a Hand Therapy Residency Program for occupational therapists working towards becoming a Certified Hand Therapist. This program is designed as an educational model in preparation for taking the Hand Therapy Certification Examination. The author discusses the purpose, background, rationale, and need for this program, along with implications for the occupational therapy profession. The Hand Therapy Residency is presented to therapy company ownership in conjunction with an educational institution to finance and support the clinical experience and coursework model. The author model proposes a vision, mission statement, objectives, and a detailed outline of this program, along with an expected budget and outcome measures to assess the program’s success.