Pay Up! D:ACH’s First Annual Salary Report

Whether you’re studying to become an allied health care professional, already working within the field or just thinking about the possibility of a career in health care Diversity: Allied Health Career’s First Annual Salary Report will be an invaluable resource. You can find out how your salary matches up with your peers, or discover what sort of pay you can expect upon graduation. Readers just learning about career options in allied health will be able to find out how much education and experience is required for various professions within the field.

Maybe you’ll discover your employer is more generous than you thought or maybe this report will remind you that it’s about time for your annual review. Whatever the case, in light of the current dearth of health care employees, now is a great time to work in the allied health field. And don’t forget to check back next year who knows what sort of changes will have taken place in the field by then? Maybe next year you’ll be getting paid a Julia Roberts-size paycheck. It’s ok to dream.

While perusing this report, keep in mind that the scope of allied health care occupations is extremely broad, offering plenty of opportunities that require varied levels of education and skill. A quick scan of the job titles and salary ranges on the following pages shows a wide range of salaries, even within one field. The salary estimates include a median base salary and a range below and above the median, which reflects what 50% of the people in that occupation earn. It does not include, however, the extremes such as higher salaries that might be offered at large hospitals in major cities.

Because of high demand and low supply within many allied health occupations a trend that is expected to continue for years to come salaries should continue to increase at rates well above the national average for all workers. Signing bonuses, enhanced benefits and other “perks” are now being offered by many health care employers to entice candidates to hard-to-fill positions. Because needs are so high within some disciplines, stories about “wage wars” between employers are starting to surface.

Compensation competition within the health care industry has not reached the fierce level that the information technology sector experienced in the 1990s, but don’t be surprised if you start hearing some amazing stories about what employers are offering. Just make sure to separate fact from fiction. Making a salary demand to an employer based on unsubstantiated information is never a wise career move.

Due to space limitations, this report is not intended to provide comprehensive salary data on all allied health disciplines. Salary information and job descriptions are based on reports provided by Salary.com. More specific information, such as salaries in certain cities, is available at www.salary.com.

Anesthesia Technician

median: $25,370
range: $22,200 to $29,192

Assists anesthesiologist by setting up equipment and preparing medications. Orders, stocks, tests and maintains anesthesia supplies, medications and equipment. Washes and sterilizes reusable equipment and reports malfunctioning equipment to appropriate personnel. May require an associate’s degree or its equivalent with two to four years of experience in the field or in a related area. May also be required to complete anesthesia technician trainee program. Works under general supervision. Typically reports to a supervisor or manager.

Biomedical Engineering Technician

median: $38,733
range: $35,320 to $42,587

Assembles, maintains and repairs various medical equipment. Tests the functionality of equipment and takes accuracy, sensitivity and selectivity measurements. Assists medical staff in operation of equipment. May require an associate’s degree in biomedical engineering or electronic engineering with two to four years of experience in the field or in a related area. Works under general supervision. Typically reports to a supervisor or manager.

Cardiac Technician

median: $29,306
range: $24,665 to $36,472

Operates heart/lung machines and related laboratory apparatus as well as physiological pressure monitoring systems. Prepares written documentation, as required by the profession and the department, regarding individualized treatment plans, evaluation results and progress reports. May require an associate’s degree or its equivalent with two to four years of experience in the field or in a related area. Also may require completion of a certificate in health technology or scientific instrumentation in electrocardiography. Works under general supervision. Typically reports to a supervisor or manager.

Cardio-Pulmonary Perfusionist

median: $86,935
range: $76,811 to $95,810

Sets up and operates heart/lung machines to take on the functions of patient’s organs while in surgery. Operates equipment to produce bypass, coronary perfusion, recirculation or partial bypass or to alter blood temperature, balance or content. May require an associate’s degree or its equivalent with two to four years of experience in the field or in a related area. In addition, a Certified Clinical Perfusionist (CCP) credential is required. Works under general supervision. Typically reports to a supervisor or manager.

CAT Scan Technologist

median: $43,630
range: $40,450 to $47,331

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Obtains patient history, explains standard procedures and addresses patient concerns. Produces computerized tomographic scanner radiographs of specific areas as required by the departmental procedures. Performs obstetric and gynecological scans, ultrasound techniques and examinations, abdominal scans, retroperitoneal scans and radiation therapy localization. Typically requires a high school diploma, completion of radiologic technology training, American Registry of Radiologic Technologists (ARRT) registration and two to four years of experience. Works under general supervision. Typically reports to a supervisor or manager.

Certified Respiratory Therapy Technician

median: $34,248
range: $31,547 to $37,310

Assists respiratory therapist in providing respiratory therapy to patients in accordance with professional standards and practices. Performs a variety of tasks involving set-up, operation, cleaning, sterilization and storing of respiratory therapy equipment. Changes nebulizers and humidifiers on nursing wards and resets oxygen flow as directed by physician. Operates sterilizers and aeration chambers, performs cold sterilization methods, and arranges for cleaning and sterilization of respiratory therapy equipment. Requires a high school diploma or its equivalent, completion of national and state certification and two to four years of related experience. Works under general supervision. Typically reports to a supervisor or manager.

Cytogenetic Technologist

median: $41,779
range: $37,189 to $48,524

Performs microscopic analysis for cytogenetic studies on biological specimens from cell cultures. Studies include hematological disorders, fertility problems, chromosome analyses for prenatal diagnosis and congenital birth defects. Responsibilities include slide preparation, photomicroscopy, microscopy, computer image analysis, karyotyping, culturing and harvesting procedures and result reporting. May require a bachelor’s degree and one to three years of experience in the field or in a related area. Works under general supervision. Typically reports to a supervisor or manager.

Dental Hygienist

median: $45,384
range: $38,880 to $52,359

Under the direct supervision of a dentist. Cleans calcareous deposits, accretions, and stains from teeth and beneath margins of gums using dental instruments. Feels lymph nodes under patient’s chin to detect swelling or tenderness that could indicate presence of oral cancer. Feels and visually examines gums for sores and signs of disease. May provide clinical services and health education to improve and maintain oral health of school children. May conduct dental health clinics for community groups to augment services of dentist. May require an associate’s degree or its equivalent and two to four years of experience. Must be licensed as a dental hygienist.

Dental Laboratory Technician

median: $27,914
range: $25,652 to $32,844

Assists dentist in filling prescriptions. Creates molds and impressions to develop individual dental devices. Requires a high school diploma or its equivalent and zero to two years of experience in a related field. Typically reports to supervisor or manager.

Echocardiograph Technician

median: $45,269
range: $40,781 to $50,429

Performs echocardiograms in accordance with established practices and procedures. Provides preliminary diagnostic evaluation and notifies cardiologists of results of examinations. Consults with cardiologist to establish requirements for non-standard examinations and determines technical factors to satisfy requirements. May require an associate’s degree, passing the Echocardiography Registry Exam and two to four years of experience. Works under general supervision. Typically reports to a supervisor or manager.

EKG Technician

median: $25,335
range: $22,062 to $29,831

Performs electrocardiographs according to established policies and procedures. Requires a high school diploma. Must be a graduate of an accredited EKG program with zero to two years of clinical experience. Typically reports to a registered nurse.

Emergency Medical Technician

median: $28,445
range: $23,589 to $35,502

Provides first aid care to patients who are either ill and/or injured. Requires a high school diploma or its equivalent and zero to two years of experience in a related field. May be expected to meet certain state certifications and be CPR certified. Typically reports to supervisor or manager.

Head of Laboratory Services

median: $85,838
range: $75,275 to $95,171

Directs, establishes and plans the overall policies and goals for a hospital’s laboratory services. Requires a master’s degree in a related area and at least 10 years of experience in the field. Generally manages a group of nonexempt and exempt employees. Typically reports to an executive.

Histology Technician

median: $36,914
range: $32,603 to $40,544

Prepares tissue specimens for routine and special procedures to confirm a patient diagnosis. Performs complex histological procedures, records and analyzes data, maintains and repairs instruments. May require an associate’s degree or its equivalent with two to four years of experience in the field or in a related area. Must also be certified as a Histotechnician HT (ASCP). Works under general supervision. Typically reports to a supervisor or manager.

Infection Control Coordinator

median: $54,213
range: $49,683 to $58,834

Monitors and investigates known or suspected sources of infections in order to determine the source and ensure control. Reviews sterilization and disinfection techniques and recommends changes as needed. Provides related education to staff. Prepares simple cultures as needed for environmental and individual studies. May require a bachelor’s degree and at least five years of experience in the field or in a related area. Relies on extensive experience and judgment to plan and accomplish goals. May lead and direct the work of others. Typically reports to a manager or head of a unit/department.

Laboratory Information Systems Coordinator

median: $50,736
range: $45,117 to $56,999

On a continual basis, develops the scope, the plan and the benefits of projects related to laboratory information systems. Maintains project documentation by formulating and implementing policies and procedures. Maintains and updates the system. May require a bachelor’s degree in area of specialty and two to four years of experience in the field or in a related area. Relies on extensive experience and judgment to plan and accomplish goals. May lead and direct the work of others. Typically reports to a manager or head of a unit/department.

Laboratory Manager

median: $75,901
range: $64,049 to $89,663

Plans and implements the overall laboratory policies, procedures and services for a unit and/or shift. May require a bachelor’s degree and must be a registered medical technologist with at least seven years of clinical experience in a related field. Generally manages clinical technicians. Typically reports to an executive.

Laboratory Supervisor

median: $42,828
range: $36,018 to $48,590

Organizes and directs the daily activities of the laboratory including supervising personnel, quality assurance and quality control procedures. Typically supervises the first shift. May require an associate’s degree and zero to two years of clinical experience in a related field. May be expected to meet certain state certifications. Typically reports to a manager.

Mammography Technologist

median: $42,254
range: $38,773 to $46,026

Operates x-ray equipment and performs various mammography-related procedures. Responsibilities include preparing and maintaining records and files, cleaning and adjusting equipment as needed. Requires completion of a formal radiologic technology training program in an AMA approved school, certificate in diagnostic mammography and two to four years of experience. Works under general supervision. Typically reports to a supervisor or manager.

Medical Laboratory Technician

median: $31,674
range: $28,361 to $35,649

Performs manual and automated routine blood tests. Prepares specimens for microscope examination. May require an associate’s degree or its equivalent and zero to two years of clinical experience in a related field. Typically reports to supervisor or manager.

Medical Records Director

median: $76,036
range: $67,394 to $85,733

Directs, establishes and plans the overall policies and goals for a medical records department. Requires a bachelor’s degree in a related area with at least seven years of experience in the field. Generally manages a group of exempt and nonexempt employees. Typically reports to an executive.

Medical Technologist – Hematology

median: $42,823
range: $38,876 to $46,350

Performs blood tests and specialized hematologic procedures. May also be expected to study morphology of blood and perform coagulation studies. Requires a bachelor’s degree with at least two to four years of experience. Typically reports to a manager or supervisor.

Medical Technologist – Microbiology

median: $42,859
range: $39,921 to $46,759

Performs a variety of virological, mycological, bacteriological and parasitological tests to provide data on cause and progress of disease. Identifies, isolates and cultivates microorganisms present in body fluids, skin scrapings, exudates, or autopsy and surgical specimens. May require a bachelor’s degree in medical technology, ASCP certification/eligibility, and two to four years of experience in the field or in a related area. Relies on extensive experience and judgment to plan and accomplish goals. May lead and direct the work of others. Typically reports to a supervisor or manager.

MRI Technologist

median: $46,793
range: $43,012 to $50,975

Operates a magnetic resonance scanner to obtain images used by physicians in the diagnosis and treatments of pathologies. Selects appropriate imaging techniques, operates console and peripheral hardware, enters and monitors patient data, transfers images from disk to magnetic media to produce the transparency and develops film in automatic processor. May require a bachelor’s degree in area of specialty and two to four years of experience in the field or in a related area. Typically requires registration with the ARRT. Works under general supervision. Typically reports to a supervisor or manager.

Nuclear Laboratory Technologist Supervisor

median: $63,247
range: $57,994 to $69,474

Supervises personnel engaged in diagnostic laboratory testing. Performs assigned phases of nuclear research under the guidance of the director of nuclear medicine. May require a bachelor’s degree and at least five years of experience in the field or in a related area. Must also be certified by the Nuclear Medicine Technology Certification Board or registration by the ARRT. Relies on extensive experience and judgment to plan and accomplish goals. May lead and direct the work of others. Typically reports to a manager or head of a unit/department.

Nuclear Medicine Technician

median: $48,539
range: $43,287 to $53,863

Provides diagnostic aid to physicians by conducting organ or body scans on patients. Administers and records isotope dosage in accordance with established departmental protocol. Observes patient during procedure and reports any abnormal activity. Typically requires a bachelor’s degree in Nuclear Medicine; two to four years of experience; and registration with the Nuclear Medicine Technology Certification Board, the ARRT or the American Society of Clinical Pathology. Works under general supervision. Typically reports to a manager or head of a unit/department.

Nuclear Medicine Technologist

median: $45,189
range: $42,111 to $48,577

Administers and monitors radionuclides to patients to determine presence of radioactive drugs. Requires an associate’s degree with zero to two years of experience in a related field. May be expected to meet certain state certifications. Typically reports to supervisor or manager.

Occupational Therapist

median: $53,376
range: $49,754 to $57,531

Plans and directs a course of occupational therapy to restore motor control. Requires a bachelor’s degree and certification as an occupational therapist with two to four years of clinical experience. Typically reports to a manager or supervisor.

Operating Room Technician

median: $30,061
range: $27,021 to $32,871

Assists surgical team during operative procedures by arranging and inventorying sterile set-up for operation and passing items as needed. Assists in preparing and moving patients and in cleaning the operating theater. Must be a graduate of an accredited School of Surgical Technologists, possess a current ORT certification and have two to four years of experience. Works under general supervision. Typically reports to a supervisor or manager.

Orthopedic Technician

median: $27,755
range: $24,054 to $32,490

Applies and adjusts plaster casts and assembles and attaches orthopedic traction equipment and devices as directed by a physician. Sets up bed traction units or rigs special devices as required. Inspects and adjusts bandages and equipment. Requires a high school diploma or its equivalent, completion of Orthopedic Technician training and certification program and two to four years of related experience. Works under general supervision. Typically reports to a supervisor or manager.

Paramedic

median: $29,271
range: $25,933 to $33,070

Provides emergency first aid to injured or ill patients, applies artificial respiration, administers oxygen in cases of suffocation or asphyxiation, dispenses antiseptic solution to prevent infection, starts and administers intravenous fluids, and assists in lifting patient onto stretcher and into/out of ambulance. Accompanies ambulance driver on calls and may aid physician during emergency situations. Requires a high school diploma or its equivalent, state certification and two to four years of related experience. Typically reports to a supervisor or manager.

Pharmacist

median: $68,215
range: $64,939 to $72,701

Under the direction of a physician, compounds and dispenses prescribed drug. Requires a bachelor’s degree and/or an advanced degree in pharmacy and a license to practice. Typically reports to a manager or supervisor.

Pharmacist – Clinical

median: $73,715
range: $68,746 to $78,757

Conducts drug utilization review studies. Consults with medical practitioners on prescription orders, patient reactions and errors. May require a doctorate in pharmacy or medicine. Must be a registered pharmacist. Typically reports to a manager or supervisor.

Pharmacy Technician

median: $22,279
range: $19,717 to $26,837

Under the direct supervision of a registered pharmacist, compounds and dispenses medical prescriptions. May be expected to perform some clerical duties relating to the department. Requires a high school diploma or its equivalent and zero to three years of clinical experience in a related field. May be expected to meet certain state certifications. Typically reports to supervisor or manager. The salary range for technicians with four or more years of experience is $22,451 to $27,178.

Phlebotomist

median: $21,837
range: $19,956 to $24,106

Draws and collects blood samples from patients, verifies records and prepares specimens for laboratory analysis. Requires a high school diploma and/or certification by a nationally recognized body and zero to three years of related experience. Has knowledge of commonly used concepts, practices and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. Works under immediate supervision. Typically reports to a supervisor or manager.

Physical Therapist

median: $57,494
range: $50,366 to $61,865

Plans and directs a course of physical therapy to restore motor control. Requires a master’s degree and certification as a physical therapist. Typically reports to a manager or supervisor.

Physician Assistant

median: $69,353
range: $65,795 to $75,275

Under the supervision of a medical director, assesses, plans and provides patient care under the authority of a physician’s plan. May diagnose patient illness. Requires a bachelor’s degree with two to four years of clinical experience. Must meet any state requirements pertaining to a physician assistant. Typically reports to a physician.

Prosthetist/Orthotist

median: $54,593
range: $47,926 to $63,489

Designs and fits artificial limbs, braces and appliances for body deformities and disorders by carefully examining affected area for factors that would affect the fitting and/or placement. May specialize in making and fitting artificial limbs and be designated a Prothetist, or may specialize in making and fitting orthopedic braces and be designated an Orthotist. Typically requires a bachelor’s degree, certification by the American Board for Certification in Orthotics and Prosthetics, and at least five years of experience in the field or in a related area. Relies on extensive experience and judgment to plan and accomplish goals. Typically reports to a supervisor or manager.

Radiation Therapy Technologist

median: $50,985
range: $46,775 to $56,036

Responsibilities include performing radiation therapy, radiographic procedures and operating specialized x-ray equipment. Other duties include keeping treatment records; maintaining, storing and ordering supplies and equipment; and preparing operational reports as needed. Typically requires an associate’s degree or its equivalent, ARRT registry or registry eligibility in radiation therapy technology, and two to four years of experience in the field or in a related area. Works under general supervision. Typically reports to a supervisor or manager.

Radiologic Technologist

median: $40,143
range: $36,486 to $42,510

Arranges patients for radiologic examinations. Produces radiographs (x-rays) to aid in the diagnosis of medical problems. May require an associate’s degree or its equivalent with zero to two years of experience in the field or in a related area. Relies on instructions and pre-established guidelines to perform the functions of the job. Works under immediate supervision. Typically reports to a supervisor or manager.

Renal Dialysis Technician

median: $25,696
range: $22,636 to $30,131

Monitors and operates various machines related to peritoneal dialysis, hemodialysis, plasmaphoresis and drug overdose. Develops and establishes protocols for equipment evaluation and training materials to instruct patients and staff in practices and principles of dialysis. Requires a high school diploma or its equivalent, state certification and two to four years of related experience. Relies on instructions and pre-established guidelines to perform the functions of the job. Works under immediate supervision. Typically reports to a supervisor or manager.

Respiratory Therapist

median: $42,489
range: $38,848 to $46,365

Assists in the diagnosis, treatment and management of patients with pulmonary disorders. May require an associate’s degree or its equivalent and two to four years of experience in the field or in a related area. May be expected to meet certain state certifications and may require CPR certification. Works under general supervision; typically reports to a supervisor or manager.

Surgical Assistant

median: $40,228
range: $28,947 to $53,047

Performs various duties to assist surgeon during surgery: retracts tissues and ties suturing materials, starts intravenous solutions, inserts tubes and performs pap smears. Also collects history and performs physical examinations of patients. Requires a high school diploma or its equivalent, graduation from an accredited physician assistant program and two to four years of related experience. Relies on instructions and pre-established guidelines to perform the functions of the job. Works under immediate supervision. Typically reports to a supervisor.

Those Who Can, Teach

It doesn’t take a PhD to figure out why the nation’s nursing schools urgently need to develop more faculty members in general and more minority faculty in particular—you just have to do some simple math.

First of all, according to the American Association of Colleges of Nursing (AACN)’s most recent survey of instructional and administrative faculty in baccalaureate and graduate nursing programs, the average age of full-time doctorally prepared faculty in 1999-2000 was 50 years. This breaks down into an average age of 49.5 for assistant professors, 52.8 for associate professors and 55.7 for full professors. As today’s baby boomer nurse educators continue to retire at a rapid rate, not enough new faculty are coming in to replace them.

Secondly, despite the ever-growing racial and ethnic diversity of the U.S. population, the vast majority of nursing school faculty is still overwhelmingly white. The AACN survey reports that 91.2% of all full-time nurse educators are Caucasian, while only 5.4% are African American, 1.3% are Hispanic, 1.4% are Asian, 0.4% are Native American and 0.2% are Native Hawaiian or Pacific Islander. Furthermore, of the 8.8% of nursing faculty members who are minorities, just 9.3% are full professors and only 32.4% are tenured.

Clearly, there is a tremendous need for more nursing faculty of color, especially at institutions that are actively trying to attract a more culturally diverse student population. As a result, positions in the field of teaching and academia are becoming an even more attractive career alternative for minority nurses than ever before. Because colleges and universities across the country are fighting over the precious few minority faculty who are out there, these educators can generally have their pick of universities, areas of the country in which to live and fields of study.

A career in education can be both an extremely challenging and highly rewarding experience. How can you tell if becoming a faculty member is right for you? Here’s what some minority nurses who have chosen this career path have to say.

Teaching is Just the Beginning

The first thing to keep in mind about academic careers is that faculty duties involve more than just teaching. Nearly all colleges and universities also require their educators to conduct research and perform service to their school, the nursing profession and the community.

To be successful in academia, nurse educators need to do more than just the basics, believes Cynthia Flynn Capers, RN, PhD, dean of the University of Akron College of Nursing in Akron, Ohio. “You must have a real love and commitment to teaching and learning,” she says.

“Nursing schools expect you to join nursing organizations and attend meetings that will give you a voice in the profession,” continues Capers, who is African American. “And while serving as an officer or committee chair for these organizations is not required, most nursing schools consider it an added plus.”

Nursing faculty are also expected to assist their college or university by joining campus committees, participating on task forces and advising and recruiting students.

Pao-Feng Tsai, RN, PhD, assistant professor in the College of Nursing at the University of Arkansas for Medical Sciences, serves on the department’s research committee. “I can choose from a variety of committees,” she says. “I need to participate at both the college and university levels. In addition, I must attend professional conferences and be a manuscript reviewer. If possible, I also hope to become an officer in a professional association.”

While Tsai spends both time and energy on the service aspect of her faculty position, it occupies far less of her attention than the other two components—teaching and research. “I probably spend a total of one to two weeks a year on service,” she comments.

But for faculty members at some other educational institutions, service is a bigger part of the picture. Every week, I do some service activity,” explains Betty Chang, FNP, DNSc, FAAN, professor at the UCLA School of Nursing in Los Angeles. “In our faculty, everyone has at least two committee assignments at the university, but I’m a senior faculty member, so I’m on even more committees.”

In addition to committee work at the university, Chang is active on an American Academy of Nursing committee, where she reviews manuscripts. “If you are part of an organization, you cannot help but be involved,” she says.

Even though teaching and research take most of her time, Chang feels her service activities are extremely important as well. Her advice to nurses considering an academic career is: Be prepared to work hard. “I work at my office and at home, seven days a week and many evenings,” she explains. “In the summers when I am not teaching, I am conducting research and publishing the findings.”

On top of all this, faculty members are also expected to do community service, says Capers. “Typical community service includes giving health education seminars, serving on boards and using your expertise to benefit the health of the community.”

“I Just Knew Teaching Was for Me”

Although their career clearly involves a lot of hard work, most nurse educators are passionate about the important impact their work has on the nursing profession. “Teaching is more demanding than I first thought it would be,” states Duck-Hee Kang, RN, PhD, assistant professor at the University of Alabama at Birmingham, “but it is also more exciting. I get excited when my students get excited. I help them learn to set high goals and always aim for quality work.”

For those students who hope to follow in her footsteps and become educators themselves, “I tell them that being a faculty member is a commitment to the nursing profession,” Kang asserts. “They start learning how to teach by observing teaching styles and volunteering to work with a faculty member. This helps them learn that teaching is more than just what goes on in the classroom—it also includes all the preparation that happens first.

“I just knew teaching was for me,” she adds. “It’s a way to make a contribution to the coming generations by using my experience and helping students learn.”

At Coppin State College School of Nursing in Baltimore, one of the nation’s Historically Black Colleges, Dr. Earlene Merrill, assistant dean of nursing, recently participated in a training session focused on the challenges of teaching students in the 21st century. “We talked about creating an exciting classroom setting to keep students motivated and involved,” she says.

More so than in previous generations, today’s student nurses want to be self-directed and to make their own decisions, Merrill believes. This creates a challenge for faculty members, who must develop a teaching pedagogy that helps students become both self-directed and successful.

“Teaching is much more difficult than it looks,” she points out. “It entails more work than many suspect when they begin.”

Merrill also emphasizes that nurse educators have to know how to maneuver through the academic setting to obtain the resources they need, such as teaching supplies, secretarial help or manageable class sizes. “Sometimes administrators do not understand what educators need,” she says. “I tell my students that in teaching, patience is rule number one and persistence is rule number two.”

What It Takes

In recent years, the health care industry’s severe shortage of hospital nursing staff has also begun to negatively impact the development of future nursing faculty. In some cases, schools of nursing have been forced to put more emphasis on their clinical nursing programs, while academic tracks that prepare students for teaching careers were neglected or even cancelled altogether

Miguel da Cunha, PhD, a professor in the Department of Nursing to Target Populations at the University of Texas School of Nursing in Houston, saw this happen at his institution. “We had three different tracks at the master’s level: administration, teaching and clinical,” he explains. “There has been such a need for clinicians that we cancelled the teaching and administrative tracks for awhile. But now there is a reemergence of interest in education and we are reinstating them.”

When students ask him about becoming a faculty member, da Cunha is encouraging but realistic. “There are not many perks or company cars,” he tells them. “Our perks are what we get back from the students and our own personal satisfaction.”

Da Cunha compares academics’ triple duties of teaching, research and service to a lopsided three-legged stool: In terms of professional recognition, teaching is the short leg. “Research tends to get all the glory,” he maintains.

He has reason to know both sides. Originally in research, he switched to the classroom in the 1970s. Since then, da Cunha has earned three John P. McGovern Outstanding Teaching Awards.

He personally defines outstanding teachers as people who love their profession, are committed to continuously learning and who share their knowledge and techniques in peer review journals. “Teaching and scholarship have to be complementary,” he says.

Advising, too, is a necessary component of a successful academic career, da Cunha adds. “Advising is an important part of teaching—it is mentorship. Teaching is not limited to what you do in the classroom. Advising means guiding students through their education process. I keep in touch with my students throughout their program, advising them on strategies to improve their achievements. That’s part of the joys of teaching. Students keep me rejuvenated.”

Mentoring and advising is particularly important for minority students, who can sometimes feel isolated or slip through the cracks in predominately white nursing schools. Minority professors can serve as empowering role models for students of color, letting them see that they too can become successful nurses, educators and researchers.

The Rigors of Research

Leonie Pallikkathayil, RN, DNS, winner of the University of Kansas Chancellor’s Award for Distinguished Professorship, is associate professor at the University of Kansas Medical Center School of Nursing in Kansas City and is extremely active in research. One of her most recent projects was a study funded by the National Institutes of Health on fatigue in healthy individuals.

Pallikkathayil advises master’s-level students who plan to become nurse educators to “do a master’s thesis or a research project,” to prepare them for the research component of a faculty member’s duties. “It’s important to get first-hand experience in the research process,” she says. She also recommends that students work with faculty as research assistants to “get experience in being part of a team and to observe different aspects of research work.”

Being a successful researcher, and therefore a successful nurse educator, requires several key qualities, Pallikkathayil believes: “It takes energy, enthusiasm, imagination, creativity, patience and persistence. Plus, you have to be able to balance the demands of teaching, research, service and practice requirements and still have a life!”” She also stresses the ability to deal with disappointment, because of the amount of rejection that goes along with research. “You won’t get funded each time you apply for a grant,” she explains.

Nursing professors are often quick to recognize a student’s inclination toward research. When Bertha Davis, RN, MS, PhD, FAAN, assistant dean for research at Hampton University’s School of Nursing in Hampton, Va., encounters a student who is a critical thinker and shows curiosity about why and how things happen, she knows he or she would make a great researcher.

“When research-oriented students create care plans or research papers, they are really detailed about rationales and they question information,” says Davis, who is also a professor at the historically black university. “They look for alternative points of view in the clinical setting. When students possess those qualities, I want to see them continue their education.”
Educators such as Davis are eager to develop more minority nurse research professors, because of the enormous need for culturally sensitive research on diseases and health risks that disproportionately affect people of color. “I believe all faculty members should review their notions about cultural appropriateness to help create culturally competent research practices,” Davis states.

However, she cautions, “Just because a faculty member is a minority does not mean that they are sensitive to all people in their culture. There are many subcultures, and we have to learn what research subjects’ specific environments are like.”

Packaging Your Career

Back when Maria Warda, RN, PhD, was a health care administrator, she discovered she had been preparing to move into a career in academia—without even knowing it. Her experiences in a variety of work environments and countries, and the joy she felt in helping new nurses develop themselves professionally, made her want to use this passion to teach nurses in a college or university setting.

“That’s when I decided to return to school for a doctorate,” says Warda, who is now assistant dean of diversity enhancement and academic services at the University of California, San Francisco, School of Nursing. “I believe good faculty members must have a passion for lifelong learning, as well as a real commitment to enhancing the learning experiences of their students.”

Teaching can be particularly rewarding for minority nurses, adds Warda. “Minority nursing faculty members have different perspectives [than majority faculty],” she says. “It’s important for us to bring those perspectives to the classroom and share them with students.”

Faculty Salaries 101

A common objection to careers in academia is that faculty members earn lower salaries than nurses in clinical or administrative positions. But is this perception really true?

The American Association of Colleges of Nursing (AACN) reports that college and university nursing professors with doctorates earned an average of $68,779 for the 1999-2000 academic year. What’s more, that figure represents an increase of 3.8% from the previous year.

Even on lower rungs of the academic ladder, faculty earnings compare more favorably with clinical nursing salaries than you might think. Here is the AACN’s breakdown of salaries by rank for the academic year 1999-2000:

Professor
$68,779 (With Doctorate) $62,294 (Without Doctorate)

Associate Professor
$56,585 (With Doctorate)  $46,734 (Without Doctorate)

Assistant Professor
$48,738 (With Doctorate)  $41,870 (Without Doctorate)

Instructor
$44,359 (With Doctorate )  $39,487 (Without Doctorate)

The AACN study also found that administrative faculty generally earn more than instructional faculty.

Negotiation Skills for Minority Nurses

Ampy de la Paz, MSN, RN, a 40-year nursing veteran who works as a quality management analyst at Bayshore Medical Center in Pasadena, Texas, uses an incident from her own career to demonstrate to newly arrived nurses from the Philippines how to negotiate in the American workplace.

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The incident occurred when she was offered a promotion a number of years ago [by a previous employer] and met with her superior to discuss her new salary. The first lesson de la Paz imparts to her colleagues is that she didn’t walk into the meeting blindly. She prepared for it by deciding how much of a raise she deserved on a percentage basis and how much various percentages meant in actual dollars.

Then, when the initial offer came, she knew the dollar amount was a smaller percentage increase than she deserved, and she told her superior the amount he was offering wasn’t enough. A few weeks passed before the superior returned to say he had spoken with someone in human resources who claimed that a survey of people at other hospitals employed in the same position had found that the amount de la Paz had been offered was average for the position.

Her response was: “I’m not average.”

She had lots of management experience, she told him, as well as a master’s degree, so she couldn’t accept the salary the organization was offering. Several more weeks passed before the superior met with her again. This time, he made what de la Paz considered an acceptable offer and she took the job.

Although negotiating is more often associated with legal, business or union issues, advancing your nursing career requires negotiation skills, too. Many people find negotiating difficult and some experts believe minority nurses are at a particular disadvantage when it comes to lobbying for promotions, raises or support for their projects and ideas. For example, they may come from cultures where disagreeing with superiors is considered disrespectful, or where being humble and part of a group is valued over self-promotion.

“The majority of [Filipino women] are very shy, so they [are] not as assertive as [they need] to be,” says de la Paz, the former executive director of the Philippine Nurses Association of America (PNAA). “They’re taught to avoid arguments and not rock the boat.”

Filipino nurses often get passed over for promotions because of this, she continues. “Sometimes you have to encourage them and tell them, ‘Why don’t you apply for it? You’re qualified to do that.’ They want to be asked [rather than ask for it themselves]. They would not go out of their way to ask for [a promotion], but if it’s offered to them they would take it.”

Know Your Value

In negotiating for a promotion or a pay increase, de la Paz says it’s important to know your worth, become comfortable with the person you’re negotiating with and demonstrate your value to the organization by promoting yourself whenever you get the chance.

For Ruth W. Brinkley, RN, CHE, president and CEO of Memorial Health Care System in Chattanooga, Tenn., negotiating in the workplace means “having the confidence to position yourself in a way that helps you best put forth your unique qualifications, skills and abilities, so that those skills and abilities become apparent to the organization.”

That may mean obtaining skills and knowledge you currently lack. “However,” Brinkley maintains, “I believe that in many cases people [already] have the abilities and skills they need, but don’t know how to position themselves and package themselves correctly. Once you know what skills you have and you’re confident in what you have, then you’re better able to negotiate from a position of strength and sell yourself to your organization.”

When a position that you want becomes available, she continues, “the first thing you’ve got to do is be able to package your unique set of skills that [are a good fit for that job]. It’s not always apparent. Many times we don’t recognize the skills we have.”

Years ago, Brinkley left a job as a chief nurse at an academic medical center to become a consultant for a professional services firm. “It took me a while to understand how to repackage my skills from an operational framework to a consultative framework,” she says. “I began to recognize that I did have the skills to be an effective consultant. What I needed to do was use the skills I had in a different way.”

Know Your Organization

Gwendylon Johnson, RNC, MA, a staff nurse at Howard University Hospital in Washington, D.C., and past president of the District of Columbia Nurses Association, says one of the most important things a nurse can do is to understand his or her organization as much as possible. This means not only knowing the direct care aspects of your working environment but the business aspects as well. Selling your idea, or yourself, will be easier if it fits in with the organization’s mission, she says.

“You have to make sure to bring to the table something that will expand the mission of the organization in a positive sense,” Johnson explains, “because [that way] you’re more likely to be able to get them to accept what you’re trying to do.”

Johnson, a past member of the American Nurses Association board of directors, says knowing the organization you work for means knowing its culture and how that culture defines value. This will help when it comes time to promote an idea, seek a higher-level position or negotiate for a pay raise. Determine what qualities the organization values and then seek to obtain those qualities.

Keep in mind, she says, that successful nurses don’t limit themselves to activities at the bedside. They bring other skills to the table, such as leadership abilities, organizational skills or knowledge of the community.

“[Hospitals] are now asking direct care nurses for ideas about how to market the organization,” Johnson points out. “If you are the nurse who comes up with the best idea, then you are probably the one who is going to be asked to advance or promote that idea. Also, [it’s important to have] a business sense of what the organization’s needs are and [how those] needs are in line with the mission statement of the organization.”

Gloria Ceballos, MS, RN, CNAA, BC, former chief nursing officer at Kettering Medical Center in Ohio, recommends volunteering to serve on a hospital committee that advances the organization’s mission.

“Volunteer for maybe some ad hoc work that the committee has to do,” she says. “This will expose you to other people, their ways of thinking and other professions outside of nursing. Not only that, the leaders [of your organization will] focus on people who want to advance. Those are the first people that leaders think of.”

Participating in committees and other volunteer activities helps increase your visibility within the organization and sets you apart as someone who is interested in more than just collecting a paycheck. “No leader is going to give advancement to somebody who’s just doing their work, coming in and going home,” explains Ceballos, who now works as a fill-in nurse while pursuing her doctorate. “You have to demonstrate that you bring value to the organization and that’s when the salary increases come.”

For example, Hispanic nurses should remember that their knowledge of the Spanish language and Hispanic culture can often be an asset, she says. “If [they work for a facility that serves] a lot of Hispanic patients, they add great value in communicating culture and differences in care that Hispanic patients would need.”

Ceballos recommends serving on diversity committees or volunteering to translate brochures into Spanish.

Prioritize and Practice

Johnson, who has worked as a union activist for the District of Columbia Nurses Association, advises nurses not to rush into things when preparing to negotiate with their employers.

“Take your time and fully develop what you see as a priority interest for you and the organization, because you have to set priorities,” she says. Build a strategic plan if necessary for how you can achieve your goals and how you can best sell yourself.

“Do not feel embarrassed about taking ownership of a new idea and doing something with it,” Johnson continues. “There are times when you have to step up and say, ‘Yes, this is my idea.’ But you also have to take ownership of the challenges and problems as well as the successes. Use every opportunity as a learning experience you can build on for future use, both from an individual growth perspective and an organizational growth perspective.”

Like other important nursing skills, negotiation skills can be learned. Johnson points out that many hospitals offer professional development programs that focus on cultural diversity and how different cultures address issues such as conflict resolution and assertiveness. She also advises minority nurses who have difficulty in asserting themselves to role-play.

“If you have difficulty doing it in a mixed-culture group,” she says, “one of the things I suggest is practicing in some type of group where you can feel comfortable–where you can say ‘this is what we have to learn how to do’ and practice it.”

Johnson says she has seen it work in minority nursing associations, such as the National Black Nurses Association (NBNA) and the PNAA. “I have experienced it firsthand with the NBNA and with Chi Eta Phi Sorority. Organizations like these have programs that focus on teaching nurses, regardless of their cultural background, to speak up and stand out as a positive influence in the workplace.”

Strength in Numbers

Having an advocate in the workplace who can lend support to your cause is also beneficial. “One of the things that helps is if you have a mentor,” Johnson says. “That person can also serve as a conduit for floating some of your ideas.” If you don’t have someone who can serve as an advocate, she adds, then finding a partner who has the ability to enhance your proposal is the next best thing. “That means knowing your colleagues and knowing the organization to be able to make that determination.”

Brinkley agrees that it’s helpful to have an advocate in the workplace who can tout your abilities. It’s also important, she says, to be willing to take on extra duties and responsibilities, especially unpleasant or difficult ones, in order to get noticed and increase your value. Plus, you should be willing to take risks and work outside your comfort zone.

If you don’t have certain skills, learn them and work with a mentor or a career coach, Brinkley advises. Talk with that person about ways to position yourself to improve your value at work. “I would encourage any minority nurse who’s having trouble with that, or who can’t find a mentor within their organization, to invest in a coach,” she emphasizes.

It’s important to remember, Brinkley adds, that because of the nursing shortage, nurses are in a good negotiating position at the moment. “Organizations don’t want to lose valued employees, they just don’t. So to the degree that you are able to constantly repackage and refine and continue to develop your skills, you make yourself that much more valuable to the organization.”

Improving your negotiating skills also means being willing to change employers if necessary. “If it isn’t going to happen for you in the organization that you’re in,” says Brinkley, “then you have to decide whether you’re willing to move on and [find] an organization that values you.”
 

 

Retirement Planning for Minority Nurses

Ask most people how they plan to spend their retirement years and they will probably tell you they plan to relax, travel and maybe volunteer. Ask them how they plan to survive financially, however, and there’s a good chance they have little or no idea.

Retirement is something most workers look forward to, so you would think planning for it would be a top priority. But that’s generally not the case, financial experts say. In fact, many working Americans who think they will have enough money saved for a financially secure retirement are operating under faulty assumptions.

Darleen M. Gilmore, CFP, a certified financial planner in Austin, Texas, believes retirement planning may be even more important for nurses than for people in other professions. That’s because nurses tend to retire earlier than other professionals and therefore may have less time to plan for it.

“My perception is that their career life tends to be a little shorter, because it’s a very high-stress profession,” says Gilmore, whose stepmother is a nurse.

Compared to the majority population, Gilmore says, many Americans of color are at a disadvantage when it comes to retirement planning because their parents didn’t know enough about financial planning to pass that knowledge on to their children. Therefore, they lack the knowledge and confidence to plan retirement investments and are more likely to need education about the basics of investing.

For many Hispanics, the lack of financial planning education is compounded by the need—or the preference—to receive educational materials in Spanish, says Theresa Cruz-Myers, associate vice president of marketing and education for Nationwide Retirement Planning. “The lack of access to [bilingual information] and to advisors they can trust has a significant impact overall on [Hispanics’] participation [in company 401(k) plans],” she adds.

A survey conducted by the Employee Benefit Research Institute in 2005 found that Hispanic workers have the lowest rate of participation in their employers’ 401(k) plans. Although participation rates increased with income, they never reached the levels of their Caucasian and African American counterparts.

“I think for Hispanics, as well as other minority groups, having a trusting relationship with a financial advisor is very important,” Cruz-Myers continues. “Especially in the Hispanic community, they want that education face-to-face.”

Mellody Hobson, president of Ariel Capital Management, says the African American community has similar concerns. “We [black Americans] want a personal relationship with whoever has our money, so we don’t like investing through the Internet,” she explains. “We like bank tellers as opposed to ATM machines. When it comes to investing, we want someone to sit down and be very patient with us and [educate us] as opposed to giving someone our money and putting it on autopilot.”

Making Retirement a Priority

Another challenge for minority nurses, according to Hobson and other minority financial experts, is that their ability to save for retirement is more likely to be restricted by the need to provide financial assistance to family members. Caring for elders, giving or loaning money to adult children and, in the case of immigrant nurses, sending money to relatives in another country can all make it more difficult for nurses of color to “put themselves first” and set aside money for their own retirement.

“[In the minority community], saving for retirement is often seen as selfish,” says Cruz-Myers. “They might have other priorities, like saving for their kids’ college or taking care of elderly parents who live with them.” Yet on the other hand, you need to ask yourself: “How will I be able to continue helping my family when I am no longer working?”

 

According to Denise Murray, director of investor education programs at the Investment Company Institute Education Foundation in Washington, D.C.—which has partnered with the National Urban League and the Hispanic College Fund to create “Investing for Success,” an award-winning financial education program for African Americans and Hispanics—many African Americans save for college before saving for retirement. Financial planners caution against this, she says, pointing out that your children can get scholarships, grants and loans to pay for college but no such options are available to fund your retirement.

Mario Yngerto, CFP, ChFC, a financial planner in Plano, Texas, says it’s common for Hispanic immigrants from countries like Mexico and Cuba to send money and medicine home to relatives in their country of origin, leaving less money for everything else, including retirement. The Pew Hispanic Center estimates that six million Latin American immigrants send money to family members back home on a regular basis. The total of those remittances, as the practice is called, from the U.S. to Latin America and the Caribbean is estimated to be close to $30 billion a year.

When it comes to employer-sponsored retirement benefits, once again the playing field is not always level for Americans of color. For example, many African Americans rely on pensions—as opposed to a 401(k) plan—to fund their retirement, because they are much more likely to work for an organization that offers a traditional pension plan.

The ninth annual Ariel/Schwab Black Investor Survey conducted earlier this year surveyed 500 African Americans and 500 Caucasians earning more than $50,000 a year.  The results revealed that two-thirds of African Americans work for organizations that offer a traditional pension plan, compared with only 50% of whites. That’s because African Americans, the survey found, are far more likely than whites—44% versus 25%—to work for the government, which is more likely to offer pension plans.

The problem with relying on a pension, Hobson says, is that many corporate pension funds have been frozen and many government pension systems are not fully funded. The Pension Benefit Guaranty Corporation, which insures pension funds, is experiencing a $30 billion deficit because of bankruptcy bailouts such as Enron and United Airlines and has been forced to raise the premiums it charges companies.

“Because that premium is going up, a lot of companies are saying, ‘Why bother?’” Hobson adds. “That’s why a lot of employers have moved away from or frozen their defined benefit plan but opted instead to have an employer match in a 401(k) plan.”

Getting Started on Saving

Uncertainty over the future of Social Security makes saving for retirement in a 401(k) plan or Individual Retirement Account (IRA) even more important, financial planners advise. And the sooner you get started—no matter how small your initial contributions may be—the better prepared you’ll be for retirement.

“One of the things I see too often,” Gilmore says, “is that people won’t start contributing because they have the attitude of ‘I can only do a hundred a month.’ I always tell them: ‘Start with what you can do now and go from there.’ ”

Pamela Townsend, CFP, a financial planner in Rydal, Penn., points out that one of the most important components of saving and investing is time and the compounding effect that takes place over time. For example, someone who saves $200 a month from the age of 22 to the age of 67 will accumulate more than $1.6 million based on a 9% annual return, she says. Wait 10 years to begin investing $200 a month and, based on the same 9% annual return, the investor will accumulate only $650,000. Wait another 10 years and the amount drops to $250,000. “So you can see how important it is to have that time and to have those funds invested [as early as possible],” she emphasizes.

Townsend recommends reviewing your expenses to find ways to save money that can then be put into retirement investments. For instance, someone who drinks a $4 cup of Italian coffee at Starbucks every day could switch to regular coffee and save $2 a day. This adds up to more than $700 a year that, if invested from age 22 to 67 with a 9% annual return, would amount to $440,000 by the time you’re ready to retire.

“If you sit down and really analyze what it is you are earning and extract those necessities and monitor where those monies are going, you’ll find there usually is money there [to invest],” she says.

Karl L. Hicks, a certified financial planner in Riverside, Calif., says it’s important to get into the habit of saving by setting money aside on a regular basis. “Set up a savings account [that’s] not at your bank and not attached to your checking account,” he advises.

Making the Most of Your 401(k)

Nurses whose employers offer a 401(k) plan—or, as in many hospitals, a 403(b) plan—should participate to the fullest amount possible, financial planners recommend. Money that workers contribute to 401(k) plans isn’t taxed, Cruz-Myers says, so a $10 pre-tax contribution would result in only a $7 reduction in the employee’s net pay.

If you are lucky enough to have the type of 401(k) where your employer will match your contributions, says Yngerto, then you should at least contribute the amount needed to earn the maximum employer-matching amount, a practice referred to as “maxing the match.”

“It’s very disappointing when I see someone who has been working for an employer for 10 or 15 years and they didn’t max the match,” he adds. “They’re leaving tens of thousand of dollars on the table.”

Having an employer that contributes 25 cents for every dollar you contribute is the equivalent of receiving a 25% return on your money—an impressive amount considering that stocks have averaged a 10% annual return since 1926. So employees who don’t “max the match” not only miss out on receiving the employer match, they also miss out on the investment gains from that match.
One of the most basic rules of investing is that the higher (or lower) the risk associated with a particular investment, the higher (or lower) the potential return on the investment—and vice versa. Yngerto and other financial advisors agree that the younger a person is, the more risk they should be willing to take in exchange for a greater potential return. The idea is that someone in their 20s or 30s who is 30 years away from retirement has time to make up for any losses they might incur, while those who are closer to retirement age can’t afford to take that risk.

Federal legislation will eventually mandate that companies with 401(k) plans must automatically enroll their employees in the plan unless the employee chooses to opt out, Hobson believes. As it is now, employees have been required to “opt in” to participate.
Some employers that offer 401(k) plans now offer their employees free financial planning advice from a qualified advisor, Cruz-Myers adds. “Once you get started [contributing to your 401(k)] and feel like you have the ability to save more and can start investing more, then take the next step and meet with a financial advisor,” she says.

Choosing a Financial Planner

What should you look for when selecting an investment professional to help you plan for your retirement? According to Murray, finding a culturally competent financial advisor involves much more than just looking for someone who is of the same race or ethnicity as you.

“The important thing is to find a person who understands your financial goals, understands your situation from a broader perspective, understands how you feel about risk, then recommends appropriate [investment] products to achieve your goals,” she emphasizes. “What we wouldn’t want [minority nurses] to do is to choose a minority advisor who may not be putting them in the appropriate investment.”

You can find a financial planner the way you would find a doctor or a dentist if you were to move to a new city, Hobson says. Ask for referrals and make sure you choose someone who is willing to educate as well as advise. Gilmore recommends using someone who is a certified financial planner (CFP), a designation given by the Financial Planning Association (FPA). To earn the CFP designation, a person must have at least three years of experience in financial planning and pass an exam covering six financial planning competencies. To maintain the designation, a CFP must complete 30 hours of continuing education courses every two years and pass another exam every 10 years.

An easy way to locate qualified CFPs in your area is to visit the FPA Web site, http://www.fpanet.org/, and click on “Find a Planner.” Once you’ve found some candidates, it’s important to meet and interview them before hiring them, Gilmore says.
“That’s one of the things that our [African American] culture doesn’t do very well,” she comments. “I’ve never been interviewed by an African American client, but I’ve had several Caucasian clients come in and interview me. And they interview three or four different advisors.”

Financial advisors fall into two basic categories, Hicks explains. The first, and most preferable type, is a fee-only financial planner who receives his or her income only from fees charged to clients. A fee-based financial planner, on the other hand, not only receives fees from clients but also referral fees and commissions on financial products sold to clients. As a result, their advice may be less impartial than that of fee-only planners. “Some [fee-based] planners may try to sell something to you, so you have to be careful,” he cautions.

Hicks, a fee-only planner, says he charges a flat fee for writing a financial plan. His fee for managing a client’s assets is based on a percentage of those assets beginning with 1.25% for the first $250,000.

Making Up for Lost Time

Financial planners say it’s never too late to start saving for retirement. However, people who start later rather than sooner will probably have to contribute more toward retirement, work longer or settle for a lower standard of living in their retirement years.
“There’s no magic bullet out there if you failed to plan for your retirement,” Townsend says.

 

Still, there are ways for late starters to make up for lost time. One option is to choose investment vehicles that have the potential to give you a greater return, Yngerto says. The downside is that the greater the return potential, the greater the chance that the investment will lose money—at least in the short term. “Certainly I’m not recommending that for everybody,” he adds, “but it’s on the table and some clients do want to do that.”

 

The African American community tends to be more conservative than Caucasians when it comes to investments, Hobson notes. “We favor real estate investments, we favor insurance products. Our white counterparts are more likely to favor the stock market. [African Americans] are less likely to have our money invested in the stock market, and yet the stock market has consistently out-performed all other investments.”

Recent changes in retirement laws allow people who are age 50 and older to contribute more money to 401(k) plans and IRAs than they were able to in the past, says Hicks. Workers in this age bracket can now place an additional $5,000 a year into a 401(k) account and an extra $1,000 per year in an IRA.

Saving for retirement involves looking into the future and determining how much it will cost to live. It’s important to keep in mind that medical expenses will rise, Townsend points out, and that long-term care facilities, more commonly known as nursing homes, are expensive. The average annual cost for a nursing home is now $60,000, says Townsend, who is certified in long-term care planning. Long-term care policies provide funds to cover the cost of either an assisted living facility or in-home care once a person is unable to adequately care for himself or herself, she explains.

Retirement planning requires looking at the big picture, setting priorities and goals, making choices and being willing to sacrifice some short-term comforts in exchange for a more secure future. “Sometimes that isn’t ‘sexy,’” says Murray. “But being old and poor is a lot less sexy.”

Ask most people how they plan to spend their retirement years and they will probably tell you they plan to relax, travel and maybe volunteer. Ask them how they plan to survive financially, however, and there’s a good chance they have little or no idea.
Retirement is something most workers look forward to, so you would think planning for it would be a top priority. But that’s generally not the case, financial experts say. In fact, many working Americans who think they will have enough money saved for a financially secure retirement are operating under faulty assumptions.

Darleen M. Gilmore, CFP, a certified financial planner in Austin, Texas, believes retirement planning may be even more important for nurses than for people in other professions. That’s because nurses tend to retire earlier than other professionals and therefore may have less time to plan for it.

“My perception is that their career life tends to be a little shorter, because it’s a very high-stress profession,” says Gilmore, whose stepmother is a nurse.

Compared to the majority population, Gilmore says, many Americans of color are at a disadvantage when it comes to retirement planning because their parents didn’t know enough about financial planning to pass that knowledge on to their children. Therefore, they lack the knowledge and confidence to plan retirement investments and are more likely to need education about the basics of investing.

For many Hispanics, the lack of financial planning education is compounded by the need—or the preference—to receive educational materials in Spanish, says Theresa Cruz-Myers, associate vice president of marketing and education for Nationwide Retirement Planning. “The lack of access to [bilingual information] and to advisors they can trust has a significant impact overall on [Hispanics’] participation [in company 401(k) plans],” she adds.

A survey conducted by the Employee Benefit Research Institute in 2005 found that Hispanic workers have the lowest rate of participation in their employers’ 401(k) plans. Although participation rates increased with income, they never reached the levels of their Caucasian and African American counterparts.

“I think for Hispanics, as well as other minority groups, having a trusting relationship with a financial advisor is very important,” Cruz-Myers continues. “Especially in the Hispanic community, they want that education face-to-face.”

Mellody Hobson, president of Ariel Capital Management, says the African American community has similar concerns. “We [black Americans] want a personal relationship with whoever has our money, so we don’t like investing through the Internet,” she explains. “We like bank tellers as opposed to ATM machines. When it comes to investing, we want someone to sit down and be very patient with us and [educate us] as opposed to giving someone our money and putting it on autopilot.”

Making Retirement a Priority

Another challenge for minority nurses, according to Hobson and other minority financial experts, is that their ability to save for retirement is more likely to be restricted by the need to provide financial assistance to family members. Caring for elders, giving or loaning money to adult children and, in the case of immigrant nurses, sending money to relatives in another country can all make it more difficult for nurses of color to “put themselves first” and set aside money for their own retirement.

“[In the minority community], saving for retirement is often seen as selfish,” says Cruz-Myers. “They might have other priorities, like saving for their kids’ college or taking care of elderly parents who live with them.” Yet on the other hand, you need to ask yourself: “How will I be able to continue helping my family when I am no longer working?”

According to Denise Murray, director of investor education programs at the Investment Company Institute Education Foundation in Washington, D.C.—which has partnered with the National Urban League and the Hispanic College Fund to create “Investing for Success,” an award-winning financial education program for African Americans and Hispanics—many African Americans save for college before saving for retirement. Financial planners caution against this, she says, pointing out that your children can get scholarships, grants and loans to pay for college but no such options are available to fund your retirement.

Mario Yngerto, CFP, ChFC, a financial planner in Plano, Texas, says it’s common for Hispanic immigrants from countries like Mexico and Cuba to send money and medicine home to relatives in their country of origin, leaving less money for everything else, including retirement. The Pew Hispanic Center estimates that six million Latin American immigrants send money to family members back home on a regular basis. The total of those remittances, as the practice is called, from the U.S. to Latin America and the Caribbean is estimated to be close to $30 billion a year.

When it comes to employer-sponsored retirement benefits, once again the playing field is not always level for Americans of color. For example, many African Americans rely on pensions—as opposed to a 401(k) plan—to fund their retirement, because they are much more likely to work for an organization that offers a traditional pension plan.

The ninth annual Ariel/Schwab Black Investor Survey conducted earlier this year surveyed 500 African Americans and 500 Caucasians earning more than $50,000 a year.  The results revealed that two-thirds of African Americans work for organizations that offer a traditional pension plan, compared with only 50% of whites. That’s because African Americans, the survey found, are far more likely than whites—44% versus 25%—to work for the government, which is more likely to offer pension plans.

The problem with relying on a pension, Hobson says, is that many corporate pension funds have been frozen and many government pension systems are not fully funded. The Pension Benefit Guaranty Corporation, which insures pension funds, is experiencing a $30 billion deficit because of bankruptcy bailouts such as Enron and United Airlines and has been forced to raise the premiums it charges companies.

“Because that premium is going up, a lot of companies are saying, ‘Why bother?’” Hobson adds. “That’s why a lot of employers have moved away from or frozen their defined benefit plan but opted instead to have an employer match in a 401(k) plan.”

Getting Started on Saving

Uncertainty over the future of Social Security makes saving for retirement in a 401(k) plan or Individual Retirement Account (IRA) even more important, financial planners advise. And the sooner you get started—no matter how small your initial contributions may be—the better prepared you’ll be for retirement.

“One of the things I see too often,” Gilmore says, “is that people won’t start contributing because they have the attitude of ‘I can only do a hundred a month.’ I always tell them: ‘Start with what you can do now and go from there.’ ”

 

Pamela Townsend, CFP, a financial planner in Rydal, Penn., points out that one of the most important components of saving and investing is time and the compounding effect that takes place over time. For example, someone who saves $200 a month from the age of 22 to the age of 67 will accumulate more than $1.6 million based on a 9% annual return, she says. Wait 10 years to begin investing $200 a month and, based on the same 9% annual return, the investor will accumulate only $650,000. Wait another 10 years and the amount drops to $250,000. “So you can see how important it is to have that time and to have those funds invested [as early as possible],” she emphasizes.

Townsend recommends reviewing your expenses to find ways to save money that can then be put into retirement investments. For instance, someone who drinks a $4 cup of Italian coffee at Starbucks every day could switch to regular coffee and save $2 a day. This adds up to more than $700 a year that, if invested from age 22 to 67 with a 9% annual return, would amount to $440,000 by the time you’re ready to retire.

“If you sit down and really analyze what it is you are earning and extract those necessities and monitor where those monies are going, you’ll find there usually is money there [to invest],” she says.

Karl L. Hicks, a certified financial planner in Riverside, Calif., says it’s important to get into the habit of saving by setting money aside on a regular basis. “Set up a savings account [that’s] not at your bank and not attached to your checking account,” he advises.

Making the Most of Your 401(k)

Nurses whose employers offer a 401(k) plan—or, as in many hospitals, a 403(b) plan—should participate to the fullest amount possible, financial planners recommend. Money that workers contribute to 401(k) plans isn’t taxed, Cruz-Myers says, so a $10 pre-tax contribution would result in only a $7 reduction in the employee’s net pay.

If you are lucky enough to have the type of 401(k) where your employer will match your contributions, says Yngerto, then you should at least contribute the amount needed to earn the maximum employer-matching amount, a practice referred to as “maxing the match.”

“It’s very disappointing when I see someone who has been working for an employer for 10 or 15 years and they didn’t max the match,” he adds. “They’re leaving tens of thousand of dollars on the table.”

Having an employer that contributes 25 cents for every dollar you contribute is the equivalent of receiving a 25% return on your money—an impressive amount considering that stocks have averaged a 10% annual return since 1926. So employees who don’t “max the match” not only miss out on receiving the employer match, they also miss out on the investment gains from that match.
One of the most basic rules of investing is that the higher (or lower) the risk associated with a particular investment, the higher (or lower) the potential return on the investment—and vice versa. Yngerto and other financial advisors agree that the younger a person is, the more risk they should be willing to take in exchange for a greater potential return. The idea is that someone in their 20s or 30s who is 30 years away from retirement has time to make up for any losses they might incur, while those who are closer to retirement age can’t afford to take that risk.

Federal legislation will eventually mandate that companies with 401(k) plans must automatically enroll their employees in the plan unless the employee chooses to opt out, Hobson believes. As it is now, employees have been required to “opt in” to participate.
Some employers that offer 401(k) plans now offer their employees free financial planning advice from a qualified advisor, Cruz-Myers adds. “Once you get started [contributing to your 401(k)] and feel like you have the ability to save more and can start investing more, then take the next step and meet with a financial advisor,” she says.

Choosing a Financial Planner

What should you look for when selecting an investment professional to help you plan for your retirement? According to Murray, finding a culturally competent financial advisor involves much more than just looking for someone who is of the same race or ethnicity as you.

“The important thing is to find a person who understands your financial goals, understands your situation from a broader perspective, understands how you feel about risk, then recommends appropriate [investment] products to achieve your goals,” she emphasizes. “What we wouldn’t want [minority nurses] to do is to choose a minority advisor who may not be putting them in the appropriate investment.”

You can find a financial planner the way you would find a doctor or a dentist if you were to move to a new city, Hobson says. Ask for referrals and make sure you choose someone who is willing to educate as well as advise. Gilmore recommends using someone who is a certified financial planner (CFP), a designation given by the Financial Planning Association (FPA). To earn the CFP designation, a person must have at least three years of experience in financial planning and pass an exam covering six financial planning competencies. To maintain the designation, a CFP must complete 30 hours of continuing education courses every two years and pass another exam every 10 years.

An easy way to locate qualified CFPs in your area is to visit the FPA Web site, http://www.fpanet.org/, and click on “Find a Planner.” Once you’ve found some candidates, it’s important to meet and interview them before hiring them, Gilmore says.
“That’s one of the things that our [African American] culture doesn’t do very well,” she comments. “I’ve never been interviewed by an African American client, but I’ve had several Caucasian clients come in and interview me. And they interview three or four different advisors.”

 

Financial advisors fall into two basic categories, Hicks explains. The first, and most preferable type, is a fee-only financial planner who receives his or her income only from fees charged to clients. A fee-based financial planner, on the other hand, not only receives fees from clients but also referral fees and commissions on financial products sold to clients. As a result, their advice may be less impartial than that of fee-only planners. “Some [fee-based] planners may try to sell something to you, so you have to be careful,” he cautions.

Hicks, a fee-only planner, says he charges a flat fee for writing a financial plan. His fee for managing a client’s assets is based on a percentage of those assets beginning with 1.25% for the first $250,000.

Making Up for Lost Time

Financial planners say it’s never too late to start saving for retirement. However, people who start later rather than sooner will probably have to contribute more toward retirement, work longer or settle for a lower standard of living in their retirement years.
“There’s no magic bullet out there if you failed to plan for your retirement,” Townsend says.

Still, there are ways for late starters to make up for lost time. One option is to choose investment vehicles that have the potential to give you a greater return, Yngerto says. The downside is that the greater the return potential, the greater the chance that the investment will lose money—at least in the short term. “Certainly I’m not recommending that for everybody,” he adds, “but it’s on the table and some clients do want to do that.”

The African American community tends to be more conservative than Caucasians when it comes to investments, Hobson notes. “We favor real estate investments, we favor insurance products. Our white counterparts are more likely to favor the stock market. [African Americans] are less likely to have our money invested in the stock market, and yet the stock market has consistently out-performed all other investments.”

Recent changes in retirement laws allow people who are age 50 and older to contribute more money to 401(k) plans and IRAs than they were able to in the past, says Hicks. Workers in this age bracket can now place an additional $5,000 a year into a 401(k) account and an extra $1,000 per year in an IRA.

Saving for retirement involves looking into the future and determining how much it will cost to live. It’s important to keep in mind that medical expenses will rise, Townsend points out, and that long-term care facilities, more commonly known as nursing homes, are expensive. The average annual cost for a nursing home is now $60,000, says Townsend, who is certified in long-term care planning. Long-term care policies provide funds to cover the cost of either an assisted living facility or in-home care once a person is unable to adequately care for himself or herself, she explains.

Retirement planning requires looking at the big picture, setting priorities and goals, making choices and being willing to sacrifice some short-term comforts in exchange for a more secure future. “Sometimes that isn’t ‘sexy,’” says Murray. “But being old and poor is a lot less sexy.”

A Race for Life

As a rookie emergency medical technician, Jeffrey Brown went to work his first day on the job both excited and nervous. He was starting work for a private service in Oklahoma. However, it was not a typical first day on the job. It was September 11, 2001, and fire departments, ambulance services and hospitals across the country were being warned by authorities that there had been threats of terrorists loading up ambulances with explosives and blowing them up at hospital doors. In the next days and weeks that followed, Brown and his fellow EMTs and paramedics received frantic calls from paranoid citizens who saw anthrax in every letter and small pox in every child coming down with a common case of chicken pox.

Most EMTs have easier starts to their job. EMTs and paramedics say they’ve had so much textbook and clinical training by the time they begin their careers, that they feel ready to treat patients in any number of unpredictable conditions. Still the first year is a crucial, steep learning curve for those embarking on such a tough job.

“The hardest part is realizing that you can’t help everyone,” says Brown, who now lives in New Orleans. He recalls patients such as an elderly man who refused help despite his children’s worried pleas. Beyond the patients who cannot be helped medically, there are also those whom EMTs cannot help for legal reasons, such as a man who insisted he was fine even though EMS and his own children could see that he was not.

Trial by Fire

Fortunately for students who might not be cut out for dealing with patients in often-difficult circumstances, EMT and paramedic programs require clinical training. The education of EMTs and paramedics (who are also EMTs but have additional classroom and clinical training beyond the EMT-basic or -intermediate level) includes clinical experience, such as following and assisting real EMTs on the job. Usually a percentage of students drop out at this stage, realizing the work isn’t right for them.

Susan Schmele, director of the Oregon Health and Science University (OHSU) Paramedic Program in Portland, Ore., says paramedics-in-training have a lot to learn in that one crucial year of studying and internships. “Students have to learn how to step out onto a scene and take control,” says Schmele. “It’s not like you’re in a controlled environment like a hospital or doctor’s office. You could be anywhere from in the middle of a cow field to a million-dollar home.”
Despite the rigors of unpredictable work in the field, many students are hooked early on and stick with the hours of studying and internships with hospitals, fire departments or ambulance services because they love the work.

Take Peter Lehmann a paramedic and firefighter for Tualatin Valley Fire and Rescue in Portland, Ore., who completed the paramedic program at OHSU. He left an unfulfilling job in corporate sales with an eye toward a career change.

Lehmann, who had a bachelor of arts in business from the University of Vermont, used his new freedom to have some fun and became a rafting guide in Montana. He had to learn first aid for the job, which he found intriguing. Later, he did some ride-alongs in ambulances and knew that he had found his calling.
“It involves teamwork and serving your community,” he says now. “You feel a sense of comfort working with your crews. You have people looking out for you and you’re looking out for them.”

Because Lehmann already had a bachelor’s degree, he was able to skip a lot of the required courses in the associate’s degree program at OHSU and focus almost entirely on emergency medicine. After he received his EMT basic training at another college, he spent four months in classroom instruction at OHSU, another four months doing clinical rotations in the emergency room, operating room and in the obstetrics ward of a local hospital, and the final four months at an internship working on an ambulance with experienced paramedics.

Lehmann, who was one of 1,600 firefighter applicants for 24 openings at Tualatin Valley, is one of the fortunate paramedic grads who found a job that not only pays fairly well, but also offers continuing training. His first days on the job were spent in a three-month fire and paramedic training program in which participants are faced with scenarios-including live fires-to practice what they’ve learned.

Still, even for those with extensive training and the support of fellow paramedics and firefighters, the first year of actually working on an ambulance can be rough.

“Some calls are really hard in your first year,” says Lehmann. “Like bad car wrecks. Those are difficult calls because the patients are so critical. But you’re working with people who are experienced and who can offer another opinion or advice.”

Lehmann adds, “After a call I’ll ask, ‘How could that call have been done better? What could I have done differently?'”

Salaries Out of Step

Not only does Lehmann appreciate the training opportunities and enjoy the camaraderie that comes with being in a fire station, he also enjoys the better pay that is part of his position. In fact, on average firefighters earn higher wages than paramedics.

Training and coursework standards depend on state standards and vary by program, but requirements for paramedics are extensive compared to their EMT-basic counterparts. However their pay is typically lower than that of other allied health professionals with similar levels of medical training. Basic EMTs are versed in first aid techniques, such as CPR, but intermediate EMTs and paramedics can perform more invasive procedures and administer certain drugs.
Low pay has been a frequent topic of discussion and complaint among EMT circles for years. Now a shortage of EMTs is bringing greater attention to the issue.

According to an April 2004 article in the Journal of EMS, most states have seen a decrease in the number of newly certified EMTs and licensed paramedics. Some speculate that declining numbers are due to new curriculum guidelines that are adding hours to many training programs. Pay and attrition are also potential culprits, and many believe that a combination of all three is to blame.

“Paramedics are making a living now, but they often have more than one job,” says Ken Bouvier, president of the National Association of EMTs. “But the ultimate goal is to get salaries up comparable to other jobs in America where you can afford to put food on your family’s table without having to work two or three jobs.”

According to Bouvier and others, pay depends a lot on geography. An EMT in a rural area could make barely more than minimum wage-and that is for non-volunteer EMS. Those who volunteer, however, make as little as $12 a run. That means on a slow day, you might only make $12-if anything. Bouvier says paramedic pay typically ranges anywhere from $10 to $17 an hour, but again, it’s difficult to generalize typical pay because standards and funding vary dramatically from state to state and from county to county. Still, it’s clear that in a profession in which it takes years to become properly trained, and, in the case of paramedics, includes hours of additional classroom and clinical study, salaries are out of step with the level of expertise demanded by the job.

“You pay more money to the lady who would groom your pet than you would a paramedic to save your life,” says Bouvier. “She would spend about an hour grooming your dog and charge you $25; a paramedic might get paid $17 in an hour to save your life.”

The shortage could be good news for those who are considering a career in EMS. In many states, it will mean that jobs will be more plentiful and in some cases may be paying better to attract new talent. Bouvier says many ambulance services and other employers are losing paramedics to competing services that offer sign-on bonuses. As a result, job-hopping is adding to the retention problem. Other trends are less hopeful for future paramedics, like services and government departments replacing two-paramedic teams with one EMT and one paramedic.

Still, for EMTs such as Lehmann and Brown, passion for the work more than makes up for the profession’s drawbacks. Before he decided to go into EMS, Brown was diagnosed with Hodgkins Lymphoma and forced to quit his job as a professional diver, a career he loved. “I’m actually glad I’m not a diver anymore because I never would have found this job,” he says. “I love to do this so much.”

Observing the Experts

Both Brown and Lehmann advise new EMTs to spend their first few years on the job expanding their knowledge outside the classroom, especially by observing experienced colleagues. Lehmann says that working with other paramedics was one of his primary learning tools in his early months on the job. Rookie paramedics often underestimate how much they still have to learn once they are licensed or certified. Both Lehmann and Brown say that new EMTs and paramedics typically encounter cases that are not only difficult to deal with but tough to diagnose, as well.

“When I first got out of school as an EMT-basic, I thought, ‘I’m ready to go. I could be a paramedic now’,” says Brown.

Months later, after a move to New Orleans and a new job at the health department, Brown remembers going on a call to a nursing home with an “old-hand” EMT with several years of experience under his belt. The home had called EMS because one of its patients, an elderly woman, was acting strangely. Brown’s partner took one look at the woman and said to Brown, “Load and go.” Brown, used to the usual protocol of talking to the patient and asking basic questions, didn’t understand but followed his more experienced partner’s lead. As soon as the woman was loaded on to the ambulance, her heart stopped beating regularly, and the two EMTs had to use electric paddles to regain a regular rhythm. Brown’s partner recognized the symptoms, including the familiar pallor that he’d seen on a handful of patients over the many years he had worked in EMS.

Zero to Hero?

While new EMTs are often surprised by life-or-death cases that challenge what they think they already know, they are also equally surprised to find that much of an EMT’s typical day can be slow and quiet. Schmele says sometimes new paramedics are disappointed by the lack of excitement. “Especially younger people,” she says. “They’re a little disappointed that it’s not all car wrecks and gun shot wounds. They’re all geared up for this excitement and then it’s sit around and wait.”

“When I first started,” says Brown, “I thought every call was going to be life and death.” Instead he found his first job working for a private service to involve a lot of transporting patients from nursing homes to hospitals. Bouvier says that typically 90% of EMS work doesn’t involve life or death cases.

Some have used this reality to bolster the notion of “zero to hero” programs that reduce the number of classroom and clinical hours required to earn EMT certification. Looking at the profession more as one of ambulance driving than one of patient care also supports the argument that fewer paramedics are needed on ambulance crews. But EMT advocates think this view is shortsighted.

“Rarely are you going to have the opportunity to save a life,” says Bouvier, conceding that inexperienced, basic EMTs can handle the majority of these non-emergency cases. “Most of the calls are routine. The other seven or eight percent are going to be crisis, life-threatening calls without a well-trained, experienced EMT or paramedic, that patient won’t have a second chance at life.”

Bob Luftus is a retired paramedic in Carbondale, Ill., with decades of experience as a military and civilian paramedic who has worked all over the country and witnessed first hand the struggle of EMTs to be recognized as full-fledged medical professionals and not just patient transporters. “We’re still trying to grow up and be treated like other first responders,” he says of the profession’s growing movement to demand recognition and better pay. “You’re out there helping people, sometimes saving lives, and in the bigger scope of things that’s better than making money.”

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