June 2012

What Do Anesthesia Technologists and Technicians Do?

Anesthesia technologists and technicians are trained members of the anesthesia patient care team, with extensive knowledge of all anesthesia equipment and supplies. Under direct supervision, they assist anesthesiologists and certified nurse anesthetists in anesthetizing patients during routine and complex surgical cases in the operating room and outpatient surgical settings. Anesthesia technologists and technicians provide support by preparing and maintaining equipment and supplies used to deliver anesthesia and by monitoring devices and anesthesia delivery systems before, during, and after procedures.

Depending on individual expertise and training, the tasks of anesthesia technologists and technicians may include equipment maintenance and services such as cleaning, sterilizing, assembling, calibrating and testing, troubleshooting, requisitioning, and recording of inspections and maintenance. They may also operate a variety of equipment used to monitor, evaluate, and manage the patient undergoing anesthesia.

The anesthesia technologist may perform inspection, maintenance of inventories, and service records. They may also provide support in areas of pressure monitoring, autotransfusion, and laboratory functions. They maintain and organize the anesthesia environment, equipment, supplies, and personnel to facilitate department functions. The anesthesia technologist also provides peri-operative technical support to the anesthesia professional medical staff for delivery of patient care.

The anesthesia technician may perform first level maintenance on anesthesia equipment and clean, sterilize, disinfect, and stock orders, and maintain the routine anesthesia equipment and supplies.

For further information about the roles and duties of anesthesia technologists and technicians, please visit the American Society of Anesthesia Technologists and Technicians (ASATT) website.

Where Do Anesthesia Technologists and Technicians Work?

Anesthesia technologists and technicians work mostly in hospitals and outpatient surgical settings. They may work in the operating room, anesthesia work room, post anesthesia recovery room, intensive care units, and in outpatient surgery rooms.

How Much Do Anesthesia Technologists and Technicians Earn?

The Bureau of Labor Statistics does not publish employment and earnings data for anesthesia technologists and technicians. According to salary.com, the median salary for anesthesia technicians in the United States is approximately $45,729, slightly lower than the median salary of $48,798 in New York State. In NYS, anesthesia technologists in the 25th percentile make approximately $43,298 while those in the 75th percentile make approximately $55,901.

New York Educational Requirements

A high school diploma is required to train to work as an anesthesia technologist and technician. In some cases, a two-year degree in a health care occupation may be required or an equivalent of two to four years of experience in a health care field. It may also be required to complete an anesthesia technician trainee program to become knowledgeable with standard concepts, practices, and procedures within the field.

New York Licensure Requirements

Although New York does not require anesthesia technologists and technicians to be licensed, it’s recommended that anesthesia technologists and technicians acquire voluntary professional certification. ASATT has the only nationally recognized certification for the anesthesia technicians (Cer AT). In order to maintain certification, technicians must earn 20 continuing education contact hours. Certification is granted for a two-year period. Certification for the technologist level has recently been developed. Technologists must obtain a minimum of 30 continuing education hours to maintain certification. Please visit the ASATT certification website page for more details.

Education Programs in the New York region (subject to change)

Additional Web Links

For more information, go to American Society of Anesthesia Technologists and Technicians: http://www.asatt.org/.

HC-RSI

What Do Athletic Trainers and Exercise Physiologists Do?

Athletic trainers specialize in preventing, diagnosing, and treating muscle and bone injuries and illnesses. Exercise physiologists develop fitness and exercise programs that help patients recover from chronic diseases and improve cardiovascular function, body composition, and flexibility.

Athletic trainers work with people of all ages and all skill levels, from children to professional athletes and soldiers to industrial workers. They are usually one of the first health care providers on the scene when injuries occur during sports games. They work under the direction of a licensed physician and with other health care providers, and often discuss specific injuries and treatment options or evaluate and treat patients as directed by a physician. Athletic trainers will assess, recognize, and evaluate injuries; provide first aid or emergency care; develop and carry out rehabilitation programs for injured sports enthusiasts and athletes; plan and implement comprehensive programs to prevent injury and illness; and perform administrative tasks, such as keeping records and writing reports on injuries and treatment programs.

Exercise physiologists work to improve overall patient health, and many of their patients suffer from health problems such as cardiovascular disease or obesity. Exercise physiologists provide health education and exercise plans to improve key health indicators. Some exercise physiologists work closely with primary physicians. Exercise physiologists will analyze a patient’s medical history to determine the best possible exercise and fitness regimen; perform fitness tests with medical equipment and analyze the subsequent patient data; measure body fat, blood pressure, oxygen usage, and other key patient health indicators; develop exercise programs to improve patient health; and supervise clinical tests to ensure patient safety.

For additional information, go to: https://www.bls.gov/ooh/healthcare/athletic-trainers.htm and https://www.bls.gov/ooh/healthcare/exercise-physiologists.htm

Where Do Athletic Trainers Work?

Many jobs for athletic trainers are sports related, although there are non-sports related jobs available, too. Athletic trainers work in colleges and universities, high schools, fitness centers, professional athletic organizations, and health care organizations. Many athletic trainers work in educational facilities, such as secondary schools and colleges. Others may work in physicians’ offices or for professional sports teams. Some athletic trainers work in rehabilitation and therapy clinics, in the military, or with performing artists.

Exercise physiologists work in hospitals, outpatient clinics, and university laboratories. They may also work in fitness centers and with health care organizations.

For athletic trainers and exercise physiologists who work in health care settings, hours and schedules may be more structured. For those who work in fitness centers, sports settings, or with sports teams, their schedules may vary greatly, with longer than eight-hour days sometimes, and some nights and weekends required.

For more information on projections of athletic trainers and exercise physiologists by New York State labor regions, 2014-2024, click here.

How Much Do Athletic Trainers Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for athletic trainers in the United States was $57,810 while the average income for exercise psychologists was $55,810. The New York State Department of Labor (NYSDOL) reports that, in 2023, athletic trainers in New York earned a median annual salary of $63,385 (athletic trainers in the 25th percentile made approximately $47,303 while those in the 75th percentile made approximately $77,940) while exercise psychologists earned a median annual salary of $67,217 (exercise psychologists in the 25th percentile made approximately $49,372 while those in the 75th percentile made $84,736).

For more information on projections of athletic trainers by New York State labor regions, click here.

Supply and Demand

According to U.S Bureau of Labor Statistics projections, employment of athletic trainers is projected to grow by 17% nationwide between 2021 and 2031 and employment of exercise psychologists is expected to grow by 9% during the same time period. According to the New York State Department of Labor, employment of athletic trainers in New York is projected to grow by 34% between 2020 and 2030 and employment of exercise physiologists is expected to grow by 18% during the same time period.

New York Educational Requirements

Athletic trainers and exercise physiologists need at least a bachelor’s degree from an accredited college or university. Master’s degree programs are also common in both professions. Both athletic training and exercise physiologist degree programs have classroom and clinical components, including science and health-related courses, such as biology, anatomy, physiology, physics, and nutrition.

In New York, certified athletic trainers have a minimum of a bachelor’s degree from an athletic training program that is registered by the New York State Education Department as licensure qualifying. Exercise physiologists have a minimum of a bachelor’s degree in exercise physiology and may choose to become board certified by the American Society of Exercise Physiologists (ASEP).

New York Licensure Requirements

New York mandates that all individuals using the title “certified athletic trainer” be licensed. To become licensed, individuals must have graduated from an accredited educational program or meet minimal course work requirements as specified by the New York State Education Department. For more information on the requirements, go to http://www.op.nysed.gov/professions/athletic-training/license-requirements

To meet the examination requirements for licensure as a certified athletic trainer, an individual must obtain satisfactory scores on athletic training examinations acceptable to the New York State Education Department. The certification examination of the National Athletic Trainers Association (NATA) Board of Certification, Inc. (BOC) is an acceptable examination. For more information on that examination, go to www.bocatc.org. For more information about accreditation, go to the Commission on Accreditation of Athletic Training Education: www.caate.net.

Licensure for exercise physiologists is not required in New York. Compared to athletic trainers, licensure for exercise physiologists is less common and, therefore, there are fewer recognized standards of practice for exercise physiologists. Nonetheless, exercise physiologists can stand out by earning professional certifications in their field. The American College of Sports Medicine (ACSM) offers a Registered Clinical Exercise Physiologist certification for graduate degree holders and a Certified Clinical Exercise Specialist credential is available to bachelor’s degree holders.

Financial Support

NATA offers several types of scholarships, including the NATA Foundation Scholarship Program which awards undergraduate, master’s, and doctoral scholarships to students of athletic training. Information can be found at: https://natafoundation.org/education/scholarships/. Also, NATA has additional information about studying to become an athletic trainer and financial aid and scholarships programs for students at https://www.nata.org/professional-interests/students. The New York State Athletic Trainers’ Association also has information on scholarships and awards. ACSM Foundation offers some awards and grants. These may be found at: https://www.acsm.org/acsm-membership/support-acsm-foundation .

Education Programs in New York (subject to change)

Additional Web Links

For more information on Athletic Training, go to the Board of Certification: www.bocatc.org, the Office of the Professions, New York State Education Department: www.op.nysed.gov/,  the National Athletic Trainers Association: http://www.nata.org/, and the New York State Athletic Trainers’ Association.

For more information on Exercise Physiology, go to the American Society of Exercise Physiologists (ASEP) and American College of Sports Medicine (ACSM).

What Do Cancer/Tumor Registrars Do?

Cancer/tumor registrars compile and maintain records of patients treated for cancer. They utilize a tumor registry data system that is used by physicians, government agencies, and researchers. Cancer/Tumor registrars review patient records to identify and compile patient data for use in cancer management programs and to comply with government regulations. They review and code information from patient medical records, such as demographic characteristics, history and extent of disease, diagnostic procedures, and treatments. They may also contact discharged patients, their families, and their physicians to ensure the registry includes follow-up information, such as quality of life and length of survival of cancer patients. Cancer/tumor registrars also prepare statistical and narrative reports and graphic presentations of cancer/tumor registry data for use by hospital staff and researchers.

Where Do Cancer/Tumor Registrars Work?

Cancer/tumor registrars work in cancer registries, which may be at institutional (e.g., hospitals), state, or regional organizations, or as consultants when they are certified as cancer/tumor registrars.

How Much Do Cancer/Tumor Registrars Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for health information technologists and medical registrars in the United States was $65,280. The New York State Department of Labor (NYSDOL) reports that, in 2023, health information technologists and medical registrars in New York earned a median annual salary of $64,320 (health information technologists and medical registrars in the 25th percentile made approximately $43,732 while those in the 75th percentile made approximately $98,683).

For more information on salary considerations for cancer/tumor registrars, go to: www.ncra-usa.org/Advocacy/Workforce/Salary-Considerations

Supply and Demand

According to the National Cancer Registrars Association (NCRA) website, there are over 5,000 cancer registrars in the U.S. Excellent potential for employment growth continues in government agencies, as well as insurance, pharmaceutical, and other health care industries as accurate, timely data increasingly impact cancer control efforts. Cancer/tumor registrars who possess knowledge of management and administration, medical sciences, medical coding, programming, database management, and data retrieval and analysis will find a ready market for those skills.

New York Educational Requirements

Cancer/tumor registrars are sometimes trained on the job or most often in formal education programs and online courses. Curricula may include courses on cancer and its management, cancer program management, medical terminology, anatomy and physiology, biostatistics and epidemiology, cancer data abstracting, database record management, and cancer registry procedures. Most hospitals and central cancer registries require their employees to hold the CTR credential. Individuals may be hired without having the CTR credential, though most employment opportunities do ask for it.

New York Licensure Requirements

New York has no licensure requirements for cancer/tumor registrars. Individuals wishing to demonstrate proficiency in their occupation may receive certification through national organizations such as the NCRA: http://www.ncra-usa.org/CTR.

Financial Support

Limited financial aid and scholarships are available from colleges and from other organizations that provide cancer/tumor registrar training. In addition, the NCRA Education Foundation is a nonprofit organization with the mission of supporting the advancement of the cancer registry profession through education and research. The Foundation supports its mission by assuring education, training, and resources are available for cancer registry professionals in order to provide quality data. More information may be available at their website: http://www.ncra-usa.org/Foundation

Education Programs in New York (subject to change)

At this time, there are no schools in New York offering this education program.

Additional Web Links

For more information on cancer/tumor registrars, go to

National Cancer Registrars Association: http://www.ncra-usa.org;

New York Cancer Registrars Association (NYCRA): nycra.net

North American Association of Central Cancer Registries: http://www.naaccr.org/;

National Program of Cancer Registries: http://www.cdc.gov/cancer/npcr/index.htm.

What Do Cardiovascular Technologists and Technicians Do?

Cardiovascular technologists and technicians assist physicians in diagnosing and treating cardiac (heart) and peripheral vascular (blood vessel) ailments. They may specialize in any of three areas of practice: invasive cardiology, echocardiography, and vascular technology.

Cardiovascular technologists who specialize in invasive procedures are called cardiology technologists. They assist physicians with cardiac catheterization procedures in which a small tube, or catheter, is inserted in patients to remove blood vessel obstructions. Those who assist physicians in the diagnosis of disorders affecting circulation are known as vascular technologists or vascular sonographers. Technologists who use ultrasound to examine the heart chambers, valves, and vessels are referred to as cardiac sonographers or echocardiographers. 

 Cardiac technologists also help prepare patients for cardiac catheterization. During the procedures, they monitor the patient’s blood pressure and heart rate with electrocardiogram (EKG) equipment and notify the physician of any abnormalities with these indicators. Cardiovascular technologists may also prepare and monitor patients during open-heart surgery and during the insertion of pacemakers and stents that open up blockages in arteries to the heart and major blood vessels.

Cardiovascular technicians work closely with cardiac technologists. Those technicians who specialize in EKGs, stress testing, and Holter monitors are known as cardiographic technicians or EKG technicians. Technicians typically receive less training and make less than technologists.

For more information, go to: http://www.bls.gov/ooh/healthcare/diagnostic-medical-sonographers.htm

Where Do Cardiovascular Technologists and Technicians Work?

The majority of cardiovascular technologist and technician jobs are in hospitals (state, local, and private) and others work in physician’s offices, medical laboratories, diagnostic imaging centers, and outpatient care centers. Cardiovascular technologists and technicians generally work a five-day, 40-hour week that may include weekends. Those in catheterization laboratories tend to work longer hours and may work evenings. They may also be on call during the night and on weekends.

How Much Do Cardiovascular Technologists and Technicians Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for cardiovascular technologists and technicians in the United States was $65,490. The New York State Department of Labor (NYSDOL) reports that, in 2023, cardiovascular technologists and technicians in New York earned a median annual salary of $74,923 (cardiovascular technologists and technicians in the 25th percentile made approximately $48,973 while those in the 75th percentile made approximately $91,760).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for diagnostic medical stenographers and cardiovascular technologists and technicians in the U.S. will increase by 10% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for cardiovascular technologists and technicians in the state will increase by 15% between 2020 and 2030. For more information on projections of cardiovascular technologists/technicians by New York State labor regions, 2018-2028, click here.

Growth will occur as the population ages because older people have a higher incidence of heart problems and use more diagnostic imaging. Employment of vascular technologists and echocardiographers will grow as advances in vascular technology and sonography reduce the need for more costly and invasive procedures. However, fewer EKG technicians will be needed, as hospitals train nursing aides and others to perform basic EKG procedures. Individuals trained in Holter monitoring and stress testing are expected to have more favorable job prospects than are those who can perform only a basic EKG.

New York Educational Requirements

The majority of cardiovascular technologists complete at least a two-year college program and earn an associate degree, but four-year programs are increasingly available. The first year is often dedicated to core courses and is followed by a year of specialized instruction in invasive or noninvasive cardiovascular or vascular technology. Those who are qualified in an allied health profession may only need to complete one year of specialized instruction, which may occur on the job. Specific requirements are likely to vary depending on the facility hiring a cardiovascular technologist or technician.

New York Licensure Requirements

New York does not require cardiovascular technologists and technicians to be licensed. However, many employers prefer professionally certified technicians and technologists.

Education Programs in New York (subject to change)

Additional Web Links

For more information on cardiovascular technologists and technicians, go to:

Alliance of Cardiovascular Professionals: http://www.acp-online.org

Society for Vascular Ultrasound: http://www.svunet.org

Cardiovascular Credentialing International: http://www.cci-online.org

What Do Certified Registered Nurse Anesthetists Do

Certified Registered Nurse Anesthetists (CRNAs) are advanced practice nurses who specialize in providing anesthesia and related care before and after surgical, therapeutic, diagnostic, and obstetrical procedures. They also provide pain management and emergency services. CRNAs develop individualized anesthetic care plans for each patient using a full range of anesthetic techniques, drugs, and technology. They also participate in preoperative patient education and assess and observe patients before, during, and after surgical procedures.

CRNAs often serve in administrative roles in anesthesia departments and their duties may include personnel and resource management, financial management, quality assurance, and risk management. They also participate as instructors for continuing education programs and serve as advisors to institutions as well as state and federal agencies.

For more information, please go to: http://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm.

Where Do Certified Registered Nurse Anesthetists Work?

CRNAs work with surgeons, obstetricians, dentists, podiatrists, and anesthesiologists and may work in hospitals, physician anesthesiologist groups, CRNA groups, or are self-employed.

How Much Do Certified Registered Nurse Anesthetists Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for certified registered nurse anesthetists in the United States was $205,770. The New York State Department of Labor (NYSDOL) reports that, in 2023, certified registered nurse anesthetists in New York earned a median annual salary of $235,040.

Supply and Demand

With an increasing number of surgeries in the U.S. and an aging population, the demand for CRNAs is expected to increase well into the next decade. The Bureau of Labor Statistics projects that the number of jobs for nurse anesthetists, nurse midwives, and nurse practitioners in the U.S. will increase by 40% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for certified registered nurse anesthetists in the state will increase by 20% between 2020 and 2030.

For more information on projections of certified registered nurse anesthetists by New York State labor regions, 2018-2028, click here.

New York Educational Requirements

Registered nurses interested in a career as a CRNA in New York must be licensed with a bachelor’s of science in nursing and have at least one year of acute care nursing experience before applying to a graduate school of nurse anesthesia.

Most CRNA graduate education programs are 24-36 months long with curriculum that includes classroom and clinical experience. The classroom curriculum emphasizes anatomy, physiology, pathophysiology, biochemistry, chemistry, physics, and pharmacology as related to anesthesia. The major clinical component provides experience with a variety of anesthesia techniques and procedures for all types of surgery and obstetrics.

All nurse anesthesia education programs offer a master’s degree. Depending on the particular program, the degrees are in nursing, allied health, or biological and clinical sciences.

New York Licensure Requirements

In order to practice as a CRNA in New York, candidates must hold a valid New York registered nursing license, have completed an accredited CRNA education program, and pass a national certification examination. To maintain certification, at least 40 hours of continuing education are required every two years.

Financial Support

The AANA offers some funding and scholarship opportunities to CRNA students or CRNAs who are AANA members. For additional information, visit the AANA Foundation website.

Educational Programs in New York (subject to change)

Additional Web Links

For more information on CRNAs, visit this fact sheet from the American Association of Nurse Anesthetists at: http://www.aana.com/ceandeducation/becomeacrna/Pages/Nurse-Anesthetists-at-a-Glance.aspx

or the New York State Association of Nurse Anesthetists website at: http://www.nysana.com/

What Do Chiropractors Do?

Chiropractors are licensed health professionals who diagnose and treat patients with problems related to the musculoskeletal system, which is made up of bones, muscles, ligaments, and tendons. Chiropractors use spinal manipulation and other techniques to treat patients’ ailments, such as back or neck pain.

Chiropractors focus on patients’ overall health. Many believe that misalignments of the spinal joints interfere with a person’s nervous system and can result in lower resistance to disease and many different conditions of diminished health.

Chiropractors will typically analyze a patient’s posture and spine and use manual and mechanical manipulation of the spinal column and vertebrae to treat ailments, such as back or neck pain. They may also conduct additional diagnostic tests, including evaluating a patient’s posture or taking x-rays, and advise patients on health and lifestyle issues, such as exercise and sleep habits. A chiropractor may also refer patients to other medical specialists, if needed.

Chiropractors do not prescribe drugs or perform surgery. They focus on a holistic approach, recognizing the many factors that affect health, including exercise, diet, rest, environment, and heredity. Their therapeutic interventions may also include the use of water, light, massage, ultrasound, electric or heat therapy, and support equipment. Chiropractors often specialize in areas such as sports injuries, neurology, orthopedics, or pediatrics.

For more information, go to: http://www.bls.gov/ooh/healthcare/chiropractors.htm

Where Do Chiropractors Work?

Most chiropractors are self-employed and work in a solo or group practice. A small number teach, conduct research at chiropractic institutions, or work in hospitals and clinics.

How Much Do Chiropractors Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for chiropractors in the United States was $85,010. The New York State Department of Labor (NYSDOL) reports that, in 2023, chiropractors in New York earned a median annual salary of $96,847 (chiropractors in the 25th percentile made approximately $59,264 while those in the 75th percentile made approximately $122,582).

Supply and Demand

The Bureau of Labor Statistics projects that the number of chiropractor jobs in the U.S. will increase by 10% between 2021 and 2031. The New York State Department of Labor projects that the number of chiropractor jobs in the state will increase by 14% between 2020 and 2030.  Projected job growth stems from increasing consumer demand for alternative methods of health care. The rapidly growing elderly population will likely increase the demand for chiropractic services, too, due to the prevalence of mechanical and structural problems in this population. Also, the non-surgical, holistic approach used by chiropractors is becoming more accepted and popular across the nation.

For more information on projections of chiropractors by New York State labor regions, click here.

New York Educational Requirements

In order to become a chiropractor, an individual should expect to complete seven to eight years of post-high school study, including three to four years of undergraduate education, followed by a four-year Doctor of Chiropractic (DC) degree program. Many students earn a bachelor’s degree before going on to a chiropractic program, although it is not required. Many chiropractors also earn master’s degrees in related areas, such as nutrition or sports rehabilitation.

For the first two years of chiropractic study, students are trained in classroom and laboratory settings, and study anatomy, physiology, microbiology, public health, pathology, and biochemistry. During the last two years of the program, students focus on clinical experiences in manipulation and spinal adjustment and also study nutrition, neurology, orthopedics, geriatrics, and physiotherapy.

New York Licensure Requirements

In order to be licensed as a chiropractor in New York, an individual with a DC degree from an accredited school of chiropractic must pass the National Board of Chiropractic Examiners (NBCE) four-part examination.

For more information: http://www.op.nysed.gov/professions/chiropractic/license-requirements

Financial Support

The New York College of Chiropractic offers a variety of scholarships in amounts of $1,500 to $2,500 annually for students of merit and academic achievement. Please see the NYCC website for details: Click here

Education Programs in the New York (subject to change)

Additional Web Links

For more information on chiropractors, go to:

The American Chiropractic Association website at: http://www.acatoday.org; or

The New York State Chiropractic Association website at: http://www.nysca.com/; or

The Federation of Chiropractic Licensing Boards website at: http://www.fclb.org/.

What Do Creative Arts Therapists Do?

Creative arts therapists use active engagement in art, dance or movement, drama, and music as therapeutic approaches to address mental, emotional, developmental, and behavioral disorders of their clients. Creative arts therapists work with individuals of all ages who may have a variety of mental or physical health issues, including those who are temporarily or permanently disabled. Creative arts therapists, working with clients one-on-one or in groups, strive to use creative processes to bring out artistic self-expression to help people resolve conflicts and problems, develop interpersonal skills, manage behavior, reduce stress, increase self-esteem and self-awareness, and achieve insight. Creative art therapy is also used to help people manage stress and promote overall mental and physical well-being.

Creative arts therapists are often part of a larger multidisciplinary rehabilitation team coordinating to develop and implement a client’s therapeutic goals and objectives. Using their skills in art, dance or movement, drama, and music in conjunction with psychotherapeutic theories and methods, creative arts therapists are able to elicit thoughts and feelings from clients to supplement traditional “talk” psychotherapeutic methods. Creative arts therapy uses the relationship between the patient and the therapist in the context of the artistic process as a dynamic force for change and expression.

Where Do Creative Arts Therapists Work?

Creative arts therapists work in a number of institutional and community settings, including hospitals; nursing homes; correctional institutions; adult shelters; schools; community centers; adolescent, substance abuse, and mental health group homes or half-way houses; and adult day care programs. Creative arts therapists usually work a 40-hour week, though they may work some evenings and weekends to account for working with the different populations they serve in non-traditional settings.

How Much Do Creative Arts Therapists Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for recreational therapists in the United States was $56,310. The New York State Department of Labor (NYSDOL) reports that, in 2023, recreational therapists in New York earned a median annual salary of $63,832 (recreational therapists in the 25th percentile made approximately $47,457 while those in the 75th percentile made approximately $74,733).

Supply and Demand

The Bureau of Labor Statistics projects that the number of recreational therapy jobs in the U.S. will increase by 4% between 2021 and 2031. The New York State Department of Labor projects that the number of recreational therapy jobs in the state will increase by 17% between 2020 and 2030.

New York Educational Requirements

For creative arts therapists, an undergraduate college education should include coursework in both creative arts and psychopathology, with specific courses in general, developmental, and abnormal psychology. Some colleges may offer an undergraduate degree in creative arts therapy, but a master’s degree or doctorate degree in creative arts therapy or substantial equivalent is required for licensure in New York. Advanced degree programs include additional coursework in fine arts, psychotherapy, and clinical internships.  All creative arts therapy programs are going through an accreditation process, with some newly accredited and some going through the process. If the program is not accredited, go to the following link to ensure the program is registered with New York State: http://www.nysed.gov/heds/IRPSL1.html.

New York Licensure Requirements

To be licensed in New York as a creative arts therapist, an individual must have a master’s or doctorate degree in creative arts therapy from a registered, accredited program, or its equivalent and at least 1,500 hours of supervised experience in an approved setting. In addition, an individual must pass one of three exams: the Art Therapy Credentials Board (ATCB) test, the Certification Board for Music Therapists (CBMT) test, or the New York State Case Narrative Exam. For more information on New York State licensure requirements, go to: http://www.op.nysed.gov/professions/creative-arts-therapists/license-requirements.

Financial Support

In addition to school-based scholarships, scholarships for undergraduate and graduate education are available through national organizations:

for art therapists: http://www.americanarttherapyassociation.org/aata-awards/;

for music therapists: http://www.musictherapy.org/careers/scholars/; and

for dance therapists: https://www.adta.org/encouraging-scholarship.

Education Programs in New York (subject to change)

The following programs offer bachelor’s and/or master’s degrees in one or more of the creative arts therapies:

Additional Web Links

For more information on creative arts therapists, go to:

American Art Therapy Association: http://www.arttherapy.org

American Music Therapy Association: http://www.musictherapy.org

North American Drama Therapy Association: http://www.nadta.org

New York Art Therapy Association: http://www.nyarttherapy.org.

National Coalition of Creative Arts Therapies Association: http://www.nccata.org

What Do Dental Assistants Do?

Dental assistants perform a wide array of clinical and administrative duties under the supervision of a dentist. They assist the dentist during dental examinations and treatments, such as preparing the patient, taking x-rays, sterilizing instruments, assisting with instruments and materials, and instructing patients about general and post-operative oral health care. Dental assistants may also have administrative duties, including scheduling appointments, maintaining patient files, and billing for services.

In general, dental assistants’ duties vary by state and by the dentists’ offices where they work. In some states, dental assistants may do additional training and be registered, certified, or called “extended function” dental assistants. The scope of practice for these dental assistants, defined by the state in which they practice, tends to be broader and more complex. In New York, dental assistants have the option to be certified and if so, they have a broader scope of practice than those dental assistants who are not certified. Certified dental assistants in New York are allowed to take preliminary medical histories and vital signs that must be reviewed by the supervising dentist, select and pre-fit provisional crowns and orthodontic bands, take impressions for study casts or diagnostic casts, and remove periodontal dressings.

For more information, visit: http://www.bls.gov/ooh/healthcare/dental-assistants.htm

Where Do Dental Assistants Work?

The majority of dental assistants work in dental offices and clinics, while some work in hospital and doctors’ offices. Most dental assistants work full time.

How Much Do Dental Assistants Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for dental assistants in the United States was $44,710. The New York State Department of Labor (NYSDOL) reports that, in 2023, dental assistants in New York earned a median annual salary of $48,372 (dental assistants in the 25th percentile made approximately $37,914 while those in the 75th percentile made approximately $56,116).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for dental assistants in the U.S. will increase by 8% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for dental assistants in the state will increase by 19% between 2020 and 2030. For more information on projections of dental assistants by New York State labor regions, 2018-2028, click here.

New York Educational Requirements

In New York, dental assistants who are not certified may be hired into an entry level dental assistant position and receive on-the-job training.

To be a certified dental assistant in New York, an individual must complete a dental assistant education program approved by the New York State Education Department or an alternate course of study that is considered equivalent to an approved program. These programs are typically one year in length and are available at community colleges and local Boards of Cooperative Education (BOCES).

New York Licensure Requirements

Any use of the title “Registered Dental Assistant” within New York State requires licensure.

To be licensed as a registered dental assistant in New York State you must:

• be at least 17 years of age;
• meet education requirements; and
• meet examination requirements.

You must file an application for licensure and the other forms indicated, along with the appropriate fee, to the Office of the Professions at the address specified on each form.  For more information: http://www.op.nysed.gov/professions/registered-dental-assistants/license-requirements

Financial Support

The American Student Dental Association (ASDA) has a list of scholarships available for students. See their website: http://www.asdanet.org/index/dental-student-resources/scholarships-and-repayment-plans/scholarships.

The American Dental Education Association (ADEA) also has scholarship, awards, and fellowship information: See this page on their website.

The American Dental Assisting Association (ADAA) also has a foundation that offers awards. http://www.dentalassistant.org/?page=ADAAFoundation

Education Programs in New York (subject to change)

Additional Web Links

The American Dental Assistants Association

The New York State Dental Association

New York State Dental Foundation

What Do Dental Hygienists Do?

Dental hygienists are licensed health professionals who provide preventive dental care, perform oral health assessments and teeth cleanings, apply cavity preventive agents to teeth, take and develop x-rays, and educate patients on proper oral hygiene techniques. In some states, dental hygienists are allowed to place and carve filling materials, place temporary fillings and periodontal dressings, remove sutures, perform root planing, and smooth and polish metal restorations. Under the supervision of dentists, dental hygienists in New York are permitted to administer and monitor local infiltration anesthesia and nitrous oxide.

For more information about dental hygienists, go to: http://www.bls.gov/ooh/healthcare/dental-hygienists.htm.

Where Do Dental Hygienists Work?

Dental hygienists work in dental offices and clinics. Some may also be found in schools; hospitals; nursing homes; community health clinics; and federal, state, and county health departments. More than half of dental hygienists work part time.

How Much Do Dental Hygienists Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for dental hygienists in the United States was $84,860. The New York State Department of Labor (NYSDOL) reports that, in 2023, dental hygienists in New York earned a median annual salary of $92,451 (dental hygienists in the 25th percentile made approximately $69,344 while those in the 75th percentile made approximately $97,508).

Supply and Demand

Growing interest in preventive oral health care is expected to create more demand for dental hygienists. The Bureau of Labor Statistics projects that the number of jobs for dental hygienists in the U.S. will increase by 9% between 2021 and 2031. The New York State Department of Labor projects that the number of audiology jobs in the state will increase by 19% between 2020 and 2030.

For more information on projections of dental hygienists by New York State labor regions, 2018-2028, click here.

New York Educational Requirements

Dental hygienist educational programs in New York are usually found at community colleges and sometimes at universities. Most dental hygienist programs in New York and throughout the country offer an associate degree, while some universities offer a four-year bachelor’s degree in dental hygiene.

New York Licensure Requirements

Dental hygienists who practice in New York must be licensed. Requirements include graduating from an accredited dental hygiene education program and passing the written and clinical certification examinations, which are administered from a national organization. Continuing education is also required for active dental hygienists in order to maintain licensure. To administer and monitor local infiltration anesthesia and nitrous oxide analgesia in the practice of dental hygiene, dental hygienists must meet additional requirements and obtain a Dental Hygiene Restricted Local Infiltration Anesthesia/Nitrous Oxide Analgesia Certification.

For more information: www.op.nysed.gov/prof/dent/dentdhlic.htm.

Financial Support

The American Dental Hygienists’ Association (ADHA) offers scholarships and grants to dental hygiene students and dental hygienists who can demonstrate a commitment to further the discipline of dental hygiene through academic achievement, professional excellence, and a desire to improve the public’s overall health. For more information: http://www.adha.org/scholarships-and-grants.

The American Dental Association (ADA) Foundation offers a variety grants, awards, and scholarships to dental students. For more information, please go to: https://www.ada.org/en/education-careers/dental-student-resources/financial-resources-for-students-and-recent-gradua.

The American Dental Education Association (ADEA) also has scholarship, awards, and fellowship information: See this page on their website.

Education Programs in New York (subject to change)

Additional Web Links

For more information on Dental Hygienists, go to:

American Dental Hygienists Association: http://www.adha.org/

New York Dental Hygienists Association: http://www.nydha.org/.

What Do Dentists Do?

Dentists diagnose and treat problems with teeth and tissues in the mouth, along with giving advice and administering care to help prevent future dental problems. They provide oral health education and instruction on diet, brushing, flossing, and the use of fluorides. They remove tooth decay, fill cavities, examine x-rays, place protective sealants on children’s teeth, straighten teeth, extract or repair damaged teeth, and perform corrective surgery on gums and supporting bones to treat gum diseases.

Dentists also prescribe medication, such as antibiotics, and administer anesthesia.

While most dentists are general practitioners, some choose to specialize. Dental specialties include:

• orthodontics (treatment of abnormalities in teeth and jaws using devices such as braces and retainers);
• oral and maxillofacial surgery (surgical procedures on jaws or mouth);
• pediatric dentistry (oral health care for children and adolescents);
• periodontics (treatment of disease of the gums and bones which support the teeth); and
• public health dentistry (promoting oral health through organized community efforts).

Dentists usually employ and work with dental hygienists and dental assistants.

For more information: http://www.bls.gov/ooh/healthcare/dentists.htm.

Where Do Dentists Work?

The vast majority of dentists work in private group or solo practices. Some may also work in dental clinics, hospitals, or in academic settings.

How Much Do Dentists Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for dentists in the United States was $172,290. The New York State Department of Labor (NYSDOL) reports that, in 2023, dentists in New York earned a median annual salary of $175,621 (dentists in the 25th percentile made approximately $87,915 while those in the 75th percentile made approximately $236,595).

Earnings for dentists vary according to number of years in practice, location, hours worked, and specialty. Specialty dentists generally earn more than general dentists. Also, self-employed dentists in private practice tend to earn more than salaried dentists. Dentists who are salaried often receive benefits paid by their employer, with health insurance and malpractice insurance being among the most common. However, like other business owners, self-employed dentists must provide their own health insurance, life insurance, retirement plans, and other benefits and pay for their own business expenses, such as supplies, equipment, malpractice, and staff.

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for dentists in the U.S. will increase by 6% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for dentists in the state will increase by 15% between 2020 and 2030. The demand for dental care in New York and around the country is expected to increase as the population ages.

For more information on projections by New York State labor regions, 2018-2028, click here.

New York Educational Requirements

Dental education programs are four years in length and generally include two years of classroom and laboratory instruction and two years of practical clinical experience, usually through supervised direct patient care. A growing number of dental school graduates are choosing to enter one- or two-year residency training programs.

Individuals interested in a career in dentistry must complete at least 60 credit hours of college study and usually have a bachelor’s degree. They are encouraged to take courses in biology, chemistry, anatomy, microbiology, and physics as an undergraduate. Students interested in attending dental school must take the Dental Admission Test.

New York Licensure Requirements

Dentists who practice in New York must be licensed and requirements include graduating from an accredited dental education program and passing the National Board Dental Examination. Continuing education is also required for active dentists to maintain licensure. Dentists can also get a certificate to administer general anesthesia, parenteral conscious sedation, or enteral conscious sedation. For more information: https://www.op.nysed.gov/professions/dentists/license-requirementshttp://www.op.nysed.gov/prof/dent/dentlic.htm.

Financial Support

The American Dental Association Foundation offers a variety grants, awards, and scholarships to dental students. For more information, please go to: http://www.adafoundation.org/en/how-to-apply.

The American Dental Education Association (ADEA) also has scholarship, awards, and fellowship information: See this page on their website.

Education Programs in New York (subject to change)

Additional Web Links

For more information on dentists, go to the American Dental Association website at: http://www.ada.org/; or the New York State Dental Association at: http://www.nysdental.org/.

What Do Diagnostic Medical Sonographers Do?

Diagnostic Medical Sonographers (DMSs), also known as ultrasonographers or sonographers, use special equipment that directs high frequency sound waves into a patient’s body to collect images for interpretation by physicians to assess and diagnose various medical conditions (procedures commonly known as ultrasounds, sonograms, or echocardiograms).

This diagnostic medical procedure can be used to examine the abdomen, breasts, female reproductive system, prostate, heart, and blood vessels. Sonography is increasingly being used in the detection and treatment of heart disease, heart attack, and vascular disease that can lead to strokes. Specialization in gynecologic sonography, abdominal sonography, neurosonography, and ophthalmologic sonography is common in the profession.

Unlike x-rays, sonography is a radiation-free imaging modality. Although most ultrasound procedures are non-invasive, invasive ultrasound procedures are becoming more frequently used with the development of new technology.

For more information about DMSs, click here.

Where Do Diagnostic Medical Sonographers Work?

The majority of all DMSs are employed in hospitals. Some DMSs work in physicians’ offices and clinics, particularly diagnostic imaging centers and offices specializing in obstetrics. DMSs are also employed in medical and dental laboratories. Also, some DMSs work in federal or local government and offices of non-physician health practitioners and allied health professionals.

How Much Do Diagnostic Medical Sonographers Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for diagnostic medical sonographers in the United States was $84,410. The New York State Department of Labor (NYSDOL) reports that, in 2023, diagnostic medical sonographers in New York earned a median annual salary of $89,277 (diagnostic medial sonographers in the 25th percentile made approximately $74,705 while those in the 75th percentile made approximately $101,809).

Supply and Demand

As ultrasound technology evolves, it will become a more and more common method used to assist in diagnosing medical conditions, favored over more invasive procedures. As a result, the number of DMS jobs is expected to grow much faster than the average for all occupations. The Bureau of Labor Statistics projects that the number of jobs for diagnostic medical sonographers and cardiovascular technologists and technicians in the U.S. will increase by 10% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for diagnostic medical sonographers in the state will increase by 29% between 2020 and 2030.

For more information on the need for DMSs by New York State labor regions, 2018-2028, click here.

New York Educational Requirements

DMSs usually have an associate degree or a four-year bachelor’s degree and programs are available through colleges and universities. Some sonographers train in vocational-technical schools, hospital training programs, or the Armed Forces. Many employers prefer a degree or certificate from an accredited institute or hospital program. The accredited programs usually follow a specific course of study and include clinical training. Course work may include classes in anatomy, physiology, instrumentation, basic physics, mathematics, patient care, and medical ethics. These programs also include courses in medical terminology and interpreting sonographic images.

New York Licensure Requirements

New York does not require DMSs to be licensed. Individuals wishing to demonstrate proficiency in their occupation may receive certification through national organizations such as the American Registry of Diagnostic Medical Sonographers (ARDMS), http://www.ardms.org. ARDMS certification is also available in specialty areas within sonography.

Financial Support

Although specialized scholarships for diagnostic medical sonographers are not widely available, students seeking an education in sonography can apply for financial aid through a number of state and Federal aid programs.  More information about student aid is available at: www.https://www.hesc.ny.gov/pay-for-college/apply-for-financial-aid/apply-for-aid-start-here.

Education Programs in New York (subject to change)

Additional Web Links

For more information on medical sonographers, go to the Society of Diagnostic Medical Sonography website at: http://www.sdms.org/.

What Do Dialysis Technicians Do?

Dialysis technicians operate dialysis machines that help sustain patients who have damaged kidneys. The machines remove waste and excess fluids from the blood of patients whose kidneys can no longer carry out those functions. Dialysis patients generally use a dialysis machine for about four hours, three times a week.

Dialysis technicians are also referred to as renal dialysis technicians, hemodialysis technicians, and nephrology technicians. These technicians prepare patients for dialysis, monitor them and the machine during dialysis, and perform required procedures when dialysis is completed. Dialysis technicians also carefully monitor and record the weight and vital signs of patients before, during, and after the blood cleansing procedures. In addition, dialysis technicians may instruct patients about in-home treatments.

Where Do Dialysis Technicians Work?

Dialysis technicians work under the supervision of registered nurses and physicians and are employed in dialysis facilities located in hospitals, out-patient facilities, assisted living and nursing homes, and home dialysis programs. Technicians generally work around 40 hours a week.

How Much Do Dialysis Technicians Earn?

The Bureau of Labor Statistics does not publish employment and earnings data for dialysis technicians. According to salary.com, the median salary for dialysis technicians in the United States is approximately $43,500, slightly lower than the median salary of $46,400 in New York State. In NYS, dialysis technicians in the 25th percentile make approximately $41,600 while those in the 75th percentile make approximately $52,000.

Salary ranges can vary widely depending on the city and many other important factors, including education, certifications, additional skills, the number of years you have spent in your profession.

Supply and Demand

According to the National Kidney Foundation, more than 26 million American adults have kidney disease and millions of others are at increased risk. High risk groups include those with diabetes, hypertension, and family history of kidney disease. Early detection and treatment can often keep chronic kidney disease from getting worse. When kidney disease progresses, it may eventually lead to kidney failure, which requires dialysis or a kidney transplant to maintain life.

A trend toward replacing nephrology nurses with dialysis technicians wherever possible will increase the number of jobs available for dialysis technicians. In addition, as treatments for kidney disease improve, patients live longer and consequently require dialysis for longer periods of time. All these factors point to a strong job market for dialysis technicians.

New York Educational Requirements

Dialysis technicians must have a high school diploma or GED certificate and then must complete an approved training program. Many of these programs are available through technical and vocational schools and community colleges as part of an associate degree in nephrology or medical technology.

New York Licensure Requirements

New York does not require licensure for dialysis technicians, however the state requires the completion of a state-approved program from a state college, vocational school, or a health care provider. Such programs generally educate dialysis technicians regarding first aid, safety skills, hygiene, and dialysis equipment maintenance.

Education Programs in New York (subject to change)

Additional Web Links

For more information on dialysis technicians, go to

The American Society of Nephrology: http://www.asn-online.org/

The Board of Nephrology Examiners Nursing and Technology (BONENT): http://www.bonent.org/

National Nephrology Certification Organization: https://www.nncc-exam.org/

The National Kidney Foundation: http://www.kidney.org/

What Do Dietitians and Nutritionists Do?

Dietitians and nutritionists are experts in food and nutrition. They advise people on what to eat in order to lead a healthy lifestyle or achieve specific health-related goals.

Dietitians and nutritionists try to prevent health problems and aim to treat health problems by helping people develop better eating habits. They often work with patients who have heart disease, high blood pressure, diabetes, eating disorders, or are overweight. They may plan diet programs, conduct nutritional assessments, direct menu development, manage food service systems, supervise meal preparations, and provide nutritional counseling.
For more details, go to: http://www.bls.gov/ooh/healthcare/dietitians-and-nutritionists.htm.

Where Do Dietitians and Nutritionists Work?

Dietitians and nutritionists may work as clinicians, managers, researchers, or consultants and are found in a variety of settings. Over half work in hospitals and nursing homes, while others work in health clinics, home health agencies, doctors’ offices, schools, health clubs, cafeterias, and private practices.

How Much Do Dietitians and Nutritionists Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for dieticians and nutritionists in the United States was $69,350. The New York State Department of Labor (NYSDOL) reports that, in 2023, dieticians and nutritionists in New York earned a median annual salary of $79,590 (dieticians and nutritionists in the 25th percentile made approximately $57,215 while those in the 75th percentile made approximately $95,873).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for in the U.S. for dieticians and nutritionists will increase by 7% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for dieticians and nutritionists in the state will increase by 21% between 2020 and 2030.

This increase is attributable in part to the increasing awareness of the relationship between diet and health and the importance of diet in preventing and treating illnesses and the role of food in promoting health and wellness. The importance of diet in preventing and treating illnesses such as diabetes and heart disease is now well known, and more dietitians and nutritionists will be needed to provide care for people with these conditions. An aging population also will increase the need for dietitians and nutritionists in nursing homes. Job opportunities are also expected to increase in community health centers, physicians’ offices, and home health agencies. An increasing number of dietitians and nutritionists are expected to be self-employed. Fewer new jobs are expected at hospitals.

For more information on employment projections of dietitians and nutritionists by New York State labor regions, 2018-2028, click here.

New York Educational Requirements

Dietitians and nutritionists in New York and nationally usually have at least a bachelor’s degree. In New York, it is possible to be certified as a dietitian and nutritionist with an associate degree from an accredited educational program and more time in an approved work experience. However, most New York educational programs offer bachelor’s or advanced degrees. All accredited dietitian and nutritionist education programs include coursework in professional dietetics and nutrition as well as human biology and behavioral science. For more information, go to: http://www.op.nysed.gov/prof/diet/.

New York Licensure Requirements

Dieticians and nutritionists who practice in New York must be certified by one of the two national certifying organizations. Requirements include graduating from an accredited educational program and completing an approved work experience.

Recertification every five years by one of the two national certifying organizations requires the completion of a specific number of continuing education credits.

Financial Support

The American Dietetic Association offers scholarships and financial aid to students studying to become dietitians and nutritionists. For more information, go to: https://eatrightfoundation.org/why-it-matters/awards/ and https://www.eatrightpro.org/membership/student-member-center/scholarships-and-financial-aid

Education Programs in New York (subject to change)

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What Do EMTs and Paramedics Do?

Emergency medical technicians (EMTs) and paramedics (EMTs with advanced training to perform more difficult pre-hospital medical procedures) provide vital care and attention at the scene of an emergency. In an emergency, EMTs and paramedics are dispatched to the scene usually by a 911 operator and often work with police and fire department personnel. Once they arrive, they determine the nature and extent of a person’s condition and administer appropriate level of care.

People’s lives often depend on the quick reactions of and competent care by EMTs and paramedics. EMTs and paramedics respond to emergency calls, assess injuries, sometimes free trapped individuals or remove them from danger, and administer emergency medical care. They also transport injured or sick persons to medical facilities, typically providing additional medical care in route.

At a medical facility, EMTs and paramedics help transfer patients to the emergency department, report their observations and actions to emergency room staff, and may provide additional emergency treatment as needed. For more information, go to: http://www.bls.gov/ooh/healthcare/emts-and-paramedics.htm#tab-1.

Beyond these general duties, the specific responsibilities of EMTs and paramedics depend on their qualification and training. The levels of training include:

• Certified First Responders
• Emergency Medical Technicians (EMTs)
• Advanced EMTs (AEMTs)

Certified First Responders are trained to perform patient assessments and give basic emergency medical care and provide necessary life-saving treatment until an ambulance arrives with more highly trained personnel. Many firefighters, police officers, and other first responders have this level of training.

 EMTs are trained to care for patients at the scene of an accident and while transporting patients by ambulance to the hospital. EMTs have the emergency skills to assess a patient’s condition and manage respiratory, cardiac, and trauma emergencies.

AEMTs receive additional training to administer emergency medical care providing advanced life support care involving skills-management techniques (i.e., advanced airway management), administration of intravenous fluids, Electrocardiogram (ECG) monitoring and interpretation, medication administration, manual defibrillation, and transportation to a hospital. In New York, there are three levels of AEMTs: Intermediate, Critical Care, and Paramedic.

Paramedics provide the most extensive pre-hospital care. In addition to carrying out all the procedures described above, paramedics are responsible for stabilizing patients during a medical emergency, preparing them for transfer to a hospital, if necessary, and for providing medical care in route to a hospital. Paramedics may administer drugs (including narcotics) orally and intravenously, interpret ECGs, perform tracheotomies, and use various monitors and other complex equipment.

Where Do EMTs and Paramedics Work?

EMTs and paramedics work from ambulances and other emergency vehicles, and indoors and outdoors in an array of settings and in all types of weather. Their work is physically strenuous and can be stressful, sometimes involving life-or-death situations and patients who are suffering.

Most EMTs and paramedics work full time. Because EMTs and paramedics must be available to work during emergencies, they may work overnight, on weekends, and/or remain on call for extended periods of time. Some EMTs and paramedics are volunteers and have varied work schedules.

How Much Do EMTs and Paramedics Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for EMTs in the United States was $40,120 and the average annual income for paramedics was $53,560. The New York State Department of Labor (NYSDOL) reports that, in 2023, EMTs in New York earned a median annual salary of $41,374 (EMTs in the 25th percentile made approximately $36,009 while those in the 75th percentile made approximately $53,674) and Paramedics earned a median annual salary of $62,874 (paramedics in the 25th percentile made $49,341 while those in the 75th percentile made $71,174).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for EMTs and Paramedics in the U.S. will increase by 7% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for EMTs and Paramedics in the state will increase by 21% between 2020 and 2030.

As population and urbanization increase, emergencies such as car crashes, natural disasters, and violence will continue to create demand for EMTs and paramedics. There will also continue to be demand for part-time, volunteer EMTs and paramedics in rural areas and smaller metropolitan areas.

Growth in the middle-age and elderly population from the large cohort of aging baby boomers will likely lead to an increase in the number of age-related health emergencies, such as heart attacks or strokes. The potential for more of these types of medical emergencies also points to continued growing demand for EMTs and paramedics.

For more information on the need for EMTs and paramedics by New York State labor regions, 2018-2028, click here.

New York Educational Requirements

EMTs are certified by the Bureau of Emergency Medical Services (EMS) in New York, which is a part of the New York State Department of Health (NYSDOH). There is a reciprocity certification process for those trained in other states or through the military. To be a certified as a certified first responder, you must be 16 by the end of the month the exam is taken. To be a certified as an EMT or AEMT, you must be 18 by the end of the month the exam is taken.

Formal training and certification is required through course sponsors approved by NYSDOH. More advanced types of EMTs, namely paramedics, complete more training. Some programs may offer an associate degree along with the formal EMT training. Advanced placement is available for health care professionals based on the individual’s level of training and the ability to test out of specific training requirements.

To learn about training for

• Certified First Responder (CFR)
• Emergency Medical Technician – Basic (EMT-B)
• Advanced Emergency Medical Technician – Intermediate (AEMT-I)
• Advanced Emergency Medical Technician – Critical Care (AEMT-CC)
• Advanced Emergency Medical Technician – Paramedic (AEMT-P)

in your community, each Regional EMS Council receives notification of upcoming course. The Regional Council should be your first contact to determine what courses are planned for your area. Only Bureau of EMS approved Course Sponsors, click here; are allowed to teach the New York State Bureau of EMS certification courses.

Candidates for EMT and paramedic certification in New York must pass both written and skills performance state examinations from an approved New York State program. To maintain certification in New York, EMTs and paramedics must reregister every three years. For more information on the certification process, please visit: http://www.health.ny.gov/professionals/ems/

Education Programs in New York

For more information about EMT and paramedic education and training programs and courses in New York, go to: http://www.health.ny.gov/professionals/ems/training.htm

Additional Web Links

For more information on EMTs and paramedics, go to:

National Association of Emergency Medical Technicians: http://www.naemt.org/

National Registry of Emergency Medical Technicians: https://www.nremt.org/rwd/public/

Committee on Accreditation of Educational Programs for the EMS professions: http://www.coaemsp.org/

What Do Environmental Health Workers Do?

Environmental health workers are responsible for carrying out measures for protecting public health, including administering and enforcing legislation related to environmental health and providing support to minimize health and safety hazards.

Common duties of environmental health workers include collecting samples of water, soil, waste and animal matter; transporting and documenting samples; verifying code and regulatory compliance; investigating complaints; preparing and maintaining records; and other duties as needed.

Where Do Environmental Health Workers Work?

Environmental health workers are usually employed by local government or state health authorities to advise on and enforce public health standards. However, many are employed in the private sector, the military, and other third sector agencies such as charities and NGOs.

How Much Do Environmental Health Workers Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for environmental science and protection technicians in the United States was $53,970. The New York State Department of Labor (NYSDOL) reports that, in 2023, environmental science and protection technicians in New York earned a median annual salary of $50,382 (environmental science and protection technicians in the 25th percentile made approximately $38,149 while those in the 75th percentile made approximately $65,050).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for environmental science and protection technicians (including health) in the U.S. will increase by 6% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for environmental science and protection technicians (including health) in the state will increase by 15% between 2020 and 2030.

For more information on projections of environmental health workers by New York State labor regions, 2018-2028, click here.

New York Educational Requirements

The educational requirements for environmental health workers vary. Environmental health workers working in government agencies may have more stringent requirements than those working in other locations. Most environmental science and protection technicians need an associate degree or two years of postsecondary training. Sometimes new technicians are trained on the job by more experienced environmental science and protection technicians. Higher level environmental health workers, such as environmental engineers and scientists need a bachelor’s degree with a substantial number of college credits in the sciences. The types of science courses required may differ depending on the specific area of interest or concentration. Master’s or doctoral degrees are available in environmental health, engineering, and science.

New York Licensure Requirements

New York does not require licensure for environmental health workers.

Financial Support

In addition to scholarships offered at different schools, scholarships for environmental health workers are available from the National Environmental Health Association: http://www.neha.org/students/index.html.

Education Programs in New York (subject to change)

Additional Web Links

For more information about environmental health workers, please visit these websites:

American Academy of Environmental Engineers and Scientists: http://www.aaees.org/

American Academy of Sanitarians: www.sanitarians.org

American Public Health Association: www.apha.org

Association of Environmental Engineering and Science Professors: http://www.aeesp.org/

National Environmental Health Association: www.neha.org

New York State Public Health Association: http://nyspha.roundtablelive.org/

Public Health Association of New York City: http://www.phanyc.org/

Public Health Online:  www.publichealthonline.org/careers.

What Do Health Care Administrators and Medical and Health Services Managers Do?

While healthcare administrators and healthcare managers share similar responsibilities, they do perform different tasks. Healthcare administrators oversee the staff of a medical facility. They may supervise and manage one department or the whole facility depending on the need and availability of administrators. Responsible for staffing and financial aspects of the medical facility in which they work, healthcare administrators help a facility run smoothly with constantly changing healthcare regulations and cutbacks.

Healthcare managers take on a broader role within a medical facility. Often acting in a similar capacity to a corporation’s HR representative, healthcare managers deal with daily operations such as budgeting, patient care, organizational issues and general business concerns. They may work directly with a hospital board to find ways of better managing the hospital’s structure or provide a plan of action in times of crisis. In smaller facilities, they could take on a larger role to fulfill HR requirements.

The bottom line is that there is a difference between the two career paths: Healthcare administrators focus on managing staff needs, and healthcare managers focus on the broader business aspects of a medical facility. Examples of medical and health services managers include health information managers, assistant administrators, clinical managers, and nursing home administrators.

For more information on medical and health services managers click here.

Where Do Health Care Administrators and Medical and Health Service’s Manager’s Work?

About one third of medical and health services managers work in state, local, and private hospitals. Others work in nursing and residential care facilities, offices of physicians, and government and home healthcare services. Most medical and health services managers work in offices located at hospitals, nursing homes, and group medical practices.

Health care administrators work in a variety of health care settings, including hospitals, clinics, offices of physicians and group medical practices, nursing homes, and home health care agencies. Some work also may work outside of health care in government or community-based organizations.

How Much Do Health Care Administrators and Medical and Health Service’s Manager’s Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for medical and health service managers in the United States was $127,980. The New York State Department of Labor (NYSDOL) reports that, in 2023, medical and health service managers in New York earned a median annual salary of $140,752 (medical and health service managers in the 25th percentile made approximately $93,508 while those in the 75th percentile made approximately $215,783).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for medical and health service managers in the U.S. will increase by 28% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for medical and health service managers in the state will increase by 42% between 2020 and 2030.

The health care industry continues to expand and diversify, requiring managers and administrators to help ensure smooth business operations and improve quality and efficiency of health care, while controlling costs. Additional demand for medical and health services managers will stem from the need to recruit workers and increase employee retention; comply with changing health care policies and regulations; implement new technologies, such as computerization of patient records; and help improve health services for patients and medical staff by emphasizing preventive care.

For more information on the need for health care administrators and health services managers by New York State labor regions, 2018-2028, click here.

Educational Requirements

Most medical and health services managers have at least a bachelor’s degree, however master’s degrees are becoming more preferred by employers. Some graduate programs offer an additional year of supervised administrative experience in a hospital or healthcare setting.

Common degrees for medical and health services managers include health administration, health management, nursing, public health administration, or business administration.  Important qualities required of medical and health services managers include analytical and communication skills, detail oriented, interpersonal skills, leadership skills, and technical skills.

Medical and health services managers advance by moving into higher paying positions with more responsibility. Some health information managers can become responsible for the entire hospital’s information systems, while others may advance to top executive positions within the organization.

Most health care administrators have at least a bachelor’s degree before entering the field, and many have a master’s degree in health services administration, long-term care administration, health sciences, public health, public administration, or business administration. A bachelor’s degree is adequate for some entry-level positions in smaller facilities, at the departmental level within health care organizations, and in health information management. Coursework in health administration programs will include topics such as hospital organization and management, marketing, accounting and budgeting, human resources administration, strategic planning, law and ethics, biostatistics or epidemiology, health economics, and health information systems.

New York Licensure Requirements

New York does not require licensure for most health care administrators except for nursing home administrators, who must work closely with state regulatory agencies. For more information go to: https://www.health.ny.gov/professionals/nursing_home_administrator/licensure_program/ .

Individuals wishing to demonstrate proficiency in the profession may receive certification through national organizations such as the American Association of Healthcare Administration Management: www.aaham.org/Certification/tabid/56/Default.aspx.

Some medical and health services managers choose to become certified through one of the many areas of practice certification is available, such as The Professional Association of Health Care Office Management, the American Health Information Management Association, and the American College of Health Care Administrators.

Financial Support

The Association of University Programs in Health Administration (AUPHA) provides student financial support, scholarships, fellowships, and postgraduate learning opportunities, and promotes diversity in the classroom and the field. For more information, please visit the AUPHA Web site: http://www.aupha.org/resourcecenter/currentstudents.

Additional financial assistance through scholarships can be found here.

Education Programs in New York (subject to change)

Additional Web Links

For more information on the field of health care administration, go to the American Association of Health Care Administrative Management website at: http://www.aaham.org/.

What Do Health Educators Do?

Health educators teach people about behaviors that promote wellness and encourage people to make healthy decisions. Health educators promote and improve individuals’ and community health by identifying disease risk behaviors and developing programs that help people adopt and maintain healthy behaviors. Program development may include collecting and analyzing data to determine the scope of problems and the community needs prior to planning, implementing, monitoring, and evaluating programs and campaigns designed to encourage healthy lifestyles, policies, and environments. Health educators also serve as a resource to assist other health care professionals and organizations in program development and implementation.

To learn more about health educators, please go to: http://www.bls.gov/ooh/community-and-social-service/health-educators.htm

Where Do Health Educators Work?

Health educators often work for local, state, or federal government agencies. Many others work in hospitals, schools, colleges, workplaces, public health settings, individual and family services agencies, and outpatient care centers.

How Much Do Health Educators Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for health education specialists in the United States was $66,710. The New York State Department of Labor (NYSDOL) reports that, in 2023, health education specialists in New York earned a median annual salary of $63,965 (health education specialists in the 25th percentile made approximately $44,093 while those in the 75th percentile made approximately $77,510).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for health education specialists and community health workers in the U.S. will increase by 12% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for health educators in the state will increase by 34% between 2020 and 2030.

For more information on the need for the health educators by New York State labor regions, 2018-2028, click here.

Educational Requirements

Health educators need a bachelor’s degree for entry-level positions. Most health educators hold master’s degrees. There are some formal programs in health education, but many health educators graduate from educational programs in nursing, public health, or related fields. Some employers may require the certified health education specialist credential (see below).

New York Licensure Requirements

New York does not license health educators. Special certification is available for a certified health education specialist (CHES) from the National Commission for Health Education Credentialing, Inc. (NCHEC). A CHES must get recertified every five years based on documentation of participation in 75 hours of approved continuing education activities, with 45 of these credits from preapproved designated providers and the remaining 30 credits from other providers. For more information on the certification exam and process, click here.

Financial Support

The Association of Schools and Programs of Public Health manages several regular internship and fellowship programs throughout the year. For more information go to: https://www.aspph.org/study/financing-your-degree/.

Education Programs in New York (subject to change)

Additional Web Links

For more information on health educators, go to

Association of Schools & Programs of Public Health: http://www.aspph.org/

Society of Public Health Education: http://www.sophe.org/

American Public Health Association: www.apha.org

What Do Home Health Aides Do?

Home health aides work in the homes of people who need assistance in caring for themselves. They often help people who are disabled, chronically ill, or cognitively impaired. They also help older adults who may need assistance or people recovering from an illness who may live alone or need more assistance than their families can provide. Home health aides usually work under the supervision of a registered nurse or other health care practitioner to provide basic patient care. Home health aides may take and record a patient’s temperature, pulse, and blood pressure; assist patients with activities of daily living, such as feeding, bathing, dressing, and toileting; help patients to get in and out of bed; and assist with nursing procedures. Home health aides may also observe and report on patients’ physical, mental, and emotional states to their supervisor. In addition, they may assist with shopping, meal preparation, and housekeeping. Although their work can be physically and emotionally demanding, many home health aides gain great satisfaction from assisting those in need.

For more information: http://www.bls.gov/ooh/healthcare/home-health-aides.htm

Where Do Home Health Aides Work?

Home health aides are usually employed by home health agencies and work in patients’ homes. Home health aides often visit multiple patients on the same day. Some home health aides work in small group homes or larger care communities.

Most full-time aides work about 40 hours per week, but because patients need care 24 hours a day, some aides may work evenings, nights, weekends, and holidays.

How Much Do Home Health Aides Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for home health and personal care aides in the United States was $30,903. The New York State Department of Labor (NYSDOL) reports that, in 2023, home health and personal care aides in New York earned a median annual salary of $35,191 (home health and personal care aides in the 25th percentile made approximately $33,696 while those in the 75th percentile made approximately $39,833).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for home health and personal care aides in the U.S. will increase by 25% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for home health and personal care aides in the state will increase by 39% between 2020 and 2030.

Demand for Home Health Aides is growing significantly, attributable in part to the aging of the country’s population. Elderly and disabled clients increasingly rely on home care as a less expensive alternative to nursing homes or hospitals. Clients who need help with everyday tasks and household chores, rather than medical care, can reduce their medical expenses by living in their homes and receiving medical care from a Home Health Aide. Another reason for a high demand for home care is that most clients prefer to be cared for in their homes where they are most comfortable. Studies have found that home treatment is often more effective than care in a nursing home or hospital, prolonging life, and increasing quality of life.

For more information on projections of home health aides by New York State labor regions, 2018-2028, please click here.

New York Educational Requirements

Most home health and personal care aide have a high school diploma. Home health aides in New York must complete a 75-hour Department of Health training program. These training programs are available in a variety of settings, including high schools typically working through a Board of Cooperative Educational Services (BOCES), vocational-technical schools, nursing care facilities, community colleges, and some home health agencies. Training program topics include communication and documentation skills; reading and recording vital signs; basic infection control procedures; body mechanics; maintenance of a healthy environment; emergency procedures; physical, emotional, and developmental characteristics of patients; personal hygiene and grooming; safe patient transfer techniques; normal range of motion and positioning; and healthy nutrition.

Most home health aides also receive training on-the-job by registered nurses, supervisors, or other health care providers in tasks specific to their clients. Aides also learn basic safety techniques and how to respond in an emergency. In addition, home health aides are required to complete 12 hours of in-service training each year.

The National Association for Home Care and Hospice offers certification for home health aides. http://www.nahc.org.

The Federal Government has guidelines for home health aides whose employers receive reimbursement from Medicare. Federal law requires home health aides to pass a competency test covering a wide range of areas. A home health aide may receive training before taking the competency test.

Financial Support

Many home health agencies offer free home health aide training to individuals who agree to work for them on completion of training.

Education Programs in New York (subject to change)

Home health aides are generally not required to have a high school diploma, although many do. Some employers provide classroom instruction for newly hired aides, while others rely exclusively on informal on-the-job instruction by registered nurses, licensed practical nurses, or experienced aides. Such training may last from several days to a few months. Aides also may attend lectures, workshops, and in-service training. Also, clients may prefer that tasks are done a certain way and may make those suggestions to the home health aide. A competency evaluation may be required to ensure the aide can perform the required tasks.

For the New York State Education Department list of home health aide training programs, click here: http://www.op.nysed.gov/prof/nurse/nurseprogs-hha.htm.

Some Education Programs in New York (Subject to Change)

Additional Web Links

The Bureau of Labor Statistics: http://www.bls.gov/ooh/healthcare/home-health-aides.htm.

National Association for Home Care and Hospice: www.nahc.org

Healthcare Association of New York: http://www.hanys.org/

The New York State Association of Health Care Providers: http://www.nyshcp.org/

The Paraprofessional Healthcare Institute (PHI): http://phinational.org/

Visiting Nurse Associations of America: www.vnaa.org

What Do Horticultural Therapists Do?

Horticultural therapy (HT) integrates therapy with gardening for the purpose of physical and mental rehabilitation. Horticultural therapists work with a wide variety of patient diagnoses, such as physical or emotional trauma, and people with mental illness, and with many different populations, from children to teenagers and adults to the elderly. Horticultural therapists evaluate the physical and mental disabilities of patients and tailor programs to promote physical therapy, education, rehabilitation, and relaxation. Professional horticultural therapists also work closely with doctors, psychologists, psychiatrists, and occupational therapists in designing individual care plans.

HT is a beneficial and effective therapeutic modality, used within a broad range of rehabilitative, vocational, and community settings. Horticultural therapists assist participants to learn new skills or regain those that have been lost. HT helps improve memory, cognitive abilities, task initiation, language skills, and socialization. In physical rehabilitation, a horticultural therapist can help a participant strengthen muscles and improve coordination, balance, and endurance. In vocational settings, horticultural therapists can help people learn to work independently, problem solve, and follow directions.

Where Do Horticultural Therapists Work?

Horticultural therapists work in gardens; vocational, occupational, and rehabilitation programs; hospitals; clinics and skilled nursing facilities; hospice and palliative care programs; correctional facilities; public and private schools; and assisted living and senior centers.

How Much Do Horticultural Therapists Earn?

The Bureau of Labor Statistics does not publish employment and earnings data for horticulture therapists. According to salary.com, the median salary for horticulture therapists in the United States is approximately $70,949, slightly lower than the median salary of $75,709 in New York State. In NYS, horticulture therapists in the 25th percentile make approximately $67,663 while those in the 75th percentile make approximately $84,073.

Supply and Demand

There are no projections available at the national level or for New York for horticultural therapists.

New York Educational Requirements

Horticultural therapists typically hold a bachelors degree in horticulture or related field to enter into horticultural therapy. Most educational programs in the Northeast are certificate programs. The curriculum for horticultural therapists often includes courses in health and abnormal psychology, plant pathology, and crop management, as well as social and behavioral sciences.

New York Licensure Requirements

New York does not require horticultural therapists to be licensed or certified. The American Horticultural Therapy Association (AHTA) does register horticultural therapists on a voluntary basis. To become registered by the AHTA, an individual must have a bachelor’s degree in horticultural therapy; or a bachelor’s degree in another field plus required coursework in human science field, horticulture field, and horticultural therapy as outlined by the AHTA; and 480 hours of supervised internship. For specific information on registration requirements, go the www.ahta.org.

Education Programs in the Northeast U.S. (subject to change)

Additional Web Links

For more information on Horticultural Therapy, go to:

American Horticultural Therapy Association: www.ahta.org

Horticultural Therapy Institute: http://www.htinstitute.org.

What Do Licensed Practical Nurses Do?

Licensed practical nurses (LPNs) are health professionals who work under the supervision of a registered nurse (RN) or a physician and provide basic patient care. Their duties may include:

• Taking vital signs, monitoring patients’ health, and keeping records about patients’ health;
• Administering medications, changing bandages, and other basic nursing care;
• Carrying out prescribed medical and nursing treatments;
• Educating patients and listening to their concerns and discussing their health care;
• Supervising nursing aides in the delivery of patient services in some settings;
• Observing, documenting, and reporting patient condition and progress to RNs and physicians; and
• Providing emotional support to patients and their families.

For more information, go to: http://www.bls.gov/ooh/healthcare/licensed-practical-and-licensed-vocational-nurses.htm.

Where Do Licensed Practical Nurses Work?

LPNs work in nursing homes, private physician practices, hospitals, and a variety of other health care settings. Most LPNs work full time, and LPNs may work nights, weekends, and holidays depending on the health care setting they work in.

How Much Do Licensed Practical Nurses Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for licensed practical and licensed vocational nurses in the United States was $55,860. The New York State Department of Labor (NYSDOL) reports that, in 2023, licensed practical and licensed vocational nurses in New York earned a median annual salary of $59,889 (licensed practical and licensed vocational nurses in the 25th percentile made approximately $48,010 while those in the 75th percentile made approximately $65,656).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for Licensed Practical Nurses and Licensed Vocational Nurses in the U.S. will increase by 6% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for Licensed Practical Nurses and Licensed Vocational Nurses in the state will increase by 19% between 2020 and 2030. As the population ages, growing demand for LPNs is expected to increase, especially in long-term care settings. Additionally, as technology advances allow more offices, clinics, and ambulatory settings to offer services that were once only available in hospitals, these settings may increase the use of LPNs.

For more information on projections of LPNs by New York labor regions, 2018-2028, click here.

Educational Requirements

LPNs must complete an accredited education program, which are typically about one year in length and include clinical practice in a hospital or other health care setting and classroom study that covers basic nursing content including:

• anatomy;
• physiology;
• medical-surgical nursing;
• pediatrics;
• obstetrics;
• psychiatric nursing;
• medication administration;
• nutrition; and
• first aid.

Some LPN educational programs are available to high school students, usually through a local BOCES. Most LPN programs are offered to adults as academic or continuing education courses through a BOCES, community or junior college, and some four-year colleges. The New York LPN to RN Articulation Model establishes a mechanism for an LPN to achieve educational mobility and expediency by eliminating barriers in nursing education programs.

Financial Support

Grants, scholarships, and awards for students entering the nursing field are available at local, state, and federal levels. For more information, click here.

New York Licensure Requirements

Graduates of LPN education programs must pass an exam, known as the NCLEX-PN, to get a license and work as an LPN in New York and in all U.S. states. For more information, go to: http://www.op.nysed.gov/prof/nurse/.

Education Programs in New York (subject to change)

To view the New York State Education Department list of all LPN programs in New York, click here.
The following list is derived from the same NYSED source.

Central Region

Genesee Valley Region

Long Island Region

Metropolitan Region

Mid-Hudson Region

Northeast Region

Northern Region

Western Region

What Do Massage Therapists Do?

Massage therapists use their hands to manipulate and work a client’s muscles and soft body tissues. There are many different types of massage therapies, called modalities, such as Swedish massage, reflexology, acupressure, sports massage, reiki, and neuromuscular massage. Most massage therapists specialize in several modalities, which require different techniques.

Massage therapy can offer medical benefits by helping to rehabilitate injuries and be part of a healing process by relieving pain, body aches, and soreness. It may also help reduce stress, increase relaxation, and aid in the general wellness of a client. Massage therapy that aims to improve physical health typically differs in duration and technique from massage that is intended to simply relax or rejuvenate clients. The training background of those who perform the two types of massage therapy may differ as well.

To learn more about this profession, go to: http://www.bls.gov/ooh/healthcare/massage-therapists.htm.

Where Do Massage Therapists Work?

This occupation includes a large percentage of part-time and self-employed workers. Massage therapists work in an array of settings both public and private, including hospitals, nursing homes, clinics, private practitioner offices, health spas, resorts, sports venues, fitness centers, and corporate offices. Frequently massage therapists work out of their homes or travel to their clients’ homes or offices to provide massages. It is not uncommon for full-time massage therapists to divide their time among several different settings, depending on the clients and locations scheduled.

Due to the physically strenuous nature of the job, massage therapists typically give massages for less than 40 hours a week. Most therapists who work 15 to 30 hours per week consider themselves to be full-time workers, because when time for travel, equipment set-up, and business functions such as billing are added in, a massage therapist’s hours per week may very well be more than 40 hours. Massage therapists may work evenings and weekends based on the availability of their clients or the scheduling of a setting where they work.

How Much Do Massage Therapists Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for massage therapists in the United States was $57,860. The New York State Department of Labor (NYSDOL) reports that, in 2023, massage therapists in New York earned a median annual salary of $51,584 (massage therapists in the 25th percentile made approximately $37,527 while those in the 75th percentile made approximately $87,288).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for massage therapists in the U.S. will increase by 20% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for massage therapists in the state will increase by 75% between 2020 and 2030.

Employment is expected to grow faster than average as more people learn about the benefits of massage therapy. Massage also offers specific benefits to particular groups of people, such as athletes or older adults, whose continued demand for massage services will lead to overall growth for the occupation.

For more information on projections of massage therapists by New York State labor regions, 2018-2028, click here.

Educational Requirements

Licensed massage therapists have at least a high school education or G.E.D and they must complete an approved massage therapy education program. Many programs have additional admitting requirements such essays or basic proficiency in English or science. Non-credit diploma or certificate programs as well as associate and bachelor’s degree programs are currently approved in New York.

Approved massage therapy education programs require coursework in human anatomy, physiology, neurology, hygiene, massage techniques, and other elements of general health care. All approved programs require clinical training, too, with a minimum of 150 hours of practice on people.

With the self-employed nature of the massage therapy profession, many programs also offer courses in basic business and business ethics. Programs conferring associate or bachelor’s degrees may require additional elective coursework in English, writing, and other liberal arts.

New York Licensure Requirements

A massage therapist must be licensed in New York. To be licensed in New York, a massage therapist must complete an approved massage therapist training program and pass a state-approved licensing exam. For more information on New York licensure requirements, go to:  http://www.op.nysed.gov/prof/mt/mtlic.htm.

Financial Support

For general information about state and federal scholarship programs and opportunities, go to: http://www.highered.nysed.gov/kiap/scholarships.

Education Programs in New York (subject to change)

Additional Web Links

For more information on massage therapists, go to:

American Massage Therapy Association: www.amtamassage.org

Associated Bodywork and Massage Professionals: http://www.abmp.com

National Certification Board for Therapeutic Massage and Bodywork: http:// www.ncbtmb.org

New York State Society of Medical Massage Therapists: www.nysmassage.org.

What Do Medical and Clinical Laboratory Technologists and Technicians Do?

Medical and clinical laboratory technologists and technicians collect samples and perform tests to analyze body fluids, tissue, and other substances.

Medical and clinical laboratory technologists and technicians have different job responsibilities: technologists perform more complex tests and procedures than do technicians, and they typically supervise technicians.

Medical and clinical laboratory technologists examine blood and other body fluids, analyze samples for chemical content or a chemical reaction, and determine concentrations of compounds such as blood glucose and cholesterol levels. They also collect and study blood samples for use in transfusions by identifying the number of cells, the cell morphology or the blood group, blood type, and compatibility with other blood types. In their work, they operate sophisticated laboratory equipment and computerized instruments. They may also supervise or train medical laboratory technicians.

Medical and clinical laboratory technicians perform less complex tests and laboratory procedures than technologists and usually work under the supervision of medical or clinical laboratory technologists or a laboratory manager.

Both medical and clinical technologists and technicians may specialize in a particular type of work. For more information about the various specialties, go to: http://www.bls.gov/ooh/healthcare/medical-and-clinical-laboratory-technologists-and-technicians.htm

Where Do Medical and Clinical Laboratory Technologists and Technicians Work?

More than half of medical and clinical laboratory technologists and technicians work in hospitals. Most of the remaining jobs were in physician offices and in medical and diagnostic laboratories. A small number work in educational services and other ambulatory health care services.

How Much Do Medical and Clinical Laboratory Technologists and Technicians Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for clinical laboratory technologists and technicians in the United States was $59,130. The New York State Department of Labor (NYSDOL) reports that, in 2023, clinical laboratory technologists and technicians in New York earned a median annual salary of $82,700 (clinical laboratory technologists and technicians in the 25th percentile made approximately $49,695 while those in the 75th percentile made approximately $93,705).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for clinical laboratory technologists and technicians in the U.S. will increase by 7% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for clinical laboratory technologists and technicians in the state will increase by 17% between 2020 and 2030. The volume of laboratory tests continues to increase with both population growth and the development of new types of tests. Hospitals in New York continue to report difficultly recruiting medical and clinical laboratory technicians and technologists, especially technicians.

For more information on employment projections of medical and clinical laboratory technologists and technicians by New York State labor regions, 2018-2028, click here.

Educational Requirements

The usual requirement for an entry-level position as a medical and clinical laboratory technologist is a bachelor’s degree with a major in medical technology or one of the life sciences; however, it is possible to qualify for some jobs with a combination of education and on-the-job, specialized training. Many universities and hospitals offer medical technology programs, which may include  courses in chemistry, biology, microbiology, mathematics, and statistics as well as specialized courses devoted to knowledge and skills used in the clinical laboratory.

Clinical laboratory technicians may have an associate degree or a training certificate from a hospital, vocational, or technical school, or the Armed Forces. Some technicians may acquire the necessary skills with on-the-job training.

New York Licensure Requirements

New York requires licensure for those who work using the titles of clinical laboratory technologist or certified clinical laboratory technician, or cytotechnologist or certified histological technician. Licensure requires meeting certain educational and examination criteria for each profession.

For details about New York licensing requirements, please go to: www.op.nysed.gov/prof/clt/.

Certification

Many employers prefer applicants who are certified by a recognized professional association. Groups offering certification include the American Society for Clinical Pathology, the American Medical Technologists, the National Credentialing Agency for Laboratory Personnel, National Accrediting Agency for Clinical Laboratory Sciences, and the American Association of Bioanalysts. Each of these agencies have different requirements for certification.

Financial Support

The National Accrediting Agency of Clinical Laboratory Sciences offers scholarship information from a number of sources for medical and clinical laboratory students on their website at: http://www.naacls.org/Students.aspx.

Education Programs in New York (subject to change)

Clinical Laboratory Science and Medical Technology or Technician Programs

Histotechnology Programs

Cytotechnology Programs

Additional Web Links

For more information on CLPs and all the other associated professions, go to:

National Accrediting Agency for Clinical Laboratory Sciences website at: http://www.naacls.org

American Society for Clinical Pathology website at: http://www.ascp.org

American Society for Cytotechnology website at: http://www.asct.com

National Society for Histotechnology website at: http://www.nsh.org

American Medical Technologists website at: http://www.americanmedtech.org/Home.aspx

American Association of Bioanalysts website at: http://www.aab.org/aab/default.asp.

What Do Medical Assistants Do?

Medical assistants perform administrative and clinical tasks to keep the offices of physicians, podiatrists, chiropractors, and other health practitioners running smoothly. Medical assistants aid office staff and health care practitioners in daily operations. Administrative duties include answering telephones, scheduling appointments, greeting patients, updating and filing patient medical records, arranging for hospital admissions, and some billing and bookkeeping tasks. Clinical duties vary according to what is allowed by each state’s law. Clinical responsibilities may include such tasks as taking medical histories from patients and recording their vital signs, explaining treatment procedures to patients, preparing patients for examinations, and providing assistance during exams.

For more information about medical assistants, please see: http://www.bls.gov/ooh/healthcare/medical-assistants.htm.

Where Do Medical Assistants Work?

The majority of medical assistants work in the offices of physicians and other health care providers, although a large number also work in hospitals.

Most full-time medical assistants work a regular 40-hour week. However, many medical assistants work part time, evenings, and weekends, too.

How Much Do Medical Assistants Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for medical assistants in the United States was $40,700. The New York State Department of Labor (NYSDOL) reports that, in 2023, medical assistants in New York earned a median annual salary of $45,816 (medical assistants in the 25th percentile made approximately $37,384 while those in the 75th percentile made approximately $50,326).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for medical assistants in the U.S. will increase by 16% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for medical assistants in the state will increase by 27% between 2020 and 2030.

Helping to drive this excellent job growth is the increasing number of group practices, clinics, and other health care facilities that need a high proportion of support personnel, particularly medical assistants who can handle both administrative and some clinical duties. In addition, medical assistants work mostly in primary care, a consistently growing sector of the health care industry.

For more information on the need for medical assistants by New York State labor regions, 2018-2028, click here.

New York Educational Requirements

Formal educational programs in medical assisting are offered in vocational-technical high schools, postsecondary vocational schools, community and junior colleges, as well as some colleges and universities. These programs generally last one or two years, culminating in a certificate, diploma, or associate degree. Some medical assistants receive on-the-job training in the form of four- to six-week programs, but this is less common today than in the past.

New York Licensure Requirements

While New York does not require medical assistants to be licensed, individuals wishing to demonstrate proficiency in their occupation may receive certification through national organizations such as the American Association of Medical Assistants, www.aama-ntl.org and American Medical Technologists, https://www.americanmedtech.org/.

Financial Support

American Medical Technologists Registry offers scholarships for medical assistant students. For more information go to: http://www.americanmedtech.org/Schools/ScholarshipsAwards.aspx.

Education Programs in New York (Subject to Change)

Medical Office Assistant Programs

What Do Medical Billers Do?

Medical billers calculate health care provider charges, develop bills, and prepare them to be mailed to patients. By reviewing medical and hospital records and making or verifying calculations, they ensure that even the most complicated bills are accurate. Medical billers are responsible for timely submission of medical claims to insurance companies. Medical billers most often work with electronic billing systems and are responsible to make sure that patient, provider, and insurance information is correct and that fair payments are made. Medical billers may also be responsible for crediting patient accounts, appealing reimbursement denials, and tracking accounts receivables for providers.

Day-to-day responsibilities for medical billers will vary from location to location, but may include:

Where Do Medical Billers Work?

Medical billers work in a variety of health care settings, including hospitals, nursing homes, physician offices, skilled nursing facilities, home health agencies, and health clinics. Billing clerks are typically employed in an office environment, although a growing number—particularly medical billers—work from home or a separate office, either as independent contractors or with firms that specialize in medical billing.

Most billing clerks typically work 40 hours per week during regular business hours.

How Much Do Medical Billers Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for medical records specialists in the United States was $51,090. The New York State Department of Labor (NYSDOL) reports that, in 2023, medical records specialists in New York earned a median annual salary of $51,289 (medical records specialists in the 25th percentile made approximately $39,360 while those in the 75th percentile made approximately $66,614).

Supply and Demand

The medical billing occupation is expected to see strong growth in the health care industry as numerous recent state and federal reforms will make health care available to many more people. The Bureau of Labor Statistics projects that the number of jobs for medical records specialists in the U.S. will increase by 7% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for medical records specialists in the state will increase by 16% between 2020 and 2030.

For more information on projections of Billing and Posting Clerks by New York labor regions, 2018-2028, click here.

Educational Requirements

Most jobs in this occupation require only a high school diploma; however, many employers prefer to hire workers who have a degree or have completed some college courses such as communication, accounting, and basic computer courses.

Medical billers can obtain training in a variety of ways, including on-the-job or through certificate or associate degree education programs and Web-based learning. Many community colleges and other colleges offer certificate programs in medical billing that generally take between two and three semesters and usually consist of courses in medical terminology, accounting, basic anatomy and physiology, and medical reimbursement methods.

Traditionally, billers have either been trained on-the-job or have been medical coders who do both the coding and billing. However, the shortage of coders and the growing demand for skilled medical billing specialists have employers looking for professionals who know billing basics.

New York Licensure Requirements

While New York does not require medical billers to be licensed or certified, national professional groups, such as the American Medical Billing Association, offer certified medical reimbursement specialist (CMRS) certification. Please visit AMBA’s website for more information: www.ambanet.net/AMBA.htm. In addition, the American Academy of Professional Coders, http://www.aapc.com/, also offers medical billers credentials based on passing a qualifying exam and experience and education.

Financial Support

It may be possible to obtain financial assistance for training and education from an employer. Also, colleges and organizations that provide training for those wishing to become medical billers may have scholarships.

Education Programs in New York (subject to change)

Most jobs in this occupation require only a high school diploma, though many employers prefer workers with some billing, accounting, or customer service experience.

Information about education programs is offered by AMBA on their Web page “Medical Billing 101”: ambanet.net.

Many educational programs to become medical billers are offered online or on campus through BOCES schools, community colleges, and City University of New York (CUNY) schools, and State of New York (SUNY) colleges. Contact these agencies or search your geographic area online to find medical billing education programs convenient to you.

A sampling of programs are listed below. 

 
[whohit]Medical Billers[/whohit]

What Do Medical Coders Do?

Medical coders are health information technicians who assign codes used for the billing and reimbursement of health services. These codes describe both the diagnosis of the patient and the services rendered by the health care provider. Codes may differ depending on whether the medical coder works in a hospital or clinic and the type of services provided.

These coding sets are revised on a regular basis requiring medical coders to stay current on the changes as well as on any new reimbursement procedures. In some instances, medical coders are responsible for keeping medical and administrative staff informed about changes in the coding sets, too. With the move toward electronic medical records, medical coders are expected to be familiar with and use a number of different computer software programs to access clinical records and input codes.

Medical coders may also review patient information for preexisting conditions such as diabetes, retrieve patient records for medical personnel, and work as a liaison between the health clinician and billing offices.

This is one of the few health-related occupations in which there is little or no direct contact with patients. Because accuracy is essential in their jobs, medical coders must pay close attention to detail.

For more information, go to: http://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm.

Where Do Medical Coders Work?

Medical coders primarily work in health care settings, including hospitals, private physician offices, clinics, and nursing homes. They may also work in other settings such as health care consulting firms and insurance companies.

Medical coders usually work a 40-hour week. Some overtime may be required. In hospitals—where health information departments are often open 24 hours a day, 7 days a week—some medical coders may work day, evening, and night shifts.

How Much Do Medical Coders Earn?

In 2022, the average annual income reported by the Bureau of Labor Statistics (BLS) for medical records specialists in the United States was $51,090. The New York State Department of Labor (NYSDOL) reports that, in 2023, medical records specialists in New York earned a median annual salary of $51,289 (medical records specialists in the 25th percentile made approximately $39,360 while those in the 75th percentile made approximately $66,614).

Supply and Demand

The Bureau of Labor Statistics projects that the number of jobs for medical records specialists in the U.S. will increase by 7% between 2021 and 2031. The New York State Department of Labor projects that the number of jobs for medical records specialists in the state will increase by 16% between 2020 and 2030.

Employment growth for medical coders will result from the increase in the number of medical tests, treatments, and procedures that will be performed as the population ages and is likely to have more health-related problems. In addition, because of state and federal health care reform legislation, more Americans are expected to get health insurance and the use of electronic health records is also expected to grow. Therefore, more medical coders will be needed for patient and electronic data management.

For more information on the projected need for medical records and health information technicians by New York State labor regions, 2018-2028, click here.

Educational Requirements

Medical coders may obtain an associate degree from a community or junior college. Some schools may link medical coding with medical billing for a combined degree. The education programs in medical coding generally take between two and three semesters and consist of courses in medical terminology, anatomy and physiology, computer skills, and coding data sets.

Many employers favor technicians who have become Registered Health Information Technicians (RHIT). Advancement opportunities for medical record and health information technicians are typically achieved by specialization or promotion to a management position.

New York Licensure Requirements

While New York does not require medical coders to be licensed or certified, national professional associations such as the American Health Information Management Association, http://www.ahima.org, and the American Academy of Professional Coders, http://www.aapc.com/, may offer medical coders credentials based on passing a qualifying exam and experience and education.

Financial Support

Scholarships, loans, and other financial support may be available at many of the schools, colleges, and various training institutions. Additionally, AHIMA offers scholarships for individuals enrolled in Health Information Technology programs. For more information on AHIMA scholarships, go to: http://ahimafoundation.org/default.aspx?a=1.

Education Programs in New York (subject to change)

This is a sampling of medical coding education programs.

Additional Web Links

For more information about medical coders, go to:

The American Health Information Management Association: www.ahima.org

The New York Health Information Management Association: http://www.nyhima.org/

The American Academy of Professional Coders: www.aapc.com