Career Change to Respiratory Therapy: Where to Start A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.Career Change to Respiratory Therapy: Where to Start

A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.Career Change to Respiratory Therapy: Where to Start

A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.Career Change to Respiratory Therapy: Where to Start

A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.Career Change to Respiratory Therapy: Where to Start

A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.Career Change to Respiratory Therapy: Where to Start

A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.Career Change to Respiratory Therapy: Where to Start

A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.Career Change to Respiratory Therapy: Where to Start

A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.Career Change to Respiratory Therapy: Where to Start

A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.A realistic roadmap for adult learners and career changers — what the path looks like, how long it takes, and the very first step to take.

Thinking about leaving your current job for a career in respiratory therapy? You’re in good company. Respiratory therapy is one of the more accessible healthcare careers for adult learners and career changers: you can enter the field with an associate degree, you don’t need prior medical experience, and demand is strong. But there’s a specific first step that catches many people off guard — and getting it right early can save you a year or more.

This guide lays out a realistic roadmap: what respiratory therapists do, why it’s a viable change, the steps from where you are now to a licensed career, and — most importantly — where to actually start. You can explore accredited programs through the Commission on Accreditation for Respiratory Care (CoARC), and learn more about the profession from the American Association for Respiratory Care (AARC).

Short answer: To change careers into respiratory therapy, you’ll complete a CoARC-accredited associate or bachelor’s program and earn your credential through the National Board for Respiratory Care to qualify for licensure. But the first practical step isn’t applying to a program — it’s completing the science prerequisites those programs require, since admission is competitive and prerequisites come first. Starting there is how career changers get a head start.

In this guide

Is respiratory therapy a good career change?

For many career changers, yes — it hits a rare combination of accessible entry, strong demand, and meaningful work. Respiratory therapists care for patients with breathing and cardiopulmonary conditions, from premature infants to older adults with chronic lung disease, working in hospitals, ICUs, emergency departments, and beyond.

What makes it appealing for a change specifically:

  • Accessible entry point. The minimum requirement is an associate degree, which typically takes about two years — far shorter than many healthcare paths.
  • No prior healthcare experience required. Programs are built to take you from the prerequisites through clinical training; you don’t need to already work in medicine.
  • Strong, stable demand. Employment of respiratory therapists is projected to grow much faster than average — around 13% over the 2023–2033 decade per the Bureau of Labor Statistics — driven by an aging population, workforce retirements, and ongoing demand for cardiopulmonary care.
  • Solid pay for the training time. Median pay sits in roughly the $70,000–$80,000 range nationally, with variation by location, setting, and experience — strong relative to a two-year entry credential.
  • Room to grow. You can advance with a bachelor’s or master’s, pursue specialty credentials, or move into critical care, education, or leadership roles over time.

One honest note: while an associate degree is the entry minimum, a bachelor’s is increasingly the standard, and program accreditation is heading in that direction. Either way, the prerequisite foundation you build first is the same — which is exactly why it’s the right place to begin.

The path from career changer to licensed RT

Here’s the realistic sequence. Knowing the whole arc helps you see why the first step matters so much.

StepWhat it isNotes for career changers
1Complete prerequisitesScience and foundation courses programs require before you apply. This is where you start — see below.
2Apply to a CoARC-accredited programAssociate or bachelor’s. Admission is competitive and usually ranked, often once a year.
3Complete the programClassroom, lab, and clinical rotations. Typically about two years for an associate degree.
4Earn your NBRC credentialPass the National Board for Respiratory Care exams (CRT and/or RRT).
5Get licensed and start workingNearly every state requires licensure, which is based on the NBRC credential.

Notice that the program itself is Step 2, not Step 1. Career changers who jump straight to applying often discover they’re missing prerequisites — and lose an entire admission cycle waiting to complete them. After you finish a program, the National Board for Respiratory Care (NBRC) administers the credentialing exams that lead to licensure.

Start here: the science prerequisites

If you take one thing from this guide, it’s this: your first move as a career changer is to complete the science and foundation prerequisites respiratory therapy programs require. They’re the gateway to everything else, and they’re something you can start right now — before you’ve chosen a program, while you’re still working your current job.

The prerequisites most programs expect:

  • Anatomy & Physiology I & II (BIO 270 / BIO 275) — the foundation of cardiopulmonary care, and almost always required.
  • Microbiology (BIO 210) — infection and infection control, required by most programs.
  • Chemistry (CHEM 151 / CHEM 152) — required by many programs; one semester or two.
  • College Math or Statistics (MATH 107 / MATH 220) — almost always required; algebra or statistics.
  • Medical Terminology (EXSS 170) — required by some, recommended by many, and especially valuable if you’re new to healthcare.

For career changers juggling work and family, the practical way to do this is online and self-paced. The RT Science Prerequisite Bundle lets you complete the whole set through a regionally accredited university partner, on your own schedule and on one official transcript — so you arrive at the application stage ready, not scrambling.

Why “prerequisites first” is the smart play

Starting with prerequisites isn’t just the required order — it’s strategically the best move for a career changer, for several reasons:

  • You can start today, around your job. You don’t have to quit anything or wait for an admission cycle. Self-paced prerequisites fit alongside full-time work.
  • It’s a low-risk way to test the waters. Anatomy and physiology will tell you a lot about whether you enjoy this material before you commit to a full program.
  • It builds the GPA that gets you in. Because admission is ranked, strong prerequisite grades directly improve your odds — see what GPA you need for respiratory therapy school and how competitive admission is.
  • It prepares you for the entrance exam. The science you learn in prerequisites is the same content tested on the TEAS and other entrance exams, so the work does double duty.
  • It keeps your options open. The same prerequisites apply across associate and bachelor’s programs, so completing them doesn’t lock you into a single school or degree level.

If you took some of these courses years ago, check whether they’re still valid — many programs require science prerequisites completed within a recent window. Our guide to RT prerequisite recency rules walks through the 5-year window and how to refresh expired credit.

A realistic plan for working adults

Here’s how to turn the decision into momentum without upending your life:

  1. Confirm the field fits. Read about the day-to-day work, and if you can, shadow or talk to a respiratory therapist. Many programs value observation hours anyway.
  2. Shortlist a few accredited programs. Identify two or three CoARC-accredited programs you might apply to, and note their exact prerequisites, deadlines, and any entrance exam.
  3. Start your prerequisites now. Begin the science prerequisites online and self-paced while you keep working. Prioritize anatomy and physiology, the highest-weighted course.
  4. Aim for strong, recent grades. Because admission is ranked, treat each prerequisite as part of your application, not a formality.
  5. Prepare and apply. Take any required entrance exam, gather references and your personal statement, and apply with everything complete before the deadline.

Done this way, the leap into a new career feels less like a cliff and more like a series of manageable steps — most of which you can start before changing anything about your current life.

Frequently asked questions

Can I become a respiratory therapist with no healthcare experience?

Yes. Respiratory therapy programs are designed to take you from the prerequisites through clinical training, so prior healthcare experience isn’t required — though observation hours can strengthen an application.

How long does it take to change careers into respiratory therapy?

Plan for roughly two to three years for an associate-degree path, plus the time to complete prerequisites beforehand. A bachelor’s takes longer. Completing prerequisites efficiently up front keeps the timeline tight.

What’s the first step if I’m changing careers?

Completing the science prerequisites that programs require — anatomy and physiology, microbiology, chemistry, math, and often medical terminology. You can start these online and self-paced before applying to any program.

Do I need a bachelor’s degree, or is an associate enough?

An associate degree is the entry minimum, but a bachelor’s is increasingly the standard and program accreditation is moving that direction. Either way, the prerequisite foundation is the same starting point.

Is respiratory therapy worth it as a career change?

For many people, yes — accessible entry, strong demand (about 13% projected growth over 2023–2033), median pay around $70,000–$80,000, and meaningful patient care. Weigh it against your own goals and finances.

Can I complete the prerequisites while working full time?

Yes. Online, self-paced prerequisite courses are designed exactly for working adults, letting you build toward a program around your current job and schedule.

Bottom line

Respiratory therapy is one of the most realistic healthcare career changes you can make: a two-year entry credential, no prior medical experience needed, strong demand, and solid pay. The path runs from prerequisites to an accredited program to your NBRC credential and licensure — and the smartest first step is the one you can take today: completing the science prerequisites, around your current job, before you ever apply. That’s how career changers get ahead of a competitive process instead of behind it.

Ready to take the first step? Start with the RT Science Prerequisite Bundle — online, self-paced, regionally accredited courses you can begin now and complete on one official transcript. Confirm your shortlisted programs’ specific prerequisites and deadlines with their admissions offices as you plan.

Related respiratory therapy guides

Map out your change with these next steps:

Program requirements, prerequisites, timelines, salary figures, job-growth projections, and licensure rules vary by institution, state, and over time. Salary and outlook figures reference U.S. Bureau of Labor Statistics data and may change. This guide is general information only and is not a guarantee of admission or employment. Always confirm details directly with the respiratory therapy programs and licensing boards relevant to you.