Vermont Area Health Education Centers (AHEC) Program Health Careers More Than a Job A HEC is a statewide program working to strengthen Vermont’s community health systems and the health of Vermonters and is a partnership between the Northeastern Vermont AHEC, Champlain Valley AHEC, Southern Vermont AHEC, and the University of Vermont (UVM) College of Medicine AHEC Program. AHEC works to enhance quality access to health care, particularly primary and preventive care, by improving the supply, distribution and education of health care professionals. AHEC provides a link between the UVM College of Medicine and Vermont’s communities. This academic-community partnership is responsive to state and local needs to train health care practitioners. The Vermont AHEC Network is made up of a program office and three regional centers: Champlain • Valley AHEC • Northeastern • Vermont AHEC Southern Vermont AHEC • UVM AHEC Program UHC Campus, Arnold 5 1 South Prospect Street Burlington, VT 05401 802-656-2179 www.vtahec.org Champlain Valley AHEC Serving Franklin, Chittenden, Grand Isle and Addison Counties 92 Fairfield Street St. Albans, VT 05478 802-527-1474 www.cvahec.org Northeastern Vermont AHEC Serving Essex, Orleans, Lamoille, Caledonia, Washington and Orange Counties 347 Emerson Falls Road, Suite 3 St. Johnsbury, VT 05819 802-748-2506 www.nevahec.org Southern Vermont AHEC Serving Rutland, Bennington, Windham and Windsor Counties 55 Clinton Street Springfield, VT 05156 802-885-2126 www.svahec.org Connecting Students to Careers, Professionals to Communities, and Communities to Better Health Health Careers More Than a Job Produced by: www.vtahec.org 2011 Edition / Health Careers Contents Dental Health 9 Dental Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Dental Hygienist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Dental Lab Technician. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Dentist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Emergency Services (Pre-Hospital) 17 Emergency Medical Technician. . . . . . . . . . . . . . . . . . . . . . . . . . 18 Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Health Care Office Services 21 Health Care Office Manager. . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Medical Assistant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 27 Health Information & Communication Services Health Information & Medical Records Technician. . . . . . . . . . 28 Health Sciences Librarian . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Medical Transcriptionist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Clinical Laboratory Sciences 33 39 Cardiovascular Technologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Surgical Technologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Medicine 43 Physician. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Physician Assistant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Mental Health & Social Services 49 Counselor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Gerontologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Human Services Worker. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Psychiatrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Psychologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Social Worker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Nursing Nutrition Services 71 Dietitian/Nutritionist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Dietetic Technician. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Pharmacy 74 Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Pharmacist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Pharmacy Technician. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Public Health 79 Biostatistician. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 Epidemiologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Health Educator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Public Health Nurse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Radiation Technologies Clinical Laboratory Technologist. . . . . . . . . . . . . . . . . . . . . . . . . 34 Clinical Laboratory Technician. . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Cytotechnologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Medical Technologies Advanced Practice Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Nurse Practitioner, Clinical Nurse Specialist, Certified Nurse-Midwife, Certified Registered Nurse Anesthetist A Closer Look: Men Needed for Nursing. . . . . . . . . . . . . . . . . 70 59 Personal/Home Health Aide. . . . . . . . . . . . . . . . . . . . . . . . . .60 A Closer Look: House Calls. . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Licensed Nursing Assistant. . . . . . . . . . . . . . . . . . . . . . . . . . .62 Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Licensed Practical Nurse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Registered Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 85 Nuclear Medicine Technologist. . . . . . . . . . . . . . . . . . . . . . . . . . 86 Radiation Therapist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Radiologic Technologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Rehabilitation Therapy 91 Audiologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Occupational Therapist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Occupational Therapy Assistant. . . . . . . . . . . . . . . . . . . . . . . . . 95 Physical Therapist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Physical Therapist Assistant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Orthotist/Prosthetist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Respiratory Therapist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Speech-Language Pathologist. . . . . . . . . . . . . . . . . . . . . . . . . . 101 Vision Care 103 Ophthalmologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Optician . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 Optometrist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Careers in Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 Health Care Educational Requirements . . . . . . . . . . . . . . . . . . . . . . . 110 Acronym Glossary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Vermont Technical Centers & High Schools with Technical Education Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Vermont Colleges & Universities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Directory of VT Hospitals & Long Term Care Facilities. . . . . . 114 Health Career Web Sites. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Health Careers / Why Choose a Career in Health Care? H ealth care is an essential part of human life. It is a career field where you can be certain you will make a difference to other humans. How many careers can say that? Ask anyone you know in health care and they will agree that helping others is their greatest reward. Some other key RE A SONS to consider health care as a career include: R E e s p e c t When you have a career in health care, you are a respected member of your community and state. People respect your professionalism, your knowledge, and your ability to help them, often in a time of need. v e r y w h e r e After you are trained as a health care professional, you can work anywhere. A pp r e c i at e d S Your work will benefit people, so the degree of appreciation you receive will be greater than that in most other occupations. a l a r y You can earn a livable wage in health care; with additional training, your income can always grow. O c c u pat i o n s / o pt i o n s N eeded S Within the health care field, there are hundreds of different occupations to choose from, whether you prefer working directly with people, technology, or in laboratories. As long as there are humans, your services will always be needed and you will form enriching bonds with the people you serve. t i m u l at i n g Positions in health care are intellectually stimulating because of new technology, surgical techniques, medicines and methods to improve patient care. For the best testimony available about the rewards of a health care career, check out the Profiles of Vermonters who made this choice, and see for yourself the many RE A SONS why health care may be the right choice for you. Do something that matters. For yourself. For others. / Health Careers How To Use This Directory T he health careers featured in this guide reflect professions that have shortages of personnel in Vermont. If you know a specific area of health care that you would like to check out, related jobs are grouped together. Or, you may want to simply browse through the pages to get an idea of the scope of work environments available in health care. Each career outlined includes a description of the career, work environments where you might practice that profession, the job outlook for that position, a salary range (national averages taking Vermont factors into account), education and certification/licensure requirements, and educational programs in Vermont and/or New England where you can train to enter the career. In addition, there are web sites listed where you can find more information about that career. Most professional organizations for health care professions have a “Career” or “Education” page on their web sites. There are many health care professions in serious need of more workers in addition to those highlighted. With over 300 health care jobs, many are not covered in detail in this book; they are listed in the back of the book. To learn more about exciting opportunities as an interpreter, transfusionist, child life specialist, or one of the others on the list, you can look them up on the U.S. Occupational Outlook web site, www.bls.gov/oco. In addition, there are other helpful pages in the back of this guide including Vermont health care facilities, education and training schools in the state, acronyms commonly used in various professions, and additional web resources, such as www.vthealthcareers.org. The best way to find the career that is most satisfying to you is to research it carefully: ask many different people all the questions you can think of ! This Health Careers Directory is a starting point for your exploration of career possibilities. Health Careers / Pathways To Health Care: Will I Like It? I f you are concerned about investing time, money and effort in a career without an assurance you will enjoy the job for which you are training, there are many ways to “stick your toe in the water” to see if you like the environment. A typical way to learn more about health care is to volunteer in a hospital or nursing home near you. Most have well-organized junior volunteer programs and welcome your contributions. While you are donating time, you can experience the setting firsthand to see if it appeals to you. Some young people volunteer to work in a veterinary office. There are many social service agencies that will welcome your offer to volunteer as well, such as the American Red Cross, United Way member agencies, or community health centers. These are organizations whose main mission is to serve people, and that is what working in health care is all about. Another pathway to a health care career may be to volunteer with your local rescue squad or become a member of an Explorers group based with the rescue squad or in your area hospital. More than one emergency physician, nurse or nursing assistant got their first taste of health care excitement on their local rescue squad. Many middle and high schools, as well as AHEC / Health Careers centers, have established “shadowing” programs in which you follow a professional through their workday to see close-up what they do in their chosen career. Ask your school guidance counselor if they know of such a program or any other opportunity for you to experience what health care is like on a day-to-day basis. The health care workers we have profiled in this guide mention these pathways and others: if it helped them to decide, it will probably help you, too! High school students have an opportunity to explore health careers at a MedQuest summer experience, offered on various college campuses around Vermont. Some MedQuest activities include: job shadows, interactive courses on basic medical skills, leadership workshops, certification in CPR and first aid, and self-esteem and asset-building activities. The summer weeks are staffed by first year medical students from the University of Vermont. If you are an adult who is considering a second career, you can learn more about health careers by volunteering or getting a job at a hospital or long term care facility. There are many training opportunities in hospitals. Contact the AHEC office near you to learn more (see inside front cover). How Can I Afford The Education/Training? F unding for education and training programs can come in the form of grants, scholarships, loans and work-study programs. Grants and scholarships do not have to be repaid. Grants are based on your financial need, while scholarships may be based on need or a variety of other factors. Loans, which must be repaid, are available to students and/or parents at low interest rates. A work-study program helps a student earn wages in part-time work while he/she goes to school. Finally, some employers offer tuition reimbursement programs as an employee benefit. If you are considering taking a class or enrolling part- or full-time, check with your school to find out whether financial aid is available to you and what forms you need to submit. In nearly all cases, you start by completing a Free Application for Federal Student Aid, or FAFSA. If you are a Vermont resident and have not already received a bachelor’s degree, you should also apply for a Vermont Grant. Some students in college save time and money by “testing out” of certain core required courses by taking an equivalency test to demonstrate that they have the basic knowledge in that subject. If they pass the test, they have earned the credits they would get by taking the actual course, and the only cost is usually the cost of the exam. Some colleges develop their own equivalency exams and others use those administered by the College Board or DSST. It is important to check with your college academic advisor to see what courses they will allow to be met by an equivalency exam, as it differs from school to school. The Vermont Student Assistance Corporation (VSAC) is a public, nonprofit corporation created to help Vermonters plan and pay for education and training beyond high school. The VSAC Resource Center, located on 10 East Allen Street in Winooski, is the starting point for all VSAC customer service. The staff can help you search for education options, complete financial aid applications, and search for scholarships. The Resource Center is open 8 a.m. to 4:30 p.m., Monday–Friday. No appointment is necessary. Health Careers / / Health Careers Dental Health Dental Assistant 10 profile 11 Dental Hygienist 12 Dental Lab Technician 13 Dentist 14 profile 16 Dental Health / Dental Assistant Dental Assistants perform a wide variety of responsibilities including clinical patient care, office and laboratory duties. Dental assistants work in partnership with dentists, helping patients feel comfortable before, during, and after their treatments as well as directly assisting dentists during procedures. Dental assistants also advise patients in postoperative and general oral health care. With certification, the dental assistant can expose radiographs on a patient. Work Environments Clinics Dental offices Dental specialty offices (ie; Orthodontics, Oral surgery) Hospitals Schools Insurance Companies Job Outlook Job prospects for dental assistants are excellent; employment is expected to make this one of the fastest growing occupations through 2018. Salary Office duties may include obtaining patient medical histories, sterilizing and disinfecting instruments and equipment, and preparing trays for various dental procedures. A dental assistant with office responsibilities may be responsible for billing, accounts receivable, scheduling and confirming appointments, and ordering dental supplies for the practice. Dental assistants with laboratory duties would perform such functions as taking impressions to fabricate stone casts of the patient’s mouth and teeth, cleaning and polishing removable appliances, fabricating temporary crowns, and bleaching trays and mouthguards. Education Programs more training and experience, a dental assistant could earn up to $22.63 per hour or a yearly salary of $47,070. Center for Technology, Essex 3 Education Drive Essex Junction, VT 05452 802-879-5558 www.go-cte.org Education, Certification and Licensing Professional Organizations This challenging career is attractive to men and women who have an interest in helping people stay healthy. Dental assistants are expected to demonstrate acceptable attitudes of pride, enthusiasm, good work ethic, responsibility, respect for patient confidentiality, and recognition of their importance as a member of the dental team. Those interested in becoming a dental assistant may receive on the job training or could attend a training program offered in technical centers, community colleges, or armed services. Dental assistants may take a national exam to become certified. Certified dental assistants may continue their education by becoming an Expanded Functions Dental Assistant. In Vermont, this endorsement allows the dental assistant to place fillings. American Dental Assistants Association Chicago, IL 60601 312-541-1550 www.dentalassistant.org The starting wage for a dental assistant ranges from $22,710 to $39,780 per year for full time work. With 10 / Health Careers Dental Assisting National Board, Inc Chicago, IL 60611 800-367-3262 www.danb.org Factoid: Almost 2 out of every 5 dental assistants in the United States work part-time, sometimes in more than one dental office. Profile Nichole DeGoosh Dental Assistant Northern Counties Dental Center Hardwick, VT It might have been a community service project in high school, or the fact that she just likes to help people, but Nichole DeGoosh knows she is in the right field as a dental assistant. “I did a community service project working with young people who have cystic fibrosis and I liked that,” she recalls. “I decided I wanted to go into the medical field so I thought I’d do dental assisting for a year and apply to dental hygiene school.” Nichole entered the year-long dental assistant program at the Center for Technology in Essex and did her internship for that course at Northern Counties, where she works now. What are some of the qualities Nichole has used to be a good dental assistant? “Well, you need to be patient with the patients, and like people,” she notes. “I would also say, take the chance to go to school for training. You can get training on the job to be a dental assistant but I am glad I took the school program,” Nichole remarks. “It makes me feel more confident. It’s a good field to go into,” she adds. “I get a lot of satisfaction from knowing we’ve accomplished something to make the patient happy, and I’ve absolutely loved it here – everyone is friendly and energetic, so it makes a great environment.” Dental Health / 11 Dental Hygienist Dental Hygienists remove hard and soft deposits from teeth, teach patients how to practice good oral hygiene, and provide other preventive dental care. Hygienists examine teeth and gums; record the presence of disease and abnormalities; take and develop x rays, perform root planing; and apply cavity-preventive agents such as fluoride and pit and fissure sealants. In some states, hygienists administer anesthetics; place and carve filling materials, temporary fillings and periodontal dressings; remove sutures; and smooth and polish metal restorations. Although hygienists may not diagnose diseases, they can prepare clinical and laboratory diagnostic tests for the dentist to interpret. Most dental hygienists work in dental offices; others may work in public health settings. Hygienists sometimes work chair side with the dentist during treatment. Education Programs Vermont Technical College (BS) Department of Dental Hygiene PO Box 500 Randolph Center, VT 05061 800-442-8821 www.vtc.edu Work Environments Private dental practices Public health Public schools and clinics Dental sales education Job Outlook According to U.S. Department of Labor statistics, dental hygiene is among the 10 occupations expected to grow the fastest over the next ten years. Salary Many dental hygienists work part-time. In Vermont, a dental hygienist can expect a starting wage of about $25.00 per hour, or about $45,000 per year for full time work. Experienced dental hygienists can earn up to $91,470 per year for full-time work. Professional Organizations American Dental Hygienists’ Association Chicago, IL 60611 312-440-8900 www.adha.org Vermont Dental Hygienists’ Association PO Box 1482 Williston, VT 05495-1482 www.vdha.org Education, Certification and Licensing High school course work should include college preparatory courses with an emphasis on science and math. An associate in science degree in Dental Hygiene and successful completion of licensing examinations are necessary pre-requisites to licensure and to practice dental hygiene in Vermont and most all other states. Factoid: Salaries in this field depend heavily on geographic location and experience. 12 / Health Careers Dental Laboratory Technician Dental Laboratory Technicians make and repair dental appliances such as dentures, crowns, bridges and braces. They use materials such as gold, silver, stainless steel, porcelain and plastic to fill dentists’ prescriptions for appliances. They may specialize in orthodontic appliances (retainers, braces, mouthguards), crowns and bridges, dentures, or ceramics. Work Environments Commercial laboratories Dentist offices Hospitals Homes Medical equipment & supply manufacturing companies Job Outlook Trainee positions are expected to be abundant over the next ten years. The future might show that advances in preventive dental care will diminish the demand for tooth and teeth replacement, and computers may assume some of the workload once handled exclusively by technicians. Education Programs There are no dental laboratory technician programs in Vermont but there is one available through the New England Regional Student Program (RSP) www.nebhe.org at: Middlesex Community College (MA) Professional Organizations National Association of Dental Laboratories Tallahassee, FL 800-950-1150 www.nadl.org Factoid: There are 20 accredited dental laboratory technician programs offered by community colleges and vocational technical institutes. Salary An average salary is about $34,170; with more experience this amount might rise substantially but entry level workers should expect minimum wage. Education, Certification and Licensing Dental laboratory technicians attend a two-year program at a community or technical college to receive a certificate or associate degree. Dental laboratory technicians may also become certified by completing a five-year apprenticeship program prior to passing the national certification exam. Career Ladder Dental laboratory technicians may, with additional training and education, become dental hygienists. Dental Health / 13 Dentist Dentists diagnose, prevent, and treat problems with teeth or mouth tissue, using science and technology to help people maintain and improve their oral health. Besides providing oral exams and filling cavities, dentists repair fractured teeth, straighten teeth, put sealants on children’s teeth, examine x-rays, make models for dentures to replace missing teeth, perform corrective surgery, place implants, and treat gum disease. Dentists administer anesthetics and prescribe medications. They screen patients for cancers and 14 / Health Careers disorders of the jaw and bones around the face. Prevention is a key component of a dentist’s job. They instruct patients on diet, brushing, flossing, and the use of fluorides. The majority of dentists are general practitioners; about 15% are specialists who limit their practices to such specialties as: orthodontics, oral and maxillofacial surgery, pediatric dentistry, periodontics, endodontics, public health dentistry, oral pathology, oral and maxillofacial radiology. Work Environments Clinics Federal Government facilities Hospitals Military Private and non-profit practices Research facilities Teaching institutions Job Outlook Employment is projected to grow faster than average nationally; demand for dental services is very high in Vermont, and many of the current dentists are nearing retirement. Salary Most dentists earn $70,000-$200,000 per year. Salaries depend upon location, specialization, and experience. A dentist’s average income is in the highest five percent of U.S. family income. Education, Certification and Licensing High school and undergraduate course work should focus on math and science. Most dental students get a bachelor’s degree first, though some dental schools only require two years of college before admission. Dental school usually takes four years to complete. Specialization usually requires an additional two to four years of training. Candidates must pass a standard national exam and a regional exam in the area where they wish to practice. Students may incur a debt load for dental education as high as $150,000$200,000, but many states, including Vermont, offer educational loan repayment options in exchange for service commitments working with underserved populations. To learn more about the Vermont Educational Loan Repayment Program for Dentists, visit www.vtahec.org. Factoid: Most dentists are “solo practitioners.” They own their own businesses and work with a small staff. Some Dental Specialties: Orthodontics Oral and maxillofacial surgery Pediatric dentistry Periodontics Prosthodontics Endodontics Public health dentistry Oral pathology Oral and maxillofacial radiology Education Programs Dentists usually complete at least eight years of education beyond high school. There are no dental schools in Vermont. The following program is available through the New England Regional Student Program (RSP). For more information on RSP, go to www.nebhe.org or call 617-357-9620. University of Connecticut School of Dental Medicine 263 Farmington Avenue Farmington, CT 06030 860-679-2000 www.uchc.edu For a listing of dental schools that do not participate in the New England Regional Student Program (RSP), visit the American Dental Association website at www.ada.org. Professional Organizations American Dental Association Chicago, IL 312-440-2500 www.ada.org American Dental Education Association Washington, DC 202-289-7201 www.adea.org Vermont State Dental Society South Burlington, VT 800-640-5099 www.vsds.org Dental Health / 15 Profile Elaine McLain, DDS Dentist Bennington, VT Elaine McLain went to college to become a science teacher, but it was her part-time job working for a dentist while she attended school that showed her the career path she would follow. “I like working with my hands and being with people,” she explains. “It looked interesting and was something I thought I could do; before that, I never really thought about being a dentist.” Elaine went to dental school at a time when women made up less than two percent of the class, but she feels it’s an especially good career for women. “It allows you to work as many days as you wish,” she notes, which is important when raising a family. “I’ve been able to make a good living at it and I think there is a certain independence in regard to your hours and where you work, so you can allow yourself more time with your family.” Part of a practice of dentists, Elaine remarks that some dentists do all kinds of procedures, while others prefer to focus on the ones they are interested in and refer people to other dentists for the procedures they choose not to do. She enjoys having other dentists around because they understand what the challenges are, and can learn from each other about difficult cases. They also praise each other for a particularly good result in those difficult cases. She takes pride in what she does: “You have a set group of procedures with everyone; the variable is the person, and that’s the difference,” she says. “I want my work to look a certain way and within the ability of the patient to cooperate, I try to get as close to what is perfect as I can.” Elaine admits the job can be demanding because of the anxiety that patients have about going to the dentist, and notes it is important to remain calm and help the patient through it. “A patient may not know the quality of the work you did but they know the manner in which you did it. When a patient goes through a procedure and says it wasn’t as bad as they expected, that makes me feel good,” she explains. “I enjoy doing a procedure with the least amount of trauma.” 16 / Health Careers Emergency Services (Pre-Hospital) Emergency Medical Technician 18 profile 19 emergency services / 17 Emergency Medical Technician Emergency Medical Technicians are the first to evaluate the nature and extent of a medical problem at emergency scenes. They determine the number of people injured, the types of injuries they have, pre-existing medical conditions of the patients, and the degree of trauma. They stabilize and transport the patient to a health care facility. There are levels of EMTs depending on training level completed. They are: First Responders (the lowest level); EMT-Basic, EMT-Intermediate, EMT-Paramedic and EMT-Critical Care Paramedic. EMTs are required to work long hours on call, be able to lift patients, bend, kneel and stand for long periods, and work outdoors in all types of weather. Education Programs Training programs for various levels of EMTs are offered by hospitals and ambulance services. Training is also available through colleges, though none in Vermont currently offer it. However, the following are available through the New England Regional Student Program (RSP) www.nebhe.org: Work Environments Emergency Medical Services Fire departments Hospitals Industry Private ambulance services Capital Community College (CT) Eastern Maine Community College Kennebec Valley Community College (ME) Job Outlook Professional Organizations Salary Employment is projected to grow as fast as the average for all occupations. National Association of EMTs Clinton, MS www.naemt.org Depending upon the level of certification, salaries range from $23,650 to $39,250 and higher. National Registry of Emergency Medical Technicians Columbus, OH 614-888-4484 www.nremt.org Formal training and certification are required but state requirements and reciprocity in recognizing certification from other states vary. Opportunities are best for those who have earned advanced certifications. Education, Certification and Licensing Career Ladder Factoid: There are more than 270,000 EMTs in the country, of which 20% work in hospitals, 30% for police, fire or rescue squads, and 45% with private ambulance services. Some work as unpaid volunteers for local rescue squads. 18 / Health Careers Many people begin a lifelong career in health care as First Responders and EMTs. They may continue their studies to enter any area of health care work. Profile Colleen M. Nesto, EMT-I ’03 Essex Rescue Essex Junction, Vermont Colleen grew up in a family where everyone was involved in Emergency Services. This spiked her interest in the field. As a child she remembers hearing her father’s fire department pager going off and then rushing to the door. Until now she never understood what was so exciting that he continually would drop whatever he was doing for someone else. Colleen’s father’s devotion to the fire service inspired her to choose this career path. She started as a volunteer at the age of sixteen in the fire service. Over time, working with rescue on emergency scenes introduced Colleen to a whole different side of emergency services, with which she fell in love. Colleen couldn’t wait until her 18th birthday when she could officially join Essex Rescue as a volunteer. While a volunteer with Essex Rescue she was trained as an EMT-B, EMT-I and Crew Captain all before the age of twenty-one. Colleen quickly decided that she wanted to make a career of EMS and was hired as a full-time employee. During her shifts at Essex Rescue, she and her crews respond to 911 calls in the five communities service area. When not responding to calls Colleen has administrative duties such as data entry and filing run reports. She is responsible for training new members, public education, and daily crew responsibilities. Colleen works with a volunteer crew that consists of approximately three volunteers per shift. She enjoys working with the volunteers who are there not for the pay but to give back to their communities. Colleen works three, twelve hour shifts per week which includes occasional holidays and weekends. The part Colleen likes most about her job is being there for people when they are in a time of need. This line of work is fast-paced, challenging and is never the same. “The feeling of knowing you can help is more than gratifying. This line of work has its difficult moments,” however, it is also extremely rewarding. Those times make up for the difficult times. Essex Rescue has given me more opportunity in my life than I ever dreamed possible at my young age.” emergency services / 19 20 / Health Careers Health Care Office Services Health Care Office Manager 23 MEDICAL ASSISTANT 24 Health Care Office Services / 21 Health Care Managers/Administrators ­Health Care Office Managers/Administrators are people who plan, direct, coordinate and supervise the delivery of health care. A specialist may be in charge of specific clinical departments or services 22 / Health Careers while generalists manage an entire facility or system. Specific skills needed include management ability, financial analysis, supervisory skills, and good communication and interpersonal skills. Work Environments Hospitals Nursing and personal care facilities Clinics Physician offices Social service agencies Job Outlook Employment is projected to grow faster than average for all other occupations, with the fastest growth in residential care facilities and physician offices and clinics, as services previously provided in the hospital setting are shifted to physician offices and clinics. Salary Earnings of medical and health services managers are high but long hours of work are common. The middle 50% earn $62,170-$104,120 annually; compensation is typically related to experience, education and scope of responsibility. Education, Certification and Licensing A master’s degree is generally expected but some entry level administrative positions may be open to those with a bachelor’s degree. Professional development programs leading to specialty certification in health care administration are available through the American College of Healthcare Executives. All states require a series of courses and internships before a license is granted to a nursing home administrator. Career Ladder Jobs are available at a variety of levels, from department head or manager of a small practice, to Chief Executive Officer. Those with graduate degrees and strong business and management skills will find the best job opportunities. Education Programs University of Vermont (post-baccalaureate certificate) Certificate in Healthcare Management Burlington, VT 05405 800-639-3210 www.learn.uvm.edu In addition, the following master’s level programs are available through the New England Regional Student Program (RSP) www.nebhe.org: University of Massachusetts at Lowell University of Southern Maine Western Connecticut State University Professional Organizations American College of Healthcare Executives Chicago, IL 312-424-2800 www.ache.org Medical Group Management Association Englewood, CO 303-799-1111 www.mgma.com American College of Health Care Administrators Alexandria, VA 202-536-5120 www.achca.org Association of University Programs in Health Administration Alexandria, VA 703-894-0940 www.aupha.org Professional Association of Health Care Office Management Lady Lake, FL 800-451-9311 www.pahcom.com Healthcare Financial Management Association Westchester, IL 800-252-4362 www.hfma.org health care office services / 23 Medical Assistant Medical assistants perform administrative and clinical tasks to keep the offices of physicians, podiatrists, chiropractors, and other health practitioners running smoothly. Administrative duties may include answering telephones, greeting patients, updating and filing patients’ medical records, filling out insurance forms, handling correspondence, scheduling appointments, arranging for hospital admission and laboratory services, and handling billing and bookkeeping. 24 / Health Careers Clinical duties may include taking medical histories and recording vital signs, explaining treatment procedures to patients, preparing patients for examination, and assisting the physician during the examination. Medical assistants may collect and prepare lab specimens or perform basic laboratory tests on the premises, dispose of contaminated supplies, and sterilize medical instruments. They instruct patients about medications and special diets. Work Environments Education, Certification and Licensing Hospitals Physician offices Health practitioner offices Ambulatory care centers Medical and diagnostic laboratories Nursing care facilities Government agencies Most employers prefer graduates of formal programs in medical assisting; a few are still trained on the job. Educational programs are offered in vocational-technical schools, post secondary vocational schools, and community and junior colleges. Post secondary programs usually last either one year, resulting in a certificate or a diploma, or two years, resulting in an associate degree. Courses covered include anatomy, physiology, and medical terminology as well as typing, transcription, recordkeeping, accounting and insurance processing. Students learn laboratory techniques, clinical and diagnostic procedures, pharmaceutical principles, the administration of medications, and first aid. Accredited programs include an internship that provides practical experience in physicians’ offices, hospitals, or other health care facilities. Job Outlook Employment of medical assistants is expected to grow much faster than average through 2018. In fact, it is projected to be one of the fastest growing occupations through 2018. As the health care industry expands due to technological advances in medicine, and with the growth and aging of the population, job growth for medical assistants will increase. Job prospects should be best for medical assistants with formal training or experience, particularly for those with certification. Salary The middle 50% of medical assistants nationally earn between $24,060 and $33,760. Earnings vary depending upon work setting, experience, skill level, and location. Education Programs Community College of Vermont (certificate) P.O. Box 489 Montpelier, VT 05601-0489 www.ccv.edu Professional Organizations American Association of Medical Assistants Chicago, IL 312-899-1500 www.aama-ntl.org Medical assistants can take national examinations for certification, including the Certified Medical Assistant credential from the American Association of Medical Assistants, and the Registered Medical Assistant credential from the American Medical Technologists organization, as well as specialty certifications in ophthalmology and podiatry. The following are available through the New England Regional Student Program (RSP): Kennebec Valley Community College (ME) Manchester Community College (NH) Middlesex Community College (CT) Middlesex Community College (MA) Mount Wachusett Community College (MA) Northwestern Connecticut Community College Quinebaug Valley Community College (CT) Southern Maine Community College Springfield Technical Community College (MA) American Medical Technologists Rosemont, IL 60018 800-275-1268 www.amt1.com Factoid: About six out of ten medical assistants work in physician offices. Allied Health Careers / 25 26 / Health Careers Health Information & Communication Services Health Information & Medical records technician 28 Health Sciences Librarian 29 Medical Transcriptionist 31 Health Information & Communication Services / 27 Health Information & Medical Records Technician Health Information & Medical Records Technicians assemble, review and complete all patient records for a hospital or health clinic. They assign a code to each diagnosis, using a software program to assign the patient to one of several hundred “diagnosisrelated groups” or DRGs. Technicians who specialize in coding are called health information coders. Some technicians use computer programs to tabulate and analyze data, such as tumor registrars who compile medical records of patients with cancer. Education Programs Community College of Vermont offers Health Information Technology training and a certificate program to become a Health Information Specialist. Community College of Vermont PO Box 489 Montpelier, VT 05601-0489 www.ccv.edu The following are available through the New England Regional Student Program (RSP) www.nebhe.org: Bristol Community College (MA) Holyoke Community College (MA) Kennebec Valley Technical College (ME) Northern Essex Community College (MA) Professional Organization American Health Information Management Association Chicago, IL 312-233-1100 www.ahima.org Factoid: This is one of the few health occupations in which there is little or no physical contact with patients. Four out of ten jobs are in hospitals. 28 / Health Careers Work Environments Clinics Home health agencies Hospitals Medical group practices Nursing homes Job Outlook Employment of medical records and health information technicians is expected to grow much faster than the average for all occupations through 2018 due to the rapid growth in the number of medical tests, treatments and procedures. Salary Median salary for medical records and health information is about $30,610, with salaries starting at $20,440 and ranging as high as $50,060. Highest average salaries are typically found in nursing and personal care facilities and hospitals. Education, Certification and Licensing Typical technicians have a high school diploma and an associate degree from a community or junior college. Certification is available to become a Registered Health Information Technician (RHIT), as well as a separate certification for technicians who specialize in coding. Career Ladder With additional education, health information or medical record technicians may become section leaders or health information managers. Health Sciences Librarian Health Sciences Librarians are the information sleuths of the health care world. They assist physicians, nurses, and other health care professionals in finding the latest published medical research required to diagnose, treat, and rehabilitate their patients. Health sciences librarians who work in academic environments also play a role in teaching college students how to find and use high quality resources to fulfill their course requirements. They provide instruction for medical school faculty and practicing physicians in the use of new electronic resources that will help them find clinical information quickly and efficiently. They assist university scientists engaged in cutting-edge research to search the literature for discoveries published by their counterparts in institutions around the world. They also assist members of the general public in finding accurate and reliable information concerning their own health problems or those of a loved one. Health sciences librarians rely heavily on the use of automated technologies to locate vital information. Work Environments Salary Colleges and universities Computer software development companies Consumer health libraries Government agencies Hospitals Pharmaceutical manufacturers Research centers and foundations Salaries vary according to the type and location of institution, the level of responsibility, and the length of employment. The overall average salary for Health Sciences Librarians is $68,291. Job Outlook The job outlook for health sciences librarians is generally good. Those who are willing to be flexible in employment opportunities or are willing to relocate have greater career options. In addition, there are many opportunities for employment outside of the traditional library, including work in health-related business and industry and as an independent consultant. Education, Certification and Licensing High school course work for a career as a health sciences librarian should include college-prep courses, especially in the life sciences and humanities. The undergraduate degree (i.e., bachelor of arts or bachelor of science) can be earned in any area, although a background in fields such as biology, chemistry, nursing or allied health sciences, computer science, education, or management is helpful. To work as a health sciences librarian, you need a master’s degree from an American Library Association (ALA)-accredited program. Health Information & Communication Services / 29 Education Programs Currently, there are no ALA-accredited programs offered in the state of Vermont, although excellent schools can be found in the greater region. In addition, a number of distance education programs have been developed at schools around the country. Check the ALA web site for further information on accredited schools. McGill University School of Information Studies Peel 3661 Montreal, Quebec, Canada H3A 1X1 514-398-4204 www.mcgill.ca/sis Simmons College Graduate School of Library and Information Science 300 The Fenway Boston, MA 02115-5898 617-521-2800 www.simmons.edu/gslis Southern Connecticut State University School of Education Department of Information and Library Science 501 Crescent Street New Haven, CT 06515 888-500-7278 www.southernct.edu/ils Factoid: Medical librarians use computers and personal digital assistants (PDAs) constantly. Some librarians are systems librarians, responsible for fixing computers, for running local area networks, or for training others to use technology. Some librarians develop and update Web sites for their libraries or universities. 30 / Health Careers State University of New York at Albany Department of Information Studies 135 Western Avenue Draper 113 Albany, NY 12222 518-442-5110 www.albany.edu/informationstudies Syracuse University School of Information Studies 343 Hinds Hall Syracuse, NY 13244-4100 315-443-2911 http://ischool.syr.edu University of Rhode Island Graduate School of Library and Information Studies Rodman Hall 94 W. Alumni Avenue, Suite 2 Kingston, RI 02881-0815 401-874-2878 www.uri.edu/artsci/lsc Professional Organizations American Library Association Chicago, IL 800-545-2433 x 2153 www.ala.org Medical Library Association Chicago, IL 312-419-9094 www.mlanet.org Medical Transcriptionist Medical Transcriptionists use their knowledge of medical terminology, anatomy, physiology, diagnostic procedures and treatment to transcribe dictated recordings from physicians and other health care professionals into medical reports, correspondence and administrative material. Generally the documents transcribed include physical exam and history reports, autopsy reports, operating room reports, discharge summaries, referral letters and consultation reports. Experienced transcriptionists can spot mistakes or inconsistencies in medical reports and verify the information with the document’s originator. Their ability to understand and correctly transcribe patient assessments and treatments can help reduce the chances that a patient would receive inappropriate care or even harmful treatments. An experienced transcriptionist can help the health care team provide high quality care for every patient. Educational Programs The Medical Transcription Education Consortium (MTEC) Program is an eight month, online training for an MT certificate. Information is available at www.vthitec.org. Associate degree programs are available through the New England Regional Student Program (RSP) at: Eastern Maine Community College Community College of Rhode Island Professional Organizations Association for Healthcare Documentation Integrity Modesto, CA 800-982-2182 www.ahdionline.org Work Environments Clinics Government medical facilities Home (telecommute) Hospitals Laboratories Medical libraries Physician offices Job Outlook Growing numbers of medical transcriptionists will be needed to amend patients records, edit documents from speech recognition systems, and identify discrepancies in medical reports. Salary Transcriptionists can expect to earn between $27,230$39,020 in the mid-range of profession salaries. Education, Certification and Licensing Employers prefer hiring transcriptionists who’ve completed a training program in medical transcription after completing high school. This training is available through vocational schools, community colleges and distance learning programs; it includes a 2 year associate degree or a 1 year certificate program with courses in anatomy, medical terminology, medico-legal issues and English grammar and punctuation. Medical transcriptionists can become proficient in this career with just on-the-job training if they have some previous experience as a nurse or medical secretary. The Association for Healthcare Documentation Integrity awards a voluntary designation of Certified Medical Transcriptionist (CMT) to those who pass written and practical exams. While not required, certification is a sign of competence in this field. Every 3 years CMTs must earn continuing education credits to maintain their certification. Factoid: Job growth will be best in hospitals and physician offices, especially large group practices, as the need for standardized records increases. Health Information & Communication Services / 31 32 / Health Careers Clinical Laboratory Sciences Clinical Laboratory Technologist 34 Clinical Laboratory Technician 36 Cytotechnologist 37 clinical Laboratory Sciences / 33 Clinical Laboratory Technologist Clinical Laboratory Technologists work behind the scenes of patient care, usually in a laboratory setting. They are the “lab detectives” who perform microbiological and chemical tests on tissue samples, blood and other body fluids in order to provide doctors with the information they need to diagnose, treat, and monitor a patient’s condition. They use automated equipment and instruments capable of conducting a number of tests at once, in addition to using 34 / Health Careers microscopes, cell counters, and other high tech laboratory equipment. Newer technology has introduced automation to many areas of the laboratory; however, some areas like microbiology are still very much “hands on.” Clinical laboratory technologists may also work in a variety of research settings: as writers for medical publications, as educators, and as employees in biomedical technology companies. Work Environments Blood donor centers Clinics Hospitals Independent laboratories Medical schools Pharmaceutical companies Physician offices Public health agencies Research organizations Job Outlook Employment for clinical laboratory workers is expected to grow faster than average through 2018 as the volume of laboratory tests increases with population growth and advancements in medical technology. Salary Medical technologists can expect to earn between $45,810 and $65,050 per year. Education, Certification and Licensing Prospective medical technologists should emphasize math and science in high school. To work in the field, a bachelor of science (BS) degree is required, with coursework in chemistry and biochemistry, as well as hands-on clinical laboratory work. Graduates must also pass a certification exam given by either the American Society of Clinical Pathologists, or the National Credentialing Agency. Medical laboratory technologists must have good analyti­cal judgment and the ability to work under pressure. They must also pay close attention to detail because small changes or variations in test substances could be crucial in the type of care a patient receives. Education Programs University of Vermont Department of Medical Laboratory & Radiation Sciences College of Nursing and Health Sciences 302 Rowell Building Burlington, VT 05405 802-656-3811 www.uvm.edu~cnhs Professional Organizations National Accrediting Agency for Clinical Laboratory Sciences Chicago, IL 773-714-8880 www.naacls.org National Credentialing Agency Lenexa, KS 913-895-4613 www.nca-info.org American Society for Clinical Laboratory Science Washington, DC 202-367-1174 www.ascls.org American Society for Clinical Pathology Chicago, IL 800-267-2727 www.ascp.org Vermont Society for Clinical Laboratory Science Burlington, VT 802-656-3811 www.ascls-vermont.org Career Ladder Technologists may advance to supervisory positions in lab work or may become chief medical or clinical laboratory technologists or laboratory managers in hospitals. Factoid: Laboratorians like to work with their hands and solve problems. clinical Laboratory Sciences / 35 Clinical Laboratory Technician Clinical Laboratory Technicians perform laboratory testing that helps to detect, diagnose and treat disease. Working under the supervision of medical laboratory technologists or laboratory managers, technicians prepare specimens for study and operate automated analyzers, for example. They may also perform manual tests on blood, tissue and other body substances, following detailed instructions. Clinical laboratory technicians may work in various areas of the laboratory or they may specialize in one area. For example, histology technicians cut and stain tissue samples for microscopic examination by pathologists while phlebotomists collect blood samples. Education Programs There are no Clinical Laboratory Technician programs available in Vermont, but the following schools are available through the New England Regional Student Program (RSP). For more information on RSP, visit their website at www.nebhe.org. Bristol Community College (MA) Central Maine Community College Community College of Rhode Island Housatonic Community College (CT) Mount Wachusett Community College (MA) Nashua Community College (NH) Springfield Technical Community College (MA) University of Maine – Augusta University of Maine – Presque Isle Factoid: Laboratory workers tend to spend a great deal of time on their feet. 36 / Health Careers Professional Organizations National Accrediting Agency for Clinical Laboratory Sciences Chicago, IL 847-939-3597 www.naacls.org American Society for Clinical Laboratory Science Washington, DC 202-367-1174 www.ascls.org Vermont Society for Clinical Laboratory Science Burlington, VT 802-656-3811 www.ascls-vermont.org Work Environments Blood donor centers Clinics Hospitals Independent laboratories Medical schools Pharmaceutical companies Physician offices Public health agencies Research organizations Job Outlook Employment for clinical laboratory workers is expected to grow faster than average through 2018 as the volume of laboratory tests increases with population growth and advancements in medical technology. Salary Clinical laboratory technicians can expect to earn between $28,770 and $45,420 per year. Education, Certification and Licensing High school courses should include math and science. Clinical laboratory technicians generally have either an associate degree from a college or a certificate from a hospital training program, vocational or technical school, or from the armed services. Cytotechnologist Cytotechnologists are skilled healthcare professionals who use microscopes to examine human cell samples to look for cancer, pre-cancerous lesions, infections and other diseases. Using subtle clues in the cells themselves (changes in size, shape, structure and pattern) cytotechnologists evaluate the presence or absence of specific diseases and determine which cases warrant further review by a pathologist (a physician trained in cell interpretation). The Pap test, a sample taken from the cervix, is the most common type of specimen submitted to a cytology laboratory. Cytotechnologists may also be involved in the evaluation of cell samples from other body sites such as lung, bladder, liver, breast and thyroid. Physicians use the test results to diagnose and treat a wide variety of human diseases. Work Environments Clinics Government facilities Hospitals Private laboratories Job Outlook The demand for cytotechnologists is about average in Vermont, although it is higher in other parts of the country. Salary Cytotechnologists earn a starting salary of about $35,000 to $40,000 per year. Supervisory positions are available and usually come with higher salaries. Education, Certification and Licensing High school course work should include an emphasis on math and science. A bachelor of science degree (BS) and a cytotechnology certificate are required to work as a cytotechnologist. Certification in this field is available from the American Society of Clinical Pathologists (ASCP). Factoid: Cells are transparent and must be immersed in dye to absorb color so that they may be viewed with a microscope. Education Programs Cytotechnologists have a bachelor’s degree and typically attend a 12-month training program in addition. Students can also earn a BS degree and cytotechnology certificate at the same time through a “3+1” program. Fletcher Allen Health Care (certificate) School of Cytotechnology 111 Colchester Avenue Burlington, VT 05401 802-847-5133 http://fletcherallen.org/cytoschool The following is available through the New England Regional Student Program (RSP): University of Connecticut Professional Organizations: American Society for Cytotechnology Raleigh, NC 800-948-3947 www.asct.com American Society of Cytopathology Wilmington, DE 302-543-6583 www.cytopathology.org clinical Laboratory Sciences / 37 38 / Health Careers Medical Technologies Cardiovascular Technologist 40 Surgical Technologist 41 Medical Technologies / 39 Cardiovascular Technologist Cardiovascular Technologists assist physicians in diagnosing and treating heart and blood vessel ailments. In addition to performing tests, cardio-vascular technologists prepare patients for the test by cleaning, shaving areas of the skin, and administering anesthesia. During procedures, they also monitor patients’ blood pressure and heart rate. Cardiovascular technologists may specialize in: invasive cardiology, echocardiography, vascular technology, and electrophysiology. Education Programs There are no cardiovascular technologist programs in Vermont, but there is one available through the New England Regional Student Program (RSP) www.nebhe.org at: Southern Maine Community College Professional Organizations Alliance of Cardiovascular Professionals Midlothian, VA www.acp-online.org Work Environments Ambulatory surgery centers Cardiac rehabilitation centers Hospitals Physician offices Job Outlook Employment of cardiovascular technologists is expected to grow faster than the average for all occupations through the year 2018. Growth will occur as the population ages because older people have a higher incidence of heart problems. Salary Average salary is about $48,300. However, wages range from $33,680 to $62,950. Education, Certification and Licensing Cardiovascular technologists normally complete a two-year junior or community college program. One year is dedicated to core courses followed by a year of specialization instruction. Graduates of one of the 37 accredited programs are eligible to earn certification through Cardiovascular Credentialing International or the American Registry of Diagnostic Medical Sonographers depending on specialty. Career Ladder Some cardiovascular technologists may become respiratory therapists. 40 / Health Careers FACTOID: Most of the 50,000 jobs for cardiovascular technologists are located in hospital cardiology departments. Surgical Technologist Work Environments Clinics Hospitals Physician and dentist offices Surgical centers Job Outlook The demand for surgical technologists is expected to grow much faster than the average for all occupations through the year 2018 as the volume of surgery increases. Salary Surgical Technologists are members of the operating room team who assist in surgical operations. Before an operation, they set up surgical instruments and equipment, and make sure the equipment is working properly. Technologists get patients ready for surgery by washing, shaving and disinfecting incision sites. They transport patients to the operating room, help position them on the operating room table, and observe patients’ vital signs, check charts, and help the surgical team with putting on gowns and gloves. During surgery, technologists pass instruments to surgeons, count supplies used, care for and dispose of specimens taken for lab analysis, and help apply dressings. After surgery, they may help transfer patients to the recovery room, and clean and restock the operating room. Education Programs There are no surgical technologist programs in Vermont, but the following are available through the New England Regional Student Program (RSP) www.nebhe.org: Great Bay Community College (NH) Manchester Community College (CT) Springfield Technical Community College (MA) The median annual earnings of surgical technologists is $41,260 in offices and clinics of medical doctors and $40,330 in hospitals. Some surgical technologists earn more than $55,000 a year. Education, Certification and Licensing A high school diploma is required for admission to one of over 400 accredited programs in community and junior colleges, vocational schools, universities, hospitals, and the military. Programs last 9 to 24 months and lead to a certificate, diploma, or associate degree. Programs provide classroom education and supervised clinical experience. Career Ladder Surgical technologists can advance by specializing in a particular area of surgery, such as neurosurgery or open heart surgery. Other surgical technologists go on to manage central supply departments in hospitals, or take positions with insurance companies, sterile supply services, and operating equipment firms. Factoid: Surgical technologists are also called scrubs, surgical or operating room technicians. Professional Organizations Association of Surgical Technologists Littleton, CO 303-694-9130 www.ast.org Medical Technologies / 41 42 / Health Careers Medicine Physician 44 Physician Assistant 46 profile 48 Medicine / 43 Physician Physicians, also known as doctors of medicine, use a combination of extensive education and training, work experience and ongoing research to better serve their patients. Once a physician has determined a diagnosis and a treatment strategy, she/he works with the rest of the health care team to put that strategy into action. Factoid: One third of Doctors of Medicine (MD) and one half of Doctors of Osteopathic Medicine (DO) are primary care physicians. 44 / Health Careers While all physicians are trained and licensed to diagnose and treat illnesses and to prescribe medications, most choose to specialize in a particular area. Some Medical Specialties Allergy Anesthesiology Cardiology Dermatology Emergency Medicine Family Practice (Primary Care) Gastroenterology Internal Medicine (Primary Care) Neurology Obstetrics and Gynecology Oncology Orthopedics Ophthalmology Pathology Pediatrics (Primary Care) Plastic Surgery Psychiatry Public Health Radiology Sports Medicine Surgery Urology Education Programs University of Vermont College of Medicine Office of Admissions, Courtyard at Given South 89 Beaumont Avenue Burlington, VT 05405 802-656-2154 www.uvm.edu/medicine Professional Organizations Association of American Medical Colleges Washington, DC 202-828-0400 www.aamc.org American Association of Colleges of Osteopathic Medicine Chevy Chase, MD 301-968-4100 www.aacom.org American Medical Association Chicago, IL 800-621-8335 www.ama-assn.org Vermont Medical Society Montpelier, VT 802-223-7898 www.vtmd.org Work Environments Clinics Government agencies Health maintenance organizations (HMOs) Hospitals Long-term care facilities Medical schools Military Overseas Peace Corps Private practices Public health departments Research institutes Student health services Job Outlook Several factors, including an aging population and advancements in health care, will ensure that physicians remain in high demand. Of all the medical specialties, child psychiatry is expected to be the area of greatest need. As increasing numbers of medical practices locate in urban areas, there will be a particular demand for physicians in rural areas in the coming years. Salary Physicians tend to earn high salaries, ranging between $137,000 and $350,000 depending on specialty, experience and work setting. Education, Certification and Licensing It isn’t easy to become a physician. After four years of high school, it takes at least four years of undergraduate work and four years of medical school, followed by three to eight years of internships and residency. High school course work should have a heavy emphasis on math and science, followed by an undergraduate degree in one of the natural sciences. Excellent grades along the way are important. There are two types of medical degrees that qualify a person to become licensed to practice as a physician: the M.D. or Doctor of Medicine degree or the D.O. or Doctor of Osteopathy degree. Entrance to either type of medical school is extremely competitive. Medical school includes many long hours of studying and doing clinical rotations, but the personal satisfaction from being a physician is enormous. The years immediately after medical school are known as residency training. Upon completion of this training, candidates are eligible to take examinations in their specialty to become board certified. Students may incur a debt load for medical education as high as $150,000-$200,000, but many states including Vermont, offer educational loan repayment options for physicians working in underserved areas. To learn more about the Vermont Educational Loan Repayment Program for Health Care Professionals, visit www.vtahec.org. Medicine / 45 Physician Assistant Physician Assistants (PAs) practice medicine as part of the health care team under the supervision of a physician. They deliver many of the same services and procedures as the physicians themselves. PAs examine patients, take histories, order laboratory tests, prescribe medications, stitch wounds and apply splints and casts. PAs may also work in areas where physicians are in short supply, reporting back to a supervisor when necessary. Work Environments Group practices Health maintenance organizations (HMOs) Hospitals Long-term care facilities Outpatient care centers Physician offices Public health departments Student health services Job Outlook Physician assistants are in demand in Vermont, especially in underserved rural areas. The trend toward making health care more affordable will probably keep demand high in the foreseeable future. Salary Physician assistants typically earn between $71,160 and $99,540 per year, depending upon the work setting. Educational level and experience also affect salary. Education, Certification and Licensing High school courses should contain college prep material with a focus on math and science. A physician assistant (PA) program takes at least two years to complete, and most PAs hold at least a bachelor of science (BS) degree, which takes four years. To practice as a PA in Vermont, you must complete a national certification exam administered by the National Commission on the Certification of Physicians’ Assistants (NCCPA), followed by an on-the-job apprenticeship program. 46 / Health Careers Education Programs There are no physician assistant programs available in Vermont or through the New England Regional Student Program, but the following schools are close to Vermont: Albany Medical College Program Center for Physician Assistant Studies 47 New Scotland Avenue, MC-4 Albany, NY 12208-3412 518-262-5251 www.amc.edu/academic/physicianassistant Springfield College Physician Assistant Department 263 Alden Street Springfield, MA 01109 413-748-3554 www.springfieldcollege.edu Massachusetts College of Pharmacy and Health Science – Manchester Graduate PA Program (24 months) 1260 Elm Street Manchester, NH 03101 603-314-1701 www.mcphs.edu Massachusetts College of Pharmacy and Health Sciences Physician Assistant Studies Program (30 months) 179 Longwood Avenue Boston, MA 02115 617-732-2918 www.mcphs.edu Northeastern University Physician Assistant Program 202 Robinson Hall 123 Behrakis Health Sciences Center 360 Huntington Avenue Boston, MA 02115 617-373-3195 www.northeastern.edu/bouve/pa Franklin Pierce University Physician Assistant Program 24 Airport Road, Suite 19 West Lebanon, NH 03784 603-298-6617 www.franklinpierce.edu The University of New England Physician Assistant Program 716 Stevens Ave. Portland, ME 04103 207-797-7261 www.une.edu/wchp/pa Yale Physician Associate Program Harkness Office Building 367 Cedar Street New Haven, CT 06510 203-785-2860 http://medicine.yale.edu/pa Factoid: The first class of Physician Assistants were Navy corpsmen who had received considerable medical training during their military service and during the war in Vietnam. Quinnipiac University Physician Assistant Program Graduate Health Sciences Admissions 275 Mount Carmel Avenue Hamden, CT 06518 203-582-5226 www.quinnipiac.edu Professional Organizations: American Academy of Physician Assistants Alexandria, VA 703-836-2272 www.aapa.org National Commission on Certification of Physician Assistants, Inc. Duluth, GA 678-417-8100 www.nccpa.net Physician Assistant Academy of Vermont Hanover, NH 603-643-2325 www.paav.org Medicine / 47 Profile Peter Igneri, PA-C, MMSc Department of Surgery Fletcher Allen Health Care, Burlington, VT Volunteer EMT and firefighter service in high school and college helped to channel Peter Igneri toward a career as a physician assistant (PA). His inclination toward science courses helped, too. “When I graduated from college, I thought about being a pharmaceutical sales rep, a firefighter paramedic, or a physician assistant, but an advisor at college suggested I take a look at PA schools, so when I visited family in Atlanta, I checked out Emory University. After graduating from Emory, I got my first job in Family Practice at Fletcher Allen Health Care (in Burlington, VT), where I had a great mentor who allowed me to learn and grow in my practice.” Now a PA in the Surgery Service at Fletcher Allen, Peter enjoys his informal mentoring of high school students and new PAs at Fletcher Allen. “In Family Practice, I was the practice medical director, so I have that added administrative experience to share,” he notes. “Being a PA is a unique role: it provides a bridge between clinical nursing and physicians, both of which are important.” Asked what he tells young people about his profession, Peter replies thoughtfully, “The most important things about being a PA are knowing how to get the information you need about medical conditions, and being able to problem-solve with other members of the health care team. It is also helpful to be self-confident, and a team player.” Peter says that a career as a PA allows him to have balance in his life, which includes two young sons, volunteer firefighting, boating on Lake Champlain in the summer and playing indoor soccer in the winter. And the rewards of his job? He rattles off several: “The physicians I’ve worked with have allowed me to grow, and patients sometimes send letters of thanks, which mean a lot. I’m thankful every day to have the privilege to take care of patients because people have a trust in you: they tell you things they wouldn’t tell anyone else, and you don’t get that in every job.” 48 / Health Careers Mental Health & Social Services Counselor 50 Gerontologist 51 Human Services Worker 52 Psychiatrist 53 Psychologist 54 Social Worker 56 profile 58 Mental Health & Social Services / 49 Counselors Counselors help people to identify and address specific challenges in their lives. Rehabilitation counselors help people with physical challenges – disabilities that come from illness, injury or birth defects. Mental health counselors help people address such issues as substance abuse, suicide, parenting or family problems, marital problems, stress, self-esteem, or aging. Their duties depend on the individuals they serve and the settings in which they work. Work Environments Colleges and universities Community mental health centers Correctional facilities Drug rehabilitation facilities Halfway houses Hospice programs Hospitals Nursing homes Private practices Schools Job Outlook Employment of counselors is expected to grow faster than the average for all occupations through 2018. Salary A general salary range of $40,260-$67,160 can be expected; salaries vary depending on work environment, population served, education and experience. Education, Certification and Licensing Most states require some form of counselor credentialing, licensure, certification or registry for practice outside of schools; all states require school counselors to hold a state school counseling certification; Vermont requires that mental health counselors be licensed. High school course work should include college prep classes. Undergraduates might major in natural sciences or psychology, for example. Over half of all counselors have a master’s degree. Career Ladder Counselors can become supervisors or administrators in their agencies. Some counselors move into research, consulting, college teaching, or go into private or group practice. 50 / Health Careers Education Programs College of St. Joseph 71 Clement Road Rutland, VT 05701 802-773-5900 www.csj.edu Johnson State College Office of Graduate Studies 337 College Hill Johnson, VT 05656 800-635-1244 www.jsc.edu Springfield College School of Human Services 347 Emerson Falls Road St. Johnsbury, VT 05819 800-441-1812 www.spfldcol.edu/homepage/dept.nsf/shs University of Vermont The Counseling Program Mann Hall 208 Colchester Avenue Burlington, VT 05405 802-656-3888 www.uvm.edu Professional Organizations American Counseling Association Alexandria, VA 800-347-6647 www.counseling.org American Mental Health Counselors Association Alexandria, VA 800-326-2642 http://amhca.org National Board for Certified Counselors, Inc. Greensboro, NC 336-547-0607 www.nbcc.org Gerontologist Gerontologists know all about what it means to grow old. They help tailor goods, services and public policy to better meet the needs of the elderly. With many career options, gerontology is an emerging field. Elderly Americans represent one of the fastest growing segments of our population. Their social, emotional and health needs are greater than ever. Gerontologists meet these needs by working in existing fields, such as psychology, social work, dietetics, medicine, or even law and business; and also by working in newly developing nontraditional fields. Education Programs University of Vermont (certificate program) Department of Continuing Education 322 South Prospect Street Burlington, VT 05401 800-639-3210 http://learn.uvm.edu In addition, the following are available through the New England Regional Student Program (RSP), www.nebhe.org: Associate Degree PRograms Community College of Rhode Island Gateway Community-Technical College (CT) Naugatuck Valley Community-Technical College (CT) North Shore Community College (MA) Quinsigamond Community College (MA) Graduate program UMass-Boston Professional Organizations Association for Gerontology in Higher Education (AGHE) Washington, DC 202-289-9806 www.aghe.org Factoid: As a result of the multidisciplinary focus of gerontology, professionals from many different fields call themselves “gerontologists.” Work Environments Educational institutions Health care and long term care institutions Senior citizen centers and retirement communities Academic and research settings Business and industry Gerontologists may work in any number of places, depending on their area of interest. Job Outlook As the size of the American elderly population grows, the demand for people with expertise in gerontology will increase much faster than the average for all other occupations. Salary Salary levels vary in relation to work setting and level of education. The average in Vermont is $32,070. Education, Certification and Licensing High school course work should focus on college-prep classes, including math, science, and humanities. After high school, a minor or certificate in Gerontology can be combined with a major in any number of fields. The length of training in those majors is entirely dependent upon the area of study. Gerontology course work or a certificate can also be incorporated into a master’s degree. There are currently no licensing or registration requirements in Vermont for gerontologists. Mental Health & Social Services / 51 Human Services Worker Human Services Workers are case managers, group home managers, activities coordinators, counselors, and aides. Their clients might be people dealing with drug addiction, HIV/AIDS, joblessness, homelessness, mental illness, aging, or other challenging conditions. A common goal in human services is to help people deal effectively with their life situations, and to address systems in need of change or improvement. Often, it means working with other health professionals as part of a team serving the individual needs of each client. Work Environments Community health centers Group homes Hospitals Nursing homes Private and public agencies Schools Job Outlook Projected to be among the fastest growing occupations, job opportunities should be excellent, particularly for applicants with appropriate postsecondary education. Salary Salaries in this field range from $22,230-$35,620 in the middle 50 percent. Education, Certification and Licensing Employers prefer an applicant with a minimum of an associate degree and sometimes require a bachelor’s degree. Career Ladder Formal education almost always is necessary for advancement; generally, this means a bachelor’s or master’s degree in counseling, rehabilitation, social work, human services, psychology or a related field. 52 / Health Careers Education Programs Burlington College Admissions Office 351 North Avenue Burlington, VT 05401 802-862-9616 or 800-862-9616 www.burlington.edu College of St. Joseph 71 Clement Road Rutland, VT 05701 802-773-5900 www.csj.edu Community College of Vermont PO Box 489 Montpelier, VT 05601 802-828-2800 www.ccv.edu Lyndon State College 1001 College Road, PO Box 919 Lyndonville, VT 05851 800-225-1998 www.lyndonstate.edu Southern Vermont College 982 Mansion Drive Bennington, VT 05201 802-442-5427 www.svc.edu Springfield College School of Human Services 347 Emerson Falls Road St. Johnsbury, VT 05819 802-748-5402 www.spfldcol.edu/homepage/dept.nsf/shs Professional Organizations National Organization for Human Services Woodstock, GA 770-924-8899 www.nationalhumanservices.org Psychiatrist Psychiatrists are physicians who specialize in the diagnosis and treatment of emotional, cognitive and behavioral disorders. Their medical education and post-graduate training make psychiatrists uniquely qualified to understand the growing database regarding the causes, mechanisms, manifestations and treatments of mental illness, and how these brain disorders relate to other types of illness as well. Psychiatry is sometimes confused with clinical psychology. Both fields are concerned with helping people achieve mental health and psychiatrists and clinical psychologists both diagnose and treat patients. Unlike psychologists, however, psychiatrists are medical doctors. Accordingly, they may order laboratory and other diagnostic tests, prescribe medications and other medical interventions, and coordinate with other physicians as part of their patients’ treatment. Psychiatrists also engage in research to gain further information about the causes and mechanisms of mental illness and to advance treatment. Some psychiatrists include in their work the practice of psychotherapy. Some choose to work with community organizations, like schools and the legal system, as a way to improve mental health. Education Programs University of Vermont College of Medicine Office of Admissions Courtyard at Given South 89 Beaumont Avenue Burlington, VT 05405 802-656-2154 www.uvm.edu/medicine/admissions Professional Organizations Vermont Psychiatric Association c/o The Vermont Medical Society Montpelier, VT 802-223-7898 www.vtmd.org/vpa American Psychiatric Association Arlington, VA 703-907-7300 www.psych.org Work Environments Colleges and universities Community agencies Courts and correctional facilities Emergency rooms General and psychiatric hospitals Government agencies Hospice Military Nursing homes Private practices Rehabilitation programs Schools Job Outlook The need for psychiatrists is extremely high in Vermont and is expected to continue into the foreseeable future. There is a particularly high need for child psychiatrists in Vermont. Salary Psychiatrists tend to earn high salaries, averaging about $121,000 per year in New England. This is due to the length and difficulty of their training. Salaries can vary greatly according to the type of practice, hours worked, geographic location and whether or not the psychiatrist works in the public or private sector. Education, Certification and Licensing Psychiatrists must complete the same rigorous education as other physicians. High school course work should have a heavy emphasis on math and science, followed by an undergraduate degree in one of the natural sciences. College is followed by four years of medical school and at least four years of residency training in psychiatry. Many candidates continue on for additional training so that they can further specialize in such areas as child and adolescent psychiatry, geriatric psychiatry, forensic psychiatry, psychopharmacology or psychoanalysis. After completing residency training, most psychiatrists seek certification from the American Board of Psychiatry and Neurology. Some states, like Vermont, have loan repayment programs to assist with educational debt in exchange for service commitments. Mental Health & Social Services / 53 Psychologist Psychologists include clinical and research psychologists. Clinical psychologists work with clients to help them overcome mental health challenges and build stability in their lives. They provide evaluation and/or therapy for those suffering from mental, emotional, behavioral or intellectual/learning problems. To help them in diagnosing a problem, they conduct interviews and administer tests and questionnaires. Some psychologists provide consultations to organizations, businesses, sports teams, schools or other institutions. Work Environments For clinical psychology: Correctional institutions Hospitals Industries and corporations Mental health agencies Private practices Schools For research psychology: Colleges and universities Independent research facilities Job Outlook Employment of psychologists is expected to grow about as fast as average for all occupations through 2018. Psychologists with master’s and doctoral degrees will be sought after. Salary Psychologists typically earn between $61,340-$103,450 a year, depending on setting, education level and experience. Clinical psychologists in private practice may earn considerably more. Education, Certification and Licensing Education Programs The degree level offered is indicated in parentheses. Bennington College (BA) One College Drive Office of Admissions and the First Year Bennington, VT 05201 802-442-5401 www.bennington.edu Burlington College (BA) Admissions Office 95 North Avenue Burlington, VT 05401 802-862-9616 or 800-862-9616 www.burlington.edu 54 / Health Careers A Ph.D. degree is required to practice clinical psychology or to hold a position as a university professor. However, many opportunities exist, especially in educational and organizational psychology, for master’s level psychologists. Licensing, required in any practice, is administered by the state. Prospective psychologists should study a strong, well-rounded selection of math, science and humanities subjects during high school and undergraduate studies. Career Ladder After obtaining a doctoral degree, a psychologist may go into private practice or set up consulting firms, or teach at the university level. Castleton State College (BA) 86 Seminary Street Castleton, VT 05735 802-468-5611 www.csc.vsc.edu Saint Michael’s College (BA, MA) One Winooski Park Colchester, VT 05439 802-654-2000 www.smcvt.edu College of St. Joseph (BA, MS) 71 Clement Road Rutland, VT 05701 802-773-5900 www.csj.edu University of Vermont (BA, BS, PhD) Office of Admissions 1945 Prospect Street Burlington, VT 05401-3596 802-656-3370 www.uvm.edu/admissions Green Mountain College (BA) One Brennan Circle Poultney, VT 05764 800-776-6675 www.greenmtn.edu Johnson State College (BA, MA) Office of Admission 337 College Hill Johnson, VT 05656 800-635-2356 www.jsc.vsc.edu Lyndon State College (BA) 1001 College Road, PO Box 919 Lyndonville, VT 05851-0919 802-626-6413 or 800-225-1998 www.lyndonstate.edu Norwich University (BA) The Admissions Office 158 Harmon Drive Northfield, VT 05663 800-468-6679 www.norwich.edu Southern Vermont College (BS) 982 Mansion Drive Bennington, VT 05201 802-442-5427 www.svc.edu Professional Organizations: American Psychological Association Washington, DC 800-374-2721 www.apa.org National Institute of Mental Health Bethesda, MD 866-615-6464 www.nimh.nih.gov Mental Health America Alexandria, VA 703-684-7722 www.nmha.org National Association of School Psychologists Bethesda, MD 301-657-0270 www.nasponline.org Vermont Psychological Association Montpelier, VT 802-229-5447 www.vermontpsych.org FACTOID: There are about 170,200 psychologists in the country, of which 29% are employed in educational institutions; 21% in health services; 10% in government agencies; 34% are self-employed. Mental Health & Social Services / 55 Social Worker Social Workers provide a wide range of services to individuals, families, small groups, communities and organizations. Social workers are guided by the values of social justice and human rights. Social workers often reach out to people who may be described as oppressed and underserved. Social workers most commonly work in non-profit agencies and/or government agencies. Some social workers choose to work in for-profit businesses or join private practice groups. Fields of social work practice 56 / Health Careers include, but are not limited to, mental health, child welfare, family work, substance abuse, adult and juvenile justice, school social work, medical social work, geriatric social work, homelessness and housing, domestic violence, and community organizing/ development. Social workers rarely do their work without collaborating with other professionals like teachers, nurses, psychiatrists, psychologists, doctors, community organizers and legislators. Education Programs Castleton State College (BSW degree) Department of Social Work 86 Seminary Drive Castleton, VT 05735 802-468-5611 www.csc.vsc.edu Springfield College School of Human Services 347 Emerson Falls Road St. Johnsbury, VT 05819 800-441-1812 www.spfldcol.edu/shs University of Vermont (BSW and MSW degrees) Department of Social Work 85 South Prospect Street 443 Waterman Building Burlington, VT 05405 802-656-8800 www.uvm.edu/~socwork Professional Organizations National Association of Social Workers (NASW) Washington, DC 202-408-8600 www.socialworkers.org Council on Social Work Education Alexandria, VA 703-683-8080 www.cswe.org Vermont Chapter, National Association of Social Workers Montpelier, VT 888-260-7398 www.naswvt.org Work Environments Community justice centers Community mental health centers Correctional facilities Day care centers Domestic violence agencies Home health and hospice agencies Hospitals Housing agencies Legislative/lobbying organizations Nursing homes Physician offices Schools Social and human service agencies Substance abuse treatment facilities Job Outlook Employment is projected to grow faster than average for social workers through 2018. The job search is more competitive in cities than in rural areas. There are increased opportunities for social workers who are bilingual and for social workers who want to work in rural, underserved areas. Salary Education, geographic location and experience impact salary levels which range from $31,040-$52,080. Education, Certification and Licensing Bachelor degree-level social workers hold many human service positions. High school course work should be well-rounded, including math, science, and humanities. A master’s degree and a state license are required for a social worker to receive third party payments for their work. Therefore a master’s degree is required to do private practice work. Career Ladder Factoid: There are about 642,000 social workers in the U.S., of which nine out of ten are employed by state, county and municipal government agencies, health care and social assistance industries. Supervisory positions for social workers are most definitely available to BSWs and MSWs. However, with higher education, social workers can more easily become supervisors, administrators or open a private practice. Mental Health & Social Services / 57 Profile Casey Patunoff, MD Child Psychiatrist Northwestern Counseling and Support Services St. Albans, VT Casey Patunoff, MD of Colchester describes the best part of her child psychiatrist job as saying goodbye to patients when they’re better. A native of Plattsburgh, NY, she works at Northwestern Counseling and Support Services (NCSS), which provides mental health, developmental, psychological and support services to residents of Franklin and Grand Isle Counties. Casey attended Clarkson University in Potsdam, NY where she earned her undergraduate degree in biology and psychology; she studied for her medical degree at SUNY Upstate Medical University in Syracuse, NY, where she also completed a residency in general adult psychiatry. Following a fellowship in child psychiatry at Dartmouth-Hitchcock Medical Center, she started her position at NCSS a last year. Though she initially considered going into Pediatrics, a psychiatry clerkship rotation in her third year of medical school changed her mind. “I saw the need for child psychiatrists, and realized that when you help an individual, you are really helping the whole family.” A challenging part of her job is “coming in as an outsider to people’s families and getting them to let you into their worlds and secrets; establishing enough trust to be able to say things that may be hard to hear.” Nevertheless, Casey is clear about recommending the profession as a career, and she’s realistic about the preparation for it. “It’s a long and challenging road to get all the education you need, but it’s worth it because psychiatry offers an appealing balance of lifestyle and work. It is never boring: there are new and interesting cases, and the impact and change you can bring about is very rewarding. It’s a great job and a wonderful community.” 58 / Health Careers Nursing Home Health Aide 60 A Closer Look: House calls 61 Licensed Nursing Assistant 62 profile 63 Licensed Practical Nurse 64 Registered Nurse 65 profile 67 Advanced Practice Nursing 68 Nurse Practitioner Clinical Nurse Specialist Certified Nurse Midwife Certified Registered Nurse Anesthetist A Closer Look: men needed for nursing 70 nursing / 59 Personal/Home Health Aide Personal/Home Health Aides care for elderly, new- borns and children with special needs, or those with injuries or disabilities, in their own homes. Personal/ home health aides perform such duties as housekeeping, activities of daily living for the patient, such as personal hygiene, meal preparation, assistance with medications, and laundry. They may accompany a patient to doctor appointments and assist with physical exercise. Personal/home health aides may work independently or under the supervision of a nurse, physical therapist or social worker. Work Environments Private homes Job Outlook Personal/Home health aide positions are expected to be the fastest growing of all occupations because of the increasing needs of an aging population and efforts to control health care costs by moving patients out of hospitals and nursing facilities as quickly as possible, as well as consumer preference for care in the home. Salary Earnings depend upon experience, geographic location, and client load. The average median hourly rate ranges between $7.81-$10.98. Education, Certification and Licensing Nursing aide training is offered in high schools, vocationaltechnical schools, some nursing homes and community colleges. Hospitals also offer training, as well as home health aide agencies, but most in Vermont require a commitment of employment as a prerequisite to getting the training. Career Ladder Additional education can take home health aides into nursing positions such as licensed practical nurse, registered nurse, and so on (see other Nursing positions in this Directory). Professional Organizations: National Association for Home Care and Hospice Washington, DC 202-547-7424 www.nahc.org Factoid: Experience as an aide can help people decide whether to continue on a health care career path. 60 / Health Careers A Closer Look House Calls: Providing Health Care in the Patient’s Home T he biggest growth of jobs in health care is projected to occur in the home health arena, which is a natural outgrowth of the trend to be proactive in managing chronic disease Patricia Donehower outside of acute care. What types of jobs will experience this huge increase? Patricia Donehower, RN, vice president for Clinical Services at the Visiting Nurse Association of Chittenden and Grand Isle Counties (VNA) in Colchester, can list quite a number of them. “There is a wide range of professions that provide service in home health, including registered nurse, licensed practical nurse, licensed nursing assistant, occupational therapist, physical therapist, speech therapist, social worker, personal care attendant, and nurse specialists such as wound care/incontinence nurse, psychiatry nurse, maternal-child nurse, and diabetes educator. In addition, there are specialized programs that function in the home, such as palliative care, hospice, and bereavement.” “The benefits of working in home care are numerous,” says Pat. “You’re part of a team of people who enable recovery and/or adaptation to chronic illness in patients’ homes, and that’s a great feeling. You get to know the patients and their families because you see them over time and the rewards of developing a relationship with a patient are very substantial.” Home health care also presents opportunities for using many skills, such as clinical decision-making, communication, patient assessment, and for registered nurses who guide and direct licensed practical nurses and licensed nursing assistants, management and teambuilding skills. The challenges presented are in finding the patient’s home and establishing a relationship with new patients balanced by a degree of independence for workers to schedule their patient visits within the day, and a supportive work environment. Typical employee benefits in home health care include car allowance reimbursements, cell telephone expenses, a pension and an investment savings program, says Pat. There are also tuition reimbursement funds available and in-house and external continuing education provided. When asked how to know if home health care is the right setting for an employee, Pat suggests summer employment at an agency to get a closer look at the environment. Those interested in being a licensed nursing assistant can attend an LNA course, a job shadowing experience, and for other new employees, there is an extensive orientation program that is customized for each learner. Home health care allows you to truly understand the patient in their environment, and challenges you to call upon community agencies and resources who should be involved to help make the patient as independent and comfortable as possible,” Pat comments. “It is a health care setting where you can see the difference you make each and every day.” Nursing / 61 Licensed Nursing Assistant Licensed Nursing Assistants (LNA) work under the supervision of licensed practical nurses (LPN) and registered nurses (RN) to provide basic patient care and assist with nursing procedures. They take vital signs, collect specimens for laboratory tests, administer medications, change wound dressings, serve and feed meals, assist patients in and out of bed, and answer patients’ call lights. They have a great deal of patient contact. Work Environments Home health organizations Hospitals Long-term care facilities Mental health facilities Nursing facilities Job Outlook Employment of nursing aides is expected to grow faster than the average in response to increasing emphasis on rehabilitation and the long-term care needs of a growing elderly population. Salary LNAs earn between $10.00-$15.63 an hour, with an average of about $25,740 a year. Education, Certification and Licensing Vermont requires nursing assistants to complete a training program and pass the state licensing exam. Career Ladder Additional education can take licensed nursing aides into nursing positions such as licensed practical nurse, registered nurse, and so on (see other Nursing positions in this Directory). Factoid: Of the approximately 2.1 million nursing aides in the country, one quarter work in hospitals, nearly one half work in nursing facilities and others work in various related settings. 62 / Health Careers Education Programs Training programs are available from technical high schools, some hospitals, home health agencies, and nursing homes, but applicants must first secure a position at that facility to be eligible for training. Professional Organizations National Association of Health Care Assistants Washington, DC 800-784-6049 www.nahcacares.org National Network of Career Nursing Assistants Norton, OH 330-825-9342 www.cna-network.org For more information on nursing in Vermont, go to www.choosenursingvermont.org Profile Desi (Desiree) Plumley, LNA Licensed Nursing Assistant Grace Cottage Hospital Townshend, VT Desi Plumley grew up in the service area of Grace Cottage Hospital in Newfane, Vermont where her mother and grandmother work in the kitchen. After graduating from the local high school she worked in a photo lab. But securing a housekeeping job at Grace Cottage five years ago gave her an inside look at the career she now loves: licensed nursing assistant (LNA). A self-confessed “clean freak,” Desi spent two years in housekeeping where she interacted with patients and staff each day, often lending a hand to nurses or physical therapists as they helped patients. She enrolled in an LNA course offered at the hospital, and after she completed the course, she passed the state licensing exam and became an LNA. She enjoys being with patients all the time noting she can sometimes be the “eyes and ears” of the nurse, or the early warning system if something is going wrong. She says she particularly enjoys talking with elderly people who tell stories about war and the Depression. “I love my job – I really do. I love the patients and the people I work with,” she says. What is the difficult part of the job? “Losing a patient in the Hospice Unit,” Desi responds. Asked about the qualifications for becoming an effective LNA, she responds by saying, “You have to have the right mindset, and be friendly, attentive to detail, caring, honest and organized.” Clearly, Desi has found her niche, and says she would like to continue her health care education. Nursing / 63 Licensed Practical Nurse Licensed Practical Nurses (LPNs) provide basic bedside care to patients whose common recurring conditions are generally stable. After licensure, LPNs typically find employment in a hospital, long-term care facility or another health care organization. They work under the supervision of physicians, dentists, or registered nurses (RNs), who might ask an LPN to give injections, insert catheters, or give patients other physical treatments. An LPN may also provide the patient and family with information about medical conditions, treatment and care. In the hospital setting, an LPN might take patients’ vital signs, monitor patients’ responses to medication and other treatments, or help patients with personal hygiene. They may also help registered nurses develop or change a patient’s plan of care. Educational Programs Vermont Technical College (VTC) offers the only LPN program in Vermont. Their “one-plus-one” program is available at 11 Vermont locations. During the first year, students complete a Certificate of Practical Nursing and are eligible to apply for LPN licensure. If accepted into the second year program, students complete an associate of science degree in nursing and are eligible to apply for RN licensure. Vermont Technical College (VTC) PO Box 500 Randolph Center, VT 05061-0500 800-442-VTC1 or 802-728-1243 www.vtc.edu VTC’s program is also offered at these sites: •Bennington/Putnam Campus 150 Hospital Drive, Box 76 Bennington, VT 05201 •Thompson/Brattleboro Campus 157 Old Guilford Road, Suite 7 Brattleboro, VT 05301 •Fanny Allen/Williston Campus 201 Lawrence Place Williston, VT 05495 •Extended Campuses: Lyndon, Middlebury, Morrisville, Newport, Springfield, St Albans, White River Junction 64 / Health Careers Professional Organizations National Association for Practical Nurse Education & Service, Inc. Alexandria, VA 703-933-1003 www.napnes.org For more information on nursing in Vermont, go to www.choosenursingvermont.org Work Environments Clinics Dentist offices Government agencies Home health care agencies Hospitals Insurance companies Long-term care facilities Physician offices Private homes Schools Job Outlook The need for LPNs through 2018 should grow at an average rate in the general health care sector and faster than average growth in long term care facilities. This trend is due to the aging of the population in the U.S. and the current practice of releasing patients from hospitals shortly after procedures such as surgery. Salary Most LPNs start at about $28,890 (or about $13.89 per hour) for full time work, although salaries vary depending on the work setting. Experienced, full time LPNs can expect to earn $33,920 to $47,220 per year. Education, Certification and Licensing High school course work should include plenty of math and science. After high school, licensed practical nurse (LPN) candidates must complete about a year’s worth of combined classroom and clinical study, then pass the LPN licensing exam for Vermont. Title Registered Nurses (RNs) administer medications, perform life-saving procedures, promote health, prevent disease, and help people cope with illness, life changes and death. Nurses are advocates and educators for patients, families and communities. The majority of nurses practice in hospital settings where they provide care to patients 24 hours a day. They develop and manage nursing care plans for patients that combine the treatment prescribed by the physician with the nursing needs that have been identified. Hospital nurses often specialize in a particular area of nursing such as maternity, surgery, emergency, pediatric, psychiatric, medical, cardiac, or critical care. Nurses perform procedures and exams that frequently include assisting a physician, such as in the operating room. Nurses also teach patients and their families about their conditions, particularly how to care for themselves, how to prevent complications, and when to seek further advice from a health care professional. Nurses coordinate the activities of many other members of the health care team. They supervise licensed practical nurses (LPNs) and licensed nursing assistants (LNAs). Some RNs work for local, state or international public health agencies, where they monitor communicable diseases, assist with evaluating air and water quality efforts, teach people in the community about healthy choices, and disease prevention. Registered Nurse Work Environments Clinics Corporations Government agencies Home health organizations Hospitals Long-term care facilities and hospices Overseas, military, traveling nurses agencies Peace Corps Physician offices Public health agencies Schools and universities Job Outlook Employment opportunities for registered nurses will continue to grow much faster than average through 2018. The fastest growth in new RN positions is expected in hospital outpatient facilities, home health care agencies, and long term care facilities. In Vermont, there is a great need for nurses in all areas. Salary Salaries for registered nurses depend heavily on geographic location, work setting and level of experience, education and responsibility. Registered nurses can expect to earn starting wages between $52,520 and $77,970. Although some health care organizations in Vermont do not differentiate salary for associate (ADN) and bachelor (BSN) degrees, graduates of BSN programs will have greater opportunities to advance, a primary factor in job satisfaction. Education, Certification and Licensing High school course work should have a strong emphasis on math, English, and science. In order to take the Vermont licensing exam, candidates must successfully complete either an ADN (Associate Degree in Nursing) or BSN (Bachelor of Science in Nursing) program. Both levels of education, with a license, permit a registered nurse to work in an entry-level position. However, a BSN is usually required for advancement into a master’s level specialization program, although some master’s programs accept individuals with an ADN and a related bachelor’s degree. There are also options for entering nursing at a master’s level with a B.S. or B.A. degree. nursing / 65 To learn more about the Vermont Educational Loan Repayment Program for Health Care Professionals, visit www.vtahec.org. Education Programs Associate Degree Programs Castleton State College Nursing Department Castleton, VT 05735 802-468-1262 or 802-468-1230 www.csc.edu/Nursing Southern Vermont College Nursing Division 982 Mansion Drive, Bennington, VT 05201 802-447-4661 www.svc.edu Vermont Technical College (VTC) Admissions Office, PO Box 500 Randolph Center, VT 05061-0500 www.vtc.edu VTC’s program is also offered at the following sites: •Fanny Allen/Williston Campus 201 Lawrence Place Williston, VT 05495 •Putnam/Bennington Campus 150 Hospital Drive, Box 76 Bennington, VT 05201 •Thompson/Brattleboro Campus 157 Old Guilford Road, Suite 7 Brattleboro, VT 05301 •Extended Campuses: Lyndon, St. Albans, Newport Baccalaurate Degree Programs: Castleton State College Nursing Department Castleton, VT 05735 802-468-1262 or 802-468-1230 www.csc.edu/Nursing 66 / Health Careers Norwich University Nursing Department 158 Harmon Drive Northfield, VT 05663 800-468-6679 www.norwich.edu Southern Vermont College (see left) University of Vermont (BSN, Master’s and Post-Master's Certificate) College of Nursing and Health Sciences 105 Rowell, Burlington, VT 05405 802-656-3858 www.uvm.edu/nursing Nursing Refresher Course information is available online at: www.vtprofessionals.org Professional Organizations National League for Nursing New York, NY 800-669-1656 www.nln.org American Association of Colleges of Nursing Washington, DC 202-463-6930 www.aacn.nche.edu American Nurses Association Silver Spring, MD 800-274-4262 www.nursingworld.org Vermont State Nurses’ Association South Burlington, VT 802-651-8886 www.vsna-inc.org For more information on nursing in Vermont, go to www.choosenursingvermont.org Factoid: Registered nurses constitute the largest health care occupation, with 2.6 million jobs. Profile Stacy Wissmann, RN Informatics Specialist Brattleboro Memorial Hospital Brattleboro, VT Stacy Wissmann thinks it is a combination of influences that spurred her to become a nurse. “I actually made the decision when I was in high school: my aunt was a nurse at the Veterans Administration Hospital in White River and listening to her sparked my interest over the years. I also had grandparents who struggled with medical problems, and in high school, I developed a concern for other people. Following high school, I became a licensed nursing assistant at a nursing home, which taught me basic skills and confirmed that it was a good career for me.” “I attended Greenfield Community College (GCC) for my associate degree, and I have been working on my bachelor’s degree evenings; looking back, I wish I had gotten advice from a more knowledgeable guidance counselor and gone for my bachelor’s right away because it is hard to do it evenings when you have a family and a full-time job.” After six years as a bedside nurse and clinical coordinator, she started to assist in developing nursing applications for electronic medical administration, and found she enjoyed developing tools for nurses to use in new computer systems. Currently working toward her national Informatics Specialist certification while she continues to work toward her bachelor’s in nursing, Stacy notes that as a nurse it is possible to do many things in one’s career: “If you’re willing to work hard and expose yourself to different opportunities, people in your workplace will recognize that, see the value you bring to the organization, and work with you to succeed in those opportunities.” nursing / 67 Advanced Practice Nursing Advanced Practice Nursing (APN) refers to several specialties in nursing for those with advanced education and skills. They include Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), Certified Nurse Midwives (CNMs) and Certified Registered Nurse Anesthetists (CRNAs). Certified Nurse-Midwives (CNMs) provide obstetric and gynecologic care to women of all ages. They perform gynecologic exams and Pap smears, prescribe medications and birth control methods, deliver babies, perform the first newborn exam, and assist new mothers with breastfeeding. CNMs consult with a physician if complications arise during pregnancy or birth. CNMs also educate patients about reproductive health and family planning. Certified Registered Nurse Anesthetists (CRNAs) are responsible for the administration of all types of anesthesia including routine and invasive monitoring of vital signs for all surgical procedures as well as obstetric procedures. CRNAs practice under the supervision of a physician. They also conduct full pre-anesthetic assessments and provide post-operative care. Clinical Nurse Specialists (CNSs) most often work within a hospital and are experts in a specialized area of practice, such as cardiology, gerontology, mental health, or cancer care. They provide direct care or advise other nurses in the care of those patients. CNSs may also carry out nursing research, educate patients and staff, or act as a consultant to groups needing expert nursing knowledge. Nurse Practitioners (NPs) work as primary health care providers in specialty practice. In collaboration with a physician, they conduct physical assessments, take medical histories, prescribe medications, diagnose and treat many illnesses and injuries, and may perform a variety of medical procedures. Nurse practitioners are also experts at teaching patients about staying healthy and preventing disease. Education Programs University of Vermont College of Nursing and Health Sciences 105 Rowell Burlington, VT 05405 802-656-3858 www.uvm.edu/nursing NURSE ANESTHETIST PROGRAMS: University of New England School of Nurse Anesthesia 716 Stevens Avenue Portland, ME 04103 www.une.edu Albany Medical College Nurse Anesthesiology Program Mail Code 68 16 New Scotland Avenue Albany, NY 12208 518-262-4303 www.amc.edu Boston College Nurse Anesthesia Program 140 Commonwealth Ave. Chestnut Hill, MA 02467 www.bc.edu/nursing 68 / Health Careers Factoid: There are more than 257,000 advanced practice registered nurses (APRN) in the United States. Northeastern University/New England Medical Center Nurse Anesthesia Program 102 Robinson Hall, 360 Huntington Avenue Boston, MA 02115 617-373-2985 www.northeastern.edu NURSE-MIDWIFE PROGRAMS: Yale University School of Nursing (MSN) 100 Church Street, Box 9740 New Haven, CT 06536 203-785-2389 www.nursing.yale.edu Baystate Medical Center Midwifery Education Program (post-baccalaureate certificate) 759 Chestnut Street Springfield, MA 01199 413-794-4448 www.baystatehealth.com Professional Organizations American Association of Nurse Anesthetists Park Ridge, IL 847-692-7050 www.aana.com American College of Nurse-Midwives Silver Spring, MD 240-485-1800 www.midwife.org American College of Nurse Practitioners Arlington, VA 703-740-2529 www.acnpweb.org National Association of Clinical Nurse Specialists Philadelphia, PA 215-320-3881 www.nacns.org For more information on nursing in Vermont, go to www.choosenursingvermont.org Work Environments Birthing centers Clinics Health maintenance organizations (HMOs) Hospitals Industry Military Nursing homes and hospices Nursing schools Outpatient offices Private homes Public health departments Schools Job Outlook The demand for advanced practice nurses is expected to continue to increase over the next decade and beyond, as the need and demand for effective health care increases. Demand is expected to be particularly high in rural, inner-city and other underserved areas. Salary Nurse practitioners and nurse midwives typically earn an average salary of $90,000 per year. Nurse anesthetists usually earn an average salary of $60,000 per year. Education, Certification and Licensing For those interested in advanced practice nursing, high school course work should include an emphasis on math and science. A bachelor’s degree in nursing (BSN) and a registered nurse (RN) license are usually required before continuing on to advanced certification or a master’s degree; however, there are nursing programs that enroll non-RNs with bachelor degrees in other areas of specialization. Master’s programs generally take two years to complete. Nurse anesthesia programs usually require 1 to 2 years of critical care experience. These programs generally take 2.5 years to complete. nursing / 69 A Closer Look More than a Few Good Men Needed for Nursing M en have chosen to be nurses since the Middle Ages, particularly during wartime when they nursed the critically ill and wounded. In fact, the military provides great opportunities for young men to study nursing in college and enlist, or for enlisted men and veterans to advance their careers from medics to registered nurses, and even further to nurse practitioners, nurse anesthetists, nurse educators or nurse scientists. Men also enter nursing as a second career seeking the satisfaction of caring for individuals, families and whole communities. Research shows that male nurses tend to gravitate toward working in fast-paced settings like the Emergency department and critical care units, although psychiatry nursing is also a popular specialty for male nurses. Male middle school students have been shown to prefer high technology and caring careers that have good job security and win the respect of others. Those traits accurately describe a career in nursing; in fact, Gallup polls consistently find nurses ranked number one for being a trustworthy and respected 70 / Health Careers profession, Perhaps that is why the percentage of male nurses continues to grow: in the military, 30-35% of nurse positions are held by men, and the number of men enrolled in baccalaureate nursing programs has increased from 5.9% in 1992 to 12.3% in 2010. The work settings are nearly limitless, from business to management, clinical specialties and schools. Nursing promises a job in nearly any geographical location or nursing specialty, with flexibility in schedules and steadily improving salaries. Additional information about becoming a nursing is available at the following web sites: American Assembly for Men in Nursing: www.aamn.org The National Student Nurses’ Association: www.nsna.org The Campaign for Nursing’s Future: www.discovernursing.com Vermont Nursing Programs: www.choosenursingvermont.org Nutrition Services Dietitians/Nutritionists 72 Dietetic Technicians 73 Nutrition Services / 71 Dietitian/Nutritionist Dietitians/Nutritionists plan nutrition programs for large groups such as hospitals and nursing facilities, and for individuals with special needs, such as people with diabetes or high blood pressure. They also educate people about the need for and ways to achieve proper nutrition. There are many specific areas of this field that work with particular population groups. Education Programs Department of Nutrition and Food Sciences University of Vermont 109 Carrigan Drive Burlington, VT 05405 802-656-3374 www.nutrition.uvm.edu Professional Organizations The American Dietetic Association Chicago, IL 800-877-1600 www.eatright.org American Society for Clinical Nutrition Bethesda, MD 301-634-7050 www.nutrition.org Factoid: There are about 50,000 dietitian/ nutritionist jobs in the U.S: of those, more than half are in hospitals, nursing homes, or offices and clinics of physicians. Work Environments Clinics Company cafeterias Day care centers Health clubs Home health agencies Hospitals Nursing facilities Physician offices Private practice Public health/government agencies Research labs Schools Job Outlook Employment of dietitians is expected to grow about as fast as average for all occupations through 2018 as a result of increasing emphasis on disease prevention through improved dietary habits. A growing and aging population will increase the demand for meals and nutritional counseling in nursing homes, schools, prisons, community health programs and home health care agencies. Salary The middle 50 percent of dietitians earn between $41,060 and $61,790 a year, depending on setting and experience. The highest salaries are found for those in consultation and business, food and nutrition management, education and research, community nutrition, and clinical nutrition. Education, Certification and Licensing High school course work should include college prep classes in the sciences, math, and communication. Dietitians must obtain a bachelor’s degree from an accredited program and complete a supervised internship. They must also pass the Registered Examination for Dietitians to become a Registered Dietitian (RD). Career Ladder Experienced dietitians may advance to management positions in a dietetic department. 72 / Health Careers Dietetic Technician Dietetic Technicians work under the supervision of a registered dietitian to help plan, implement, and assess nutritional programs and services. The technician screens patients to identify nutritional problems and provides patient education and counseling to individuals or groups. They may oversee food service personnel and be responsible for monitoring food inventories and ordering supplies. Work Environments Community health centers Correctional facilities Food companies Health clubs Hospitals Nursing facilities Public health/government agencies Schools and day care centers Education Programs There are no dietetic technician programs in Vermont, but the following are available through the New England Regional Student Program (RSP) www.nebhe.org: Gateway Community College (CT) Southern Maine Community College Professional Organizations The American Dietetic Association Chicago, IL 800-877-1600 www.eatright.org Job Outlook The job market for registered dietetic technicians is assumed to be similar to that for dietitians and nutritionists, which is as fast as the average. Growth is anticipated in nursing homes, residential care facilities, and physician clinics. Salary Entry-level dietetic technicians earn between $21,070$34,710 per year, with some higher earnings reported among those with greater responsibility and experience. Education, Certification and Licensing A high school diploma and a two-year associate degree at an accredited college or university or the equivalent is needed to prepare for the certification exam. Programs include classes in food and nutrition sciences, foodservice systems management and general science courses. Career Ladder Dietetic technicians may want to pursue their education to become registered dietitians. Factoid: Dietetic technicians may start their careers as dietetic aides or assistants which require no formal training; training is gained by on-the-job learning. Nutrition Services / 73 Profile Alison Geier, RPh Pharmacist Central Vermont Medical Center Berlin, VT A friendly discussion with her hometown pharmacist in East Montpelier, Vermont led Alison Geier to start looking at colleges where she could study pharmacy. “The pharmacist I talked to liked her job, and I like science and math,” Alison explains. “I knew I wanted to stay in New England, but I didn’t want an all pharmacy school. Northeastern University offered a small pharmacy program in a large university, with a co-operative program that I am thankful to have had,” she adds. “The Co-op approach allowed me to go out and work in my field early in my college career: this enabled me to try the new skills I was learning and it confirmed that I liked the career I chose.” During the six years she was in college, Alison completed co-op experiences doing mission work in Oklahoma and working in a retail pharmacy in Vermont; classmates explored nuclear pharmacy as well as hospital pharmacy in their field work. When she graduated from college, Alison remained with the retail pharmacy chain in Roxbury for seven years where she enjoyed working in the community as a result of earning a Disease State Management certificate as a diabetes educator at the Massachusetts College of Pharmacy. After she met and married her husband, they decided to leave Boston, so they returned to her home state where she was hired at Central Vermont Medical Center (CVMC). “Hospital and retail pharmacy are completely different,” she comments about her current job, and adds that the change is good. “I’m using my brain in many different ways: to learn patient conditions, therapeutics, kidney function, appropriateness of medication for the patient, allergies, and more. I’ve also been involved in trying to develop a computer system that’s better for our patients.” Alison’s advice for those who want to become a pharmacist? “Pharmacy college is hard: you need to like sciences, especially chemistry, and be able to memorize a lot,” she says. “But the work is worth it because you can earn good pay and there is excellent job security in this profession.” 74 / Health Careers Pharmacy profile 74 PharmAcist 76 Pharmacy Technician 78 pharmacy / 75 Pharmacist Pharmacists work closely with physicians and other health practitioners to ensure that patients are treated with the safest, most effective medications. Pharmacists routinely review medication orders, prescriptions, and medication profiles to help ensure appropriate drug selection, dose, and dosing schedule. They look for drug-drug and drug-food interactions that may be harmful. If a pharmacist identifies a drugrelated problem or detects a potentially dangerous situation, she/he is responsible for notifying the doctor, patient, or both, and recommends potential alternatives. Pharmacists with advanced training may collaborate 76 / Health Careers with other providers to focus on direct patient care activities. These activities may include policy development or research rather than reviewing and approving prescription orders. They help make sure people can afford their medications, look at responses to drug therapies and address ways to minimize drug side effects. Factoid: While earnings are high, some pharmacists are required to work evenings, weekends and holidays, depending on where they work. Education Programs There is one pharmacy college available in Vermont. Albany College of Pharmacy and Health Sciences/ VT Campus 261 Mountain View Drive Colchester, VT 05446 888-203-8010 www.acphs.edu Professional Organizations American Association of Colleges of Pharmacy Alexandria, VA 703-739-2330 www.aacp.org American Society of Health-System Pharmacists Bethesda, MD 866-279-0681 www.ashp.org American Pharmacists Association Washington, DC 800-237-2742 www.pharmacists.com National Association of Chain Drug Stores Alexandria, VA www.nacds.org American College of Clinical Pharmacy Lenexa, KS 913-492-3311 www.accp.com Work Environments Clinics Government agencies Home health care agencies Hospitals Insurance companies Mail order pharmacy companies Pharmaceutical companies Retail pharmacy stores Retail store or supermarket pharmacy departments Job Outlook The demand for pharmacists is expected to be greater than average through 2018 due to the increased need for pharmaceuticals by a larger and aging population. Also, scientific advances will make more drug products available, while increasingly sophisticated consumers will be seeking more information about medications. Salary Pharmacists typically earn between $95,780 and $123,330 a year. Education, Certification and Licensing High school course work should include an emphasis on math and science, especially biology and chemistry. To become a pharmacist a doctoral degree is required. A Doctor of Pharmacy (Pharm. D.) takes six years, and pharmacists must pass a licensing exam after graduation. pharmacy / 77 Pharmacy Technician Pharmacy Technicians assist licensed pharmacists in the dispensing of medications and other healthrelated items to patients. In most settings, pharmacy technicians receive prescriptions from a prescriber and verify the patient’s information on the prescription for clarity and accuracy. They prepare the medication needed to fill the prescription by retrieving it, counting, pouring, weighing, measuring and sometimes mixing the medications. Before the prescription is given to the patient, a pharmacist checks it. Technicians also establish and maintain patient records, prepare insurance claim forms, stock and take inventory of prescription and over-the-counter medications. Education Programs There are no programs in Vermont or in the New England Regional Student Program. Many hospitals offer pharmacy technician training programs. Professional Organizations Pharmacy Technician Certification Board Washington, DC 800-363-8012 www.ptcb.org Work Environments Government agencies Home health care agencies Hospitals Mail order pharmacy companies Pharmacy benefit managers Pharmaceutical companies Retail pharmacy stores Retail store or supermarket pharmacy departments Factoid: About 7 out of 10 pharmacy technician jobs are in retail pharmacies; 2 in 10 jobs are in hospitals. 78 / Health Careers Job Outlook Employment growth for Pharmacy Technicians is expected to increase at an average rate through 2018. As a result of a pharmacist shortage, the increasing impact of prescription medicines on the quality of life, and the overall cost of health care, the use of pharmacy technicians for routine procedures will expand to allow pharmacists to concentrate on more complex roles. Technicians with formal training and licensure will have the best employment prospects. Salary Pharmacy technicians earn between $23,020-$33,820 per year for full time work. Salaries may increase with formal training and licensing. Education, Certification and Licensing Pharmacy technicians entering the field should have strong backgrounds in math, chemistry, and reading. Also, strong customer service skills are important. Many pharmacy technicians receive informal, on-the-job training, although employers prefer to hire those technicians who have completed a formal education program. Formal pharmacy technician education programs require classroom and laboratory work in various areas including medical and pharmaceutical terminology, pharmaceutical calculations, pharmacy record keeping, pharmaceutical techniques, and pharmacy law. Some colleges provide associate degrees for pharmacy technicians and others award certificates for yearlong programs. After completing a formal education program, pharmacy technicians can sit for the licensing exam administered by the Pharmacy Technician Certification Board. The exam is voluntary but technicians who pass it demonstrate a level of competency to prospective employers. Public Health Biostatistician 80 Epidemiologist 81 Health Educator 82 profile 83 public Health / 79 Biostatistician Biostatisticians are more statisticians than biologists who work with researchers to design studies that may show the pattern of a disease, the effectiveness of treatments, or a given health issue’s impact on the community. They figure out the best way to collect data and then use mathematics to study what they’ve collected. Their work helps to define and answer the questions that ultimately lead to advances in disease prevention and treatment. Education Programs University of Vermont Department of Mathematics and Statistics 16 Colchester Avenue Burlington, VT 05401 802-656-2940 www.uvm.edu/cems Professional Organizations International Society for Clinical Biostatistics 214-45-42-14-62-79 www.iscb.info Society for Clinical Trials Philadelphia, PA 215-564-3484 www.sctweb.org American Statistical Association Alexandria, VA 703-684-1221 www.amstat.org Centers for Disease Control and Prevention (CDC) Atlanta, GA 800-232-4636 www.cdc.gov American Public Health Association Washington, DC 202-777-2742 www.apha.org Factoid: There are about 23,000 biostatisticians in the U.S., primarily in government. 80 / Health Careers Work Environments Healthcare organizations Colleges and universities Government agencies Pharmaceutical companies State and local health departments Finance and insurance companies Job Outlook Job opportunities for statisticians in general are expected to remain good, with more employment available to wellqualified statisticians with a master’s or doctoral degree. Salary Biostatisticians can expect to earn a median salary of $72,820 per year, depending on the level of education and experience. Education, Certification and Licensing Typically a master’s level is the minimum education required for a biostatistician. Undergraduate work should include calculus, matrix algebra, computer programming and a major in statistics. Career Ladder Some biostatisticians may assume supervisory positions within their work area. Epidemiologist Epidemiologists work to understand the causes of disease and ways to prevent or control it. Understanding an epidemic means knowing how a given disease works inside the body, how it passes between people, and how it can move through a community. Epidemiologists also work to reduce or even prevent epidemics when they can. They use academic methods, such as statistics, demography and scientific research, as well as communitybased approaches, such as vaccination programs and educational campaigns to help people stay healthy. Education Programs There are no graduate epidemiology programs available in Vermont or through the New England Regional Student Program. Schools in New England that do have such programs are: Boston University (MA) Brown University (RI) Harvard University (MA) Tufts University (MA) University at Albany (S.U.N.Y) University of Massachusetts at Amherst Yale University (CT) Professional Organizations American College of Epidemiology Raleigh, NC 919-861-5573 www.acepidemiology2.org American Public Health Association Washington, DC 202-777-2742 www.apha.org Work Environments Health departments (federal, state and local) Medical corporations Research organizations Universities Job Outlook Infectious diseases continue to pose a threat to public health and chronic conditions such as heart disease and cancer have become more prevalent. Therefore, the demand for epidemiologists will likely be high for the foreseeable future. Salary Salary is dependent upon educational level and place of employment, but salaries range between $49,870$75,350 a year. Education, Certification and Licensing Candidates for study in epidemiology should have a strong math and science focus in high school. Undergraduate study might include biology, microbiology, or public health, followed by a Master of Science program and/or a Ph.D. program in epidemiology. Another route is to earn a medical degree (M.D. or D.O.), followed by a Master of Public Health degree in epidemiology. Career Ladder Those who obtain a doctoral degree are qualified to assume leadership roles in research and teaching of epidemiology. Association for Professionals in Infection Control & Epidemiology Washington, DC 202-789-1890 www.apic.org International Clinical Epidemiology Network Philadelphia, PA 215-735-8170 www.inclen.org public Health / 81 Health Educator Health Educators are professionals who design, conduct and evaluate activities that help improve the health of all people. For example, they provide information on preventive health care to the general public in an effort to prevent disease and promote the health of individuals and communities. They address subjects such as sexuality, alcohol/substance abuse, tobacco control and prevention, maternal/child health, and nutrition/weight management. Some health educators also work on research and planning, studying the health needs of a population and creating educational programs to help meet those needs. Education Programs There are no health education programs in Vermont, but the following are available through the New England Regional Student Program (RSP), www.nebhe.org: BACHELOR’S DEGREE Rhode Island College University of Massachusetts/Lowell Western Connecticut State University National Education Association Washington, DC 202-833-4000 www.nea.org Society for Public Health Education Washington, DC 202-408-9804 www.sophe.org Work Environments Colleges and universities Corporations Correctional facilities Hospitals Non-profit organizations Physician offices Rehabilitation clinics Public health agencies Schools Job Outlook MASTER’S DEGREE Plymouth State University (NH) Rhode Island College Southern Connecticut State University Demand for health educators is expected to grow faster than average with an increasing emphasis on preventive health care. Professional Organizations Salary American Public Health Association Washington, DC 202-777-2742 www.apha.org Education, Certification and Licensing American Alliance for Health Education, Physical Education, Recreation and Dance Reston, VA 800-213-7193 www.aahperd.org Factoid: Health educators work as generalists, educating people about a whole spectrum of health issues, or they may specialize in a certain population group like adolescents or the elderly; they may also specialize in a certain aspect, such as industrial health, school health, or community health. 82 / Health Careers Annual salaries range from $33,270-$60,970 depending on location and experience. High school course work for this position should include college prep classes in math, science and humanities. Health educators might earn a bachelor’s degree in education, public health, psychology or other related fields. For many positions, a Vermont teaching certificate is required. It is also possible to be a certified health educator through the National Commission for Health Education Credentialing. Career Ladder Health educators may advance from being practitioners and teachers to managers and directors within a variety of health-related fields. Public Health Nurse Public Health Nurses care for all the people of their community. Public health nurses monitor the spread of disease, keep vigilant watch for environmental hazards, educate the community on how to care for and treat themselves, and train for community disasters and bioterrorism. Public health nurses advocate, not just for the patient, but for the community. Public health nurses travel to schools, community centers, and other sites in the promotion and protection of the health of populations using knowledge from nursing, social and public health sciences. Education Programs See information on Registered Nurse page 66. Salary The average salary nationwide for a public health nurse is $51,000-$55,000; salaries vary depending on where one works. Professional Organizations Education, Certification and Licensing American Public Health Association Washington, DC 202-777-2742 High school coursework should have a strong emphasis on math, English and science. In order to take the Vermont licensing exam, candidates must successfully complete either an ADN (Associate Degree in Nursing) or BSN (Bachelor of Science in Nursing) program. Both levels of education, with a license, permit a registered nurse to work in an entry level position. Advanced degrees in this field include a master’s in public health. Work Environments Government agencies Non-profit organizations Community health centers Schools Career Ladder Job Outlook As in all areas of nursing, there is an increasing demand for public health nurses, particularly in medically underserved and low income communities as well as with government agencies. Additional education may result in a public health nurse attaining a supervisory or administrative position. Factoid: Public health nursing developed from early days of visiting homes to disease prevention and health promotion for whole populations. public Health / 83 Profile Dorey Myers, RN Public Health Nurse Vermont Department of Health St. Albans, VT Dorey Myers, RN, has lived all over the country because of her father’s military career, but when they settled in Vermont during her freshman year in high school, she fell in love with this state. Her mother is a nurse and Dorey was deeply impressed by the relationship between a nurse and her terminally ill grandmother, so she attended the University of Vermont School of Nursing. “I wanted to develop relationships with people and look at treating them holistically,” she says. “In nursing school I fell in love with psychiatric nursing because it looked at the whole person; I worked at the Vermont State Hospital for a year, where I saw some people repeatedly. That made me realize I wanted to work on the prevention side of illness, to be sure they get services before they are ill, so I turned to public health nursing.” Dorey Myers, RN, public health nurse in St. Albans, stands before the completed Swanton Rail Trail with Commissioner of Health Harry Chen, MD and Judy AshleyMcLaughlin, director of the St. Albans District Health Office. At the Vermont Department of Health, Dorey works in school health, chronic disease prevention and HIV/STD prevention. For example, her school health role includes establishing relationships with school nurses and assisting in efforts to enact policy changes related to student nutrition and the ways food is presented to students; establishing a breastfeeding support group; a physical education component in schools, and volunteer crossing guard program, to name a few. “You don’t see immediate change, but the outcome is amazing because it impacts an entire population and that’s exciting,” Dorey remarks. “The longer you’re in the field, the more change you will see. It’s important to have young people in this field because it is exciting and young people identify with you,” she adds. Following a childhood of frequent moves, Dorey says she loves Vermont for its environment, because it is “a clean and healthy state and I think it’s a supportive state, too.” 84 / Health Careers Radiation Technologies Nuclear Medicine Technologist 86 Radiation Therapist 87 Radiologic Technologist 88 profile 90 Radiation Technologies / 85 Nuclear Medicine Technologist Nuclear Medicine Technologists are highly-skilled health care professionals who work with patients, computers, high-tech equipment, and small quantities of radioactive materials to produce anatomical and physiological images which provide accurate diagnostic information for almost 100 different procedures involving almost every major organ system in the human body. Education Programs Nuclear Medicine Technology Program (B.S.) College of Nursing and Health Sciences Department of Radiation Sciences 302 Rowell Building University of Vermont Burlington, VT 05405 802-656-3811 www.uvm.edu/cnhs/mlrs Work Environments Community hospitals Medical centers Private clinics Universities Job Outlook Employment of nuclear medicine technologists is projected to grow faster than average through 2018. Salary Annual salaries range from $57,270 to $78,240. Education, Certification and Licensing Nuclear medicine technologists must be team players, have a good foundation in mathematics, biology, and computers, and be able to work with patients. Most states, including Vermont, require nuclear medicine technologists to be licensed in order to practice. Graduates of an approved program are eligible to take a national certifying examination. With additional education and training, graduates can become involved with ultrasound, magnetic resonance imaging and positive emission tomography (PET). Professional Organizations Society of Nuclear Medicine Reston, VA 703-708-9000 www.snm.org Nuclear Medicine Technology Certification Board Tucker, GA 404-315-1739 www.nmtcb.org Joint Review Committee on Educational Programs In Nuclear Medicine Technology Edmond, OK 405-285-0546 www.jrcnmt.org American Registry of Radiologic Technologists St. Paul, MN 651-687-0048 www.arrt.org American Society of Radiologic Technologists Albuquerque, NM 800-444-2778 www.asrt.org Career Ladder After gaining additional experience and education, nuclear medicine technologists can become teachers, administrators, PET imagers, radiation safety experts, computer applications developers, and clinical researchers. 86 / Health Careers Factoid: There are an estimated 21,800 nuclear medicine technologists in the U.S.; two-thrids are in hospitals. Radiation handling is very safe, as there are many available safety techniques and equipment. Radiation Therapist Radiation Therapists are highly skilled medical specialists educated in physics, radiation safety, patient anatomy and patient care. They administer targeted doses of radiation to a patient’s body to treat cancer or other diseases. As the radiation strikes human tissue, it produces highly energized ions that gradually shrink and destroy malignant tumor cells. Education Programs Radiation Therapy Program (B.S.) College of Nursing and Health Sciences Department of Medical Laboratory and Radiation Sciences 302 Rowell Building University of Vermont Burlington, VT 05405 802-656-3811 www.uvm.edu/mlrs Professional Organizations American Society of Radiologic Technologists Albuquerque, NM 800-444-2778 www.asrt.org American Society for Therapeutic Radiology and Oncology Fairfax, VA 800-962-7876 www.astro.org Joint Review Committee on Education in Radiologic Technology Chicago, IL 312-704-5300 www.jrcert.org Factoid: The University of Vermont is one of 31 colleges in the U.S. where you can get a BS degree in Radiation Therapy. Handling radiation is safe because of the many available safety techniques and equipment used to protect the patient and the health care practitioner. Work Environments Community hospitals Medical centers Private clinics Universities Job Outlook Employment of radiation therapists is projected to grow much faster than average through 2018. Salary Average salaries range from $59,050 to $87,910. Education, Certification and Licensing Radiation therapists must be team players, have a good foundation in mathematics, biology, and computers, and be able to work with patients. Most states, including Vermont, require radiation therapists to be licensed in order to practice. Graduates of approved programs are eligible to take a national certifying examination. With additional education and training, graduates can become involved with dosimetry. Career Ladder After gaining additional experience and education, radiation therapists can become involved with dosimetry, teaching, administrative positions, radiation safety, and clinical research. Radiation Technologies / 87 Radiologic Technologist Radiographers, also referred to as radiologic technologists and x-ray technicians, work extensively with computers and specialized equipment to create images that allow physicians to diagnose conditions inside the body. Radiographers produce x-ray films (radiographs). They may specialize in computed tomography (CT scan) or mammography. Ultrasound Technologists, or sonographers, use sound waves to create images of the inside of the body. Physicians use these images to assess the condition of a specific organ or to see the development of a fetus in a pregnant woman. 88 / Health Careers Magnetic Resonance Imaging (MRI) Technologists use super-conductive magnets and radio waves to gather information about anatomy or the body’s chemical composition. Factoid: Sometimes radiographers may travel to patients in large vans equipped with sophisticated diagnostic equipment and perform x-rays at sites remote from healthcare facilities. Work Environments Hospitals Industrial research and development facilities Medical and dental laboratories Physician offices Outpatient clinics Diagnostic imaging centers Job Outlook The outlook is excellent for radiographers. Demand is expected to increase at a faster than average rate due to a growing and aging population. Radiographers with cross training in nuclear medicine technology or other modalities will have the best job prospects. Salary Certified radiologic technologists typically earn between $42,710 and $63,010 per year. More education and training can lead to higher salaries and greater opportunities. Education Programs Champlain College (AS, BS) Radiography Program 163 South Willard Street Burlington, VT 05402 800-570-5858 www.champlain.edu College of St. Joseph (AS) 71 Clement Road Rutland, VT 05701 802-773-5900 www.csj.edu Southern Vermont College 982 Mansion Drive Bennington, VT 05201 802-442-5427 www.svc.edu Professional Organizations Education, Certification and Licensing High school course work should focus on math and science. Associate and bachelor degrees are both options for a career in radiologic technology. After earning a degree or certificate from an accredited program, candidates must pass an exam by the American Registry of Radiologic Technologists in order to become registered in most states. American Society of Radiologic Technologists Albuquerque, NM 800-444-2778 www.asrt.org/asrt.htm Joint Review Committee on Education in Radiologic Technology Chicago, IL 312-704-5300 www.jrcert.org American Registry of Radiologic Technologists St. Paul, MN 651-687-0048 www.arrt.org Radiation Technologies / 89 Profile Bridget Thompson, RT (R)(CT) Imaging Specialist III Northwestern Medical Center St. Albans, VT A local museum and an aptitude test in high school pointed Bridget Thompson in the direction of her career in Diagnostic Imaging at Northwestern Medical Center (NMC). “When I was young I was really interested in the St. Albans Historical Society Museum because it had a medical section,” Bridget recalls. “And when I was in high school, I took an aptitude test that showed radiographer as the career I was most suited for.” In high school, Bridget enjoyed sciences, and was part of the Vermont Student Assistance Corporation (VSAC) group of students that met monthly for career counseling sessions, during which she researched the radiography program at Champlain College. In two years at Champlain College she completed her Associates in Science degree (Radiography) and passed the ARRT registry exam. She then began working at Northwestern Medical Center as a radiographer, meanwhile completing her final two years in liberal arts at Champlain and earned a bachelor of science degree. She has been trained in CT scanning and has passed her registry exam in that specialty, where she is the lead staffer at NMC. When she talks to young people about entering the field, she advises them to try to job shadow someone who is already working as an imaging specialist. She also notes they should be, “dedicated to studying, interested in science, organized, with good communication skills.” “It is only a two-year program to become an Imaging Specialist and the pay is good,” Bridget points out. “There is always room to go into other fields such as MRI, CT, ultrasound, mammography, and bone density; you’re always learning because the technology is always changing, and you need to accept change.” Bridget now trains new techs in the department, and is also a clinical instructor for students from the Champlain College program when they train at NMC. “I became a teacher unexpectedly, but I like being a resource, and helping to train people in an important role for a person’s health care” she remarks. “I like to see my hometown get good quality care: it’s satisfying.” 90 / Health Careers Rehabilitation Therapy Audiologist 92 Occupational Therapist 93 Occupational Therapist Assistant 94 profile 95 Physical Therapist 96 profile 97 Physical Therapist Assistant 98 Orthotist/Prosthetist 99 Respiratory Therapist 100 Speech-Language Pathologist 101 Rehabilitation Therapy / 91 Audiologist Audiologists are hearing experts. They work with patients to determine the nature or cause of a hearing problem and then find ways of addressing it. Audiologists perform hearing tests, fit people for hearing aids, and teach lip-reading. They also help people deal with inner ear and balancing difficulties and work to educate the public about noise pollution and ways of preventing hearing loss. 92 / Health Careers Education Programs Baccalaureate Degree University of Vermont Department of Communication Sciences and Disorders Pomeroy Hall, 489 Main Street Burlington, VT 05405 802-656-3861 www.uvm.edu/~cmsi Graduate Degree: There are no graduate audiology programs in Vermont. However, the following programs are available through the New England Regional Student Program (RSP). For more information on RSP go to www.nebhe.org. University of Connecticut Graduate School 438 Whitney Road Ext., Unit 1006 Storrs, CT 06269-1006 860-486-3615 www.grad.uconn.edu University of Massachusetts at Amherst Goodell Building 358 North Pleasant Street Amherst, MA 01003 413-545-0131 www.umass.edu/gradschool Professional Organizations: American Speech-Language-Hearing Association (ASHA) Rockville, MD 800-638-8255 www.asha.org Vermont Speech-Language Hearing Association, Inc. (VSHA) Waitsfield, VT 802-496-4668 www.vsha.org Work Environments Colleges and Universities Home health agencies Hospitals Private practices Rehabilitation centers Research facilities School systems Speech and hearing clinics Job Outlook Our communities and workplaces are becoming increasingly noisy as we drive more, listen to louder music, and use more machines. The demand for audiologists is expected to increase much faster than average for all occupations through 2018. Salary The average salary for audiologists ranges from $51,230$79,420 per year. Experienced audiologists can earn up to $80,000 per year, depending upon the setting. Education, Certification and Licensing Candidates for this profession should emphasize math and science in their high school and undergraduate choices. A master’s degree is required to become an audiologist in Vermont. Vermont also has a licensing requirement, as most other states do. Certification is available from ASHA (American Speech-Language Hearing-Association). Factoid: More than 31.5 million people in the U.S. have some degree of reduced hearing sensitivity; the majority of these are men. Better Hearing Institute, 2011 Rehabilitation Therapy / 93 Occupational Therapist Occupational Therapists (OTs) work with patients who suffer from a disability due to illness, injury, aging or developmental, emotional, or mental challenges. They help people learn (or re-learn) to do every day activities like writing, cooking, and dressing. After observation and testing, an OT will develop a treatment plan to help the patient regain function or overcome a permanent loss of function. Treatment plans may include life and work activities, strength and dexterity exercises, or the design and use of special adaptive equipment to make daily tasks easier. Factoid: Nearly one-third of occupational therapists work part time. Work Environments Hospitals Nursing homes Private practices Rehabilitation clinics Schools Job Outlook Employment of occupational therapists is expected to increase much faster than average for all occupations through 2018, as a result of growth in the number of individuals requiring therapy services with disabilities or limited function. Salary The average salary for occupational therapists is $55,090$81,290. The highest salaries are paid by nursing and personal care facilities, followed by hospitals, offices of other health practitioners, and elementary and secondary schools. Education, Certification and Licensing A high school diploma is required, with emphasis on math, science and skills-oriented classes like art. A master’s degree is the minimum educational requirement, as well as national certification from the American Occupational Therapy Certification Board, to practice as an occupational therapist. 94 / Health Careers Education Programs No occupational therapy programs are available in Vermont, but the following are available through the New England Regional Student Program (RSP), www.nebhe.org: Worcester State College (MA) (Bachelor & Master's) Professional Organizations American Occupational Therapy Association (AOTA) 4720 Montgomery Lane Besthesda, MD 301-652-2682 www.aota.org Vermont Occupational Therapy Association www.vermontot.org Occupational Therapy Assistant Occupational Therapy Assistants (OTAs) work with people who are in some way disabled and need help with the every day activities of life – things like dressing, eating and getting out of the house. OTAs are supervised by occupational therapists. They work one-on-one with patients to carry out individual treatment plans and also assist occupational therapists during exams and other procedures. Work Environments Hospitals Nursing homes Private practices Rehabilitation clinics Schools Job Outlook Employment of occupational therapy assistants is expected to grow much faster than the average for all occupations through 2018. Salary Salaries for OTAs average between $39,240-$57,810 per year with work experience. Education, Certification and Licensing OTAs need a high school diploma and an associate degree from an accredited program or certificate program in an accredited community college or technical school. In most states, OTAs must pass a national certification exam after graduation. Career Ladder With additional education, occupational therapist assistants can become occupational therapists. Education Programs There are currently no occupational therapy assistant programs available in Vermont, but the following schools are available through the New England Regional Student Program (RSP), www.nebhe.org: Bristol Community College (MA) Community College of Rhode Island Housatonic Community College (CT) Kennebec Valley Community College (ME) Manchester Community College (CT) Nashua Community College (NH) North Shore Community College (MA) Quinsigamond Community College (MA) Springfield Technical Community College (MA) Professional Organizations The American Occupational Therapy Association Bethesda, MD www.aota.org Vermont Occupational Therapy Association www.vermontot.org Factoid: Occupational therapy assistants and aides need to have a moderate degree of strength to assist patients with their treatments. Allied Health Careers / 95 Physical Therapist Physical Therapists restore, maintain and promote the best possible physical health for their patients. They help prevent, identify, correct and alleviate short or long-term movement problems. An injured athlete, a senior citizen dealing with arthritis, and a child with a developmental disability are all examples of people who might work with a physical therapist. Together, they tackle treatments such as movement exercises, strength training, stretching, and activities to promote mobility and function. With education from a physical therapist, a patient can continue their treatment program at home, at work, and during leisure activities. Work Environments Clinics Hospitals Industrial health centers Nursing homes Private practices Rehabilitation centers Schools Sports facilities Job Outlook Demand is expected to grow much faster than average as the number of middle-aged and elderly individuals increases the demand for therapeutic services. Salary The average salary for physical therapists is between $60,300-$85,540. Education, Certification and Licensing High school course work should include college prep courses. Certified physical therapists are required to complete a master's or Doctorate of Physical Therapy to be licensed to practice. Education Programs University of Vermont (Department of Rehabilitation and Movement Science) 002 Rowell Building 802-656-3858 www.uvm.edu/~cnhs University of New England (MPT, OPT) University and Westbrook Campuses 207-283-0171 www.une.edu/wchp/pt Professional Organizations Factoid: The job of a physical therapist can be demanding because they often stoop, kneel, crouch, lift and stand for long periods during the work day. 96 / Health Careers American Physical Therapy Association (APTA) Alexandria, VA 800-999-2782 www.apta.org Vermont Chapter, APTA www.vtapta.org Profile Sara Stinson, PT, DPT Physical Therapist Northeastern Vermont Regional Hospital St. Johnsbury, VT Sara Stinson, native of the Danville, VT area, got to physical therapy in a roundabout way but feels she has found her niche. “I always had it in the back of my mind that I wanted to be in health care; as a kid I worked in my Dad’s physical therapy clinic (Dan Wyand, PT, head of PT at Northeastern Vermont Regional Hospital),” she remarks, “But I started college at Northeastern University where I studied business for three years and finished my undergraduate degree in biology at UVM. Then I earned my Doctorate in Physical Therapy at Franklin Pierce University.” “When I was finishing my undergraduate work at UVM, I happened to get into a training program to be an assistant in ophthalmology at Fletcher Allen and I loved it. The clinical skills I gained there brought me back to physical therapy because I wanted to deal with the whole body and wellness approach.” Sara completed the three-year program at Franklin Pierce and has worked at Northeastern Vermont Regional Hospital for two years in the Physical Therapy Department. “I’m so glad I went into PT; I absolutely love it,” she enthuses. “I like working with people and dealing with the whole person, not just their diagnosis for physical therapy but what other things drive their injury. I love having people come in feeling 50% better at their next appointment and being able to help put them in a more tolerable pain range.” The toughest part of her job? “Addressing issues when people don’t want to make lifestyle changes and self-improvement commitments to feel better,” she admits. That challenge does not diminish her enthusiasm for her career in PT. “It’s easier to start a college career knowing you want to do PT, and it’s a good idea to spend time in a PT clinic to decide if this is right for you, plus you need to be a ‘people person,’” Sara advises. Though she took the long way around, she is glad she ended up in health care and specifically, physical therapy. Rehabilitation Therapy / 97 Physical Therapist Assistant Physical Therapist Assistants (PTAs) help physical therapists carry out patient treatment plans as selected by a supervising physical therapist. Patients work directly with PTAs on exercises aimed at building strength and flexibility in the joints, bones and muscles. PTAs also assist physical therapists in patient exams and other procedures. Together, the physical therapy team helps people who are in some way disabled to have more mobility and independence in their lives. Education Programs There are no PTA programs available in Vermont, but the following schools are available through the New England Regional Student Program (www.nebhe.org): Berkshire Community College (MA) Community College of Rhode Island (RI) Kennebec Valley Community College (ME) Massachusetts Bay Community College (MA) Manchester Community College (CT) Naugatuck Valley Community College (CT) North Shore Community College (MA) Northwestern Connecticut Community College (CT) River Valley Community College (NH) Springfield Technical Community College (MA) Tunxis Community College (CT) Professional Organizations: American Physical Therapy Association Alexandria, VA 703-684-2782 www.apta.org Vermont Chapter, APTA www.vtapta.org Factoid: Physical therapist assistants should have a moderate degree of strength, due to the exertion required to assist patients in their treatment. 98 / Health Careers Work Environments Clinics Hospitals Industrial health centers Nursing homes Private practices Rehabilitation centers Schools Sports facilities Job Outlook Demand for physical therapy assistants is very high. The trend should continue through 2018 as the population of middle-aged and elderly people increases. Salary Physical therapy assistants generally earn between $37,170-$54,900 depending on the work setting. Education, Certification and Licensing High school course work should include college-prep classes, including math and science. Most physical therapy assistant (PTA) programs lead to an associate of science degree and take two years to complete. PTA’s are also required to pass a licensing exam given by the state of Vermont. Orthotist & Prosthetist Orthotists (COs) and Prosthetists (CPs) are certified specialists who make and fit upper and lower limb devices designed to replace or repair those lost or disabled through injury or disease. Orthotists make and fit orthopaedic braces; prosthetists make and fit artificial limbs. Some people may be qualified to work in both areas. Work Environments Private practices Hospitals Laboratories Government agencies Rehabilitaion facilities Job Outlook As medical and technological advances continue in the field of orthotics and prosthetics, demand for skilled and experienced workers will be great. Salary Certified individuals earn between $44,370 and $82,000. Education, Certification and Licensing A bachelor’s degree, specific training courses in orthotics and prosthetics, and at least one year of supervised experience in the field. There are only a few accredited training programs in the U.S. and they award either a bachelor’s degree or a certificate. The telephone number for that program is 860-667-5304; the website is www.nopschool.com. Education Program University of Hartford (BS/MSPO degrees in Prosthetics and Orthotics) Department of Physical Therapy College of Education, Nursing and Health Professions 200 Bloomfield Avenue West Hartford, CT 06117 860-768-4599 www.hartford.edu/enhp Professional Organizations: American Academy of Orthotists and Prosthetists (AAOP) Washington, DC 202-380-3663 www.oandp.org Factoid: To be a successful prosthetist and orthotist you should have good eye-hand coordination and manual dexterity. Rehabilitation Therapy / 99 Respiratory Therapist Respiratory Therapists help people breathe more easily. Their patients, newborn through elderly, have cardiopulmonary (heart-lung) problems brought on by asthma, emphysema, pneumonia, cystic fibrosis and other conditions. Respiratory therapists test patients for breathing capacity and analyze oxygen and carbon dioxide concentrations. To improve breathing, they treat patients with exercises and physiotherapy, by administering inhaled medications and, if necessary, by hooking up ventilators for patients who cannot breathe for themselves. Respiratory therapists are also educators, making sure patients and their families know how to maintain cardiopulmonary function and health. Education Program Vermont Technical College Respiratory Therapy Program (Associate Degree) P.O. Box 500 Randolph Center, VT 05061 800-442-8821 www.vtc.edu Professional Organizations American Association for Respiratory Care Irving, TX 972-243-2272 www.aarc.org The National Board for Respiratory Care Olathe, KS 913-895-4900 www.nbrc.org Vermont/New Hampshire Society for Respiratory Care www.vtnhsrc.org Work Environments Diagnostic laboratories Home health care agencies Hospitals Industry Long term care facilities Outpatient clinics Patient transport services Physician offices Private homes Rehabilitation facilities Sleep centers Job Outlook Job opportunities are expected to increase much faster than average through 2018 because of the substantial growth in middle-aged and elderly populations. Employment opportunities are most favorable for respiratory therapists with cardiopulmonary care skills and experience working with newborns and infants. Salary Respiratory therapists earn between $45,300 and $62,570 per year. Education, Certification and Licensing Prospective respiratory therapists should emphasize math and science course work in high school. After high school, it normally takes two years to complete an associate degree and prepare for the national registry exam, which is required. It is possible to work as a Registered Respiratory Therapist while completing a bachelor degree. More education can lead to higher levels of responsibility and higher salaries in the field. 100 / Health Careers Speech-Language Pathologist Speech-Language Pathologists are concerned with conditions that affect speech, voice and language. Their patients may have trouble with stuttering, swallowing or understanding and using language. Some have lost the ability to speak after a stroke or other trauma. Speech-language pathologists teach sign language, help people strengthen muscles used in speech and swallowing, and work with patients to improve lost or compromised abilities. Work Environments Colleges and universities Home health agencies Hospitals Private practices Rehabilitation centers Research facilities School systems Speech and hearing clinics Job Outlook The demand for speech-language pathologists is expected to increase faster than the average for all occupations through the year 2018. Salary Salaries for speech-language pathologists average between $52,030-$82,380 per year. Experienced speechlanguage pathologists can earn up to $101,820 per year. In both cases, salary is dependent upon the work setting. Education, Certification and Licensing High school and undergraduate course work should include math and science. It is also possible to focus on areas such as speech, behavioral science and language development at the undergraduate level. A master’s degree is required to work as a speech-language pathologist, as well as a license in the state of Vermont. Certification is available from ASHA (American Speech-Language-Hearing Association). Education Programs University of Vermont (BA, MS) Department of Communication Sciences Pomeroy Hall 489 Main Street Burlington, VT 05405 802-656-3861 www.uvm.edu/~cnsi Professional Organizations American Speech-Language-Hearing Association (ASHA) Rockville, MD 800-638-8255 www.asha.org Vermont Speech-Language-Hearing Association (VSHA) www.vsha.us Factoid: Sometimes speech-language pathologists are referred to as speech therapists. Rehabilitation Therapy / 101 102 / Health Careers Vision Care Ophthalmologist 104 Optician 105 Optometrist 106 vision care / 103 Ophthalmologist Ophthalmologists are physicians who specialize in diagnosing and treating conditions of the eyes. Ophthalmologists are required to have medical degrees and they treat patients of all ages who have vision-threatening diseases and disorders. Ophthalmologists perform surgeries that may be used to treat conditions like glaucoma or cataracts. Ophthalmologists examine the internal and external structures of the eye, give eyesight exams, and may use medications, corrective lenses, or eye patches to treat their patients. Education Programs Work Environments Hospitals Medical centers Private practices University teaching programs Job Outlook Ophthalmologists, like other physicians, are highly trained professionals, and as such, will always be in demand. Continuing advances in the use of surgery (instead of glasses) to correct vision problems like nearsightedness will probably create even more demand in the future. University of Vermont College of Medicine Office of Admissions Courtyard at Given South 89 Beaumont Avenue Burlington, VT 05405 802-656-2154 www.uvm.edu/medicine Salary Professional Organization Education, Certification and Licensing American Academy of Ophthalmology San Francisco, CA 415-561-8500 www.aao.org/aao Like other physicians, ophthalmologists tend to earn high salaries, usually between $114,000 to $300,930 per year or more due to the length and difficulty of their training. Salaries vary according to specialty, geographic region, and whether a physician works in the public or private sector. High school course work for students aspiring to an ophthalmology career should include a strong emphasis on math and science, followed by an undergraduate career that focuses on one of the natural sciences. Excellent grades along the way are important. An ophthalmologist must complete a minimum of 12 years of higher education. This education includes four years of college, four more years of medical school, one or more years of general clinical training, and three or more years in a hospital-based eye residency program. Any specialization in the area of ophthalmology may require an additional year or more of fellowship training beyond residency. Factoid: Information about eye conditions and ophthalmology were recorded on an ancient Egyptian papyrus (circa 1600 B.C.) showing that the specialty was relatively advanced at that time. 104 / Health Careers Optician Opticians fit glasses and contact lenses, following prescriptions written by optometrists and ophthalmologists. Opticians help customers select eyeglass frames, lenses and lens coatings after considering their prescription, lifestyle, occupation and facial features. Opticians prepare work orders for ophthalmic laboratory technicians, giving them the information they need to grind and insert lenses into eyeglass frames. Sometimes opticians do this work themselves. After the glasses have been made, opticians shape and bend the frames so the eyeglasses fit the customer comfortably. Opticians also fit contact lenses, artificial eyes or cosmetic shells to cover blemished eyes. Opticians measure the customer’s eye shape and size and select the appropriate lens material. Fitting contact lenses requires skill, patience and care. Opticians must take the time to instruct customers to properly insert, remove and care for their contact lenses. Education Program Community College of RI Middlesex Community College (CT) Professional Organizations National Federation of Opticianry Schools Mountain Home, AR 870-492-6623 www.nfos.org Opticians Association of America Lakeland, TN 901-388-2423 www.oaa.org Work Environments Clinics Department stores Offices of optometry and ophthalmology Retail optical stores Job Outlook Employment for opticians should grow at an average rate through 2018. The aging population as well as advances in eyewear such as no line bifocals and antireflective lens coatings will increase the demand for corrective lenses. Salary Opticians can expect to earn between $26,170-$41,930, depending on experience and work setting. Education, Certification and Licensing Knowledge of physics, math, anatomy and mechanical drawing are particularly valuable to people starting an opticianry training program. Opticians should possess manual dexterity and skill, in addition to the ability to relate directly with customers. Many employers hire people with no opticianry experience and offer on-thejob training or apprenticeships lasting two or more years. Other pathways into opticianry work come from working first as an ophthalmic laboratory technician. Opticianry training is generally offered in community colleges. These colleges offer either one or two-year programs. Opticians may apply to the American Board of Opticianry (ABO) and the National Contact Lens Examiners (NCLE) for certification of their skills. Certification must be renewed every three years through continuing education. Opticians must obtain a professional license in Vermont. National Academy of Opticianry Landover, MD 800-229-4828 www.nao.org American Board of Opticianry/ National Contact Lens Examiners Springfield, VA 703-719-5800 www.abo.org Vision Care / 105 Optometrist Optometrists are vision experts. They help people with regular eye exams and eye care. They also diagnose and treat such conditions as nearsightedness, farsightedness, conjunctivitis, glaucoma, and cataracts. Quite often the treatment is corrective lenses, either glasses or contact lenses. Other times an optometrist may treat eye conditions with prescriptions such as eye drops. Optometrists are doctors of optometry, and do not perform eye surgery, unlike ophthalmologists, who are doctors of medicine. Most optometrists are in general practice, although some specialize and work with children, the elderly, or partially-sighted people with special vision needs. Factoid: More than half the people in the United States wear glasses or contact lenses. 106 / Health Careers Education Programs There are no optometry programs available in Vermont or through the New England Regional Student Program. The following schools are located in nearby states: New England College of Optometry 424 Beacon Street Boston, MA 02115 617-266-2030 www.neco.edu State University of New York State College of Optometry 33 West 42nd Street New York, NY 10036 800-291-3937 www.sunyopt.edu Professional Organizations: American Optometric Association St. Louis, MO 800-365-2219 www.aoa.org Association of Schools and Colleges of Optometry Rockville, MD 301-231-5944 www.opted.org Vermont Optometric Association Montpelier, VT 802-223-7723 www.vtoptometrists.org Work Environments Chain optical stores Clinics Government health agencies Health maintenance organizations (HMO’s) Hospitals Optical manufacturers Private practices Job Outlook Demand for optometrists should grow much faster than average through 2018, in response to the vision care needs of a growing and aging population. The need for optometrists is moderating somewhat due to advancements in technology that allow a doctor to see more patients. Salary Optometrists typically earn between $70,140 and $125,460 per year, depending upon the work setting and geographic area. Experienced optometrists who have built strong private practices may earn considerably more. Education, Certification and Licensing Optometry candidates should emphasize math, physics, and other sciences in high school and as an undergraduate in college. Most optometry programs take four years to complete. To gain admission into an accredited program, three years of undergraduate work are required, although most optometry students hold a bachelor degree. Vermont also requires optometrists to be licensed. Health Careers / 107 Careers in Health Care Administration & Support Dietetics Mental Health Administrator/Chief Executive Officer Associate Administrator/Finance Associate Administrator/Patient Care Chaplain Director of Materiel Management Director of Volunteer Services Group Practice Administrator Health Educator Health Planner Human Resources Manager Management Engineer Nursing Home Administrator Patient Representative Risk Manager Dietary Manager Dietetic Technician Nutritionist Registered Dietitian Emergency Medical Technician Paramedic Drug Abuse Counselor Mental Health Technician Psychiatrist Psychiatric Social Worker Psychiatric Mental Health Technician Psychiatric Technologist Psychologist Hospital Information Nursing Service Alternative Medicine Acupressure Acupuncture Massage Therapy Naturopathic Medicine Clinical Lab/Technical Services Blood Bank Technology Specialist Cardiovascular Technologist Clinical Chemist Clinical Microbiologist Cytotechnologist Electrocardiograph Technician (EKG/ECG) Electroneurodiagnostic Technologist Emergency Medical Technician Histologic Technician/Technologist Immunology Technologist Laboratory Assistant Laser Optics Technician Medical Technologist Phlebotomist Dentistry Dental Assistant Dental Hygienist Dental Laboratory Technician Dentist Endodontist Oral Surgeon Orthodontist Pediatric Dentist Periodontist Prosthodontist 108 / Health Careers Emergency Services Biophotographer Certified Coding Specialist Health Information Specialist Health Sciences Librarian Medical Illustrator Medical Record Administrator Medical Record Technician Medical Transcriptionist Medical Writer & Editor Telecommunications Manager Human Services Gerontologist Human Services Worker Medicine Physician (partial listing) Primary Care Specialties: Family Practice Internal Medicine Obstetrics/Gynecology Pediatrics Other Specialties/Subspecialties Allergy & Immunology Anesthesiology Cardiology Dermatology Emergency Medicine Geriatrics Neurology Ophthalmology Orthopedics Otolaryngology Pathology Physical Medicine & Rehabilitation Plastic Surgery Radiology Surgery Urology Clinical Instructor Clinical Nurse Specialist Director of Nursing Homemaker/Home Health Aide Home Health Nurse In-Service Director Licensed Practical Nurse Nurse Assistant Nurse Anesthetist Nurse Midwife Nurse Practitioner Public Health Nurse Operating Room Technician Orderly Patient Educator Psychiatric Aide Registered Nurse Ward Clerk/Unit Coordinator Ophthalmology Ophthalmic Assistant Ophthalmic Technician Ophthalmic Technologist Optician Optometric Technician Optometrist Orthoptis Pharmacy Pharmacy Clerk Pharmacy Technician Pharmacologist Biochemical Cardiovascular Clinical Endocrine Molecular Veterinary Registered Pharmacist Physician Support Personnel Rehabilitation Science & Engineering Genetic Counselor Medical Assistant Medical Secretary Physician Assistant Surgical Technologist Laser Optics Technician Art Therapist Athletic Trainer Audiologist Chiropractor Dance Therapist Horticultural Therapy Industrial Therapist Massage Therapist Occupational Therapist Occupational Therapy Assistant Orthotist & Prosthetist Physical Therapist Physical Therapy Assistant Recreational Therapist Rehabilitation Counselor Visually Disabled Specialist Speech-Language Pathologist Biochemist Biomedical Engineer Biomedical Equipment Technician Environmentalist Food Scientist Health Scientist Microbiologist Occupational Health & Safety Podiatry Podiatrist Podiatric Assistant Public Health Behavioral Scientist Biomedical & Lab Practitioner Biostatistician Disease Investigator Environmental Health Engineer Epidemiologist Health Educator International Public Health Specialist Public Health Program Specialist Safety Specialist Radiology Imaging Technologist Nuclear Medicine Technologist Perfusionist Radiation Therapy Technologist Radiologist Radiologic Technician Sonographer Veterinary Medicine Veterinarian Veterinarian Technician & Assistant Respiratory Respiratory Therapist Respiratory Therapy Assistant Social Work Services Child/Adult Protective Services Child Welfare & Family Services Criminal Justice Gerontology Licensed Social Worker Policy & Planning Social Work Assistant Health Careers / 109 Health Career Educational Requirements Investing in your education will lead to a fulfilling and challenging career with a strong outlook for the future. Below are guidelines for the education required for a sample of health professions. Remember, preparation varies for health careers. We strongly recommend that you contact a representative from a reputable institution or training program to obtain specific information on admission and certification requirements. Doctoral Degree More than 6 Years of Training Bachelor’s Degree or 4 Years of Training Clinical Psychologist Dentist Ophthalmologist Physician Psychiatrist Veterinarian Biostatistician Health Education Specialist Counselors Cytotechnologist Epidemiologist Registered Dietician Registered Nurse Medical Technologist Occupational Therapist Recreation Therapist Social Worker Wellness & Alternative Health Medicine Master’s Degree or 5+ Years of Training Audiologist Clinical Psychologist Nurse Practitioner Optometrist Pharmacist Physical Therapist Social Worker Speech-Language Pathologist 110 / Health Careers Associate’s Degree or 2 Years of Training Dental Hygienist Dietetic Technician Human Services Worker Massage Therapist Occupational Therapy Assistant Optician Physician Assistant (post bachelor) Physical Therapy Assistant Radiological Technologist Registered Nurse Rehabilitation Engineering Technologist Respiratory Therapist Vocational Training Emergency Medical Technician License Practical Nurse Medical Laboratory Technician Certified Coding Specialist Paramedic Pharmacy Technician Respiratory Therapy Technician Surgical Technologist 1-12 Months on the Job Training Dental Assistant Human Services Assistant Medical Assistant Occupational Therapy Assistant Physical Therapy Aide Social Services Assistant Up to a Month of on the Job Training Dietetic Assistant Health Advocate Personal/Home Health Aide Licensed Nurses Aide Personal Care Attendant Phlebotomist Acronym Glossary AAPN ATR Advanced Practice Nurse Art Therdapist Registered BSN BSW Biomedical Equipment Technician Bachelor of Science Degree in Nursing Bachelor Degree in Social Work B BMET CC-CATODSW Certified Clinical Alcohol,Tobacco, & CCC CCP CCS CCS-P CEO CMA CMD CMT CNM CNS CO CPO CPO CPR CP CRNA CRT CRTT C-SSWS CST C-SWCM CT other Drugs Social Worker Certificate of Clinical Competence Certified Clinical Perfusionist Certified Coding Specialist Certified Coding Specialist, Physician Chief Executive Officer Certified Medical Assistant Certified Medical Dosimetrist Certified Massage Therapist Certified Nurse Midwife Clinical Nurse Specialist Certified Orthotist Certified Prosthetist/Orthotist Certified Paraoptometric Cardiopulmonary Resuscitation Certified Prosthetist Certified Registered Nurse Anesthetist Certified Respiratory Therapist Certified Respiratory Therapy Technician Certified School Social Work Specialist Certified Surgical Technologist Certified Social Work Case Manager Cytotechnologist DDS DMD DO DPM DSN DSW DTR DVM Doctor of Chiropractic Doctor of Dental Surgery Doctor of Dental Medicine Doctor of Osteopathic Medicine Doctor of Podiatric Medicine Doctor of Science in Nursing Doctor of Social Work Dietetic Technician, Registered Doctors of Veterinary Medicine EKG EMT Electroneurodiagnostic Technologist Electrocardiogram Emergency Medical Technician HIT HT HTL HTR Health Information Administrator Health Information Technician Histologic Technician Histotechnologist Horticultural Therapist Registered DDC E EEG HHIA L LISW LNA LPN LSW LVN Licensed Licensed Licensed Licensed Licensed MD MHSE MLS MLT MNNP MRI MS MSN MSS MSW MT Medical Assistant Doctor of Medicine Master of Health Science Master’s of Library & Information Science Medical Laboratory Technician Master of Nursing, Nurse Practitioner Magnetic Resonance Imaging Master’s of Science Master’s of Science in Nursing Master of Social Services Master of Social Work Medical Technologist NMD NP Naturopathic Medicine Naturopathic Medical Doctor Nurse Practitioner OT OTA Doctors of Optometry Occupational Therapist Occupational Therapy Assistant PA-C PharmD PhD PsyD PT PTA Physician Assistant Physician Assistant, Certified Doctor of Pharmacy Doctor of Philosophy Doctor of Psychology Physical Therapist Physical Therapy Assistant RHD RN RNP RPT RRT RTT Registered Dietitian Registered Dental Hygienist Registered Nurse Registered Nurse Practitioner Registered Phlebotomy Technician Registered Respiratory Therapist Radiation Therapy Technologists SLPA Speech-Language Pathologist Speech-Language Pathology Assistant MMA NND OOD P PA R RD S SLP Independent Social Worker Nursing Assistant Practical Nurse Social Worker Vocational Nurse Health Careers / 111 Vermont Technical Centers and High Schools with Technical Education Programs Applied Technology Center at St. Johnsbury Academy 1000 Main Street St. Johnsbury, VT 05819 802-748-8171 www.stjohnsburyacademy.org Barre Technical Center 155 Ayers Street Barre, VT 05641 802-476-6237 www.barretechnicalcenter.org Lake Region Union High School River Valley Technical Center 317 Lake Region Road Orleans, VT 05860 802-754-6521 www.lruhs.org 307 South Street Springfield, VT 05156 802-885-8300 www.rvtc.org Lyndon Institute Technical Center Southwest Vermont Career Development Center 168 Institute Circle Lyndon Center, VT 05850 802-626-3357 www.lyndoninstitute.org 321 Park Street Bennington, VT 05201 802-447-0220 www.svcdc.org Burlington Technical Center Missisquoi Valley Union High School 52 Institute Road Burlington, VT 05401 802-864-8426 www.burlingtontech.org 100 Thunderbird Road Swanton, VT 05488 802-868-7311 www.missisquoi.k12.vt.us 8 Stratton Road Rutland, VT 05701 802-770-1033 www.rutlandcitypublicschools.org Canaan Memorial High School North Country Career Center Vergennes Union High School 99 School Street Canaan, VT 05903 802-266-8910 www.canaanschools.org 209 Veterans Avenue Newport, VT 05855 802-334-5469 www.northcountrycareercenter.org 50 Monkton Road Vergennes, VT 05491 802-877-2938 www.vuhs.org Center for Technology, Essex Northwest Technical Center Windham Regional Career Center 3 Educational Drive Essex Junction, VT 05452 802-879-5558 www.go-cte.org 71 South Main Street St. Albans, VT 05478 802-527-6453 www.nwtonline.org 45 Career Circle Brattleboro, VT 05301 802-451-3900 www.wrccvt.com Cold Hollow Career Center Patricia A. Hannaford Career Center P.O. Box 530 Enosburg Falls, VT 05450 802-933-4003 www.ed2go.com Green Mountain Technology & Career Center 51 Charles Avenue Middlebury, VT 05753 802-382-1012 www.hannafordcareercenter.org Randolph Technical Career Center 738 Route 15 West Hyde Park, VT 05655 802-888-4447 www.gmtcc.info 17 Forest Street Randolph, VT 05060 802-728-9595 www.randolphtech.org Hartford Area Career & Technical Center River Bend Career & Technical Center 1 Gifford Road White River Junction, VT 05001 802-295-8630 www.hartfordschools.net 36 Oxbow Drive Bradford, VT 05033-0618 802-222-5212 www.rbctc.org 112 / Health Careers Stafford Technical Center Vermont Colleges & Universities Green Mountain College Southern Vermont College 261 Mountain View Drive Colchester, VT 05446 www.acphs.edu One Brennan Circle Poultney, VT 05764 800-776-6675 www.greenmtn.edu 982 Mansion Drive Bennington, VT 05201 802-442-5427 www.svc.edu Bennington College Johnson State College Saint Michael’s College One College Drive Office of Admissions Bennington, VT 05201 802-442-5401 www.bennington.edu Office of Admission 337 College Hill Johnson, VT 05656 800-635-2356 www.jsc.edu One Winooski Park Colchester, VT 05439 802-654-2000 or 800-762-8000 www.smcvt.edu Burlington College Landmark College Admissions Office 351 North Avenue Burlington, VT 05401 802-862-9616 or 800-862-9616 www.burlington.edu Office of Admissions 1 River Road South Putney, VT 05346 802-387-6718 www.landmark.edu School of Human Services 347 Emerson Falls Road St. Johnsbury, VT 05819 802-748-5402 800-441-1812 www.spfldcol.edu/shs Castleton State College Lyndon State College University of Vermont Admissions Office 86 Seminary Drive Castleton, VT 05735 800-468-1213 www.csc.vsc.edu PO Box 919 Lyndonville, VT 05851-0919 802-626-6413 www.lsc.vsc.edu Office of Undergraduate Admissions 194 South Prospect Street Burlington, VT 05401 802-656-3370 www.uvm.edu Champlain College 163 South Willard Street Burlington, VT 05401 802-860-2700 or 800-570-5858 www.champlain.edu Office of Admissions PO Box A, 2582 South Road Marlboro, VT 05344 800-343-0049 www.marlboro.edu College of Saint Joseph Middlebury College 71 Clement Road Rutland, VT 05701 802-773-5900 www.csj.edu The Admissions Office Middlebury College Middlebury, VT 05753-6002 802-443-3000 www.middlebury.edu Albany College of Pharmacy and Health Sciences Community College of Vermont PO Box 489 Montpelier, VT 05601 (11 other sites around VT) 802-241-3535 or 800-228-6686 (in VT) www.ccv.edu Goddard College 123 Pitkin Road Plainfield, VT 05667 802-454-8311 or 800-468-4888 www.goddard.edu Marlboro College Norwich University Admissions Office Norwich University 158 Harmon Drive Northfield, VT 05663 802-485-2000 or 800-468-6679 www.norwich.edu Springfield College University of Vermont College of Medicine Office of Admissions Courtyard at Given South 89 Beaumont Avenue Burlington, VT 05405 802-656-2154 www.uvm.edu/medicine Union Institute and University 62 Ridge Street, Suite 2 Montpelier, VT 05602 800-336-6794 www.myunion.edu Vermont Technical College Director of Admissions PO Box 500 Randolph Center, VT 05061-0500 800-442-8821 www.vtc.edu Health Careers / 113 Directory of Vermont Hospitals & Long Term Care Facilities Hospitals Brattleboro Memorial Hospital 17 Belmont Avenue Brattleboro, VT 05301 802-257-0341 www.bmhvt.org Central Vermont Medical Center PO Box 547 Berlin, VT 05641 802-371-4100 www.cvmc.org Copley Hospital 528 Washington Highway Morrisville, VT 05661 802-888-8888 www.copleyhealthsystems.org Northeastern Vermont Regional Hospital PO Box 905, 1315 Hospital Drive St. Johnsbury, VT 05819 802-748-8141 www.nvrh.org Northwestern Medical Center 133 Fairfield Street St. Albans, VT 05478 802-524-5911 or 800-696-0321 www.northwesternmedicalcenter.org Porter Medical Center 115 Porter Drive Middlebury, VT 05753 802-388-4701 www.portermedical.org Fletcher Allen Health Care 111 Colchester Avenue Burlington, VT 05401 802-847-0000 or 800-358-1144 www.fletcherallen.org Brattleboro Retreat PO Box 803, Anna Marsh Lane Brattleboro, VT 05302 802-257-7785 800-RETREAT (738-7328) www.brattlebororetreat.org Gifford Medical Center PO Box 2000, 44 South Main Street Randolph, VT 05060 802-728-7000 www.giffordmed.org Rutland Regional Medical Center 160 Allen Street Rutland, VT 05701 802-775-7111 www.rrmc.org Grace Cottage Hospital PO Box 216, Route 35 185 Grafton Road Townshend, VT 05353-0216 802-365-7357 www.gracecottage.org Springfield Hospital PO Box 2003, 25 Ridgewood Road Springfield, VT 05156 802-885-2151 www.springfieldhospital.org Mt. Ascutney Hospital & Health Center 289 County Road Windsor, VT 05089 802-674-6711 www.mtascutneyhospital.org North Country Hospital 189 Prouty Drive Newport, VT 05855 802-334-7331 www.nchsi.org 114 / Health Careers Southwestern Vermont Health Care 100 Hospital Drive East Bennington, VT 05201 802-442-6361 or 800-543-1624 www.svhealthcare.org VA Medical & Regional Office Center 215 North Main Street White River Junction, VT 05009 802-295-9363 or 866-687-8387 www.whiteriver.va.gov Vermont State Hospital 103 South Main Street Waterbury, VT 05671 802-241-1000 or 802-241-2601 www.mentalhealth.vermont.gov Vermont Association of Hospitals and Health Systems (VAHHS) 148 Main Street Montpelier, VT 05602 802-223-3461 www.vahhs.org Long Term Care Facilities The list of Nursing homes and long term care facilities is too long to include here, but it can be accessed online at: www.dlp.vermont.gov/nursing-list Health Career Web Sites American Medical Association www.ama-assn.org A list of links to professional health professions web sites under “Education and Careers.” HEALTH CARE CAREERS www.vthealthcareers.org A Vermont AHEC web site to help students and career changers learn about health careers. ASSOCIATION OF ACADEMIC HEALTH CENTERS www.explorehealthcareers.org A free online health careers resource for students and advisors. Books DISCOVER NURSING Health Care Careers Directory, by American Medical Association. Chicago, IL: AMA Press www.discovernursing.com Information about nursing careers, programs, scholarships and salaries, maintained by Johnson & Johnson Health Care Systems, Inc. Top 100 Health-Care Careers: Your Complete Guide to Training and Jobs, by Wischnitzer and Wischnitzer. St. Paul, MN: JIST Publishing HEALTH CAREER CONNECTION www.healthcareers.org Financial Aid Web Sites Information about paid internships, career resources and networking opportunities for college undergraduates interested in pursuing careers in health care. FREE APPLICATION FOR STUDENT FINANCIAL AID (FAFSA) HEALTH RESOURCES SERVICES ADMINISTRATION www.2ed.gov/collegecosts www.bhpr.hrsa.gov U.S. Department of Education handbook on paying for college. Information about HRSA-funded scholarshipps and loans. www.fafsa.ed.gov MANAGE THE PRICE OF COLLEGE NATIONAL ASSOCIATION OF ADVISORS FOR THE HEALTH PROFESSIONS, INC. UVM AHEC PROGRAM www.naahp.org Vermont educational loan repayment programs for health care professionals. Resources for advisors of students who are interested in health careers. www.vtahec.org VERMONT STUDENT ASSISTANCE CORPORATION NATIONAL INSTITUTES OF HEALTH www.vsac.org www.science.education.nih.gov Information about grants, loans, scholarships, career and education planning, and general information about how to get the education you want. Educational loan forgiveness programs for nursing, dental, and dental hygiene students. Explore health and medical science careers online. THE NEXT GENERATION www.NextGenMD.org An online respource fpr aspiring physicians. OCCUPATIONAL OUTLOOK HANDBOOK www.bls.gov/oco The Occupational Outlook Handbook is a nationally recognized source for career information, designed to provide valuable assistance to individuals making decisions about their future work lives. US DEPARTMENT OF VETERANS AFFAIRS www.va.gov/jobs/hiring-programs.asp Scholarship, educational debt reduction, and tuition reimbursement programs for health care professionals who work for the VA. Health Careers / 115 Index A Advanced Practice Nursing. . . . . . . . . . . . . . . . . . . . . . . . . 68 L Licensed Nursing Assistant. . . . . . . . . . . . . . . . . . . . . . . . . 62 Licensed Practical Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Audiologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 B Biostatistician. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 MMedical Assistant. . . . . . . . . . . . . . . . . . . . . . . . . . . 24 C Cardiovascular Technologist . . . . . . . . . . . . . . . . . . . . . . 40 Certified Nurse Midwife. . . . . . . . . . . . . . . . . . . . . . 68 Certified Registered Nurse Anesthetist . . . . . . . . . . . 68 Clinical Nurse Specialist . . . . . . . . . . . . . . . . . . . . . . 68 Clinical Laboratory Technologist. . . . . . . . . . . . . . . . . . . . 34 Clinical Laboratory Technician. . . . . . . . . . . . . . . . . . . . . . 36 Counselor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Cytotechnologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 D Dental Assistant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Dental Hygienist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Dental Lab Technician. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Dentist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Dietetic Technicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Dietitians/Nutritionists. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 E Emergency Medical Technician. . . . . . . . . . . . . . . . . . . . . 18 Epidemiologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 H Health Care Office Manager. . . . . . . . . . . . . . . . . . . . . . . 22 Health Educator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Information & Medical Records Technician. . . . . Health Sciences Librarian . . . . . . . . . . . . . . . . . . . . . . . . . . Home Health Aide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Human Services Worker. . . . . . . . . . . . . . . . . . . . . . . . . . . 82 28 29 60 52 P R S Health Careers Nuclear Medicine Technologist. . . . . . . . . . . . . . . . . . . . . 86 O Occupational Therapist. . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 116 / Medical Transcriptionist. . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 N Nurse Practitioner. . . . . . . . . . . . . . . . . . . . . . . . . . . 68 G Gerontologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Occupational Therapist Assistant. . . . . . . . . . . . . . . . . . . 95 Ophthalmologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Optician. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 Optometrist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Orthotist/Prosthetist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Personal/Home Health Aide. . . . . . . . . . . . . . . . . . . . . . . . Pharmacist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pharmacy Technician . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Physician. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Physician Assistant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Physical Therapist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Physical Therapist Assistant . . . . . . . . . . . . . . . . . . . . . . . . Psychiatrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Psychologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 76 78 44 46 96 98 53 54 Radiologic Technologist . . . . . . . . . . . . . . . . . . . . . . . . . . 88 Radiation Therapist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Registered Nurse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Respiratory Therapist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Social Worker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Speech-Language Pathologist. . . . . . . . . . . . . . . . . . . . . 101 Surgical Technologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Acknowledgements AHEC gratefully acknowledges the following organizations that have supported and contributed to the production of this Directory: Funding Support University of Vermont College of Medicine Office of Primary Care U.S. Health Resources and Services Administration (HRSA) State of Vermont, Department of Health Vermont’s 14 Hospitals For content review, interviews, photo subjects and other invaluable advice, we thank all who participated in this publication. Ongoing feedback about this directory may be emailed to ahec@uvm.edu. For planning and content contributions, we thank the Vermont Association of Hospitals and Health Systems (VAHHS), Vermont Student Assistance Corporation (VSAC), the Vermont Department of Labor (VDOL), the Vermont Area Health Education Centers (AHEC), and countless other advisors. Materials consulted include: U.S. Bureau of Labor and Statistics Occupational Outlook Handbook 2010-11 Northeast Regional Student Program—The Apple Book New Hampshire and Texas Health Career Directories Design and production by Liquid Studio / Lisa Cadieux Photos by UVM Medical Photography; additional photos courtesy of Brattleboro Memorial Hospital, Central Vermont Medical Center, Essex (Vermont) Rescue, Fletcher Allen Health Care, Grace Cottage Hospital, Mt. Ascutney Hospital and Health Care, Northeastern Vermont Regional Hospital, Northern Counties Dental Center, Northwestern Medical Center, Porter Medical Center, Rutland Regional Medical Center, Springfield Hospital, Visiting Nurse Association of Chittenden and Grand Isle Counties, and VSAC. This is a publication of the University of Vermont College of Medicine Area Health Education Centers (AHEC) Program: www.vtahec.org For additional information about health careers, visit vthealthcareers.org Printed in the USA on Forest Stewardship Council certified paper containing 50% recycled fiber with 15% post-consumer fiber. Connecting students to careers, professionals to communities, and communities to better health. UHC Campus, Arnold 5 1 South Prospect Street Burlington, Vermont 05401 802-656-2179 www.vtahec.org www.vthealthcareers.org