What Education Do You Need to Be an Occupational Therapist?

If you’ve ever watched an occupational therapist help a stroke patient relearn how to button a shirt, or help a child with sensory processing challenges thrive in the classroom, you already understand why this career draws so many compassionate, hands-on people. But before you can do that work, you need the right education — and the path is more specific than many people expect.

So, what education do you need to be an occupational therapist? At minimum, you’ll need a graduate degree (master’s or doctoral) from an accredited occupational therapy program, built on top of a bachelor’s degree and specific prerequisite coursework. In this guide, we’ll break down exactly what that path looks like, what to expect from prerequisites and fieldwork, and how to choose the best occupational therapy program for your goals — including a look at one of the most flexible options among OT programs in NY.

Step 1: Earn a Bachelor’s Degree

You don’t need to major in occupational therapy as an undergraduate — in fact, most applicants don’t. Popular undergraduate majors among future OTs include health sciences, psychology, kinesiology, and biology, largely because these fields naturally build in many of the prerequisite courses graduate OT programs require.

What matters most at this stage is:

  • Completing a four-year bachelor’s degree from an accredited institution
  • Maintaining a strong GPA (most occupational therapy programs set a 3.0 minimum)
  • Strategically choosing electives that satisfy OT prerequisite requirements

Step 2: Complete Your OT Prerequisite Coursework

Regardless of your major, every accredited occupational therapy program requires a specific set of prerequisite courses before you can apply. While requirements vary slightly by school, most OT programs in NY — including Dominican University New York’s — require coursework such as:

  • Human Anatomy and Physiology (with lab)
  • Lifespan Human Development (covering all life stages, birth through late adulthood)
  • Abnormal Psychology
  • Statistics
  • Physics, Biomechanics, or Kinesiology (with an application-based component)

At DUNY, prerequisite courses must be completed with at least a C, and most require a cumulative and prerequisite GPA of 3.0 or higher. You can view the complete, course-by-course prerequisite list on DUNY’s OT Program Prerequisites. If you’re still building your undergraduate schedule, DUNY’s guide on What Classes Do You Need for an Occupational Therapy Program? breaks down how each prerequisite connects to your future coursework and fieldwork.

Step 3: Earn a Graduate Degree in Occupational Therapy

This is the step that actually qualifies you to practice. To become a licensed occupational therapist, you must complete a graduate-level occupational therapy program — either a Master of Science in Occupational Therapy (MSOT) or an entry-level Doctor of Occupational Therapy (OTD) — from a program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE).

Most students choose the master’s-level path, which allows you to enter the workforce sooner without the added time and cost of a doctoral program. At Dominican University New York, students can pursue this through the Occupational Therapy Program, which offers two paths depending on where you’re starting from:

  • Weekend Format: Classes meet on campus roughly every third weekend across a 12-month, trimester-based schedule — ideal for working adults and career changers.
  • One-Weekday-Per-Week Format: A newer, first-of-its-kind schedule where students attend campus every Monday from 8:30 AM to 6:00 PM for 12 weeks per term, with independent study between sessions.

Both formats are part of DUNY’s non-traditional approach to OT education, which the university has refined over more than 40 years of preparing occupational therapists. Full curriculum details are available on the Professional Sequence.

Step 4: Complete Supervised Fieldwork

Classroom learning is only part of the equation. Every accredited occupational therapy program requires supervised fieldwork — Level I and Level II — where students apply what they’ve learned in real clinical settings under the guidance of a licensed OT. This hands-on training is where students build the clinical judgment and confidence needed to practice independently after graduation. You can review DUNY’s fieldwork structure and requirements directly on the program’s site.

Step 5: Pass the NBCOT Certification Exam

After completing your degree and fieldwork, you’ll need to pass the national certification examination administered by the National Board for Certification in Occupational Therapy (NBCOT). Passing this exam earns you the credential Occupational Therapist, Registered (OTR).

Step 6: Obtain State Licensure

Finally, every state requires occupational therapists to be licensed to practice — and in nearly all states, licensure is based directly on your NBCOT exam results. Requirements can vary slightly by state, so it’s worth checking your specific state board’s guidelines as you approach graduation.

Why Choose Dominican University New York for Your OT Education

If you’re comparing OT programs in NY or searching for an occupational therapy program near me, Dominican University New York stands out for a few key reasons:

A 40-Year Legacy in Non-Traditional OT Education

DUNY has prepared occupational therapists for more than four decades through flexible, non-traditional formats designed specifically for working adults and career changers — not just recent college graduates.

Genuinely Flexible Scheduling

DUNY’s one-weekday-per-week format is the only one of its kind in occupational therapy education, giving students the ability to keep working or managing family responsibilities while completing a rigorous graduate curriculum. For a deeper look at how DUNY’s flexibility compares to other regional options, see Which Nearby Universities Offer Occupational Therapy Programs With Flexible Class Schedules?

Faculty With Real Clinical Depth

DUNY’s OT faculty bring a combined total of more than 150 years of clinical practice experience into the classroom, ensuring instruction stays grounded in evidence-based, real-world practice rather than theory alone.

Multiple Entry Pathways

Whether you’re a current DUNY undergraduate in Health Sciences or Social Sciences, a DUNY alum, or an external applicant with a completed bachelor’s degree, there’s a pathway built for you — including an accelerated route for qualifying Social Sciences students. Full pathway and application details are outlined on the Occupational Therapy Program Application.

Strong Graduate Outcomes

100% of DUNY Allied Health graduates who seek employment upon graduation are employed — a reflection of the program’s rigorous clinical training and strong reputation across the tri-state healthcare community.

A Convenient Rockland County, NY Location

DUNY is located roughly 20 miles north of New York City, making it one of the more accessible occupational therapy programs in NY for students throughout the Hudson Valley and greater NYC region.

How to Apply

Application requirements depend on your starting point:

  • External applicants with a completed bachelor’s degree apply through the Occupational Therapy Centralized Application Service (OTCAS).
  • Current DUNY undergraduates in qualifying Health Sciences or Social Sciences programs apply directly through the DUNY graduate application.
  • DUNY alumni who’ve completed the OT prerequisites may apply at any time during the current admission cycle.

All applicants must submit three letters of recommendation — one from a professor, one from a work supervisor, and a third from either category. Full application instructions are available on DUNY’s Occupational Therapy Program.

Frequently Asked Questions

Do I need a specific undergraduate major to become an occupational therapist?

No. Most occupational therapy programs accept applicants from a wide range of majors — including health sciences, psychology, kinesiology, and biology — as long as all prerequisite coursework is completed with a strong GPA.

Is a doctorate required to become an occupational therapist?

Not currently. A master’s degree from an ACOTE-accredited occupational therapy program is sufficient for entry-level practice in the U.S. Some universities are shifting toward doctoral-entry models, but master’s-level programs like DUNY’s remain a widely respected and more time-efficient path.

How long does it take to become an occupational therapist?

After a four-year bachelor’s degree, most graduate OT programs take about two to three years to complete, including supervised fieldwork. DUNY’s weekend and one-weekday-per-week formats are structured on a 12-month, trimester-based schedule.

What’s the difference between the Weekend Format and the One-Weekday-Per-Week Format at DUNY?

The Weekend Format meets on campus roughly every third weekend, while the One-Weekday-Per-Week Format meets every Monday from 8:30 AM to 6:00 PM for 12-week terms. Both are designed for working adults, but the right choice depends on your work schedule and learning preferences.

Do I need clinical experience before applying to an OT program?

While not always mandatory, most competitive applicants gain some exposure to the field — through volunteering, shadowing, or working in a clinical, school, or rehabilitation setting — before applying. This experience also helps confirm occupational therapy is the right career fit.

What is NBCOT, and why does it matter?

The National Board for Certification in Occupational Therapy (NBCOT) administers the national certification exam every graduate must pass to practice as an Occupational Therapist, Registered (OTR). Most states base licensure directly on NBCOT exam results.

What is the job outlook for occupational therapists?

According to the U.S. Bureau of Labor Statistics, employment of occupational therapists is projected to grow 14 percent from 2024 to 2034, much faster than the average for all occupations — driven largely by the healthcare needs of an aging population and growing demand for rehabilitative services. Full projections are available on the BLS Occupational Outlook Handbook for Occupational Therapists.

Can I work while completing an OT program?

Yes, particularly in a flexible-format program. DUNY’s Weekend and One-Weekday-Per-Week formats were specifically designed to let students continue working or managing family responsibilities while completing their graduate degree.

Final Thoughts

Becoming an occupational therapist requires a clear, multi-step educational path: a bachelor’s degree, specific prerequisite coursework, an accredited graduate-level occupational therapy program, supervised fieldwork, national certification, and state licensure. It’s a meaningful investment of time — but for the right person, it leads to one of the most rewarding careers in healthcare.

If you’re exploring the best occupational therapy programs in NY or searching for a flexible, respected occupational therapy program near me, Dominican University New York offers more than 40 years of experience preparing skilled, compassionate OTs — with scheduling formats built for real, working lives.

August 20, 2026

Is Occupational Therapy a Good Career? Pros and Cons

Occupational Therapy

Choosing a career in occupational therapy means entering a field that blends healthcare, problem-solving, and human connection. It’s a profession built around helping people regain independence and live more fully after injury, illness, or disability. But, like any healthcare career, it comes with both benefits and challenges.

If you’re considering enrolling in an occupational therapy program, this guide breaks down the key pros and cons to help you decide if it’s the right fit for your goals, interests, and lifestyle.

What Makes Occupational Therapy a Rewarding Career

  • Meaningful Patient Impact: Occupational therapists help people rebuild their lives through hands-on, personalized care. From stroke recovery to supporting children with developmental delays, the work is focused, measurable, and deeply human.
  • Variety of Practice Settings: With an occupational therapy degree, graduates are equipped to work in many settings, including schools, hospitals, outpatient clinics, skilled nursing facilities, and home health care.
  • Consistent Job Demand: The need for skilled occupational therapists continues to grow nationwide. Factors like an aging population and increased recognition of holistic rehabilitation drive strong job stability.
  • Creative and Independent Work: Occupational therapists use individualized strategies to help patients gain or regain independence. Each care plan is unique, allowing room for creativity within evidence-based practice.
  • Clear Path for Advancement: Over time, many OTs pursue advanced certifications, enter teaching, move into leadership roles, or specialize in niches like hand therapy or mental health. The field supports upward mobility for those seeking long-term growth.

Challenges to Consider Before Choosing Occupational Therapy

  • Graduate-Level Education Required: To become a licensed OT, you must complete a master’s or doctorate-level occupational therapy program, which requires time, commitment, and financial investment.
  • Physical Demands: The job can involve standing for long hours, moving patients, or assisting with physical tasks, making it physically intensive.
  • Emotional Burnout: Working with patients who have long-term or complex conditions can be emotionally taxing, especially without strong support systems in place.
  • Documentation Load: Like many healthcare jobs, occupational therapy involves a significant amount of administrative work and progress reporting.
  • Varying Pay Across Settings: Salaries can differ depending on geography, specialty, and work environment. While many roles are well-compensated, some areas pay less than expected.

What to Expect from an Occupational Therapy Program

A strong occupational therapy program combines academic coursework with hands-on fieldwork. Here’s what you can expect:

Core Courses

A quality occupational therapy program begins with foundational coursework. Students study subjects like anatomy, kinesiology, neuroscience, and mental health. These courses provide a deep understanding of how the body and mind work together. You’ll also explore ethics, professional conduct, and evidence-based practices. This academic foundation ensures that graduates have the critical thinking and clinical knowledge needed to treat a wide range of conditions and populations. These core subjects are not just theoretical—they’re applied directly in later clinical experiences.

Fieldwork Experience

Fieldwork is a core component of every strong occupational therapy program. It gives students a chance to apply what they’ve learned in real settings under the supervision of licensed professionals. Fieldwork includes both short-term observational experiences and full-time clinical placements. Students gain exposure to multiple practice areas, such as pediatrics, geriatrics, mental health, and physical rehabilitation. This hands-on learning is essential for building confidence, refining clinical reasoning, and understanding how to tailor care to different patients. By graduation, students are ready to step into their first OT role with practical experience and insight.

Licensing Preparation

A key goal of every occupational therapy program is to prepare students for licensure. To become a licensed occupational therapist, students must pass the National Board for Certification in Occupational Therapy (NBCOT) exam. The best programs integrate exam prep into the curriculum, offering study guides, review sessions, and mock exams. Faculty support also plays a major role—professors guide students through the certification process and ensure they understand test formats and expectations. This structured preparation gives graduates the confidence to approach their licensing exam with clarity and purpose.

Holistic Treatment Approach

Top occupational therapy programs teach students to treat the whole person—not just the injury or condition. Students learn to assess and support physical, emotional, and environmental factors that impact a patient’s daily function. Coursework and clinicals emphasize client-centered care, encouraging students to collaborate with patients and families on therapy goals. By focusing on meaningful tasks—like dressing, cooking, or returning to work—students learn how to help patients regain independence and improve their quality of life. This holistic philosophy shapes therapists who can make a deeper impact in every setting.

Faculty Support and Mentorship

Faculty make a major difference in student success. Strong occupational therapy programs offer close access to professors who are also clinicians, researchers, or leaders in the field. Small class sizes and one-on-one mentoring create an environment where students can ask questions, receive personalized feedback, and grow professionally. Faculty support extends beyond the classroom—professors often help students navigate fieldwork, career decisions, and licensure preparation. Their guidance builds confidence and helps students develop into competent, compassionate practitioners ready for real-world challenges.

Is Occupational Therapy the Right Fit for You?

Ask yourself the following questions:

  • Do you enjoy working one-on-one with people to solve complex problems?
  • Are you interested in blending physical health with mental and emotional wellness?
  • Are you willing to commit to a rigorous occupational therapy program that requires both academic and clinical training?
  • Can you see yourself thriving in both structured medical settings and creative, client-centered environments?

If you answered yes, then occupational therapy may offer the balance of purpose and growth you’re looking for.

Career Flexibility After Graduation

A degree in occupational therapy opens doors to a wide range of career paths. While many graduates work directly with patients in clinical environments, others find opportunities in education, research, public health, or policy. Some occupational therapists specialize in school-based interventions, while others work with older adults in long-term care or lead wellness programs in corporate settings. The profession also supports part-time and contract roles, making it easier to balance personal and professional priorities. With the right certifications and continued education, OTs can transition into leadership roles or launch their own private practices. This career flexibility allows you to tailor your work environment to your lifestyle and goals, making it a practical long-term choice.

The Importance of Fieldwork in Building Confidence

Fieldwork is one of the most important parts of any occupational therapy program. It bridges the gap between classroom learning and real-life patient care. Through supervised field placements, students apply their academic knowledge in hands-on settings and learn to adapt to different patient needs. Fieldwork rotations expose students to a range of practice areas, such as pediatrics, mental health, physical rehabilitation, and community-based care. This variety not only builds skills but also helps students discover where they feel most comfortable and effective. By the time students complete their final rotations, they’re equipped with the clinical judgment, communication skills, and professional confidence needed to succeed in their first job.

Why Dominican University NY Is the Right Place to Begin

At Dominican University New York, we believe that a career in occupational therapy should begin with a program that fully prepares you for the real world. Our occupational therapy program is designed to support your academic development, practical training, and long-term career growth. From day one, you’ll engage in hands-on learning, small classes, and one-on-one mentorship with faculty who are active practitioners in the field.

Our students work in diverse clinical settings that reflect the real challenges occupational therapists face—schools, hospitals, rehabilitation centers, and community clinics. Fieldwork placements are carefully matched to student goals, giving you the chance to focus on areas that inspire you most.

Dominican University offers robust NBCOT preparation, supportive faculty, and a focus on holistic care. This program provides not just a degree but also the essential tools for building a meaningful and lasting career. If you’re ready to make an impact, we’re here to help you get started.

April 22, 2025