Respiratory Therapy: A Patient Care Career Path

Respiratory Therapy: A Patient Care Career Path

By: Savanna Perry, PA-C

TL;DR

Respiratory therapists (RTs) are hands-on cardiopulmonary specialists who provide breathing treatments, run ventilators, and often perform intubations. They work everywhere from the ER and ICU to sleep labs and home care, and a graduate degree is becoming the future hiring standard. RT shares many prerequisites and a competitive admissions process with PA school, making it a strong alternative patient care career.

Last Updated: June 12, 2026

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What does a respiratory therapist do?

Becoming a PA is a great goal, but it is not the only allied health career that gives you real one-on-one time with patients. The PA Platform has always aimed to expose people to different healthcare paths, and respiratory therapy is a wonderful option for anyone who wants to make a meaningful impact.

A respiratory therapist (RT) is a healthcare practitioner with advanced knowledge of the cardiopulmonary system: how it works, the diseases that affect it, and how to treat them. If you have ever been in the hospital, you have probably seen an RT at work without realizing it. RTs provide oxygen and aerosol therapy (breathing treatments), perform physical exams, and manage mechanical ventilators and other life support machines. The word intubation got a lot of attention in recent years, and in many cases RTs are the ones performing those critical procedures. The role demands strong critical thinking, communication, and clinical assessment, often in high-pressure situations.

In this post:

Where do respiratory therapists work?

RTs work in a wide range of settings. On the outpatient side, that includes home care, physician offices, clinical research facilities, pulmonary rehab, and sleep labs (polysomnography). In the hospital you will find them in the emergency department, on the floors, in intensive care units, in pre-operative and post-operative units, and in neonatal and pediatric units.

When I had my daughter, I remember the RTs standing ready in the corner in case of an emergency during my C-section. There was a respiratory therapist for both me and my daughter, and I spotted the tiniest endotracheal tube for babies, not much bigger than a straw, that thankfully we did not need. RTs can also become travel or transport therapists, and an advanced degree opens doors to academic, leadership, simulation education, and ventilation specialist roles. A graduate degree lets your options reach well beyond the ER and critical care.

In Our Experience

I teamed up with Jacksonville University's MSRC program for this post, and as a derm PA who once watched RTs stand guard during my own C-section, I have a lot of respect for what they do. In our experience exposing applicants to allied health, respiratory therapy is one of the most overlooked patient care careers, and it is a genuinely great fit for people drawn to acute, hands-on work.

How do you become a respiratory therapist?

Much like PAs, RTs are in high demand, with the profession projected to grow 23% by 2030 per the U.S. Bureau of Labor Statistics. While associate and bachelor's level RT programs exist, a graduate degree is becoming the future hiring standard, and Jacksonville University runs one of only nine graduate respiratory care programs in the country.

The MSRC program at Jacksonville University shares admissions requirements similar to PA school given how competitive it is. You will need a completed bachelor's degree, a statement of intent, a letter of recommendation, and an interview. As with PA school, your bachelor's can be in any area that fulfills the prerequisites, many of which overlap with PA prerequisites: algebra, chemistry, human anatomy and physiology, microbiology, physics, psychology, and statistics. The two-year program splits into didactic and clinical phases. Year one covers the fundamentals of identifying, preventing, and treating cardiopulmonary dysfunction in depth, while year two focuses on clinical skills and prepares graduates for board exams and state licensure.


Every Pre-PA Should Know...

Respiratory therapy is projected to grow about 23% by 2030, making it one of the faster-growing patient care careers.


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Listen: Choosing Respiratory Therapy Over PA School: An Interview with Michelle

Not every episode has to end with someone getting into PA school.

Episode show notes & key takeaways

Not every episode has to end with someone getting into PA school.

Michelle from Lifting and Little Ones is a registered respiratory therapist. She seriously considered PA school and decided against it - and she's happy with that call. I wanted her on because pre-PA spaces almost never talk about the option of choosing something else.

She walks through what respiratory therapy training looks like, the board exams and licensing, and how much hands-on patient assessment the job involves. Then she gets into how she weighed the time and the cost of PA school against the career she already had.

If you're doing this because it's the next thing everyone expects, this is a good episode to sit with.

What we talk about

  • What respiratory therapists actually do

  • The education and credentialing path for RTs

  • Board exams and state licensure

  • Why she decided not to apply to PA school

  • Weighing cost and time against what you want

  • Being honest with yourself about your reasons

Resources

Follow The Pre-PA Club: Apple Podcasts · Spotify · All episodes

Listen: Respiratory Therapist to PA Student - Interview with Alden

Alden was bartending at Chili's. Then she met a couple of respiratory therapists, and that conversation changed her whole life.

Episode show notes & key takeaways

Alden was bartending at Chili's. Then she met a couple of respiratory therapists, and that conversation changed her whole life.

She became an RT first. Loved it, and then hit the ceiling of what she was allowed to do. That's a feeling a lot of you know well - you're in the room, you understand what's happening, and you can't be the one to make the call. So she went after PA.

Her academic record wasn't spotless. She had to retake classes. And she was strategic about where she applied, because holistic review meant her whole story counted, not just a number on a transcript. Nine applications, four interviews, two acceptances. That's a strong return, and it wasn't luck.

If you're a career changer sitting on some old grades you're not proud of, this one's for you.

What we cover

  • Going from bartending to respiratory therapy to PA school

  • Why she wanted more than her RT scope allowed

  • Retaking classes and rebuilding a GPA that wasn't working

  • Picking programs that do holistic review, and how to spot them

  • Her actual application numbers and what she thinks made the difference

  • Advice for anyone switching careers into medicine later than planned

Resources

Follow The Pre-PA Club: Apple Podcasts · Spotify · All episodes

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Is Respiratory Therapy Right for You?

Respiratory therapy is a meaningful, hands-on patient care career that deserves a spot on your list of options, whether as a path of its own or a way to gain experience. If breathing and acute care fascinate you, it is well worth a look. Reach out to programs like Jacksonville University with your questions, and keep exploring the path that fits you best.

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