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Degree “Creep” ~ What is the Impact?. Barbara R. Jones, Ph.D. Dean of Instruction Louisiana Delta Community College. Health Professionals ~Bureau of Labor Statistics.
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Degree “Creep” ~What is the Impact? Barbara R. Jones, Ph.D. Dean of Instruction Louisiana Delta Community College
Health Professionals~Bureau of Labor Statistics • As the largest industry in 2004, health care provided 13.5 million jobs—13.1 million jobs for wage and salary workers and about 411,000 jobs for the self-employed. • 8 out of 20 occupations projected to grow the fastest are in health care. • More new wage and salary jobs—about 19 percent, or 3.6 million—created between 2004 and 2014 will be in health care than in any other industry. • Most workers have jobs that require less than 4 years of college education, but health diagnosing and treating practitioners are among the most educated workers. • ~http://www.bls.gov/oco/cg/cgs035.htm
Allied Health Education • Taught in 2-year and 4-year higher educational programs in private, public, proprietary and hospital-based programs • 43.7 % of all accredited allied health educational program are located in two-year community colleges and schools.
Allied Health Education • 97,206 students in various allied health professions and fields graduated from colleges, universities, medical schools, proprietary schools and hospital based programs in 2002 • 58,068 of these students (63%) graduated from two-year colleges and schools
Allied Health Education in Two-Year Colleges • Some of the fastest growing occupations in health care include • health information technicians, • dental hygienists, • respiratory therapists, • radiologic technologists, • cardiovascular technicians, and many other occupations that require a two year associate degree or certificate
Allied Health Education in Two-Year Colleges • Radiographer/Radiologic Technologists • 48.5% graduated from community colleges • Registered Respiratory Therapist and Certified Respiratory Therapists • 85% of Respiratory Therapists graduate from accredited programs in two-year colleges • Paramedic, Emergency Medical Technicians • 96% receive training and education in two-year colleges • 62.4% of accredited EMS programs are in two-year colleges • Medical Assistants • 88% of accredited Medical Assistants programs found in two-year colleges • Nursing • 60% of all new RNs are Associate Degree prepared
Health Care Workforce Shortage Areas • Respiratory Therapy (14.2% vacancy rate) • Occupational Therapy (15.7% vacancy rate) • Physical Therapy (14.6% vacancy rate) • Bernard Hodes Group Report, 2003 • Clinical Laboratory Sciences (9.5% vacancy rate) • Imaging Sciences (Radiographers, Sonographers, Nuclear Medicine Technologists, Radiation Therapists) (<7.0 % vacancy rate) • ASRT survey, 2006
Health Care Workforce Shortage Areas • RN turnover rate in acute care hospitals-21.3%. • RN vacancy rate - 10.2% • critical care units (14.6%) • medical-surgical care (14.1%) ~Acute Care Hospital Survey of RN Vacancies and Turnover Rates in 2000 (January 2002), American Organization of Nurse Executives www.aone.org • Buerhaus and colleagues reported in JAMA (June 14, 2000) that the US will experience a 20% shortage of nurses needed by the years 2020, translating to a shortage of more than 400,000 RNs. U.S. Bureau of Labor Statistics
Health Care Educator Shortage • U.S. nursing schools turned away qualified applicants in 2003 due to insufficient faculty, clinical sites, classroom space, clinical preceptors, and budget constraints. ~ Southern Regional Board of Education (SREB), February, 2002
What is Degree “Creep” • Degree expansion • Degree migration • Upward degree progression ~ Increased degree or credential requirements for entry into a field or profession.
Professional Degrees • Dentistry • Medicine • Osteopathy • Podiatry • Veterinary • Chiropractic • Optometry • Law • Theology
Health Professions that have increased degree requirements • Audiology (Doctorate) • Occupational Therapy (Masters) • Pharmacy (Doctorate) • Physical Therapy (Masters/Doctorate) • Physician Assistant (Baccalaureate) • Pharmacy Technician (associate) • Respiratory Therapy (associate) • Surgical Technology (associate)
Health Professions considering increased degree requirements • Dental Hygiene • Dietetics • Nursing (NY, NJ, MI, NM) • Respiratory Therapy • Others
Health Professions with advanced practitioner clinical degrees • Clinical Laboratory Sciences • Nursing • Diagnostic Medial Sonography • Advanced certifications in Radiography (CTR, MRI, Mammography) • Advanced certifications in Dental Hygiene (Expanded Functions)
Impetus for Degree Creep • Increased educational and skill requirements of the profession • Increased access for patients • Increased recognition of profession • Increased salary • Profession? • Accreditation?
Adverse Effects of Advanced Degrees • Threaten research • Cause faculty to “scramble” for degrees, as many faculty members do not have doctoral degrees • Cause a reduction in the number of new graduates during time of workforce shortage • cause only more wealthy to seek degrees because of time and cost • Create a need for more assistants and technicians • Create a decline in job satisfaction and morale if advanced skills and knowledge underutilized. ~ Siler, W. & Randolph, D. (2006). A clinical look at clinical doctorates. The Chronicle Review
Realities of American Healthcare • Insurance companies pay for service provided, not educational level of the provider
Impact of Degree Creep • Workforce shortages exacerbated • Lack of capacity in colleges in universities (faculty, facilities, funds, clinical sites) • Lack of credentialed faculty to deliver instruction • Decrease in workforce diversity as inaccessible to minorities and economically disadvantaged • Increase in tuition • Increase in time in college • Access to health care limited in rural areas
Considerations to Degree “Creep” • Review data and evidence to support increased educational levels • Assess educational preparation and performance abilities an requirements • Assess job demands and requirements as prescribed by healthcare facilities • Determine demographic characteristics of health professionals at various degree levels • Consider career pathways and expanded functions gained through educational and practical experience ~ transitional degrees
Degree “Creep” ~What is the Impact? Barbara R. Jones, Ph.D. Dean of Instruction Louisiana Delta Community College bjones@ladelta.cc.la.us