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How to Become a Massage Therapist in Texas

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.

Massage Therapist Job Description

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:

  • Massage Therapy clinics
  • Sports medicine centers
  • Hospitals
  • Assisted living and nursing facilities
  • Chiropractic offices
  • Health spas
  • Community-based clinics
  • Franchise businesses

Job Prospects

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.

Massage Therapy Education and Training

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

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:

Massage Therapist Salary

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

View a list of massage therapy programs in Texas >

How to Become a HVAC in Texas

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.

  • HVAC technicians usually specialize in either installation or repair, although there are some who do both. They may also specialize in one area such as heating, air conditioning, or refrigeration. Some specialize is working with one type of tool such as hydronics (water based heating systems) solar heating, or commercial refrigeration.
  • HVAC technicians are often required to sell service contracts on equipment to customers. Service contracts provide for regular maintenance of heating and cooling equipment that help keep work flow constant during slower periods.
  • HVAC technicians follow blueprints when installing oil, gas, electrical heating systems and air-conditioning systems. After installation, they then install fuel and water supply lines, air ducts and vents, pumps, and other parts. They may also connect electrical writing and check that the system is working properly.
  • HVAC technicians test such equipment as carbon dioxide detectors, oxygen carbon monoxide testers, and combustion analyzers.
  • Technicians also install and maintain heat pumps, which both cool and heat a home or office. Because these pumps operate in all seasons, they require frequent maintenance and need to be replaced often.
  • During the summer, when heating systems are not in use, HVAC technicians perform routine maintenance work, such as replacing filters, ducts, and other components that may gather dust and other toxins.
  • Refrigeration technicians install, service, and repair both residential and commercial refrigeration systems and a variety of refrigeration equipment. The follow blueprints to install motors, compressor, piping, and other components. They then connect these components to ductwork and electrical power sources. By providing a climate controlled environment, refrigeration systems make it possible to transport and store food, medicine, and other perishable goods.

Career Outlook

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.

Education and training

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 >>

Licensure

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.

Salaries

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

View a list of schools in Texas offering HVAC programs >>

How to Become a Surgical Technologist in Texas

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:

  1. Prepare the operating theater before surgical procedures by mixing solutions, sterilizing all instruments and arranging them on the table for surgeons and nurses, and ensuring that all needed equipment is operating properly.
  2. Prepare patients for surgical procedures by washing, sterilizing and shaving appropriate areas of the body.
  3. Transport patients to the operating theater and placing them on the table in the correct position, and covering them with sterilized sheets.
  4. Monitor patient vital signs such as heart rate and blood pressure during the procedure and assist the operating team to put on sterilized gowns, caps and gloves.
  5. During surgery, they hand needed instruments and other items to the surgeon(s) and nurse(s), cut and sutures, and keep track of such supplies as sponges and needles.
  6. Prepare and deliver laboratory specimens for analysis by laboratory clinicians.
  7. Depending on level of experience, surgical technologists may prepare surgical dressings and operate suction and diagnostic equipment.
  8. After an operation, surgical technologists clean and sterilize the operating room, transport patients to recovery area, and replaced surgical supplies.

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.

Career Outlook

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.

Education and Training

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 >

Licensing and Certification

Certification by the National Board of Surgical Technology and Surgical Assisting

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.

Certification by the National Center for Competency Testing

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.

  1. Graduation for an NCCT-approved surgical technologist training program within the past 10 years plus satisfactory completion of required practicum hours;
  2. Completion of a hospital-based surgical technologist training program in addition to 1 year of “qualifying experience within the past 2 years” or 4 years of part time experience.
  3. Seven (7) years of qualifying experience as a surgical technologist within the past 10 years;
  4. Current licensure as a physician (MD), physician assistant (PA), registered nurse ((RN), licensed practical nurse (LPN) with significant “scrub experience.”

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/.

Salaries of Surgical Techs

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 >

How to Become an Accountant in Texas

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.

Career Outlook

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.

Education of Accountants

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 >

Certification and Licensure

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):

  • 36 semester hours or 54 quarter hours in such accounting specific courses as Taxation, Information Systems, Auditing, Financial, Cost and Managerial Accounting.
  • 39 semester hours or 58 quarter hours in general business courses including 6 semester hours or 8 quarter hours in business law. One of these courses may be completed during your freshman or sophomore year but the second must be an upper division course.
  • 12 semester hours or 18 quarter hours of upper division accounting coursework and 15 semester or 22 quarter hours of upper division general business courses.
    • A maximum of 9 semester hours or 13 quarter hours of computer courses and 6 upper division semester hours or 8 quarter hours of statistics courses can apply toward the general business course requirement.
    • A maximum of 3 semester or 4 quarter internship hours can be applied to the 36 semester hour requirement for accounting courses. Other internship hours may be applied to the general business hour requirement.

Other Certifications

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.

Salary Information

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.

How to Become a Dental Assistant in Texas

Dental assistants perform clinical and administrative support functions within  a dental office and are able to assume greater responsibilities with additional education and certifications.

Career Overview

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:

  • Prepare patients for dental examination and arrange instruments.
  • Provide chair-side assistance to the dentist during examinations (e.g. handing instruments to the dentist and using suction and other devices to keep the patient’s mouths dry)
  • Wash and sterilize or dispose of dental instruments and equipment after use.
  • Record patient dental history and create/update/maintain patient charts.
  • Educate patients with regard to proper oral hygiene and preventative dental care.
  • Prepare materials to fill cavities and make dental impressions.
  • Place dental dams to separate teeth for examination and/or x-rays.
  • May take and develop dental X-rays under the supervision of the dentist. As per the Texas State Board of Dental Examiners (SBDE), “You are permitted to make x-rays in Texas for one year from the first day of being hired as a dental assistant under the direct supervision of a dentist.  During this first year of employment you will want to consider taking one of the Dental Board-approved courses listed below to continue making x-rays in your 2nd, 3rd and future years of service as a dental assistant.”
  • Administer topical anesthetics to gums in preparation for root canal and other procedures and remove post-surgery sutures. .
  • Administers cavity-preventative materials to teeth, and removes excess dental cement used to fill cavities.
  • Administrative responsibilities may include scheduling patients appointments, creating and sending patient bills to insurance carriers, receive and record payments, and order needed office and dental supplies. .
  • Dental assistants who are given laboratory duties make casts from dental impressions and create temporary crowns.
  • Many states are now registering dental assistants who are then provided with additional responsibilities, such as polishing teeth and restorative procedures cavity fillings or root canal. For full details regarding the job duties that registered dental assistants  (RDAs) may perform in Texas, refer to “Regulation of Dental Assistants” guidelines.
  • For an overview of Dental Assistant Rule and Regulations visit the  Texas State Board of Dental Examiners/Dental Assisting Laws and Regulations.

Career Outlook

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.

Education of Dental Assistants

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.

Licensure and Certification

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:

  1. Complete the application and mail or fax to DANB with all required documentation along with the fee of $375.00. Your training program’s DANB certification number is to be recorded on the application.
    • For those students who are still attending their training program but scheduled to graduate within 90 days of test date, you may submit a letter attesting to upcoming program completion on official school stationary signed and dated by the program director.
    • Graduates of accredited programs are required to submit a copy of their final transcript or diploma.
  2. Current CPR certificate
  3. DANB will review once all documentation has been received. You will receive notice in about three to four weeks from the date you submit your application and supporting paperwork. If you are approved to sit for the exam DANB will send you a “Test Admission Notice” which will be necessary in order to register and enter the testing site.
  4. Schedule the location, date, and time of the exam through the Pearsons Vue the DANB testing vendor. Specific instructions to register for the test will be sent with the “Test Admission Notice.”
  5. Once you have completed the test you will be provided with unofficial score report subject to review by DANB.
  6. DANB will mail the official score report about 3 to 4 weeks after the exam date.

Texas Dental Assisting Salaries

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

View a list of dental assisting programs in Texas >>

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.

Career Overview

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

  1. The process begins when the sonographer explains the procedure to the patient and records his or her medical history, especially as it relates to the condition being evaluated.
  2. The sonographer then adjusts the equipment to appropriate settings and guides the patient into different positions to obtain the best view.
  3. The sonographer prepares the patient’s body by spreading a special gel on the area to be examined and then scans the patient’s body using a transducer which emits sound waves in a cone- or rectangular-shaped beam.
  4. When viewing the image, sonographers search for subtle clues to the underlying medical condition.  They then capture images to show physicians for further evaluation. As per Professor Charlotte Henningsen, President of the Society of Diagnostic Medical Sonographers, “because of the real-time nature of sonography exams, it is one of the more operator-dependent medical imaging modalities.”
  5. Aside from imaging, sonographers also update and store patient records and maintain equipment.

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.

Career Outlook

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.

Education and Training to become a Sonographer

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.

Certification Requirements

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:

  1. You may sit for the SPI exam upon successfully completion of ultrasound physics and instrumentation courses.
  2. You will not be eligible to sit for one of the specialty exams until you have graduated from a training program.

Overview of Application Process for the SPI and specialty exams:

  1. You must first register with ARDMS before having access to the online application. When completing the application be sure to use your full legal name. You may pay the application processing fee of $200. online but must mail all supporting documents to ARDMS.
  2. Supporting documentation to sit for the SPI includes a transcript showing proof that you have passed two ultrasound physics courses, along with non-expired government issued photo identification.
  3. For graduates of accredited two year programs (60 semester credits) located in the U.S or Canada applying to take one of the specialty exams, supporting documentation includes:
    1. Copy of your school diploma or an official transcript and
    2. Original letter signed by program/medical director attesting to date of graduation and successful completion of the program and
    3. An original signed and completed clinical verification (CV) form for each specialty area, if applicable, must be submitted. The CV form is not required if the application is submitted and received by ARDMS within one year of program graduation and
    4. Photocopy of non-expired government issued Identification with your signature. The name on the ID card must match exactly the name you indicate on your test application form.

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.

  1. ARDMS will review your documentation and compare your education and clinical experience to one of the published examination prerequisites and/or requirements.
  2. ARDMS will send eligible applicants an Examination Confirmation Letter within two to four weeks following submission of your application and all supporting documents to the ARDMS office. The letter will indicate the exam you are approved to take and notify you of the 90 day period during which the exam must be scheduled at an approved testing site.
  3. A Web site address and toll-free number will be provided so you may schedule an appointment to test. All examinations are administered online using Pearson VUE test centers located throughout the United States.  New users will need to create a new web account with Pearson VUE.  Once your web account is created, the username and password will be used to schedule all future examinations.
  4. You will be notified of your preliminary examination score immediately upon completing the exam. ARDMS will also be sent the score electronically. The results are subject to review and acceptance by ARDMS.
  5. Upon passing the exam ARDMS will grant the Registered Diagnostic Medical Sonographer (RDMS), Registered Diagnostic Cardiac Sonographer (RCDS), and/or the Registered Vascular Technologist (RVT) credential and you will receive a certification packet with temporary ARDMS Identification (ID) card and an official letter within six weeks. Your name will be printed on the certificate exactly as you recorded it on your application. The official ARDMS ID card is sent at a later date.
  6. Once you pass both exams, you will then be listed in the ARDMS online directory with your two letter state code so that potential employers can verify your credential.

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

Career Advancement

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.

Salary of Diagnostic Medical 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.

How to Become a Medical Assistant in Texas

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!

Career Overview

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:

  • Collect and prepare laboratory specimens.
  • Laboratory testing under the supervision of a physician or physician assistant.
  • Dispose of contaminated equipment.
  • Instruct patients in the proper use of medications and special dietary plans.
  • Prepare and administer medication and telephone drug orders and refillsto the pharmacy.
  • Draw blood and prepare patients for X-rays.
  • Record electrocardiograms.
  • Remove sutures and change dressings.
  • Arrange medical instruments for patient examination.

Ophthalmic medical assistants, optometric assistants, and podiatric medical assistants perform additional duties to those noted above.

Ophthalmic assistants help ophthalmologists provide eye care by:

  • Performing diagnostic eye tests, measuring and recording visual acuity, and testing eye muscle strength.
  • Applying eye dressing and administering eye drops and salve.
  • Maintaining optical equipment and instruments, and assisting the ophthalmologist during surgery.

Optometric assistants:

  • Provide chair-side assistance to optometrists during eye exams.
  • Instruct patients in the use of contact lenses and care.
  • Perform preliminary eye chart exams.

Podiatric medical assistants create castings of feet, expose and develop X-rays, and may assist podiatrists in surgery.

Career Outlook

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.

Education and Training Requirements

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.

Certification as a Medical Assistant

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.

  1. Must be a graduate of a medical assistant program accredited by either the CAAHS or ABHES.
  2. Apply to sit for the certification exam administered by the National Board of Medical Examiners by completing an application and submitting all required documentation.
    1. If you are a recent graduate the only documentation required is a verification letter from school director attesting to your graduation from the program.
    2. Non-recent graduates (over 12 months) will need to supply an official transcripts showing program completion.

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

  1. Pay the certification exam fee. This fee is $125. for members of AAMA, CAAHEP or ABHES. All others pay $250. Personal checks are not accepted.
  2. The certification department of AAMA will notify you of your application status within a 30 day period.
  3. Schedule an appointment to take the exam after your application has been approved. You will receive a testing schedule permit that will allow you to make an appointment at a Prometric test center in your area. The exam is given on a rolling basis and may be taken at any point during the year.
  4. Review the Content Outline for the exam and take the practice test.  You can also take a review CMA review course offered by a local chapter of the AAMA. The Texas chapter may be found at http://www.tsma-tx.org/.
  5. Once you pass the exam you will receive an official certificate and wallet-size card to attesting to possession of the CMA credential.  Potential employers will also be able to verify your certification via the AAMA Web site.
  6. You are required to recertify every 60 months. You can do so by passing another exam or by participating in continuing education. For further details regarding recertification, visit http://www.aama-ntl.org/recertified/faqs_recertification.aspx

Career Advancement

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.

Salary of Medical Assistants

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.

How to Become a Paralegal 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.

Career Overview

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 Paralegals

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:

  • Assist in the preparation of contracts;
  • Draft corporate resolutions, shareholder reports, and annual financial reports;
  • Prepare documentation for mergers and acquisitions;
  • Review and monitor government regulations to ensure compliance;
  • Assist with dissolution of businesses;
  • Maintain calendar of quarterly and annual shareholder meetings;
  • Prepare notices of incorporation.
  • Draft buy/sell contracts, leasing agreements, and promissory notes for business loans

Litigation Paralegal

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:

  • Analyze legal documents and maintain case files;
  • Collect and analyze evidence for use at agency hearings or trial;
  • Help prepare witnesses for testimony;
  • Conduct research of case law in preparation for trial using such legal databases as Lexus and Nexus, as well as review of legal articles in practice area journals.
  • When authorized by state law, may represent clients at administrative hearings (e.g. housing court).
  • During trial, paralegals may assist with developing legal arguments, draft pre-trial motions, obtain witness affidavits, and organizing evidence files so they are easily accessible to attorneys.

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!

Work Environment

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.

Job Outlook

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.

Paralegal Education and Training Requirements

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 in paralegal studies

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.

Baccalaureate programs in paralegal studies

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 in paralegal studies

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.

Internships

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

Paralegal Certification

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:

  • Approved by the ABA; or
  • An associate’s degree in Paralegal Studies; or
  • A bachelor’s degree in Paralegal Studies; or
  • A post-baccalaureate certificate program in Paralegal Studies; or
  • A certificate program consisting of 60 semester hours of which 15 hours must involve legal-related coursework; or

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.

Texas-based Certification

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

Paralegal Salary

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.

Career Overview

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).

Step-by-step process guide:

  1. It is the medical biller and coder’s responsibility to input patient information into the patient database using the appropriate codes to create an insurance claim.
  2. This claim is then submitted to the appropriate insurance carrier where it will be either accepted or denied.
    1. If the claim is accepted, the health care provider will reimbursed according to the rates set for the specific code.
    2. If the claim in denied, the medical biller and coder must follow-up with the insurance carrier to determine the reason. They must then notify the health care provider, update the status of the claim in the database, and send a bill to the patient.
  3. Medical billers and coders are also responsible for handling collections and working with insurance companies to investigate possible instances of insurance fraud.

Career Outlook

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.

Educational and Training Requirements

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 >>

Certification requirements

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:

  • Enhance your earning potential
  • Eligibility for promotional opportunities and career development
  • Receive recognition from your peers as a professional in the field.

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:

  • Read the Candidate Guide
  • Apply for exam
  • Register online
  • Complete the application
  • Submit transcripts and resume
  • Pay exam fee ($299 AHIMA member; $399 non-members
  • Read authorization test (ATT)
  • Schedule exam online

Steps to take the AAPC CPS exam:

  • Complete Application
  • Submit transcripts and resume
  • Pay $300 exam fee – 4 weeks before schedule exam date
  • Be a current AAPC member ($70 for students; $125 for regular membership)
  • Exam sites are located in Dallas, Fort Worth Houston, and Temple

Medical Billing and Coding Salary Ranges in Texas

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 >>

Job Description

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:

  • Preparing and filling prescription medications
  • Assisting customers when placing or picking up their orders
  • Routine clerical tasks such as taking prescription requests from doctors, inputting customer information into the computer, and labeling bottles.
  • Pharmacy technicians are able to perform most of the work of pharmacists up to an including filling prescriptions but may not offer advice or perform the final count of dispensed medication.  In all cases, they work under the direct supervision of pharmacists.

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.

Education and Training Requirements

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.

How to become a Pharmacy Technician Trainee

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:

  • Possess high school diploma or GED
  • Active enrollment in a certificate or two-year Pharmacy Technician program
  • Obtain Pharmacy Technician Trainee status through the Texas State Board of Pharmacy. Trainee status is valid for two years during which time the student must take and pass the certification exam administered by the PTCB.
    • Complete an application with date of high school graduate/award of GED and social security number and program of study.
    • Have fingerprints taken
    • The name, address, and pharmacy license number of your clinical site
    • No felony convictions
    • No suspension, denial, revocation, or limitations on your registration or licensure by any State Board of Pharmacy;
    • No substance-abuse convictions, including pharmacy-related drugs. Any violations, including misdemeanors, must be reported to PTCB.

How to become a Pharmacy Technician

  • Possess high school diploma or GED
  • Complete an application with date of high school graduate/award of GED and social security number
  • Have fingerprints taken
  • Pass certification exam administered by the Pharmacy Technician Certification Board (PTCB). Once you pass this exam you will designed a Certified Pharmacy technician (CPhT)
  • Become registered with the Texas State Board of Pharmacy after passing the PTCB exam
  • The name, address, and pharmacy license number of the pharmacy in which you plan to work, if known
  • No felony convictions
  • No suspension, denial, revocation, or limitations on your registration or licensure by any State Board of Pharmacy;
  • No substance-abuse convictions, including pharmacy-related drugs. Any violations, including misdemeanors, must be reported to PTCB.

Career Outlook

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.

Salary

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
Data derived from Salary.com

Career Growth

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