The Ultimate Accredited OT Graduate School Guide for Career-Focused Students

Choosing an occupational therapy graduate program helps shape your healthcare career. As the field expands and requirements shift, clear guidance on accreditation, degree options and career paths is a major part of helping you find your way.

This guide from the University of St. Augustine for Health Sciences (USAHS) breaks down OT education, day-to-day responsibilities and key differences between the Master of Occupational Therapy (MOT) and Doctor of Occupational Therapy (OTD) programs. It also outlines how to confirm your program meets certification standards.

What Does an Occupational Therapy Degree Prepare You For?

Occupational therapy education equips students to help people across all ages engage in meaningful daily activities, supporting their independence and well-being.

Occupational therapists work in diverse settings, like hospitals, rehabilitation centers, schools, mental health facilities and community programs. They develop individualized client treatment plans that address motor skills, cognitive function, workplace ergonomics and home safety modifications.

Throughout their education, occupational therapy students develop critical skills in assessment, therapeutic intervention planning, assistive technology and interprofessional collaboration. Clinical training occurs in various settings, allowing students to work with diverse populations, from pediatric patients with developmental delays to adults recovering from strokes or traumatic brain injuries.

Graduates must pass the National Board for Certification in Occupational Therapy (NBCOT) examination to become certified occupational therapists, a requirement for state licensure.¹ To sit for the NBCOT exam, the OT program must be accredited by the Accreditation Council for Occupational Therapy Education (ACOTE), making program accreditation essential for career preparation.²

At USAHS, our occupational therapy programs are ACOTE accredited, ensuring students are fully prepared to meet certification and licensure requirements.

Degree Pathways

Entry-level degree options present distinct pathways based on career goals and educational preferences:

• Master’s Program: Focus on core competencies, clinical skills and fieldwork necessary for entry-level practice. Efficiently prepares students for professional practice.
• Doctoral Program: Expand beyond entry-level competencies with advanced coursework in research, leadership and specialized practice. OTD graduates often pursue roles in academia, research or specialized clinical areas.

Career-focused students should evaluate their long-term professional goals when selecting degree pathways. Master’s programs offer quicker entry into practice. Doctoral programs prepare graduates for leadership and specialized roles, often requiring greater investment of time and money.

Master of Occupational Therapy (MOT) Program

At USAHS, admission to the Master of Occupational Therapy (MOT) program requires a bachelor’s degree from an accredited institution with a minimum 3.0 cumulative GPA. At USAHS, students who are currently an OTA without a bachelor’s degree can pursue the MOT program if they meet the MOT admission requirements.

Prerequisites may vary by institution. For example, at USAHS, applicants typically complete foundational coursework in areas such as anatomy, psychology and sociology or anthropology.

To graduate, USAHS MOT and OTD students complete didactic coursework and fieldwork to gain clinical experience.³

All prerequisites must be completed with a grade of C or better, and you may apply while completing the remaining courses.

We look for strong writing and critical thinking skills, demonstrated through a Statement of Purpose and OT supplemental short-answer responses. Required application items include official transcripts and a current résumé; the GRE is not required.

USAHS reviews applicants holistically and looks for evidence of service, resilience and professional readiness. We offer guidance on meeting prerequisites so that you enter prepared for labs and fieldwork.

Doctor of Occupational Therapy (OTD) Program

At USAHS, admission to the Doctor of Occupational Therapy program requires a bachelor’s degree from an accredited institution with a minimum 3.0 cumulative GPA. The GRE is not required. Applicants submit a current résumé, a Statement of Purpose, OT supplemental short-answer responses and an additional OTD issue essay. The occupational therapy department does not require observation hours to apply for our graduate programs; however, it is highly recommended that all applicants observe occupational therapy in at least two areas of practice. This will not only support your submission essays; it will also help to ensure that you are well-suited for this field of study.

Prerequisite courses can vary by institution. At USAHS, applicants typically complete foundational coursework in areas such as anatomy, psychology and sociology or anthropology.³

The program culminates in a mentored doctoral capstone, comprised of a scholarly project and a capstone experience completed after all coursework and fieldwork. The OTD Capstone is designed to build depth in areas such as advanced clinical practice, research, leadership/administration, program or policy development, advocacy, education or theory. ACOTE defines and requires this capstone.

Graduates become eligible for the NBCOT exam only if they complete an ACOTE-accredited program and meet all degree requirements.⁵ OT licensure in every state is based in part on NBCOT certification.

At USAHS, we review applicants holistically, do not require the GRE and recommend but do not require observation hours. We also require a background check, fingerprints and drug screen before matriculation, and we publish detailed prerequisite guidance for applicants.

Bridge and Post-Professional Pathways

Bridge and post-professional programs allow practicing occupational therapists to deepen their skills and specialize in advanced areas of care. USAHS offers:

• OTA to OT Bridge for OTAs without a bachelor’s degree.
• Post-professional doctoral program for OT practitioners.
• Continuing education units

How to Verify Program Accreditation

ACOTE accreditation is the standard for occupational therapy education, ensuring programs meet rigorous academic and clinical training standards vital for professional practice. Only graduates from ACOTE-accredited programs can take the NBCOT certification examination required for licensure.

It’s essential to verify your program’s accreditation. This can be done by reviewing the ACOTE directory, which is regularly updated with information on accredited programs. Verify accreditation directly with the educational institution. USAHS has accredited MOT and OTD programs.

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What to Consider When Choosing an OT Program

Selecting the right occupational therapy program requires careful evaluation of multiple factors that will impact your educational experience.

Consider these essential elements when making your decision:

Program Quality and Reputation

When you compare OT programs, there are several key elements to evaluate:

• Faculty Credentials: Evaluate the qualifications, research interests and clinical experience of program faculty.
• Clinical Partnerships: Strong relationships with diverse clinical sites often provide better fieldwork opportunities.
• Student Support Services: Academic advising, tutoring and career services contribute to student success.

Financial Considerations

Financial burden is another crucial part of choosing the right program. Here’s what to be mindful of:

• Tuition and Fees: Compare total program costs, including fees and equipment requirements.
• Financial Aid Opportunities: Research scholarships, grants and loan programs specific to occupational therapy students. At USAHS, we offer federal financial aid through FAFSA, as well as university scholarships for MOT and OTD students. We pair you with financial aid advisors to help you navigate your options.
• Cost of Living: Factor in housing, transportation and living expenses in the program’s location.
• Return on Investment: Consider average starting salaries for graduates in your target geographic area.

Program Format and Schedule

Consider your schedule and lifestyle when choosing your OT program:

• Full-time vs. Part-time Options: Evaluate which format aligns with your personal and professional commitments.
• Online vs. On-campus Components: Understand the balance between virtual and in-person learning. USAHS offers multiple flexible pathways to earn either your MOT or OTD based on your lifestyle and ability to travel to campus.
• Fieldwork Scheduling: Review how clinical experiences are integrated into the curriculum and program timeline.
• Cohort Size: Smaller cohorts often provide more personalized attention and stronger peer relationships.

OT Career Outlook

The occupational therapy field offers diverse opportunities with growing demand across healthcare settings.⁶ Understanding career trajectories and specialization options helps inform your educational choices.

The Bureau of Labor Statistics projects 14% job growth for occupational therapists from 2024 to 2034.⁶

OT Specialization Opportunities

Occupational therapists can pursue specialized practice areas through additional training and certification:

Clinical Specializations

Specialization enables you to dive deeply into a population or practice area you love, develop advanced skills, and make a measurable impact on outcomes.⁷

Some clinical specialization opportunities include:

• Pediatrics: Working with children with developmental delays, autism or physical disabilities
• Physical Rehabilitation: Working with patients to restore mobility and function in daily life after illness, injury or surgery.
• Low Vision: Assisting people with visual impairments in daily activities. A micro-credential is available through the American Occupational Therapy Association.⁸

Practice Setting Specializations

Focusing on a practice setting (such as acute care, schools or home health) allows you to align your work environment to your strengths, schedule and team culture.⁹ You also master setting-specific workflows and regulations, which can streamline care and build credibility.

Advanced Career Paths

Beyond direct patient care, occupational therapists may pursue diverse career trajectories, including:

• Academia: Teaching in OT programs and conducting research.¹⁰
• Consultation: Providing expertise to organizations on accessibility and ergonomics, such as an Assistive Technology Consultant.¹¹

Making Your Final Decision

Choosing an occupational therapy program is a significant investment in your future. Use this systematic approach to make an informed decision:

1. Rank Your Priorities: Determine which factors (cost, location, program format, specialization opportunities) matter most to you.
2. Research Thoroughly: Gather comprehensive information about each program you’re considering.
3. Visit Programs: Attend information sessions, campus visits or virtual tours when possible, or speak with an enrollment advisor.
4. Connect With Current Students and Alumni: Gain insider perspectives on program strengths and challenges.
5. Consider Long-Term Goals: Align your program choice with your career aspirations and personal circumstances.

What to Ask During Program Evaluation

There are some helpful questions to ask when you are evaluating different programs:

• How are clinical fieldwork sites selected and assigned?
• What support services are available for students with challenges?
• What is the program’s NBCOT pass rate history?
• What career services and job placement assistance does the program provide?
• How does the curriculum prepare students for specialized practice areas?
• What opportunities exist for research participation or thesis work?

Remember that both MOT and OTD programs can lead to fulfilling careers in occupational therapy. Your choice should reflect your personal learning style, career goals, financial situation and life circumstances. The most critical factor is selecting an ACOTE-accredited program that provides quality education and prepares you for professional success.

Conclusion

Pursuing an occupational therapy degree opens doors to a rewarding healthcare career focused on helping others achieve independence and quality of life.

Whether you choose a master’s or doctoral program, ensure it meets ACOTE accreditation standards and aligns with your career objectives. The occupational therapy profession may open the door to opportunities for growth, specialization and impact.

As you embark on this educational journey, remember that your program choice is just the beginning. Success in occupational therapy requires dedication to lifelong learning, compassion for those you serve and commitment to evidence-based practice.

With a strong academic foundation from an accredited program, you’ll be well-prepared to make a positive difference in the lives of your future clients while building a rewarding and stable career in healthcare.

Ready to take the next step? Explore our MOT and OTD programs, connect with an admissions advisor and let us help you chart a clear path to your OT career.

FAQs

What’s the difference between an MOT and an OTD?

Both degree programs prepare you for entry-level practice. An MOT is usually shorter and focuses on clinical readiness, while the OTD builds on that clinical foundation with additional coursework in leadership, research, and professional development. It is a good fit for anyone interested in leadership, teaching, advanced clinical practice or research roles. It also includes a capstone project for deeper specialization.

Which prerequisites do I need before applying?

Most programs require a bachelor’s degree, along with prerequisite courses in anatomy, physiology, psychology, statistics and medical terminology. While not required at USAHS, many programs also value documented exposure to OT through observation hours or work experience.

How do accreditation and licensure work?

Choose a program accredited by ACOTE. After you graduate, you become eligible to take the NBCOT exam, which all states require for licensure.

References:

1. “Board Certified Practitioners,” National Board for Certification in Occupational Therapy (NBCOT), https://www.nbcot.org/.
2. ACOTE®: Associated Advisory Council of the Board (AOTA Bylaws Article V. Section 10.), “Accreditation Council for Occupational Therapy Education (ACOTE®),” Accreditation Council for Occupational Therapy Education, https://acoteonline.org/about/.
3. “C Standards FAQ,” Accreditation Council for Occupational Therapy Education, https://acoteonline.org/frequently-asked-questions/.
4. “ACOTE Accreditation Standards,” Accreditation Council for Occupational Therapy Education, 2023, https://acoteonline.org/accreditation-explained/standards/.
5. “Am I eligible to take the NBCOT exam?” National Board for Certification in Occupational Therapy, https://www.nbcot.org/get-certified/eligibility.
6. “Occupational Therapists,” Occupational Outlook Handbook, U.S. Bureau of Labor Statistics, 2025, https://www.bls.gov/ooh/healthcare/occupational-therapists.htm
7. “AOTA’s Advanced Certification Program,” American Occupational Therapy Association (AOTA), https://www.aota.org/career/advanced-certification-program.
8. “Expand Your Career with OT Advanced Certifications and Professional Certificates,” American Occupational Therapy Association (AOTA), https://blog.aota.org/expand-your-career-with-ot-advanced-certifications-and-professional-certificates.
9. “Practice Settings,” American Occupational Therapy Association (AOTA), https://www.aota.org/practice/practice-settings
10. “Occupational Therapy Teacher Overview,” American Society of Gene + Cell Therapy, https://jobs.asgct.org/career/occupational-therapy-teacher.
11. Brandy Archie, “Assistive Technology and OT: Examples & Funding,” OT Potential, March 31, 2023, https://otpotential.com/blog/assistive-technology.