Massage therapy is now recognized by many health care providers across different disciplines as being an important alternate to traditional medical treatment methods for a variety of health complaints.
In its most essential form, massage therapists use therapeutic touch to reduce tension in both muscles and soft tissues of the body. Massage therapy is in the category of “alternative health” and is the perfect career for those who value holistic health principles.
There are over 80 different treatment methods in the field of massage therapy but most therapists focus on only one or two such as reflexology, Swedish massage or deep tissue massage. The first session with a new patient is usually devoted to consultation with the therapist recording medical history and information about the pain or problem. If the therapist doesn’t work with the method that would be best for the patient’s condition, they will refer the case to a colleague who does focus on that specialty. In most cases, treatment sessions last from about 30 minutes for minor aches and pains to over two hours for sports injuries. Massage therapy involves rubbing oils, lotions and creams into affected muscles and tissues thereby releasing tension and build-up calcium deposits.
Massage therapists may find employment in both private and public settings, such as:
Job prospects are great for those who wish to become massage therapists. As per the US Bureau of Labor Statistics, massage therapists are expected to grow at a much faster rate than most other occupations with a 35 percent yearly increase through 2018. Growth will primarily stem from the growing appreciation from both the medical community and consumers regarding the value of massage therapy in fostering a healthy lifestyle. Growth also arises from the growing number of massage therapy franchises and sports clinics. Residents in long-term care facilities also value massage therapy to relieve unpleasant side effects of various chronic conditions, such as scoliosis (back pain) or arthritis. Finally, the field is gaining increased recognition due to the higher standards being implemented to become a Massage Therapist across all states.
As per the Texas Department of State Health Services (TDSHS), the minimum education requirement is a high school diploma or general equivalency diploma, However, most employers prefer candidates who have graduated from an approved massage therapy training program.
Most training programs consist of 55 hours of in-class instruction and are offered by community colleges and private vocational schools. Coursework will include human anatomy and physiology, review of musculoskeletal structures, different organ systems and tissues, kinesiology (body movement) and kinesthetics (body mechanics) body, patient confidentiality and routine office management.
Most programs will also offer a practicum experience that provide students with the opportunity to utilize different massage methods, although most programs provide instruction in only one or two modalities. You may elect to attend these programs on either a full or part time basis.
Massage therapy training programs are accredited by both the Texas State Board, along with an independent accrediting agency, The Commission on Massage Therapy Accreditation (COMTA). COMTA is recognized by the U.S. Department of Educationas the official accreditation body of massage therapy programs.
View a list of massage therapy programs in Texas >
Licensing is required to work as a massage therapist in Texas. Prospective massage therapists will need to apply for a license to practice after graduation from an approved training program.
Licensure will require that candidates pass a national certification exam administered by the National Certification Board for Therapeutic Massage (NCMTMB) or the Massage and Bodywork Licensing Examination (MBLEX), offered by the Federation of State Boards of Massage Therapy (FSBMT).
Licensing is an important step in becoming a massage therapist as it raises the standards of the profession. As per the NCMTB:
For practitioners, NCBTMB certification is much more than a credential. It’s the cornerstone of a successful career. Because even if you work in a state that does not require certification, the NCBTMB credential establishes you as a dedicated professional with the knowledge and skills to uphold high standards of excellence.
And the benefits are immeasurable, national certification:
- Represents the highest standard in the field
- Communicates a commitment to safe, ethical practice
- Provides a competitive edge
- Gains visibility and credibility
- Increases employment opportunities within/between states
- Allows reimbursement by some insurance companies
- Reassures clients and employers
- Includes a listing in NCBTMB’s Find a Practitioner resource
- Establishes practitioners as healthcare providers on par with other professionals requiring certification
To learn more about the NCBTMB certification:
Median earnings of Massage Therapists in select Texas cities. Figures as per Salary.com January 12, 2012.
| Austin | $41,049 |
| Dallas | $42,990 |
| Houston | $42,774 |
| Fort Worth | $42,602 |
| San Antonio. | $39,928 |
Heating and air conditioning systems control and monitor the temperature, humidity, and air quality of residential and commercial buildings.
Heating, air-conditioning, and refrigeration systems consist of many mechanical, electrical parts such as motors, compressors, pumps, pipes thermostats and switches. Heating, Ventilation and Air Conditioning (HVAC) technicians diagnose, maintain and repair each of these components. To do this, they reset controls to recommended settings and test the performance of the entire system using special tools and testing equipment.
As per the Texas Air Conditioning Contractors of America (TACCA) , employment of HVAC technicians is projected to increase by 28 percent through the year 2018, much faster than the average for all occupations. As the number of new commercial and residential developments grows, so does the demand for climate-control systems. Residential HVAC systems also generally need to be replaced every 10 to 15 years; as a result the large number of homes build in recent years will necessitate the need for replacement by 2018.
Many HVAC professionals receive their training in secondary and postsecondary technical schools and community colleges that offer program in heating, air-conditioning, and refrigeration. The time difference in training may be accounted for by the fact that vocational schools concentrate solely on technical coursework without the liberal arts component required in community college programs.
Students enrolled in either secondary and postsecondary vocational training programs or community colleges learn about temperature control, electronics, equipment design and construction, as well as the basics of installation, maintenance, and repair of all HVAC equipment.
High school students interested in work in this field should take courses in mathematics, mechanical drawing, applied physics, chemistry, electronics, computer applications, and electronics.
There are three agencies that set standards for the accreditation of HVAC training programs: HVAC Excellence; the National Center for Construction Education and Research; and the Partnership for Air Conditioning, Heating, and Refrigeration Accreditation.
Some HVAC technicians gain training through apprenticeships run by joint committees representing Texas chapters of the Air-Conditioning Contractors of America (TACC),.the Mechanical Contractors Association of America, Plumbing-Heating-Cooling Contractors—National Association, and Texas-based chapters of the Sheet Metal Workers’ International Association or the United Association of Journeymen and Apprentices of the Plumbing and Pipefitting Industry of the United States.. Refer to each of the Web sites for further details on admission, and training program content .
Formal apprenticeship programs last from 3 to 5 years and combine on-the-job training with classroom instruction. Coursework is the same as offered in vocational and community college programs. Further details regarding admission and program content may be found on each of the web sites listed above.
In general, applicants for all apprenticeships must have a high school diploma or general equivalency diploma (GED). Strong math and reading skills are essential. After successful completion of an apprentice program, HVAC technicians are considered skills tradespersons able to work independently.
Students in traditional training programs and apprenticeship programs also learn about legislative issues and regulations that govern the use of heating, air conditioning and refrigeration systems.
Both formal vocational training and participation in apprenticeship programs are equally valid methods of beginning a career as a HVAC Technician.
View a list of schools in Texas offering HVAC programs >>
Heating, air-conditioning, and refrigeration mechanics and installers are required to be licensed in Texas. To obtain an application for licensure contact the:
Texas Department of Licensing and Regulation
E. O. T Thompson State Office Building
P. O. B Box 12157
Austin, TX 78711
The Texas Department of Licensing and Regulation (TDLR) issues two types of licenses — Class A and Class B. The Class A license lets you work on any size HVAC equipment. The Class B license limits you to 25 tons of cooling and 1.5 million Btu of heating. For either the Class A or Class B license, you also need an endorsement for environmental air conditioning, commercial refrigeration and process cooling and heating, or both.
You will need to pass an exam for each type of endorsement. To sit for an examination you need at least three years of practical work experience within the preceding five years. If you have a degree in air conditioning engineering, refrigeration engineering, or mechanical engineering from a Department-approved school, you can use it for up to two years of the work experience requirement. Exams are administered by PSI Exams. For complete information on registering for the exams, visit the Texas Department of Licensing at Regulation HVAC Candidate Information Bulletin.
As per the Board of Licensing, the contents of these tests require extensive knowledge of electrical codes with regard to HVAC specifically which candidates may obtain through completion of an apprenticeship program OR 2 to 5 years of paid experience.
For those with required coursework but less than the required three of experience, the industry has developed a series of exams to evaluate competency in basic residential and commercial heating and cooling, as well as commercial refrigeration. These exams are considered “entry-level” exams and are often administered at both secondary and postsecondary vocational and trade schools.
In addition, all HVAC technicians who work with refrigerants must be certified in their proper handling. To become certified, technicians must pass a written examination specific to the type of work they perform. The three areas of certification are: Type I for those servicing small appliances; Type II for high pressure refrigerants; Type III for low-pressure refrigerants. Exams are administered by an organization approved by the U.S. Environmental Protection Agency, such as vocational schools, contractor associations, and unions. The TACC offers study guides for these exams.
The following are entry-level salaries of HVAC technicians in select Texas cities. Salaries vary depending on level of training, licenses held, and specialty.
| Austin | $38,790 |
| Dallas | $40,623 |
| Fort Worth | $40,257 |
| Houston | $40,420 |
| San Antonio | $37,730 |
Salary.com November 2011
Surgical technologists play a supportive role to surgeons, nurses, and anesthesiologists during surgical procedures. They work under the direct supervision of surgeons and operating room nurses.
Key duties of surgical technologists include:
Certified surgical techs may also work as surgical first assistant. Under the supervision of a surgeon, the surgical first assistant, as defined by the American College of Surgeons (ACS), helps ensure hemostasis by controlling blood flow and stopping hemorrhage, aids in prevention of infection, and performs other technical assistance to help promote a safe and hygienic operating environment.
A surgical first assistant may also talk with patients prior to surgery to advise them of the procedure, prepare patients for surgery, assist in administering anesthesia, and create a written record of the operation.
According to the U.S. Bureau of Labor Statistics, the rate of growth in this career field is expected to be 25 percent through 2018. This represents a much faster rate of growth than for most other occupations as the number of surgeries being performed across all specialties increases.
The rise in the number of surgical procedures primarily arises from the continuing growth of the Baby Boomer and senior segment of the population. Both demographic groups have traditionally required a greater number of surgical procedures due to a variety of chronic and acute medical conditions. In addition, advances in medical technology, such as the use of lasers and fiber optics, mean that many more surgical procedures are being performed on an outpatient basis making them accessible to larger numbers of people. Even so, hospitals continue to employ the largest number of surgical technologists.
Training to become a surgical technologist is available from two-year community and junior colleges, private vocational schools, as well as hospital-based programs. Two agencies accredit programs in surgical technology: The Commission on Accreditation of Allied Health Education Programs (CAAHEP) and the Accrediting Bureau of Health Education Schools (ABHES).
Programs may last from 9 months within private vocational schools and up to 24 months in community and junior colleges. The time difference is accounted for by the fact that private vocational schools focus exclusively on technical coursework while students in community and junior colleges will also need to complete a liberal arts component during the first year of attendance.
Coursework in both private schools and community/junior colleges will include anatomy and physiology, microbiology, chemistry and organic chemistry, clinical pharmacology, medical terminology, medical ethics (e.g. patient confidentiality) and psychology. Other topics include patient safety, sterilization techniques, infection control, surgical procedures and how to properly handle all surgical instruments and equipment.
View a list of schools in Texas offering surgical tech programs >
As per the National Board of Surgical Technology and Surgical Assisting, (NBSTSA) certification is not currently required to work as a surgical technologist in the state of Texas. However, most employers prefer to hire surgical technologists who are certified as it raises the standards of the profession.
Technologists may pursue voluntary certification as either a Surgical Technologist or Surgical Technologist First Assistant through the NBSTSA after having graduated from a training program that has been approved by the CAAHEP or ABHES and passing the national certification examination. Once these requirements have been met, technologists may use the Certified Surgical Technologist (CST) or Certified First Surgical Assistant (CFSA) designation.
For more information on eligibility requirements, fees, and applying to sit for the CST exam and exam details visit http://nbstsa.org/examinations-cst.html.
Full details regarding eligibility criteria to become a Surgical First Assistant (CFSA) may be found at http://nbstsa.org/examinations-csfa.html#fees
To maintain certification, surgical technologists will need to satisfactorily complete 60 hours of continuing education over a 4-year period or retake and pass the national certifying exam at the end of 4 years.
An alternative pathway is to obtain certification by passing an examination administered by the National Center for Competency Testing (NCCT). You may qualify to test via four separate routes, each requiring a high school diploma.
For complete information on eligibility, fees, application procedure refer to the Surgical Technologist Certification brochure, which can be downloaded from this webpage: http://www.ncctinc.com/Certifications/.
Median Earnings of surgical technologist in select regional areas. Figures as per Salary.com June 2011.
| Austin | $38.802 |
| Dallas | $39.602 |
| Fort Worth | $39,439 |
| Houston | $39,598 |
| San Antonio | $36,864 |
View a list of schools in Texas offering surgical tech programs >
Accountants analyze and prepare financial documents on behalf of private firms, Federal, State, and local government agencies, nonprofit organizations, as well as private individuals. Accountants also perform budget analysis, financial planning, and help new companies prepare financial projections and set up an accounting system.
Specific job responsibilities vary among the four specialty areas: public accounting, management accounting, government accounting, and internal auditing. The most popular career is that of public accountant who performs a range of accounting, auditing, tax, and consulting work on behalf of clients. Some public accountants specialize in tax issues and advise corporations and individuals regarding tax advantages and disadvantages of various financial decisions. Other public accountants concentrate on auditing financial records of both companies and individuals to ensure they have been properly completed. Many public accounts are Certified Public Accountants (CPAs) and generally have their own practice or work for public accounting firm.
An interesting specialty within the field of public accounting is that of forensic accounting which involves the investigation and analysis of white-collar crimes such as securities fraud, embezzlement, bankruptcies. Forensic public accountants combine their knowledge of finance principles with law and investigation methods to determine whether illegal activity has occurred. Many forensic accountants work closely with law enforcement personnel and prosecutors during investigations and frequently provide testimony at trial.
Management accountants analyze the financial information of the companies for which they work. They perform budgeting, cost analysis, and asset management.
Government accountants work within the public sector and examine the financial records of government agencies and auditing companies and individuals who are subject to government regulation and taxation. Those employed by the Federal Government may work for the Internal Revenue Service (IRS).
Internal auditors verify internal controls of financial information and monitor financial mismanagement. They also evaluate their company’s management procedures, internal quality assurance controls to ensure that all financial records are accurate.
Technology has changed the nature of an accountant’s work. With the introduction of special financial software, accountants are able to summarize financial information in standardized formats.
In an industry report, the Texas Workforce Solutions agency published data showing an average yearly increase of 2.6 percent in the employment of accountants in the state. This comes as no surprise since the companies primarily responsible for this healthy employment picture are technical and scientific corporations doing business with the many oil and gas exploration outfits in the state. Forensic accountants may find employment with the Federal Reserve Bank located in Dallas. Accountants familiar with the regulations of the International Financial Reporting Standards are needed to monitor global operations of such major companies as Marathon Oil and engineering giant URS Corporation.
As per Texas Workforce Solutions other employers include:
Fortune 150/Global 500 petroleum refining company, Tesoro Corporation, which is headquartered in San Antonio, and industrial hygiene services company, ALS Environmental, with offices in Houston, both employ environmental accountants and auditors. The proliferation of oil and natural gas exploration in Texas necessitates the services of these specially trained professionals to help ensure compliance with environmental regulations so as to avoid EPA fees that could otherwise work to erode the bottom line.
Most accountants, regardless of specialty, will need to possess at least a bachelor’s degree in accounting or finance. Many employers prefer candidates with a masters degree in business administration with a concentration in accounting or finance.
Coursework for a bachelor’s degree in accounting will include basic accounting, management accounting, business law, economics, financial statement analysis, marketing, management, and statistics. Some of these courses may be transferred from an associate’s degree program. Many students interested in becoming an accountant first purse an associate’s degree in accounting which will enable them to work as bookkeepers, accounts payable clerk accounts receivable clerks and auditing clerks thereby gaining valuable experience in the field.
View schools in Texas offering programs in Accounting >
Many public accountants choose to pursue the CPA credential to enhance their marketability and earnings potential. The CPA credential is also necessary for any accountant who files reports with the Securities and Exchange Commission (SEC).
The Texas State Board of Accountancy grants licenses to those interested in becoming Certified Public Accountants (CPAs). In accordance with the Uniform Accountancy Act, CPA candidates must possess at least a bachelor’s degree with a total of 150 semester hours of college credit, a minimum of one year of experience as a public accountant, and passing scores on the Uniform CPA Exam.
The required 150 hours includes the following coursework (applicable to all states):
The Institute of Management Accountants confers the designation Certified Management Accountant (CMA) to those candidates who possess a bachelor’s degree and attain a passing score on the Graduate Record Admission Test (GMAT). Applicants must have worked at least two years in management accounting, pass a four part exam, and meet continuing education requirement. Te exam covers such topics as financial statement analysis, working-capital policy, capital structure, valuation issues, and risk management.
The Institute of Internal Auditors confers the Certified Internal Auditor (CIA) designation to those who have graduated from accredited colleges and have a minimum of two years experience and have passed a four-art exam.
Texas Workforce Solutions shows that the median annual salary for accountants in the state is $58,186 as of May 2009 (the latest date for which data is available). An entry level accountant working in the field of taxation can start at about $39,042 while an experienced accountant or CPA may earn approximately $79,156. Texas Workforce Solutions shows that accountants who are employed as financial managers and purchasing managers earn the highest median salaries in the state at $102,847 and $100,442 respectively.
Dental assistants perform clinical and administrative support functions within a dental office and are able to assume greater responsibilities with additional education and certifications.
Dental assistants play a support role and perform general office duties within a private dental office or the dental department of healthcare facilities. The responsibilities of dental assistants are diverse as they become involved with direct patient care, laboratory testing, as well as routine clerical tasks.
General Responsibilities of Dental Assistants:
As per the U.S. Bureau of Labor Statistics, the rate of growth is expected to be 36 percent through 2018, a rate that is much faster than that for most other occupations. There are two primary factors for this rate of growth: 1) increase in population size with an accompanying increase in the demand for dental services so that dentists need to hire assistants to perform routine tasks; 2) greater emphasis on overall preventative health care, including dental care, by all age groups.
According to the Commission on Dental Accreditation, there are no formal education requirements to become an entry-level dental assistant in any state and many dental assistants continue to be trained on-the-job. In these situations, the supervising dentist, dental hygienist, or senior dental assistant teach needed skills such as dental terminology, dental procedures, chairside assistance, recording patient histories, setting up patient charts, scheduling patient appointments and other office tasks. It may take a new dental assistant three to four months to become fully versed about job duties and able to work without constant supervision.
If you are a high school student with an interest in becoming a dental assistant, it is recommended that you take courses in biology, chemistry, mathematics, computers, and psychology.
For those wishing to pursue training in the field, The Commission on Dental Accreditation (CODA) of the American Dental Association accredits nearly 300 programs throughout the country. Most programs combine classroom study, laboratory work, and instruction in dental assisting practice and theory.
View a list of dental assisting programs in Texas >>
Coursework will include fundamentals of dentistry, dental pharmacology, dental office procedures, dental anatomy and physiology, clinical dental procedures, and dental equipment.
Programs within private vocational schools take about one year to complete and graduates will be awarded a certificate or diploma. Two year programs are offered in community and junior colleges and lead to an associate in science (A.S.) degree. Entry to either a certificate or associate’s program requires either a high school diploma or general equivalency diploma (GED).
Even those who have graduated from accredited training programs will participate in some type of formal on-the-job training or have previous experience. This training is necessary because dentists have varying work styles, office procedures, and methods of patient relations. Because of continuing advances in technology, dental assistants will also need to be kept current with regard to new equipment, instruments, and procedures.
According to the Texas Board of Dental Examiners there are three levels of dental assistants:
“Qualified Dental Assistant” is a dental assistant who has received on-the-job training or instruction through a dental assisting school. There is no credential for this level of training or instruction.
“Registered Dental Assistant” is a dental assistant who has successfully completed the state-level registration process with the SBDE (State board of Dental Examiners). Dental Assistants who successful register and have been issued a Dental Assistant Registration Certificate by the SBDE may use the credential “Registered Dental Assistant” or “RDA”. Registration is required for those dental assistants who wish to take and develop X-rays.
“Certified Dental Assistant” is a dental assistant who meets the education and/or experience prerequisites established by the Dental Assistant National Board (DANB). Experiential requirements are typically 2 to 4 years experience as a dental assistant on either a full or part time basis. Candidates must also passes the DANB Certified Dental Assistant (CDA) Examination (including Radiation Health and Safety (RHS), Infection Control (ICE) and national-level General Chairside (GC) component(s), is currently CPR-certified and continues to maintain the CDA credential by meeting DANB requirements. Dental Assistants who complete this process may use the credential “Certified Dental Assistant” or “CDA.” The designation Certified Dental assistant is required for those who wish to perform radiologic procedures
Aside from higher salaries, certification will enable dental assistants to earn higher salaries and be eligible for such career advancement opportunities as a dental office manager, instructor in training programs, dental products sales representative, or claims processor/adjuster with health insurance carriers. Dental assistants may also return to school to become dental hygienists and be eligible for a much broader range of clinical patient care.
Steps in applying for the Certification Exam through DANB:
Earning of/Dental Assistant in select Texas cities. All figures as per Salary.com August 2011.
| Austin | $31,273 |
| Corpus Christi | $30,715 |
| Dallas | $32,751 |
| Fort Worth | $32,456 |
| Houston | $32,587 |
Does the idea of working with some of the most advanced technology in the medical field interest you? Would you like to play an important role in helping doctors diagnosis illness? As a diagnostic medical sonographer (formerly referred to as “ultrasound technologist”) you will use sonographic (sound wave) equipment to obtain internal images of a patient’s body for evaluation by physicians.
Sonography is the use of sound waves to create internal images of the body for use in diagnosing various medical conditions. Although commonly used and widely known for its application in obstetrics, sonography is used to diagnose and guide treatment for a variety of ailments throughout the body.
Diagnostic medical sonographers (a.k.a. sonographers) use sonographic equipment that carries sound waves into select areas of the body. The equipment captures the reflected echoes of body structures and creates and image that can be videotaped or photographed for evaluation and diagnosis by physicians.
Duties of a Diagnostic Medical Sonographer
Diagnostic Medical Sonographers may specialize in such areas as obstetrics and gynecology, abdominal sonography (kidneys, liver, spleen, and pancreas), neurosonography (images of the brain and other parts of the nervous system), vascular sonography, cardiac sonography, and breast sonography.
According to the U.S. Bureau of Labor Statistics, employment of diagnostic medical sonographers is expected to increase by about 18 percent through 2018—a rate that is faster than the average for all other occupations. This growth can be attributed to the continuing aging of the population with an increased demand for diagnostic imaging services. Growth in the field also arises from the realization by healthcare providers that the use of ultrasound equipment to diagnose illness is a safer and more cost-effective method than is the case with radiological procedures. The field is expected to evolve even further with the introduction of new sonographic equipment, enabling sonographers to scan areas of the body that have until this point not be examined.
According to Professor Charlotte Henningsen, President of the Society of Diagnostic Medical Sonographers (SDMS), the majority of states (Texas included) have no licensing or certification requirements for diagnostic medical sonographers and it is possible to enter the field with a high school diploma. There are several pathways for entering the field of sonography; however, Professor Henningsen does acknowledge that graduation from an accredited training program along with registration through the American Registry for Diagnostic Medical Sonography (ARDMS), Cardiovascular Credentialing International (CCI), or American Registry for Radiologic Technologists (ARRT) is highly recommended to enhance your marketability to potential employers. As per Professor Henningsen, all of the sonography-related professional associations embrace the idea of sonographers certification as the community standard-of-care. Accredited programs also provide preparation for certification examinations that you will need to pass in order to obtain sonographer certification.
The Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredits over 190 educational programs offered by vocational schools, community colleges, and universities. Several hospital-based programs have received accreditation as well.
Colleges and universities are where the majority of accredited programs are found. Coursework will include anatomy and physiology, medical instrumentation, basic physics, patient care, and medical ethics combined with extensive clinical education.
There are also shorter educational programs that are acceptable to most employers. However, these programs are most appropriate for those who are already employed within a healthcare career seeking to transition into the field of sonography.
View a list of schools in Texas offering programs in diagnostic medical sonography.
As per Professor Henningsen of the SDMS, there are currently limited certification requirements to work as a diagnostic medical sonographer. However, those who wish to enter this field are strongly encouraged to seek accredited sonography programs and obtain sonographer credentials. Most employers prefer to hire registered sonographers since this provides objective evidence of a candidate’s knowledge and professional standing. The profession is also seeking to establish stricter standards for entry as the field of sonography continues to evolve with the introduction of new technology.
Diagnostic Medical Sonographers may become registered by passing two examinations administered by the American Registry for Diagnostic Medical Sonography (ARDMS): 1) the Sonography Principles and Instrumentation (SPI) examination; 2) an additional exam chosen from such specialties as vascular, cardiac, breast, abdominal, and neurosonography.
Upon passing both exams you will certified as a Registered Diagnostic Medical Sonographer (RDMS) by ARDMS. According to Professor Henningsen, there are currently 70,000 Diagnostic Medical Sonographers registered through this agency which is the organization that credentials the large majority of sonographers; however, CCI and ARRT also provide sonography certification examinations.
Eligibility to sit for the exams:
Overview of Application Process for the SPI and specialty exams:
For those who did not graduate from an accredited two year program or who have additional professional experience, visit http://www.ardms.org/Prerequisite.asp and complete the online questionnaire to determine your documentation requirements.
Additional information on ARDMS exams may be found at www.ARDMS.org/practiceexams.
For comprehensive information on the ARDMS exams and application process, refer to the Application Booklet which can be found at http://www.ardms.org/downloads/app.pdf.
For details regarding certification requirements through CCI, visit http://www.cci-online.org/content/certified-cardiographic-technician-cct
For details regarding certification requirements through ARRT visit, https://www.arrt.org/pdfs/Disciplines/Handbooks/RAD-Handbook.pdf
Diagnostic Medical Sonographers can seek advancement by obtaining multiple credentials. For example, cardiac sonographers might seek certification in the area of neurosonogrpahy to broaden their career options and enhance their marketability to potential employers. Sonographers may also advance into management roles supervising the role of other sonographers.
The following are median entry-level salaries of diagnostic medical sonographers in select Texas cities:
| Austin | $57,659-$60,744 |
| Dallas | $60,385-$63,315 |
| Fort Worth | $59,840-$$63,041 |
| Houston | $60,082-$63,296 |
| San Antonio | $56,085-$59,085 |
Salary.com updated May 2011
View a list of schools in Texas offering programs in diagnostic medical sonography.
Medical assistants work as support staff to doctors, physician assistants, chiropractors, and podiatrists, and nurses. They primarily work in private medical offices, often sitting at the front desk to greet patients. If you are seeking to enter the field of health care in a position which requires minimal education combined with challenging and diverse responsibilities, the field of medical assisting may be a great option for you!
The specific duties of a medical assistant may vary from office to office depending on the size of the practice and physician specialty. In smaller offices, medical assistants may be responsible for both administrative and clinical tasks and typically report to the physician, office manager, or head nurse. Those employed by larger practices usually specialize in a specific area, under the supervision of department mangers. It is important not to confuse medical assistants with physician assistants who are eligible to perform patient examinations, diagnose illness, and treat patients under the supervision of a licensed physician.
Administrative Medical Assistants primarily perform office support functions to include updating patient records, completing insurance forms, coordinating hospital admissions, scheduling patient visits, as well billing and bookkeeping.
Clinical Medical Assistants have varied responsibilities. Common tasks include recording patient histories, taking vital signs, explaining treatment procedures, preparing patients for physical examinations, and assisting the clinician during the exam. Other duties include:
Ophthalmic medical assistants, optometric assistants, and podiatric medical assistants perform additional duties to those noted above.
Ophthalmic assistants help ophthalmologists provide eye care by:
Optometric assistants:
Podiatric medical assistants create castings of feet, expose and develop X-rays, and may assist podiatrists in surgery.
According to the U.S. Bureau of Labor Statistics, the employment of medical assistants is expected to grow at a rate of 34 percent from 2008 through 2018, much faster than the rate for all other occupations. There is an increased need for healthcare workers at all levels due to the advances in technology combined with the aging of the population and rising need for medical care. The increased prevalence of obesity and diabetes will also result in an increased demand for healthcare services within private physician offices.
According to Don Balasa, Executive Director and Legal Counsel for the American Association of Medical Assistants (AAMA), there are no mandatory educational requirements to become a medical assistant in Texas with many entry level candidates being trained on the job in private medical offices. However, Mr. Balasa, states that “increasing numbers of employers prefer to hire medical assistants who have graduated from a CAAHEP or ABHES accredited medical assisting program and who have the CMA (AAMA) credential.” Graduating from an accredited training program can result in a greater number of employment opportunities with higher starting salaries and advancement opportunities.
Medical assisting programs are offered at private vocational schools, as well as junior and community colleges. Programs typically last one year and include coursework in anatomy and physiology, medical terminology, computer skills, office management, accounting, and insurance claims processing. Students will also learn clinical and diagnostic procedures, laboratory techniques, basics of pharmacology, and first aid. Most programs offer an internship experience that provides real-world experience in private medical offices or other healthcare facilities.
There are two agencies that provide accreditation to medical assisting training programs: the Commission on Accreditation of Allied Health Education (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES). Graduates of accredited programs are eligible to sit for the Certification exam administered by the American Association of Medical Assistants (AAMA).
View a list of medical assisting programs in Texas.
As per the Mr. Balasa of the AAMA “medical assistants are not licensed in Texas or in almost any other state.”However, as noted although certification is not required to enter the field of medical assisting, a large majority of job opportunities in Texas will require that you possess this credential. You may obtain certification through the American Association of Medical Assistants (AAMA).
Certification process with AAMA:
As per the AAMA the Certified Medical Assistant (CMA) designation is the “gold standard” of the profession which confers increased prestige among your colleagues, along with enhanced job opportunities and job security.
The exam consists of 200 multiple choice questions of which 180 will be scored, the remainder being in the pre-test phase. These pre-test questions are spread throughout the exam so you will not be able to identify them. You can read the exam handbook which provides complete details about test construction and testing sites by visiting:
http://www.aama-ntl.org/resources/library/ExamApp.pdf
Medical assistants may advance their careers through additional training or experience. Some medical assistants go on to teach medical assisting in vocation schools or community colleges. Others choose to return to school to work in some other healthcare capacity such as nurses, physical therapists, even physician assistants. Administrative medical assistants can advance into position of office manager and have responsibility for office operations, as well as supervision of other support staff.
The following provides median entry level salaries for medical assistants in select Texas cities:
| Corpus Christ | $26,641-$27.974 |
| Dallas | $28,408-$29,829 |
| Fort Worth | $28,151-$29,560 |
| Houston | $28,265-$29,679 |
| San Antonio | $26,385-$27,725 |
Source: Salary.com, June 2011
View a list of medical assisting programs in Texas.
The paralegal profession has experienced significant growth over the past twenty years arising from the increased utilization of paralegals by a variety of employers who seek to deliver cost-efficient legal services.
Paralegals have assumed many of the duties that were once the sole responsibility of attorneys. However, they are still explicitly prohibited from providing legal advice, setting fees, or representing clients in court.
The specific job duties of a paralegal will vary depending on the type of legal setting in which you work. Below is a brief description of the two most common practice areas.
Corporate law offers a wide variety of sub-specialties, such as patents and trademarks, copyright, entertainment law, banking, and securities, among others.
Partial list of responsibilities:
There are also several subspecialties within the area of litigation law: family law, criminal law, medical malpractice, employment law, bankruptcy and torts (product liability).
Specific responsibilities include:
Other areas include real estate law where paralegals may prepare mortgage and closing documents for both residential and commercial properties, and represent clients at property closings. Paralegals working in the field of probate law help clients prepare wills, become involved with property transfers, and perform asset verification.
A career as a paralegal is an excellent choice for those interested in pursuing a legal career but don’t wish to pursue a law school degree. Paralegals have become essential members of the legal team, enjoying competitive wages and a career offering diversity and challenge. Those with several years experience may be promoted to Senior Paralegal, performing traditional paralegal duties, along with office management and supervision of junior paralegals.
If law school is in your plans, working as a paralegal is also an excellent stepping stone as it provides you with exposure to many practice areas so you may decide which interests you the most. Depending on your employer, you may also be eligible to have at least part of your law school tuition paid for by the firm in which you work!
The majority of paralegals are employed in law firms, corporate legal departments, and government agencies. Most work is performed in office environments or law libraries. Paralegals typically work a 40 hour week but may be required to put in significant overtime in preparation for trials.
Employment of paralegals is expected to grow by 28 percent through 2018, which represents a much faster than average rate of growth. This growth arises from the needs of employers to reduce legal costs, as well as the expanding specialties of environment law, health care law/medical malpractice, and elder law. The emergence of pre-paid legal plans should also contribute to the rising demand.
While there is no mandatory education requirement to become a Paralegal in Texas, the majority of candidates now entering the field possess at least an associates or certificate in Paralegal Studies. Programs are also offered at the bachelor’s level.
It is to your benefit to attend a program accredited by the American Bar Association (ABA) as these programs have met strict quality-based guidelines with regard to curriculum, materials, and internship experiences.
View a list of paralegal schools in Texas.
Associate degree programs are offered by two-year community and junior colleges. The curriculum includes general liberal arts study, electives, along with paralegal-specific coursework. In most cases, an associate’s program will prepare you to work as a generalist in the field. You will receive instruction in such areas as introduction to the paralegal profession and law, methods of research, torts, business law, estate planning, criminal law, family law, and real estate.
Upon graduation you will receive an Associate in Science or Associate in Applied Science degree.
Several colleges and universities in Texas have developed four-year programs in Paralegal Studies. Courses taken during the final two years of study in a bachelor’s program are more in-depth and advanced than is the case with associate’s programs and allow students to develop a specialization in one or more legal areas. Some programs also include coursework in the management of a law office.
Graduates of Bachelor’s Paralegal programs typically earn a B.S. or B.A. degree. Paralegal programs may be found under the umbrella of different departments, such as Political Science, Business, or Criminal Justice.
Certificate programs are offered by community colleges, 4-year institutions, and private schools. Certificate programs are geared toward those who hold either an associate’s or bachelor’s degree in a different field of study. Coursework is similar to that of an associate’s degree with specializations offered in business law, litigation, real estate, and estate planning.
Certificate programs may be completed on an accelerated schedule, usually within four months of full time study but up to two years for those attending part time. Part time schedules are flexible with courses often available during evenings and weekends, as well as during the summer session.
Many paralegal programs offer an internship experience as part of the curriculum. The internship permits students to gain “real-world” experience in a variety of settings, including private law firms, corporate law departments, government agencies, and legal aid organizations.
For a list of ABA approved paralegal programs in Texas visit: http://apps.americanbar.org/legalservices/paralegals/directory/tx.html
As per the Texas Board of Legal Specialization (TBLS), Texas has no mandatory certification requirements for paralegals. This is primarily due to the fact that regulatory laws are designed to protect consumers and paralegals do not work autonomously with consumers but are under the supervision of attorneys. However, most paralegals do pursue voluntary certification to enhance their employability and be recognized by employers as having a certain level of expertise in the field.
The National Association of Legal Assistants (NALA) has established standards for the certification of paralegals. These standards include a combination of experience and education. Those who meet these requirements are able to sit for a two-day examination, now administered exclusively online. Upon passing you will receive the designation Certified Legal Assistant (CLS) or Certified Paralegal (CP).
To be eligible to sit for the examination, candidates must:
1. Graduate from a paralegal program that is:
2. A bachelor’s degree in any field with 1+ year’s experience as a paralegal. Successful completion of 15 hours in legal coursework will constitute the equivalent of one year experience; or
3. A high school diploma with 7 years experience as a paralegal under the supervision of an attorney and 20 hours of continuing legal education completed within two years of examination date.
4. The application must be completed in full and submitted with all supporting documents, such as attorney references and official school transcripts. Application for the exam may be found at: http://nala.org/FORMS/CLAAPP/CLAapp.htm.
5. The fee to sit for the Certified Paralegal examination is $250. for NALA members and $275. for non-members.
For additional information regarding the NALA certification examination, visit: http://www.nala.org/examinee.aspx
Certification is valid for five years during which time paralegals need to complete 50 hours of continuing education coursework to renew their credential.
The Texas Board of Legal Specialization (TBLS) offers advanced certification for paralegal with 5+ years experience under supervision of an attorney admitted to the Texas state bar. As per Carmen Galvez, Coordinator of Paralegal Certification, paralegals may certify in two of six areas: civil law, estate planning, criminal law, personal injury, real estate law, and family law.
For a complete list of certification requirements with TBLS, visit: http://www.tbls.org/FAQs/FAQ.aspx?id=1
The following are median salaries for entry level Paralegals across all specialties in select Texas cities. Salaries will vary depending on your practice area, location, and level of education.
| Austin | $42,324-$45,545 |
| Corpus Christi | $41,568-$44,732 |
| Dallas | $44,325-$47,698 |
| Fort Worth | $43,925-$47,267 |
| Houston | $44,102-$47,459 |
| San Antonio | $41,168-$44,301 |
View a list of paralegal schools in Texas to get started today.
Medical Billers and Coders (now classified under the rubric of Health Information Technicians) assist healthcare providers and insurance companies to accurately code medical diagnoses and procedures to expedite the filing and payment of insurance claims.
Information collected by medical coders includes patient health history, medical diagnosis, treatment protocol, and prescribed medications. Every diagnosis and medical procedure is assigned an alpha-numeric code using specialized classification software. Medical billing and coding professionals must be familiar with several different coding systems depending on whether the patient is privately insured or billed through Medicare and type of setting where services performed (outpatient or hospital-based).
According to the U.S. Bureau of Labor Statistics, employment of medical billers and coders is expected grow by about 20 percent through 2018 which is faster than the average for all occupations. Job growth will be due to aging of the population, along with the rise in the number of medical tests and procedures being performed.
According to Josh Berndt, Public Relations Officer with the American Academy of Professional Coders (AAPC) there are no mandated educational requirements to begin a career as a medical biller or coder in Texas, ”although it helps to have some courses in anatomy and physiology.” However, there are certain skill sets and knowledge specific to the field that can best be learned through an accredited educational program.
You may earn a 2-year associate degree or 4-year bachelor degree in the field of Medical Billing and Coding. Having an associate’s degree will provide you with a competitive edge over those with only high school diploma in obtaining competitive-wage employment. Earning a bachelor’s degree in the field will almost guarantee that you will obtain a more lucrative position and be eligible for promotional opportunities, such Health Information Services Manger overseeing the work of medical billers and coders. Those already in possession of an associate or bachelor’s degree may earn a certificate in medical billing and coding. Certificate programs are generally three to nine months in length depending on whether you attend on a part or full time basis. Most degree and certificate programs include an externship during which you will gain real-world experience as a medical biller and coder.
Coursework will include the anatomy and physiology, medical terminology, basis office procedures, insurance claims, the use of medical billing software, coding systems and coding terminology.
The two organizations that provide accreditation for medical billing and coding programs are the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC).
View a list of medical billing and coding programs in Texas >>
As per Mr. Berndt of AAPC, most states, Texas included, have no mandated certification requirements to work as a Medical Biller and Coder. However, a 2005 survey by AHIMA showed that over 73% of employers nationwide believe that credentialing is very important for Medical Coding professionals1.
Additional Benefits of Certification:
You may obtain medical coding certification from either of the following organizations:
Each organization will award medical coding certification upon successfully passing an extensive five-and-a-half hour examination. To sit for either exam, candidates must possess a high school diploma or GED.
For details on the AHIMA exam, visit: http://www.ahima.org/downloads/pdfs/certification/CCS_Content_Outline.pdf
For details on the AAPC exam, visit http://www.aapc.com/certification/cpc.aspx
The American Health Information Management Association (AHIMA) will confer a Certified Coding Specialist (CCS) credential.
The American Academy of Professional Coders (AAPC) confers the Certified Professional Coder (CPC) credential. Those will less than two years experience will be given the designation CPC-A (Apprentice). Once the apprentice has accumulated two years experience, they must provide two letters of recommendation or one letter and show evidence of 80 hours of continuing education to obtain the full CPC designation: CPC.
Steps to take AHIMA CCS exam:
Steps to take the AAPC CPS exam:
Texas provides wonderful opportunities in the medical billing and coding field as it is home to of the most renowned medical centers in the country, such as Baylor Medical Center and Methodist Hospital System based in Houston.
The table below provides the median salaries for Medical Billers and Coders in select cities:*
| Austin | $42,024. |
| Corpus Christi | $41,273 |
| Dallas | $44,010 |
| Fort Worth | $43,613 |
| Houston | $43,790. |
| San Antonio | $40,876 |
* Salary.com (April 2011)
References:
1 http://ahima.org/downloads/pdfs/certification/EmployeeValuesurvey.pdf
View a list of medical billing and coding programs in Texas >>
According to the Texas State Board of Pharmacy, a pharmacy technician is an individual who is registered with the Board as a pharmacy technician and whose responsibility in a pharmacy is to provide technical services that do not require professional judgment regarding preparing and distributing drugs and who works under the direct supervision of and is responsible to a pharmacist.
The main duties of pharmacy technicians include:
Although the majority of pharmacy technicians work in retail stores such as WalMart, Walgreens, or CVS, there are also job opportunities available in such other settings as hospitals, nursing homes, assisted-living facilities, pharmaceutical warehouses, mail order pharmacies, research labs, as well as federal agencies (e.g. Food and Drug Administration).
To succeed in this role, pharmacy technicians must be highly detail oriented, be good with numbers, exercise sound judgment, able to multitask, and possess excellent customer service skills.
As per Gay Dodson, R.Ph. Executive Director of the Texas State Board of Pharmacy (TSBP) there are currently no formal educational requirements to become a pharmacy technician in the state, aside from possession of a high school diploma or GED. This is because most pharmacy technicians are trained on-the-job by senior pharmacy technicians or pharmacists.
For those who do choose to pursue training through a local community college or vocational school, the TSBP recommends enrolling in a program that is accredited by the American Society of Health System Pharmacists (ASHP). The TSBP designates any program as “board approved” that has such accreditation.
View a list of schools in Texas offering pharmacy technician programs.
Many training programs will include a clinical component during which students will have the opportunity to work in a pharmacy setting under supervision of Pharmacist. Students must be registered with TSBP as a pharmacy technician trainee before they may participate in such a clinical placement.
While a degree or certificate is not necessary to become a pharmacy technician in Texas, it can help you to obtain a supervisory position, along with increased pay.
A pharmacy technician trainee is an individual who is registered with the board as a pharmacy technician trainee and is authorized to participate in an externship program offered by a 2-year college or vocational school. The requirements to become a trainee are as follows:
As the aging of the population continues to grow with new families of drugs being introduced on a fairly regular basis, greater numbers of people are using prescription medication to treat illness and disease. In tandem with this trend, cost-minded health insurance providers are calling upon pharmacists to expand their role into direct patient care and education. Pharmacists, in turn, are relying upon pharmacy technicians to meet the increased demand for medications while maintaining high levels of safety and accuracy. Arising from this, there will continue to be a strong demand for pharmacy technicians. The U.S. Bureau of Labor Statistics predicts that the field of pharmacy technician is expected to increase by 31% from 2008 to 2016, reflecting a much faster rate of growth than the average for all occupations.
Below are the median annual salaries for Pharmacy Technicians-Level 1 (Entry-level) in major metropolitan cities:
| Corpus Christi | $30, 163 |
| Dallas | $32,979 |
| Fort Worth | $32,690. |
| Houston | $33,076 |
| San Antonio | $30,031 |
There is also opportunity for pharmacy technicians to specialize in one area such as chemotherapy or nuclear medicine. Those with strong performance records in larger-size companies may be promoted into such supervisory roles as Senior Pharmacy Technician, although they will still be under the direct supervision of pharmacists. Another avenue of career growth is for pharmacy technicians to continue their education to become a pharmacist (typically through a five year undergraduate program).
Work Environment. As noted, pharmacy technicians work in a variety of settings. They often have scattered schedules with evenings, weekend and holiday work often required, especially within health care settings, such as hospitals, that are open 24 hours. Physical stamina is important as the work requires standing for long periods, along with the need to lift sometimes heavy boxes of medication and using stepladders to retrieve supplied from higher shelves.
Resources
1 Texas State Board of Pharmacy http://www.tsbp.state.tx.us/Pharmacytechs.htm