Steps to Becoming an Occupational Therapist

A diverse group of occupational therapists engaging with patients in a bright, modern therapy room.

Introduction to Occupational Therapy

Occupational therapy (OT) is a rewarding healthcare profession that involves helping individuals achieve independence in all facets of their lives. Occupational therapists work with people of all ages to improve their ability to perform tasks in their daily living and working environments, helping those with physical, emotional, or cognitive disabilities to develop, recover, or maintain essential skills.

Educational Requirements

1. Bachelor's Degree

The journey begins with earning a bachelor's degree. While there is no specific undergraduate major required, beneficial degrees include:

  • Health Sciences
  • Psychology
  • Biology
  • Kinesiology
  • Exercise Science

Focus on courses that cover:

  • Anatomy
  • Physiology
  • Psychology
  • Sociology
  • Statistics

2. Master's Degree

A Master's of Occupational Therapy (MOT) or entry-level clinical doctorate (OTD) is required to practice. These programs typically take 2-3 years to complete and must be accredited by the Accreditation Council for Occupational Therapy Education (ACOTE). Programs include both classroom instruction and clinical fieldwork, covering:

  • Human development
  • Occupational therapy theory and practice
  • Therapeutic techniques
  • Ethics and professional standards

Gaining Experience

Prerequisites and Fieldwork

Most graduate programs require observation hours or volunteer experience in occupational therapy settings, including:

  1. Shadowing licensed OTs
  2. Volunteering at rehabilitation centers
  3. Working with special needs populations
  4. Participating in healthcare-related internships

Fieldwork is divided into two levels:

  • Level I Fieldwork: Initial exposure to clinical practice
  • Level II Fieldwork: In-depth practical experience (minimum 24 weeks)

Licensure and Certification

NBCOT Examination

After graduating, you must pass the National Board for Certification in Occupational Therapy (NBCOT) examination to become a certified occupational therapist (OTR).

State Licensure

Each state requires occupational therapists to obtain licensure before practicing. Requirements typically include:

  • Completed accredited education program
  • Passed NBCOT examination
  • Background check
  • Application fee

Professional Development and Career Advancement

Specialization Options

Experienced OTs can pursue board and specialty certifications in areas such as:

  • Pediatrics
  • Gerontology
  • Mental Health
  • Physical Rehabilitation
  • Hand Therapy

Career Paths

Occupational therapists can advance their careers through various paths:

  • Clinical specialization
  • Management positions
  • Academic roles
  • Research
  • Private practice

Essential Skills and Continuing Education

Key Abilities

To succeed as an occupational therapist, develop these essential skills:

  • Strong communication
  • Problem-solving
  • Patience and empathy
  • Physical stamina
  • Attention to detail
  • Adaptability
  • Cultural competence

Continuing Education

To maintain licensure, OTs must complete continuing education requirements, which vary by state. This ensures practitioners stay current with:

  • Latest treatment techniques
  • Research developments
  • Technology advances
  • Best practices

For more information on occupational therapy careers, visit the American Occupational Therapy Association (AOTA) or the Bureau of Labor Statistics websites.

Time and Financial Investment

Timeline

The typical timeline from start to practice:

  • Bachelor's degree: 4 years
  • Master's degree/OTD: 2-3 years
  • Fieldwork: Included in graduate program
  • Licensing process: 3-6 months

Financial Considerations

  • Average graduate program cost: $40,000-$100,000
  • NBCOT exam fee: ~$555
  • State licensing fees: Vary by state
  • Continuing education costs: Annual investment