Showing posts with label Jobs in Medicine. Show all posts
Showing posts with label Jobs in Medicine. Show all posts

Tuesday, April 8, 2014

A Day in the Life of a Dentist

By Rick Fromme

English: A Dentist and her Dental assistant
 A Dentist and her Dental Assistant (Photo credit: Wikipedia)
Here’s something you can sink your teeth into: Some of you may recall one of my recent blogs, “Health Care Job Outlook is Jammin’” wherein I listed the Bureau of Labor Statistics’ assessment of various medical/health care professions that are expected to grow between now and 2022.  Despite the fact the new Affordable Care Act only provides insurance coverage for children’s dental needs, heading up the BLS’ list were dentists.

Today, most dentists work in some type private practice environment. While every private practitioner has her/his own way of doing things, several of my dentist colleagues say they begin every day with a preparatory staff meeting at 7:45 each morning.

The entire staff is included: front desk staff, hygienists, and dental assistants. During this 45-minute meeting, they discuss the patients they’re going to see that day to review the procedures they’re doing on each one. This allows the staff to review any questions about a patient’s condition, medical history, discuss any challenges they may encounter during today's procedures ... even review billing issues. Additionally, each patient's overall treatment needs are discussed, as in scheduling necessary follow up appointments, or just routine cleaning and maintenance. The remainder of the early hours are for room/equipment prep and set up prior to seeing patients starting about 8:30 a.m.

On average, a typical workload is about 20 patients per day. While each private practice dentist may have her/his own way of scheduling procedures (reserving one or two days per week for more involved procedures), many prefer to mix up their days, thus providing variation for both the dentist and his/her staff. These procedures can run the gamut:
teeth
X-ray of teeth (Photo credit: jfraser)


  • Examining X-rays
  • Cleaning
  • Removing Decay
  • Filling Cavities
  • Tooth Extraction
  • Full Mouth Restoration (root canals, crowns and bridge work, veneer work)
  • Minor Surgical Procedures
  • Realigning Tempo Mandibular Joint (TMJ)
  • Treating Gum Disease
  • Performing Surgery (to correct facial and dental deformities caused by accidents or birth defects)
  • Cosmetic Work (brightening and straightening teeth)
  • Making Models & Taking Measurements for Dentures (and other procedures) 
  • Procedural Follow Up
  • Patient Education


During a typical day, a general dentist may do one to two crowns, 10-20 fillings, extract a few teeth, perhaps do a basic root canal, and also check and examine about 15 patients that had their teeth cleaned with the hygienists.

Dentists also administer various anaesthetics (see below) and prescribe antibiotics and other medications. Since restorative dental procedures and cosmetic dentistry have become more popular over the years, a typical may include doing some of those procedures as well.

Depending upon a dentist's staff, most dental offices schedule three to four patients within the same time period. This way, two patients are seen by dental hygienists having their teeth cleaned -- usually followed by a brief evaluation by the dentist -- while the other two patients are in rooms with dental assistants followed by dental treatments with the dentist.

Some patients choose to have a comprehensive exam to establish an ongoing treatment plan. A full set of X-rays are taken, the patient's gingivitis and tongue are examined, the bone structures are evaluated, and even the function of their TMJ (Tempo Mandibular Joint) is assessed. The dentist will derive a plan and outline any procedures necessary on how to create a fully functioning, healthy mouth and furthermore, how to keep it healthy.  Likewise, if there are needs to be addressed such as broken, decayed or missing teeth, cosmetic options, etc., those can be discussed and planned as well.

Laughing Gas (novel)
Laughing Gas (novel) (Photo credit: Wikipedia)
Dentists and their staff, not unlike some other medical practices, need to be aware of their patients’ general health industry. They also need to be prepared to treat patients’ possible stress and anxiety before having a procedure. This is not only to protect the patient’s overall health, but also provide peace of mind and comfort. The diminution and/or prevention of pain is an integral part of many dental procedures today including a variety of topical anaesthetics, laser drills, electronically delivered anaesthesia, nitrous oxide (laughing gas), intravenous sedation, oral sedation, and even general anaesthesia (typically not done in a dentist’s office).

Like general practice physicians and many other doctors/health care specialists, dentists treat and interact with wide diversity of the population regarding sex, age, ethnicity, background, state of health, etc. Each patient’s mouth is different, which means the dentist has to provide specific treatments for each individual. This, in turn, makes workdays varied and interesting, even while looking into people’s oral cavities all day. A typical day usually ends with writing and reviewing the charts of each patient seen that day.

Dentists periodically meet with supply representatives, talk on the phone with lab technicians, perform accounting and bookkeeping tasks, and oversee/manage their staff. They may also teach at local or regional dental schools or sit on health-related committees/boards. Essentially, a dental practice is similar to a small business that must run efficiently to fulfil its goal of treating patients.

In addition to a steady income and the nice lifestyle, dentistry offers flexibility, which is something many other doctorate-level practices don’t. Private practitioner dentists have the option of working either full- or part-time.  Similarly, they can choose their own hours and structure their lives based on their personal proclivities and professional needs. Many choose to work four or four-and-a-half days per week. In their off hours, some dentists pursue other profitable activities outside of their practice.  For example, the founder of the international animatronics and dark rides firm, Sally Corporation, which is headquartered in downtown Jacksonville, Florida, was founded by a local dentist/inventor. He'd first built a "female" talking robot head, which he called "Sally," to instruct his patients about the importance of in-home brushing and flossing. One thing lead to another and now Sally Corporation is known the world over.

In this article, I discussed a typical work day/week of a private practice dentist. I outlined the various procedures a dentist (and his/her staff) does, discussed anaesthetic options most widely used prior to various procedures, and gave an overview of the advantages a private dental practice provides regarding lifestyle and practice options.  If you found this article useful, please leave a relevant comment below and feel free to share and repost it.

Rick Fromme combines entrepreneurial enthusiasm with an insider's knowledge of the medical industry to co-found MedMasters.com. Both his drive and perspective helps provide health care professionals with a superior mechanism with which to communicate, network and market their strengths. Prior to founding MedMasters.com, Rick operated a highly successful medical device distributorship. Other milestones in his 12-year career in the medical industry include a key position at a medical device start-up company that was later sold to the Ethicon Endo division of Johnson & Johnson. You may reach Rick by connecting with him on Facebook, Twitter, Google+, LinkedIn and YouTube. 



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Friday, February 28, 2014

Don’t Be Waylaid by Your Lay Off

By Rick Fromme

Perhaps you’ve recently walked out of your manager’s office with a pink slip in one hand and a tissue in the other. On the other hand, maybe you, along with other co-workers, were informed you were all being let go en masse. Regardless of how, the personal reaction is usually the same: OMG! Now what?!


Depressed
Depressed (Photo credit: Sander van der Wel)
It’s natural to feel depressed and even shed a few tears — ideally in the privacy of your own home or among trusted family and friends, or even a professional counselor — upon being laid off. You may want or need to take a few days off to sort out your feelings. Some stretch this grieving period out over a couple of weeks, especially if they had ample vacation pay in their kitty. But you needn’t descend into a black hole or deep funk (and I’m not talking about Prince or James Brown). Especially for health care professionals, there are nearly always options. Give yourself the time and space to discover what those are or to create them for yourself. Unless you're going to retire permanently, sooner or later, you must get back in the game.

I won’t go into detail concerning severance packages; unpaid vacation, sick and personal days; final remuneration date; unemployment compensation; food stamps; health insurance; etc., because every situation is different. Oftentimes, the HR department of the company that laid you off can offer advice. Suffice to say, if you’re eligible for any type of supplemental program, it behooves you to investigate and take appropriate action as soon as possible. Some state unemployment compensation programs can take months to obtain. Again, taking the necessary steps to set that benefit in motion should be done ASAP.
Occupational Outlook Quarterly Spring 2010
Occupational Outlook Quarterly Spring 2010 (Photo credit: AlaskanLibrarian)

But do take heart: according to the Occupation Outlook Quarterly, the health care industry is expanding, not contracting. Unlike other industries, the job outlook for health care and medical professionals for the next decade is very positive. (See my previous blog, “Health Care Jobs Outlook is Jammin’!”) Your skills aren’t superfluous. Your knowledge isn’t for naught. There’s an excellent chance you’ll be able to gain meaningful employment in a relatively short time period. But you have to do the leg work.

From W2 to 1099

Before the door finally closes on the job where you’re being laid off, you may be able to negotiate working for that firm on a contractual or part-time basis with that employer. Particularly if the firm was trying to save money vis-à-vis cutting salaries and benefits, offering to work for them contractually may just prove to be a win-win situation. The same may said of any former employers; depending upon the situation in which you exited the job(s) before your last one, that/those employer(s) may be in need of your skills again. It doesn’t hurt to reach out to them as well. Again, if they can’t afford to bring you in full- or part-time, consider doing contractual work as it will keep you in the game with your already proven skills.

College for Knowledge

Having said that, there are some in our profession who, after being laid off and who have the social and financial wherewithal, or who are eligible for student loans, decide to take this time to further their education. Perhaps you’re a Physical Therapy Assistant; you can return to school to become a fully licensed Physical Therapist, perhaps with a master’s degree. If you’re an LPN, you can go back to nursing school to get your bachelor of science or master’s degree, even a doctorate. If you do have an advanced degree, if appropriate, consider taking certification courses in your field to further your education and thus make you an even stronger job candidate. I even know of doctors who, though perhaps they weren’t laid off, decided to change specialties to become board certified in a different field altogether. In fact, one of the most prominent cosmetic surgeons here in Northeast Florida was initially a practicing otolaryngologist; he later decided to become board certified in plastic surgery.

Niche Networking

As with any job hunt campaign, networking should be one of your key activities, both in-person and online. That’s one of the principle advantages of having professional niche sites such as MedMasters. They allow you to build industry and specialty specific networks to facilitate — and hopefully expedite — your job search. You can reach out to and be contacted by medical/health care recruiters and employers. You can communicate with others in your field of expertise and/or the field you’re looking to transition into. You can post your latest paper résumé (see the previous blog, “Résumé Rules for Health Care Industry Job Applicants”) and, on some sites like MedMasters, even create a video version. You can post recommendations received by others to your profile. You’re able to stay the course because the site serves as a compass from which you can navigate your career search and/or transition. Some, like MedMasters, even offer online personality and behavioral assessments to help you better understand your strengths, weaknesses and all-important soft skills (read my previous blog, “Here’s Looking at You, Kid”).

                                                                             


Work Wise

Depending upon your situation, you may need to obtain an interim “survival job” to help make ends meet.
No harm done. If possible, try to find one in the health care industry to keep your feet in the water, so to speak. If nota good plan is to try to find a job that allows you to interact with people in the medical field. I know of a radiology technician who, after she was laid off, took a survival job at a sandwich shop near a major hospital so she could serve, meet and interact with people who worked at that facility. And it paid off.  
sandwich
sandwich (Photo credit: roboppy)

If you don’t need to take on a survival job, another way to expand your networking efforts is to volunteer at a hospital, health care facility or event (such as a sporting event or marathon). This keeps you in the game, your face in front of others, use your skills, and benefits the community as well.  

Exit Expertly

Negotiate Terms ‒ Most likely you’ll be offered some sort of severance package by your boss or human resources manager when you are let go. What you may not know, though, is that these terms are sometimes flexible. If your situation is appropriate, negotiate for a higher amount if possible.

Get References ‒ If you’re being laid off due to no fault of your own (such as the company downsizing), you should ask for a letter of reference. Ask your manager/employer to endorse you and your skills on LinkedIn. Let your boss know that you’re also open to any job search leads s/he might be able to provide.

Prioritize your workload ‒ Let’s say you’re one of the more fortunate employees to have been given two weeks’ advance notice before leaving the company. While you certainly want to try to complete all of your projects, it’s in your best interest to also watch out for number one: you. Organize your calendar to be as efficient as possible while also gathering necessary information/materials you’ll need, such as your contact lists, important emails and files — but ensure you’re not exiting with any proprietary or copyright material and/or equipment that belongs to the company. That’s stealing.

Be professional ‒ Being laid off is stressful and demoralizing, even if you’ve a proven track record with the firm. You may harbor resentments over the situation. However, if you’re still in your last two weeks, it’s important to retain a professional demeanor and strong work ethic while employed. You don’t want people to perceive your final days as negative by letting your job performance suffer. Be polite to your boss(es) and colleagues while you’re still there. This will help your networking efforts after you’ve left the doors.


Rick Fromme combines entrepreneurial enthusiasm with an insider's knowledge of the medical industry to co-found MedMasters.com. Both his drive and perspective helps provide health care professionals with a superior mechanism with which to communicate, network and market their strengths. Prior to founding MedMasters.com, Rick operated a highly successful medical device distributorship. Other milestones in his 12-year career in the medical industry include a key position at a medical device start-up company that was later sold to the Ethicon Endo division of Johnson & Johnson. You may reach Rick by connecting with him on FacebookTwitterGoogle+LinkedIn and YouTube

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Tuesday, February 11, 2014

Health Care Jobs Outlook is Jammin’!

By Rick Fromme


For those seeking jobs in the health care industry, I’ve great news: the future prognosis is excellent. With just a few exceptions, health care industry jobs dominated the overall list of those careers with the most promising hiring outlook, period.
Happy Smiley Face from Urine Samples
Happy Smiley Face from Urine Samples (Photo credit: epSos.de)


While various sectors of the workforce employment projections remain sluggish (manufacturing; federal government; agriculture, forestry, fishing and hunting; information; and utilities), those who currently work in or are considering a career in health care and social services can exclaim a hearty “Huzzah!”

A report released in mid- December 2013 by the U.S. Bureau of Labor Statics (BLS) cited, “Occupations and industries related to health care are projected to add the most new jobs between 2012 and 2022.”  Furthermore, it estimated the total employment in our industry is projected to increase by an annual rate of 2.6%, adding 5 million jobs between 2012 and 2022. 

Not only does the health care industry need to retain workers currently employed in their respective fields, but a sizeable number of new positions will be needed, with the most occupation growth projected among health care support jobs, such as Diagnostic Medical Sonographers and Veterinary Technicians. That should set your tails wagging.

With kind permission given to BLS’ statisticians, I’ve detailed what it deems are its Top 20 highest ranking health care occupations.  I have also listed the other jobs, which, according to the number of new hires the BLS feels a particular field or Specialty, are going to be demand from now until 2022.

Dentist

English: A Dentist and her Dental assistant
English: A Dentist and her Dental assistant (Photo credit: Wikipedia)
Something to sink one’s teeth into, certainly: Being a dentist was the third best overall career opportunity, cited just behind Software Developer, #1; and Computer Systems Analyst, #2. This profession is expected to add 23,300 new jobs by 2022. Dentists, also known as a “dental surgeon,” specialize in the diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. Most work in private practice and the most entrepreneurial among them can do very well financially. 

Nurse Practitioner

Coming in as the second place as the most in-demand health care specialty and fourth best job outlook overall, is Nurse Practitioner. It’s the practitioner’s myriad capabilities that make this profession so employable.  And, when considering NPs who have a Drug Devise Furnishing certificate (NFP) can prescribe medication and medical devices, this has become an attractive career choice in our nation’s ever-changing health care delivery model.

Pharmacist
 
pills
pills (Photo credit: robotson)
Along with Dentists’, Doctors’ and Nurse Practitioners’ ability license to prescribe drugs, and hence increasing the ability of the general public to obtain prescriptions, it’s not surprising Pharmacists rolled in as the third most in-demand health care job, just behind Nurse Practitioners, and fifth best job overall. Each day, more than 281,560 pharmacists dispense medicine and advise patients at hospitals and retail chains. The profession is expected to grow 14.5% percent by 2022.  Keep in mind that concomitant with the rise in Pharmacists, while not stated specifically in the BLS reports, will be the increased need for Pharmaceutical Sales Representatives.

Registered Nurse 

All of us know nursing is an indispensable health care profession; the field is in demand of good practitioners. That’s why Registered Nurse was listed just behind Pharmacist as the sixth best overall profession. While some areas of the country have more satiated markets than others, generally speaking, there is always the need for qualified RNs. The BLS anticipates 19.4% employment growth in this field between 2012 and 2022.

Physical Therapist 

A Physical Therapist’s job description includes helping a paralytic regain mobility or a cancer survivor renew his or her strength. They also deal with patients with severe burns and other diseases/conditions affecting one’s mobility. While the actual number of positions opening in the future isn’t as large as Registered Nurse, the BLS projects the profession is still expected to grow by 36% by 2022 — more than double that of RNs.

Physician  

Doctor
Doctor (Photo credit: edenpictures)
Physicians and Surgeons have long commanded the front–and-center position in the health care field, diagnosing and treating patients and helping with prevention in a wide spectrum of specialties. Like other jobs in this industry, Physicians and Surgeons will see robust job growth. The BLS forecasts 123,300 new job openings from 2012 to 2022; that’s in addition to replacing those who retire from practice.

Dental Hygienist 

Coming in at 10th place in best overall job outlook, just behind Web Developer, is Dental Hygienist. In addition to cleaning teeth, dental hygienists educate patients on proper oral hygiene. While average yearly salaries can reach about $70,700, most Dental Hygienists choose to work part time. Expect a 33.3 % employment growth in this field from 2012 to 2022.

Physician Assistant

Just after Information Security Analysts at 11th place, and Database Engineers at 12th place, are Physician Assistants. Working under the supervision of doctors, PAs interpret X-rays and blood tests, chart patients’ progress, conduct routine exams and treat a wide range of ailments. Like Nurse Practitioners, they can prescribe certain classes of drugs when authorized to do so by a supervising Physician. When you couple PAs’ growth projections for 33,300 new jobs with a micro-thin 1.2 % unemployment rate — one of the lowest on the BLS’ best jobs list — their job outlook is highly advantageous.

Occupational Therapist 

A close runner-up to PAs, Occupational Therapists help patients who have physical, mental or developmental disabilities to take better care of themselves and how to effectively assimilate into society. No surprise, it’s especially on the rise, with 29% employment growth expected between 2012 and 2022.


Phlebotomist 

Let Us Help You Save Lives
Let Us Help You Save Lives (Photo: Gulf Coast Regional Blood Center)
Coming in at 16th place, just after Market Research Analysts, are those who deal daily with human fluids, especially blood, urine and sometimes feces. If you choose this field, you need to be comfortable with people being uncomfortable… Who likes getting pricked by needles or delivering a test cup of urine?  Empathetic people skills and attention to detail are a must for this job. The BLS forecasts growth of 27,100 new positions between 2012 and 2022.

Physical Therapist Assistant 

Physical Therapist Assistants fell slightly from ninth to eleventh place this year, but this occupation is still growing rapidly with a 41% growth projection between 2012 and 2022.  The difference between PTAs and PTs is there is a lower education prerequisite to enter this occupation than to become a PT (which can be academically rigorous). PTAs usually do many similar tasks as PAs, but don’t have as many responsibilities.


Veterinarian
English: A veterinarian stitching a dog, after...
English: A veterinarian stitching a dog, after surgery. (Photo Wikipedia)

Doggedly holding up at 20th place are Veterinarians. Not just limited to first-tier animal care, they also protect the public’s food supply by inspecting livestock, promote public health by fighting animal-borne diseases, and help educate people on how to have a healthy relationship with animals. Given the field’s ongoing advancement and the popularity of personal pets, expect a 12% employment jump between 2012 and 2022.


The Rest of the Best

Health care career choices that also topped the BLS’ list for strong employment, in order of their projected growth rate:

Johnson & Johnson Medical
Johnson & Johnson Medical (Photo credit: Job Meeting)
Occupational Therapy Assistant
Clinical Laboratory Assistant
Dieticians & Nutritionists
Diagnostic Medical Sonographer
Massage Therapist
Veterinary Technologist and Technician
Esthetician
Respiratory Therapist  

Epidemiologist
Speech-Language Pathologist
Substance Abuse Counselor
Licensed Practical and Licensed Vocational Nurse
Medical Assistant
Medical Equipment Repair
Reservist Medical Officer at Camp Bastion Hosp...
Reservist Medical Officer at Camp Bastion Hospital in Afghanistan (Photo credit: Defence Images)
Clinical Social Worker
Medical Secretary
Radiologic Technologist
Optician
Dental Assistant
Home Health Aide
Personal Care Aide

Marriage & Family Counselors
Surgical Technologist
Nursing Aide
Pharmacy Technician
Paramedic
Mental Health Counselor

Rick Fromme combines entrepreneurial enthusiasm with an insider's knowledge of the medical industry to co-found MedMasters.com. Both his drive and perspective helps provide health care professionals with a superior mechanism with which to communicate, network and market their strengths. Prior to founding MedMasters.com, Rick operated a highly successful medical device distributorship. Other milestones in his 12-year career in the medical industry include a key position at a medical device start-up company that was later sold to the Ethicon Endo division of Johnson & Johnson. You may also reach Rick by connecting with him on FacebookTwitterGoogle+LinkedIn and YouTube.

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