High School
Since you will need to get a college degree, taking college preparatory classes in high school is a must. Courses such as biology, chemistry, and health will expose you to the science fields. Other courses, such as art and social sciences, will help give you an understanding of other aspects of your future work. Also important is a strong background in English. Remember, occupational therapy is a career oriented toward helping people. To be able to work with many different people with different needs, you will need excellent communication skills. Also keep in mind that college admission officers will look favorably at any experience you have had working in the health care field, either in volunteer or paid positions.
Postsecondary Training
To become an occupational therapist, you will need to complete an accredited program in occupational therapy. Accreditation is granted by the Accreditation Council for Occupational Therapy Education (ACOTE), which is a part of the American Occupational Therapy Association (AOTA). As of 2025, ACOTE accredited 226 doctorate degree programs, 201 master's degree programs, and 21 bachelor's degree programs. Anyone wishing to receive the professional credential, occupational therapist, registered (OTR), from the National Board for Certification in Occupational Therapy (NBCOT) must have completed at least a master's degree in the field.
As an undergraduate, you will need to take courses emphasizing biological and behavioral sciences. Your studies should include classes on anatomy, physiology, neurology, psychology, human growth and development, and sociology. Clinical subjects cover general medical and surgical conditions and interpretation of the principles and practice of occupational therapy in pediatrics, psychiatry, orthopedics, general medicine, and surgery. Many bachelor's degree programs require students to fulfill two years of general study before specializing in occupational therapy during the last two years. Graduate-level programs cover many of the same subject areas but in greater depth. In addition, emphasis is put on research and critical thinking. Management and administration are also areas covered more thoroughly in graduate programs.
In addition to classroom work, you must complete fieldwork requirements. According to the AOTA, students need to complete the equivalent of 24 weeks of supervised experience working with clients. This may be done on a full-time basis or a part-time (but not less than half-time) schedule. This training must be completed in order to qualify for professional certification.
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