Upper extremity dysfunctions can have devastating effects on an individual’s functional status. Therefore, restoring upper extremity function is instrumental in increasing participation and performance in activities of daily living and leads to improved quality of life. Addressing upper extremity dysfunctions is a complex process that requires specific skill sets. Entry-level occupational therapists often treat patients with upper extremity dysfunctions. The purpose of this study was to explore the current perception of employers regarding entry-level occupational therapists’ expertise, or lack thereof, in the treatment of upper extremity dysfunction. A qualitative study using a basic interpretive approach was conducted using semi-structured interviews with seven direct supervisors of occupational therapy providers who had supervised entry-level occupational therapists within two years of the study. Three major themes were identified: overarching skills, evaluation skills, and intervention skills. These themes help to provide a greater understanding of the skills needed in the management of upper extremity dysfunctions, the skills expected for entry-level competence, and the perception of current entry-level competence