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CAREERS IN HEALTHCARE
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MODERN DAY HEROESIn the wake of a devastating storm that
shook many areas of the East Coast, New York’s healthcare providers rose to the occasion, putting their
patients before themselvespatients before themselvespatients before themselves
An independent supplement by mediAplAnet to usA todAy
simulation technologyAllowing students tosafely perfect their craft
offshore educationA world of opportunity outside of the states
careers in nursingsaving lives by following dreams
December 2012
TO A SUCCESSFUL HEALTH CAREER
TO A SUCCESSFUL
6STEPS
VISIT www.GuideToHealthcareSchools.com
TO DISCOVER A REWARDING CAREER IN HEALTHCARE!
2 · december 2012 An independent supplement by mediAplAnet to usA todAy
CHALLENGESThe opportunity to provide care and comfort to people in need is one of the great joys of pursuing a career in healthcare.
Improving people’s health and lives
The job satisfac-tion that comes from making a difference in someone’s life is hard to beat. Millions of dedi-
cated health care professionals — from nurses to pharmacists to lab technicians — help people every day and make a positive diff erence in the world.
A booming industryAs millions of baby boomers turn 65, more health care profession-als will be needed to care for the aging population. Administrative jobs in health care are also on the rise, mainly due to the growth of electronic health records (EHRs) and the need for an improved elec-tronic and data infrastructure.
A 2011 study conducted by the American Medical Association (AMA) showed that offi ce-based physicians and their practices generated more than $1.4 trillion in 2009 for the nation’s economy. That economic contribution
will continue as the health care workforce expands through 2020, according to the U.S. Bureau of Labor Statistics (BLS). In fact, one medical economist calls the health care fi eld “recession proof.” The BLS describes the health care and social assistance industry as “the most rapidly growing sec-tor in terms of employment,” and eight of the top 20 fastest growing professions fall within the health care industry. To keep pace with job growth in this fi eld, our coun-try must have a qualifi ed work-force ready to fi ll these important jobs.
Changing needsThe AMA has advocated for higher training standards in medical education for nearly 165 years, and that commitment continues today as we promote change that better aligns medical education outcomes with the changing needs of our health care system. We work every day to create a health care environment where physicians and other health care
professionals can thrive in sus-tainable practice roles that are attractive to future generations. In fact, through the AMA’s Doc-tors Back to School program, AMA physicians, residents and medical students take time to speak with students who are interested in pursuing health care careers. At these events, we share our per-sonal stories of how fortunate we are to be part of such a noble profession and encourage them to pursue this worthy and reward-ing career.
No better feelingI’ve been practicing medicine for more than four decades, and I can tell you without a doubt that there is no better feeling than improv-ing people’s health and lives. We hope the information within this section serves as an inspiration to enter this highly rewarding fi eld.
Peter W. Carmel, M.D.immediate past president, American medical Association
Suzanne Discenza, Ph.D.director and Associate professormaster of Healthcare leadership program, park university
We reCOmmend
pAGe 14
Careers in HealTHCare, 2nd ediTiOn, deCemBer 2012
Publisher: Jordana [email protected], laura davis [email protected] Developer: Janel [email protected] Managing Director: luciana [email protected] Manager: sara [email protected]: linh le
Contributors: Faye Brookman, Bureau of labor statistics, mike Campea, Peter W. Carmel m.d., suzanne discenza, susan driscoll, samir Fatteh, avery Hurt, national institutes of Health, rose Paulose, society of simulation in Healthcare, Cindy riley, Jill smits, dick Woodward
Distributed within: Usa Today, december 2012This section was created by mediaplanet and did not involve Usa Today or its editorial departments.
mediaplanet’s business is to create new customers for our advertisers by providing readers with high-quality editorial content that motivates them to act.
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PEtER W. CaRMEl, M.d.
“to keep pace with job growth in this fi eld, our country must have a qualifi ed workforce ready to fi ll these important jobs.”
FIND OUT IF A HEALTH CAREER IS
RIGHT FOR YOU
FIND OUT IF A HEALTH
1STEP
4 · december 2012 An independent supplement by mediAplAnet to usA todAy
Building confi dence in patients and students through simulation technology
Would you want your child’s birth to be your doctor’s fi rst cesarean delivery, or her fortieth? Would you prefer your dentist go with his gut or respond from experience if you have an airway management crisis while sedated for a root canal?
Naturally, we all want experienced health care providers because they are more skillful and capable at what they do.
The problem is, hospitals are lim-iting clinical training hours, and no training program can ethically ensure all health care providers have the opportunity to experi-ence many of the common medi-cal crises that might occur with real patients. That’s where simu-lation technology comes in.
Benefits for education“Through simulation, our nursing students get to make many deci-sions in a safe environment,” says Beth Mancini, RN, PhD, associate
dean at the University of Texas at Arlington College of Nursing and president of the Society of Simula-tion in Healthcare. For example, “In the past, we couldn’t ensure that every nursing student would see a woman in fetal distress, but deep learning occurs in simula-tion because we can let a situation evolve, then discuss what hap-pened in a non-punitive way.”
Mannequins have been used to train medical professionals for more than one hundred years, but the technology has evolved so far that they can be programmed to bleed, deliver babies, and even have mental health disorders. Research shows that health care providers trained through simu-lation, rather than solely from tra-ditional teaching methods, have better patient outcomes than those without that training.
“Nothing is simple and there’s a lot of complexity,” says Mary Anne Rizzolo, EdD, RN, a consul-tant with the National League for Nursing. “With students, simula-tion is associated with developing confi dence in their own ability
before they go in with patients.”
Large and small benefitsSimulation training is useful for both the dramatic and more mun-dane aspects of health care. On the extreme side are extremely high tech facilities where an entire emergency room team can experi-ence a large-scale disaster unfold-ing. On the more mundane but critical side of things is simulated patient records.
“Students can now begin their day by opening a record rather than opening a textbook, so by
the time they graduate, a hospital system will be second nature,” says Daniel Behan, HIA, director of simulation at Wolters Kluwer Health.
Whether it’s managing records or managing a crisis, the more comfortable a health care pro-vider is, the better off patients are. “The more confi dent and compe-tent a provider is, the safer they’ll be,” says Mancini.
Jill SMitS
INSIGHT
Advantages of simulation learning
■■ simulation offers sched-uled, valuable learning experiences that are diffi cult to obtain in real life. learn-ers address hands-on and thinking skills, including knowledge-in-action, proce-dures, decision-making, and effective communication.
■■ The freedom to make mistakes and to learn from them: Working in a simulated environment allows learners to make mistakes without the need for intervention by experts to stop patient harm. by see-ing the outcome of their mis-takes, learners gain power-ful insight into the conse-quences of their actions and the need to “get it right”.
■■ The learning experi-ence can be customized: simulation can accommo-date a range of learners from novices to experts. begin-ners can gain confi dence and “muscle memory” for tasks that then allow them to focus on the more demand-ing parts of care.
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LEARN MORE ABOUT HEALTH
CAREER OPPORTUNITIES
LEARN MORE
2STEP
Nursing students at the University of Tennessee work through a case using Lippincott’s DocuCare EHR simulator.PHOTO: CHAD GREENE, CHADCRG IMAGES
6 · december 2012 An independent supplement by mediAplAnet to usA todAy
ACTS OF HEROISM LEAVE LASTING IMPRESSION FOLLOWING SANDY’S WRATH
INSPIRATION
Hospital workers evacuate patient Deborah Dadlani from NYU Langone Medical Center during Hurricane Sandy the evening of October 29, 2012 in New York City. More than 200 patients were evacuated from the hospital after backup generators failed due to flooding following a power outage.PHOTO: MICHAEL HEIMAN/STAFF
december 2012 · 7An independent supplement by mediAplAnet to usA todAy
When Hurricane Sandy ripped through parts of New York Octo-ber 29, the storm left behind more than flooded
homes and piles of debris. Emerging from the path of rubble are tales of amazing strength and compassion, demonstrated by health care and rescue workers going above and beyond the call of duty during critical evacuations.
Margot Condon, a Neonatal Intensive Care Unit nurse at NYU Langone Medical Center, is among the heroes spotlighted in the media; in fact, video of Condon’s dramatic eff orts has gone viral. Respon-sible for carrying an eight-hour old pre-mature infant down multiple fl ights of stairs with little more than a fl ashlight to guide her, she cradled the newborn while keeping its breathing tube in place, as a doctor operated the ventilator. Half-a-dozen people moved in sync, carrying crucial monitors, ventilators, IV lines and catheters one step at a time.
Despite a water-fi lled basement and failing power sources, hospital staff ers managed to safely transfer 300 patients
that chaotic night, many braving howl-ing winds and chilly rain as they loaded nearby ambulances .
Catherine Manno, M.D., Chairman of the Department of Pediatrics at the hos-pital, says moving intensive care patients from the ninth and fifteenth floors wasn’t easy.
“It was so dark. Everyone became attached to their fl ashlights. We had no elevators to use, so we were climbing up and down the stairs many times. There was remarkable teamwork from our staff , along with the police and fi re depart-ments.”
Nurses and paramedics methodically carried 20 babies from the neonatal
intensive care unit. Reportedly, sev-eral newborns were on respirators, and when backup generators failed, each was moved with extreme caution, as workers manually squeezed air into the babies’ lungs, essentially breathing for them.
Pediatrics Vice-Chairman Bret Rudy, M.D. admits the unprecedented evacua-
tion process was intense.“It was a diffi cult situation, but I was
struck by the calm and trust of the par-ents. Our nurses, physicians and resi-dents have built strong relationships with these patients, which made a big diff erence in moving everyone success-fully.”
Mary Walsh, RN, Chief Nursing Offi cer
at New York’s Beth Israel Hospital, recalls eff orts to receive sick patients under such extraordinary circumstances.
“It was eery and quiet and dark. It was scary on the black streets, much like the fi rst few nights after 9/11.”
According to Walsh, “Our usual cen-sus of about 650-680 patients surged to
over 750. That’s when we started moving patients to increase beds. Most rewarding was the teamwork of our staff , nurses and physicians.”
Says Dr. Manno, “I’ve never seen any-thing quite like it. This was a once in a lifetime event for us.”
CiNdY RilEY
INSPIRATION
our nurses, physicians, and residents have built strong relationships with these patients, which made a big difference in moving everyone successfully.
FIND A CAREER THAT FITS YOUR EDUCATIONAL PLANS
intensive care unit. Reportedly, sev- at New York’s Beth Israel Hospital, recalls
FIND A CAREER THAT FITS YOUR EDUCATIONAL PLANS 3
STEP
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Affordable and attainableOffshore education provides a world of opportunity for those struggling to fi nd their place in the health care realmAccording to government projec-tions, in the next 10 years there will be a shortage of 100,000 doc-tors in the United States. With approximately 40,000 applicants vying for roughly 16,000 seats, U.S. medical schools are at capacity levels. For many aspiring physi-cians, studying o� shore may be the answer.
“Caribbean medical schools are extremely important to satisfy the demand for additional doc-tors,” says Warren Ross , President and Owner of University of Medi-cine and Health Sciences, St. Kitts. “Having over 30 years experience running a Caribbean medical
school, I’m confident students that have pre-med requirements with a cumulative GPA of 3.0 or higher and MCAT scores of 20+ will ultimately be successful in achieving their dream of becom-ing a physician.”
Offshore medical education, specifi cally in the Caribbean, pro-vides several benefi ts as an alter-native, according to Sean Powers, UMHS Director of Admissions, who points out “Students need to do their research, as the quality of education and life on the di� erent islands varies tremendously from school to school.”
Typically, an o� shore education
is much less expensive than U.S. medical schools. The cost gener-ally ranges between $36,000 and $85,000 per calendar year.
“O� shore schools usually have more relaxed admissions stan-dards,” adds Ryan Rosszzz, UMHS Assistant Director of Admissions. “Also, many operate on a trimester schedule. This allows students to earn their degrees in three years and four months, as opposed to four years in a traditional U.S. pro-gram.”
Important criteria to consider include the quality of the cam-pus, student morale, attrition rates, clinical delays, residency
placement rates and levels of accreditation. Caribbean medi-cal schools aren’t eligible for U.S. accreditation by the Liaison Committee of Medical Education; however, graduates of foreign medical schools are eligible for licensure and practice in the U.S., if the school is accredited and has ECFMG recognition.
“For approximately 35 years, medical schools in the Caribbean have built a legacy of success,” says Powers. “With each graduat-ing class and new group of physi-cians entering and strengthening the workforce, more and more prospective students are inspired to research offshore programs and include them as they consider their options for medical school.”
CINDY RILEY
SOURCE: NATIONAL INSTITUTES OF HEALTH, OFFICE
OF SCIENCE EDUCATION [email protected]
Students at the UMHS, St. Kitts White Coat Ceremony celebrate the start of their path towards a practice in medicine with UMHS, St. Kitts President Warren Ross.PHOTO: UNIVERSITY OF MEDICINE & HEALTH SCIENCES, ST. KITTS
NEWS
■ What led you to pursue your education at an off-shore school?
■ The o� shore school I attend is very a� ordable. I couldn’t a� ord the tuition of U.S. medical schools. It’s given me the opportunity to pursue my dream of becoming a physician.
■ In what ways did your ex-perience differ from your peers onshore?
■ Class assignments, laboratory work and research papers are as rigorous as U.S. medical schools. But I feel that my involvement in community health fairs as a Basic Sciences student gave me
an edge in interacting and help-ing patients and better prepared me for my clinical experience.
■ Where did your collegiate experience lead you profes-sionally?
■ From the experiences that I have encountered throughout my medical education, I have gained more interest in primary health care and community health.
QUESTION & ANSWER
ROSE PAULOSE
4TH YEAR MEDICAL STUDENT,
XAVIER UNIVERSITY SCHOOL
OF MEDICINE
MEDIAN SALARYMedical science careers by median annual salary nationwide
■ $20,000 - $40,000 per yearHome Health Aide, Pharmacy Tech-nician, Occupational Therapist Aide, Medical Assistant, Mental Health Counselor.
■ $41,000 - $60,000 per yearDietitian and Nutritionist, Regis-tered Nurse, Athletic Trainer, Physi-cal Therapist Assistant, Medical Illustrator.
■ $61,000 - $80,000 per yearDental Hygienist, Orthodontist, Chiropractor, Physical Therapist, Speech Language Pathologist.
■ Over $80,000 per yearDentist, Pharmacist, Physicians Assistant, Podiatrist, Veterinarian, Anesthesiologist.
FIND OUT WHAT HEALTH CARE WORKERS DO
DECEMBER 2012 · 9
FIND OUT WHAT
4STEP
10 · december 2012 An independent supplement by mediAplAnet to usA todAy
On a cold day in January when she was 12 years old, Shelby Robin was told that she had Ewing’s Sarcoma, a rare type of bone cancer. Her left leg was amputated below the knee and she underwent treatment with what was then an experimental chemotherapy protocol.
Today, Shelby Robin is a healthy young woman with a career as a pediatric oncology nurse at the University of Texas MD Anderson Children’s Cancer Hospital in Houston, the same place she received her treatment.
The transition from childhood cancer patient to nurse was an obvious one for Robin. A true understanding of what her patients are
going through is only one of the things that make this remarkable woman a great nurse. Robin took some time away from her young patients to speak with us about her experi-ences.
■ Question: oncology is not an easy fi eld—especially pediatric oncology. What motivated you to become an oncology nurse?■ Answer: When I was sick, I lived about an hour from MD Anderson where I got my treat-ment, so I didn’t see my friends very often. The nurses were the ones who were always there
for me. I was 12 years old, bald, and missing a leg. I really stood out. But the nurses would come into my room and not even look at my bald head. They talked to me about things that had nothing to do with my cancer treatment. They were really like friends to me. Then I thought that maybe nursing would be a good thing for me to do. Maybe it was what I was meant to do.■ Question: now that you are a practic-ing oncology nurse do you still feel that way?■ Answer: Yes. I started working on Valen-tine’s Day in 2011 and so far I love it. I am doing what I’m meant to do.
A journey from patient to nurse
aVERY HURt
INSPIRATION
Makes the connection with online education
■■ Some three-quarters of a mil-lion people click onto online universities. Health care, in particular, is a good fi t for an online curriculum because students can continue to work in their fi eld while completing a degree.
■■ State of the art technol-ogy employed by universities provides simulators that can even exceed the experience of working with a mannequin. And there’s validation students really learn the material. “They can’t hide in a classroom. I like to say they are in a class of one,” says Darren Adamson, Ph.D. Associate Professor, Marriage and Family Therapy for North-central University which sup-plements the online experience with practical experience and internships in local markets.
■■ According to the University of Phoenix, there’s a wide range of degrees so almost any stu-dent can fi nd what they want to study online.
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START BUILDING YOUR RESUME NOW
START
5STEP
AN UPLIFTING SPIRITRobin’s patient brings a smile to her face.PHOTO: JOHN EVERETT
2,618,700
3, 200, 200
22% 22% more nursing more nursing jobs expectedjobs expected
20082008
20182018source: bureAu oF lAbor stAtisticssource: bureAu oF lAbor stAtistics
12 · DECEMBER 2012 AN INDEPENDENT SUPPLEMENT BY MEDIAPLANET TO USA TODAY DECEMBER 2012 · 13AN INDEPENDENT SUPPLEMENT BY MEDIAPLANET TO USA TODAY
NEWS
There is so much quality information on the Internet and in smart databases that many people believe the role of doctor and nurse might one day be replaced by machine. This is highly unlikely in that so much of being an e� ective health care worker falls on the human side. Many underestimate its impact on health.
Question 1:What is the most common misconception about a career in healthcare?
Question 2:How do you envision healthcare education in the coming years?
Question 3:What advice would you give to someone considering pursuing a career in this fi eld?
Susan DriscollPresident and CEO, Wolters Kluwer Health, Professional & Education
Samir Fatteh, M.D.President of Avalon University, School of Medicine
Dick WoodwardSenior Vice President for Enrollment Management & Chief Operating Offi cer
Medicine has always been regarded as a noble profession. The most common misconception is that most people believe it’s unattainable. The physician shortage in the U.S. allows for more medical graduates to enter and practice in medi-cine. The current trend in the U.S. is to develop and open new medical schools and increase enrollment in the existing medical schools.
That there are enough seats in U.S. medi-cal schools to accommodate every qualifi ed prospective physician. There are only a lim-ited amount of seats available and, ultimately, almost all of them are fi lled by students with high MCAT scores.
A career in medicine is very demanding and requires complete devotion, dedication and hard work. The rewards associated with the selfl ess dedication of helping someone is truly gratifying and will last a lifetime.
As the world becomes more connected, medical schools and health care institutions will adapt to this changing landscape by taking advantage of technological innovations and a diverse community of motivated students.
We will never get away from traditional tech-niques of medicine, but with the advancements in technology we have the opportunity to incor-porate these resources and learning methodol-ogy to improve the level of education at a much quicker rate. For healthcare education to be rel-evant, it must continually change and adapt to the modern methods of learning.
If you are dedicated to becoming a physi-cian, do not let rejection letters from U.S. medi-cal schools derail your dream. There are more opportunities than ever to pursue a career in health care abroad. There will always be a place for students who have the passion to improve the lives of those around them.
There’s going to be more emphasis on building clinical competency. We’re moving toward becoming more clinically confi dent and that’s where simula-tion comes in. It’s giving students more experience in clinical situations where they have to interact with real patient symptoms and complications, which helps make them more competent to practice after they graduate.
First, absolutely do it. Not only is there a very attractive job market, it’s one of the few careers where you can save lives or make a dif-ference in someone’s life in a very profound way—and get paid to do it.
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The affordable care act’s impact on the physician workforceTen thousand Americans will turn 65 every day for the next 19 years — doubling the number of individuals who depend on the Medicare program for their healthcare. Plus, the expanded access to healthcare from the implementation of health reform, the A� ordable Care Act (ACA), makes it the perfect time to choose a career as a physi-cian.
The nation is facing a physician short-age, and the growing number of Medicare beneficiaries,plus the newly insured, means that we need more young people to choose careers in medicine. The U.S. has a growing shortage of more than 45,000 pri-mary care physicians, and 85,000 to 200,000
physicians across all specialties over the next 20 years.
This shortage comes at a time when the number of Medicare benefi ciaries will dou-ble and the U.S. population will grow by 25 million people. It is more imperative now than ever that individuals choose a career in medicine. There are two types of physi-cians in the U.S. – MDs and osteopathic physicians (DOs). Each are trained and fully licensed to prescribe medication and practice in all specialties, including sur-gery, but work under di� erent philosophies of care.The ACA has several initiatives to encourage growth in the number of physi-cians.The ACA:
■ Provides grants for hospitals, medical schools and other facilities to expand medi-cal resident training programs, specifi cally in primary care (family medicine, internal medicine and pediatrics).■ Fosters innovation in healthcare deliv-ery, emphasizing improvements leading to high-quality, a� ordable healthcare; such as the Patient-Centered Medical Home.■ Focuses on training the future workforc e to meet the demand of new populations and new delivery systems.
The nation is facing a physician short-age, and the growing number of Medicare benefi ciaries,plus the newly insured, means that we need more young people to choose careers in medicine.
Mike CampeaDirector, Division of Media RelationsAmerican Osteopathic Association MIKE CAMPEA
14 · december 2012 An independent supplement by mediAplAnet to usA todAy
NEWS
Healthcare administration: A demand for talentWith the convergence of the aging of the population, the implementation of the Patient Protection and Affordable Care Act, and the looming retirements of record numbers of industry leaders, the demand for extraordinary talent in health care management is expected to be phenom-enal. Not only do health care administra-tors lead and manage clinical and fi nancial operations in hospitals, long-term care facilities, home health care, physician prac-tices, public health, and outpatient clinics,
but many more embrace careers in health insurance, pharmaceuticals, medical equipment, health information technology, and health policy “think tanks” and foun-dations.
Individuals completing a bachelor’s degree in health care management serve in entry-level or middle management posi-tions in all sectors within the fi eld. Those aspiring to senior management positions typically seek a master’s degree in health care administration, health policy, or
related fi elds. According to a recent survey by the U.S. Government Bureau of Labor Sta-tistics, the lowest-paid (entry-level) health care managers earn approximately $50,000 annually, while the upper 10 percent earn $140,300 to more than $200,000 per year.
And did you know that health care administrators may become Board Certi-fi ed? Those demonstrating outstanding leadership skills, completing intensive post-graduate continuing education, and passing the Board of Governors Exami-nation through the American College of Health care Executives (ACHE) may become Board Certifi ed as an ACHE Fellow (FACHE).
“individuals completing a bachelor’s degree in healthcare management serve in entry-level or middle management positions in all sectors within the fi eld.”
SUZaNNE diSCENZa, PH.d.
With the growth of healthcare practitioners comes the need for those who lead. For those interested in the business side of healthcare, consider a dynamic career in healthcare administration, one of the fastest growing fi elds in the industry.
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