Top 12 Jobs in Healthcare (Forbes)

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carlfusco

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I saw this posted by the NYSDA on facebook and patiently clicked through the 12 careers mentioned on the website. Dental hygiene sits at #1 right in front of audiology in a surprising second, but it turns out there was a glaring absence: where's dentistry? They try to rank jobs on "core criteria," like work environment, stress, income, and job prospects. Disappointing to not see dentistry on the list, but it's an interesting quick read, nonetheless. Take your mind of interviews for a minute and check it out.

http://www.forbes.com/sites/susanadams/2012/09/06/the-best-jobs-in-health-care/
 
of course dental hygiene is number one. Why would it not be? In the next coming years, dental hygeinists will pretty much have the same powers as a dentist and be able to do the same things. A dentist goes thru 4 years of undergrad, takes on 200K in debt, and 4 years of dental school. A dental hygienist does 2 years after HIGH SCHOOL and has no debt, but will soon get the same powers as a dentist thanks to the corrupt politicians.

A lot of MDs are mad that PAs, and Nurses are getting the same powers as MDs, but hey at least the PAs and nurses went through undergrad. Dental hygienists didn't even go through undergrad, they just finished high school.

Just watch: In the next 10-15 years the dental hygienists will be demanding their 2 year orthodontist 'residencies', just as the PAs and Nurses have derm residencies nowdays.
 
I saw this posted by the NYSDA on facebook and patiently clicked through the 12 careers mentioned on the website. Dental hygiene sits at #1 right in front of audiology in a surprising second, but it turns out there was a glaring absence: where's dentistry? They try to rank jobs on "core criteria," like work environment, stress, income, and job prospects. Disappointing to not see dentistry on the list, but it's an interesting quick read, nonetheless. Take your mind of interviews for a minute and check it out.

http://www.forbes.com/sites/susanadams/2012/09/06/the-best-jobs-in-health-care/

You have to take these lists with a grain of salt. If you look at them, most are midlevel providers of sorts, that need referrals from MD's. This cuts a lot of stress out, which dentists and MD's both have. Remember, most time you are not just a dentist, but a business owner.

A dental hygienist does 2 years after HIGH SCHOOL and has no debt.

Not true, most RDH programs have at least 30 credits of prereqs before you enter the program, which is another 2 years. So they have about 3 years of college under their belts and have an Associates degree. Many RDH programs are also 4 years, and you are awarded a BS in DH. Further more, most programs cost between 30-50K to complete.

A lot of MDs are mad that PAs, and Nurses are getting the same powers as MDs, but hey at least the PAs and nurses went through undergrad. Dental hygienists didn't even go through undergrad, they just finished high school.

Also not a lot of truth to this. Many, many nursing programs are also just Associate degrees, with about 30 prereqs as well. They also have some programs that do award a BS in nursing.

Furthermore, the nurses that are gaining treatment privileges, are not just nurses, but nurse practitioners, which requires at least a Masters degree and soon the DNP. That is much more schooling than you are suggesting. However, i still feel it is not enough for some of the things they do.

Lastly, PA's are monitored and controlled by the AMA, which will never allow PA's to have full treatment rights. However, the nurses are controlled through an entire different entity, which is why they will continue to gain more independent rights. I personally think that the PA residencies are not to usurp power from the MD's, but rather provide them adequate training in their specific discipline. Being a PA in derm would be radically different than EM or surgery.
 
of course dental hygiene is number one. Why would it not be? In the next coming years, dental hygeinists will pretty much have the same powers as a dentist and be able to do the same things.

I disagree. You really think dental hygienists will be extracting teeth without supervision? Restorations? Installing implants? Performing root canal treatment? All on their own without a dentist?

Doubtful in my mind. They will definitely be doing more, but you're making it out to sound like hygienists will just replace dentists.
 
I disagree. You really think dental hygienists will be extracting teeth without supervision? Restorations? Installing implants? Performing root canal treatment? All on their own without a dentist?

Doubtful in my mind. They will definitely be doing more, but you're making it out to sound like hygienists will just replace dentists.

A colonoscopy is an irreversible procedure and it is already being done by PAs in the field of medicine, without MD supervision. PAs and Nurse Practitioners are already injecting botox, something that was usually delegated to Dermatologists and Plastic Surgeons, or at least by MDs.

Anything they find profitable, they will do. Except of course for the complex cases which actually require a solid foundation of the clinical sciences, which they (DHs, FNPs, and PAs) completely lack.
 
I disagree. You really think dental hygienists will be extracting teeth without supervision? Restorations? Installing implants? Performing root canal treatment? All on their own without a dentist?

Doubtful in my mind. They will definitely be doing more, but you're making it out to sound like hygienists will just replace dentists.

I've heard this is already happening in Minnesota, they're mid-level practitioners.
 
irreversible, you say?

Colonoscopy defined:

Colonoscopy is an endoscopic medical procedure that uses a long, flexible, lighted tubular instrument called a colonoscope to view the rectum and the entire inner lining of the colon (large intestine).

next time i check out a fine woman's assets in public i'll make sure to stop her, introduce myself, and apologize that i cannot undo what i did.
 
irreversible, you say?

Colonoscopy defined:



next time i check out a fine woman's assets in public i'll make sure to stop her, introduce myself, and apologize that i cannot undo what i did.

you obviously do not know what a colonoscopy is used for: biopsy, removal of the polyp, balloon dilation, injection of India ink, etc. are all irreversible
 
you obviously do not know what a colonoscopy is used for: biopsy, removal of the polyp, balloon dilation, injection of India ink, etc. are all irreversible

Yes, but for the most part it is used as an exploratory test, not as a decisive surgery (as irreversible, would imply).

By your definition of irreversible, almost anything would qualify. Even a dental cleaning would be "irreversible": removal of plaque, application of fluoride, and application of local anesthetic jelly.

What you fail to realize is that both a colonoscopy and a dental cleaning are prophylactic, which is preventative medicine, not an irreversible procedure. Sure anything is "irreversible" per se, but it is mainly for actual surgeries and procedures. Not for colonoscopies, blood work, dental cleanings, x-rays, pap smears, etc.

Irreversible = open heart surgery, tooth extraction, knee/hip surgery, chemotherapy, root canal, etc.
 
Yes, but for the most part it is used as an exploratory test, not as a decisive surgery (as irreversible, would imply).

By your definition of irreversible, almost anything would qualify. Even a dental cleaning would be "irreversible": removal of plaque, application of fluoride, and application of local anesthetic jelly.

What you fail to realize is that both a colonoscopy and a dental cleaning are prophylactic, which is preventative medicine, not an irreversible procedure. Sure anything is "irreversible" per se, but it is mainly for actual surgeries and procedures. Not for colonoscopies, blood work, dental cleanings, x-rays, pap smears, etc.

Irreversible = open heart surgery, tooth extraction, knee/hip surgery, chemotherapy, root canal, etc.

For the most part I completely agree. Just remember that we are dealing with a greyscale here haha.

To stay on topic though, I am quite surprised that being a physician is considered a better job than a dentist on this site. Interesting haha.
 
chiropractor FTW

:laugh::laugh:👍 soooo true they get like a -2.6 in undergrad and are drunk and then go " I want to be a doctor " and then they are good to go hahaha (I am being sarcastic, I really do have a lot of respect for them) my back up if I try and try and try to get into d school is chiropractor or pharm. where are the dentist on this list?! O year we just go and kill ourselves.... High Suicide rate right!
 
of course dental hygiene is number one. Why would it not be? In the next coming years, dental hygeinists will pretty much have the same powers as a dentist and be able to do the same things. A dentist goes thru 4 years of undergrad, takes on 200K in debt, and 4 years of dental school. A dental hygienist does 2 years after HIGH SCHOOL and has no debt, but will soon get the same powers as a dentist thanks to the corrupt politicians.

A lot of MDs are mad that PAs, and Nurses are getting the same powers as MDs, but hey at least the PAs and nurses went through undergrad. Dental hygienists didn't even go through undergrad, they just finished high school.

Just watch: In the next 10-15 years the dental hygienists will be demanding their 2 year orthodontist 'residencies', just as the PAs and Nurses have derm residencies nowdays.

Are you talking about dental therapists? If the ADA starts to support this, and I hope they do, time will only tell if hygienists are the dental auxiliary to start doing (in addition to basic hygienist procedures) restorations, sealants and simple extractions or if a new position (dental therapist) evolves. Call it what you will, but I personally think it should be a 2 year program after undergrad.

Just about every country already has this, and there is absolutely no evidence to say that the work they do is sub standard, in fact there is plenty of evidence that says they do their procedures as well or better than a dentist. There is a huge need for it as well. Lots of dentists kick and scream thinking it will cut into their bottom line but that would entirely depend on how the position is implemented. Dentists make more money overall when they take on a hygienist, why can't it be the same with dental therapists? There are millions of people that go without dental care, a huge demographic that dental professionals need to adress. Adding the position of a dental therapist would not cut significantly into the demographic that already regularly visits the dentist, but it could bring in many new patients that cannot afford care at current rates. It should be implemented and they should be required to practice under a dentist (except under special circumstances in rural underserved areas possibly) and it should require two years of training after undergrad. These are my opinions on it. I did a few papers on dental therapists for my masters in public health. I started out pretty wary about it, but I now think it is one of the best solutions to providing care for the millions that can't afford it.
 
Are you talking about dental therapists.... I started out pretty wary about it, but I now think it is one of the best solutions to providing care for the millions that can't afford it.

You are much more knowledgeable about this than i am, so i had some questions for you (not trying to troll).

I theory it seems like a good solution to help the under served, but why would dental therapists want to live in the rural areas and inner cities anymore than current dentists? It seems to me that we have enough dentists, but they live where everyone else wants to live. What will stop the dental therapists from moving to the desirable places and stealing away current patients?

This is a similar problem that physicians have with NP's. But the NP's keep gaining more independent rights and treatment abilities, because they are governed by a totally separate entity from the AMA. Does the ADA control dental therapists and what will prevent this from happening to the dental profession?

Thanks for your help and clarification.
 
Lists like these are always interesting but can be misleading in many instances... I also saw that they have oil rig worker as the 4th worst job with a midlevel annual pay of $ 32,132, where I live I have many "high school drop out" friends who now make $104,689 as their entry level pay... this is just an example of how things change from place to place and how we should be aware of such factors
 
Are you talking about dental therapists? If the ADA starts to support this, and I hope they do, time will only tell if hygienists are the dental auxiliary to start doing (in addition to basic hygienist procedures) restorations, sealants and simple extractions or if a new position (dental therapist) evolves. Call it what you will, but I personally think it should be a 2 year program after undergrad.

Just about every country already has this, and there is absolutely no evidence to say that the work they do is sub standard, in fact there is plenty of evidence that says they do their procedures as well or better than a dentist. There is a huge need for it as well. Lots of dentists kick and scream thinking it will cut into their bottom line but that would entirely depend on how the position is implemented. Dentists make more money overall when they take on a hygienist, why can't it be the same with dental therapists? There are millions of people that go without dental care, a huge demographic that dental professionals need to adress. Adding the position of a dental therapist would not cut significantly into the demographic that already regularly visits the dentist, but it could bring in many new patients that cannot afford care at current rates. It should be implemented and they should be required to practice under a dentist (except under special circumstances in rural underserved areas possibly) and it should require two years of training after undergrad. These are my opinions on it. I did a few papers on dental therapists for my masters in public health. I started out pretty wary about it, but I now think it is one of the best solutions to providing care for the millions that can't afford it.

Nothing will stop them from moving to the desirable places. The whole NP thing started out, with people saying that NPs would be able to help in rural areas, where MDs didn't want to go. Guess what happened? Hardly any of the NPs went to the rural areas, most congregated around in the desirable areas. They pushed for more and more expanded procedures. The same thing will happen with dental therapists. The problem is maldistribution of dentists. California has too many dentists, but they still want little therapists.

"There are millions of people that go without dental care, a huge demographic that dental professionals need to adress" - People forgo the dental care to buy Iphones, and other little expensive gadgets that they don't need. The better way to deal with this is to increase reimbursement rates for dentists taking on Medicad dental patients so they dont have to take a financial hit to take the patients.

We all know who the real winner of this whole thing is: Dental chains. They will hire these advanced dental therapists to replace dentists and take advantage of the unsuspecting patients who think they are being seen by a real dentist. Oh and by the way these little dental therapists are now DOING ROOT CANALS. Root canals are something either experienced dentists or endodontists do. Only the dental chains will win

"there is plenty of evidence that says they do their procedures as well or better than a dentist" - Whoa here. Can I see some evidence (and I'm not talking about the evidence coming from the Kellogg Foundation which we all know produces very misleading statements)? Sure the little therapists might be able to practice tooth carpentry. But dentistry is not tooth carpentry. It is a comprehensive understanding of dental anatomy, clinical sciences, and the relation of oral health to overall body health, something that cannot possibly be learned in just 2 years at tooth carpentry school.

If you look at this article, 50% of the DNPs in medicine, failed a watered down easy version of the USMLE. Their knowledge sucks and here is the evidence to support it. I say we see how the dental therapists do on the NDBE, before we let them do root canals.

The allied health professions lobby (i.e the FNPs, CRNAs, and now little dental therapists), and the for-profit-educational institutions that train them and the big corporate medical groups all have a very cozy relationship with our government that we future dentists should all be alarmed of. It puts our patients health at risk.
 
A colonoscopy is an irreversible procedure and it is already being done by PAs in the field of medicine, without MD supervision. PAs and Nurse Practitioners are already injecting botox, something that was usually delegated to Dermatologists and Plastic Surgeons, or at least by MDs.

Anything they find profitable, they will do. Except of course for the complex cases which actually require a solid foundation of the clinical sciences, which they (DHs, FNPs, and PAs) completely lack.

What state are you in that allows anyone other than MD/DO's to perform colonoscopy? I've worked in GI for five years, and have NEVER heard this. I've heard of general surgeons doing them (normally poorly), I've heard of GPs doing sigmoidoscopies (though this is mostly a thing of the past), but a PA doing an invasive procedure? No.

Edit: Sorry for the off-topic, but I felt compelled to respond.
 
I've heard this is already happening in Minnesota, they're mid-level practitioners.

This alarms me. I want to end up practicing in MN. Can you link me to anything that explains the situation in depth?
 
Not that I'm a huge DT advocate. I like the idea of dentists performing procedures; however, DT are present in other countries and the dentists income is at parity with that of US dentists.
 
Not that I'm a huge DT advocate. I like the idea of dentists performing procedures; however, DT are present in other countries and the dentists income is at parity with that of US dentists.

^That's wrong.

Jpark, shut up and stop being an alarmist. I love how only the pre-dents comment on the topic.

Look, if doctors and dentists really are overtrained, then we're all losing here. Only the dentists are winning.
 
Canada, NZ, and Australia dentists make comparable salaries to those in the US.


^That's wrong.

Jpark, shut up and stop being an alarmist. I love how only the pre-dents comment on the topic.

Look, if doctors and dentists really are overtrained, then we're all losing here. Only the dentists are winning.
 
A colonoscopy is an irreversible procedure and it is already being done by PAs in the field of medicine, without MD supervision. PAs and Nurse Practitioners are already injecting botox, something that was usually delegated to Dermatologists and Plastic Surgeons, or at least by MDs.

Anything they find profitable, they will do. Except of course for the complex cases which actually require a solid foundation of the clinical sciences, which they (DHs, FNPs, and PAs) completely lack.

:scared:

So you can never take the scope out again?!?!?
 
:scared:

So you can never take the scope out again?!?!?

no you can, but if you perforate the lining of the stomach then yes the patient can die, which would be irreversible. Removal of a polyp is irreversible. So is injection of India ink. all happen during colonoscopy.

i guess the better word was invasive. Dental therapists shouldn't be doing invasive stuff like root canals. PAs shouldnt be doing invasive procs like colonoscopies.
 
no you can, but if you perforate the lining of the stomach then yes the patient can die, which would be irreversible. Removal of a polyp is irreversible. So is injection of India ink. all happen during colonoscopy.

i guess the better word was invasive. Dental therapists shouldn't be doing invasive stuff like root canals. PAs shouldnt be doing invasive procs like colonoscopies.

Sorry, was giving you a hard time for some unfortunate wording. 😛
 
You are much more knowledgeable about this than i am, so i had some questions for you (not trying to troll).

I theory it seems like a good solution to help the under served, but why would dental therapists want to live in the rural areas and inner cities anymore than current dentists? It seems to me that we have enough dentists, but they live where everyone else wants to live. What will stop the dental therapists from moving to the desirable places and stealing away current patients?

This is a similar problem that physicians have with NP's. But the NP's keep gaining more independent rights and treatment abilities, because they are governed by a totally separate entity from the AMA. Does the ADA control dental therapists and what will prevent this from happening to the dental profession?

Thanks for your help and clarification.
Honestly the real problem, from a relative point of view, is not that people in rural areas cannot get care. That only affects a few maybe hundred thousand people, although it certainly needs addressing. And I don't think expanded use of dental auxiliaries is the main answer to that, however it would help. The real problem is that over 100 million Americans go without dental care and most of them are in cities or urban areas. Expanding the functions of dental auxiliaries could make a huge difference in how many people go without care. Cost is the main barrier to care access, but yes, many of these people simply forgo dental care because they don't realize how important it is.

Many countries, including the founding country of the dental nurse (same thing as dental therapist) program - New Zealand, place at least one dental therapist in all of their schools. This takes out the variable of education in many ways, since the kids are educated directly by the school on the importance of oral health. Problems are addressed early mainly through preventive means such as sealants and fluoride. It saves millions in future dental costs and is non discriminating.
 
Nothing will stop them from moving to the desirable places. The whole NP thing started out, with people saying that NPs would be able to help in rural areas, where MDs didn't want to go. Guess what happened? Hardly any of the NPs went to the rural areas, most congregated around in the desirable areas. They pushed for more and more expanded procedures. The same thing will happen with dental therapists. The problem is maldistribution of dentists. California has too many dentists, but they still want little therapists.

"There are millions of people that go without dental care, a huge demographic that dental professionals need to adress" - People forgo the dental care to buy Iphones, and other little expensive gadgets that they don't need. The better way to deal with this is to increase reimbursement rates for dentists taking on Medicad dental patients so they dont have to take a financial hit to take the patients.

We all know who the real winner of this whole thing is: Dental chains. They will hire these advanced dental therapists to replace dentists and take advantage of the unsuspecting patients who think they are being seen by a real dentist. Oh and by the way these little dental therapists are now DOING ROOT CANALS. Root canals are something either experienced dentists or endodontists do. Only the dental chains will win

"there is plenty of evidence that says they do their procedures as well or better than a dentist" - Whoa here. Can I see some evidence (and I'm not talking about the evidence coming from the Kellogg Foundation which we all know produces very misleading statements)? Sure the little therapists might be able to practice tooth carpentry. But dentistry is not tooth carpentry. It is a comprehensive understanding of dental anatomy, clinical sciences, and the relation of oral health to overall body health, something that cannot possibly be learned in just 2 years at tooth carpentry school.

If you look at this article, 50% of the DNPs in medicine, failed a watered down easy version of the USMLE. Their knowledge sucks and here is the evidence to support it. I say we see how the dental therapists do on the NDBE, before we let them do root canals.

The allied health professions lobby (i.e the FNPs, CRNAs, and now little dental therapists), and the for-profit-educational institutions that train them and the big corporate medical groups all have a very cozy relationship with our government that we future dentists should all be alarmed of. It puts our patients health at risk.
I hope your view can change at least a little bit before you go to dental school. This cynical attitude really does no good. I know the mindset of the average dentist on this and the first thing they think is "this will cut into my profit". The arguments that "dental therapists would not be able to do quality work" or "even if we can reduce costs these people wont seek dental care" simply have no foundation and little to no statistical evidence.

You seem pretty passionate about the subject so I suggest you do your own research. Personally I have found that this could be a very helpful solution to providing dental care to the over 100 million in the US that go without currently. It would have to be done in conjunction with education, for both children and parents. I think expanding the use of sealant programs and putting more money into them would reduce the overall costs of dental care for our country. There are certainly ways to introduce a dental therapist position without hurting the dentists income. Much like how hygienists increase profits for dentists, why can't we do something similar with dhats?

Here are some free articles you can search that have some pretty good info. But I really hope that if you want to learn more on this subject that you will research it yourself, because nothing I say in a post will change your mind.

American Dental Association. ADA position on the dental health aide program in
Alaska. [Data file]. Retrieved December 11, 2009 from: https://www.ada.org/prof/resources/positions/statements/position_dentalaide_alaska.pdf

The National Institute of Dental and Craniofacial Research. Data and statistics.
Retrieved December 11, 2009 from: http://www.nidcr.nih.gov/DataStatistics/

Bolin, K. A. (2008). Assessment of treatment provided by dental health aide
therapists in Alaska: A pilot study. The Journal of the American Dental Association, 139, 1530-1535.

Burt, B. A., & Eklund S. A. (2005). Dentistry, dental practice and the community
6th ed.,pp. 128-136. Missouri: Elsevier Saunders.

Nash, D. A. (2003). Developing a pediatric oral health therapist to help address
oral health disparities among children. Journal of Dental Education, 68(1), 8-18.
 
Dental Hygienist here!! lol, everyday i wonder why i want to be a dentist ? Haha, its a really good profession that pays from 40-55$ per hour in NY!!
It took me only two and half year to finish program, because for some unknown reason "lucky" i was allowed to take pre-req at same time as den hyg program. It was crazy i was taking like 12-14 classes per semester. I highly encourage everyone to do it, but now days it has become as competitive or even harder than dental school bcus less seats availables at the schools
 
Dental Hygienist here!! lol, everyday i wonder why i want to be a dentist ? Haha, its a really good profession that pays from 40-55$ per hour in NY!!
It took me only two and half year to finish program, because for some unknown reason "lucky" i was allowed to take pre-req at same time as den hyg program. It was crazy i was taking like 12-14 classes per semester. I highly encourage everyone to do it, but now days it has become as competitive or even harder than dental school bcus less seats availables at the schools

Do you mean 12-14 credits? Or 12-14 classes....
 
Do you mean 12-14 credits? Or 12-14 classes....

I took 12-14 classes per semester the first year then about 8 classes the last year including summers. Program was intense. I obtained Associates degree. I graduated with about 84 crds which i was able to transfer 60cds to a 4 year college for my bachelor..BTW hygienist with bachelor degrees and associates make same $$ so strongly recommend just do 2 years if interested
 
I took 12-14 classes per semester the first year then about 8 classes the last year including summers. Program was intense. I obtained Associates degree. I graduated with about 84 crds which i was able to transfer 60cds to a 4 year college for my bachelor..BTW hygienist with bachelor degrees and associates make same $$ so strongly recommend just do 2 years if interested

That's intense. 12-14 classes is crazy hard. And you said a lot of it was pre-reqs, so I'm sure it included orgo, physics etc (I assume those are the pre-reqs?) Ha good job surviving that.
 
28 classes first year? Doesn't add up .... 28 classes x 3 = 84 credits in the first year alone... Plus eight more classes 2nd year? = 108 total.
 
28 classes first year? Doesn't add up .... 28 classes x 3 = 84 credits in the first year alone... Plus eight more classes 2nd year? = 108 total.


I took 12 classes first semester, then 14 classes on second semester, third summer was about 4 classes, fourth semester was 8 classes, and fifth semester was 8..Plus clinic hours and labs for all sciences...about 84 credit all together because the Hyg classes were like 1crd each or 1.5, sometime were 3crds each,depends on class! Many schools wants student to do all requirement before they get accepted to the program because its hard to manage to pass all classes like i did. ( was insane). Then I transfer 60 of those credits towards my bachelor degree ( haha, I took 75 classes all together, almost 200 credits) I had to take over Gen Chem, Bio, orgo, physics because what i took in hyg school was not accepted for dental school because it was from a community college. I really enjoy being a Hygienist, was an amazing experience in my life but now I want more!! Dentistry
 
Wow. Sounds like you have accomplished quite a lot already! I apologize for doubting you. 🙂 Best of luck I hope you get in!!
 
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