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Sources of Additional Information

For career information, enclose a stamped, self-addressed business size envelope with your request to:

American Society of Radiologic Technologists, 15000 Central Ave. SE., Albuquerque, NM 87123-3917.

Society of Diagnostic Medical Sonographers, 12770 Coit Rd., Suite 708, Dallas, TX 75251.

American Healthcare Radiology Administrators, 111 Boston Post Rd., Suite 105, P.O. Box 334, Sudbury, MA 01776.

For the current list of accredited education programs in radiography and radiation therapy technology, write to:

Joint Review Committee on Education in Radiologic Technology, 20 N. Wacker Dr., Suite 600, Chicago, IL 60606-2901.

For a current list of accredited education programs in diagnostic medical sonography, write to:

The Joint Review Committee on Education in Diagnostic Medical Sonography, 7108 S. Alton Way, Building C., Englewood, CO 80112.

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Surgical Technologists

(D.O.T. 079.374-022)

Significant points

Most educational programs for surgical technologists last approximately 1 year and result in a certificate.

Increased demand for surgical technologists is expected as the number of surgical procedures grows.

Nature of the Work

Surgical technologists, also called surgical or operating room technicians, assist in operations under the supervision of surgeons, registered nurses, or other surgical personnel. Before an operation, surgical technologists help set up the operating room with surgical instruments and equipment, sterile linens, and sterile solutions. They assemble, adjust, and check nonsterile equipment to ensure that it is working properly. Technologists also prepare patients for surgery by washing, shaving, and disinfecting incision sites. They transport patients to the operating room, help position them on the operating table, and cover them with sterile surgical "drapes." Technologists also observe patients' vital signs, check charts, and help the surgical team scrub and put on gloves, gowns, and masks.

During surgery, technologists pass instruments and other sterile supplies to surgeons and surgeon assistants. They may hold retractors, cut sutures, and help count sponges, needles, supplies, and instruments. Surgical technologists help prepare, care for, and dispose of specimens taken for laboratory analysis and may help apply dressings. They may operate sterilizers, lights, or suction machines, and help operate diagnostic equipment. Technologists may also maintain supplies of fluids, such as plasma and blood.

After an operation, surgical technologists may help transfer patients to the recovery room and clean and restock the operating room.

Working Conditions

Surgical technologists work in clean, well-lighted, cool environments. They must stand for long periods and remain alert during operations. At times they may be exposed to communicable diseases and unpleasant sights, odors, and materials.

Most surgical technologists work a regular 40-hour week, although they may be on call or work nights, weekends and holidays on a rotating basis.

Employment

Surgical technologists held about 49,000 jobs in 1996. Most are employed by hospitals, mainly in operating and delivery rooms. Others are employed in clinics and surgical centers, and in the offices of physicians and dentists who perform outpatient surgery. A few,

Surgical technologists spend much time cleaning medical instruments and setting up the operating room.

known as private scrubs, are employed directly by surgeons who have special surgical teams like those for liver transplants.

Training, Other Qualifications, and Advancement Surgical technologists receive their training in formal programs offered by community and junior colleges, vocational schools, universities, hospitals, and the military. In 1997, the Commission on Accreditation of Allied Health Education Programs (CAAHEP) recognized 145 accredited programs. High school graduation normally is required for admission. Programs last 9 to 24 months and lead to a certificate, diploma, or associate degree. Shorter programs are designed for students who are already licensed practical nurses or military personnel.

Programs provide classroom education and supervised clinical experience. Students take courses in anatomy, physiology, microbiology, pharmacology, professional ethics, and medical terminology. Other studies cover the care and safety of patients during surgery, aseptic techniques, and surgical procedures. Students also learn to sterilize instruments; prevent and control infection; and handle special drugs, solutions, supplies, and equipment.

Technologists may obtain voluntary professional certification from the Liaison Council on Certification for the Surgical Technologist by graduating from a formal program and passing a national certification examination. They may then use the designation Certified Surgical Technologist, or CST. Continuing education or reexamination is required to maintain certification, which must be renewed every 6 years. Graduation from a CAAHEP-accredited

program will be a prerequisite for certification by March 2000. Most employers prefer to hire certified technologists.

Surgical technologists need manual dexterity to handle instruments quickly. They also must be conscientious, orderly, and emotionally stable to handle the demands of the operating room environment. Technologists must respond quickly and know procedures well so that they may have instruments ready for surgeons without having to be told. They are expected to keep abreast of new developments in the field. Recommended high school courses include health, biology, chemistry, and mathematics.

Technologists advance by specializing in a particular area of surgery, such as neurosurgery or open heart surgery. They may also work as circulating technologists. A circulating technologist is the "unsterile" member of the surgical team who prepares patients; helps with anesthesia; gets, opens, and holds packages for the "sterile" persons during the procedure; interviews the patient before surgery; keeps a written account of the surgical procedure; and answers the surgeon's questions about the patient during the surgery. With additional training, some technologists advance to first assistants, who help with retracting, sponging, suturing, cauterizing bleeders, and closing and treating wounds. Some surgical technologists manage central supply departments in hospitals, or take positions with insurance companies, sterile supply services, and operating equipment firms.

Job Outlook

Employment of surgical technologists is expected to grow faster than the average for all occupations through the year 2006 as the volume of surgery increases. The number of surgical procedures is expected

to rise as the population grows and ages. Older people require more surgical procedures. Technological advances, such as fiber optics and laser technology, will also permit new surgical procedures.

Hospitals will continue to be the primary employer of surgical technologists, although much faster employment growth is expected in offices and clinics of physicians, including ambulatory surgical

centers.

Earnings

According to a 1996 membership survey conducted by the Association of Surgical Technologists, the average annual salary for surgical technologists, excluding overtime or on-call pay, was about $25,000. Beginning technologists earned about $20,900 a year, while the most experienced technologists earned about $28,000 a year.

Related Occupations

Other health occupations requiring approximately 1 year of training after high school include licensed practical nurses, respiratory therapy technicians, medical laboratory assistants, medical assistants, dental assistants, optometric assistants, and physical therapy aides.

Sources of Additional Information

For additional information on a career as a surgical technologist and a list of CAAHEP-accredited programs, contact:

☛ Association of Surgical Technologists, 7108-C South Alton Way, Englewood, CO 80112. Homepage: http://www.ast.org/

For information on certification, contact:

Liaison Council on Certification for the Surgical Technologist, 7790 East Arapahoe Rd., Suite 240, Englewood, CO 80112-1274.

Communications Occupations

Broadcast Technicians

(D.O.T. 193.167-014, 262-018, and -038; 194.062, .122, .262-010, -014, -018, -022, .282, .362, and .382-014, -018, 962.167-010, and .382-010)

Significant Points

Competition is expected for the better paying jobs at radio and television stations serving large cities. Beginners need formal training in broadcast technology to obtain their first job at a smaller station.

Evening, weekend, and holiday work is common.

Nature of the Work

Broadcast technicians install, test, repair, set up, and operate the electronic equipment used to record and transmit radio and television programs. They work with television cameras, microphones, tape recorders, light and sound effects, transmitters, antennas, and other equipment. Some broadcast technicians develop movie sound tracks in motion picture production studios.

In the control room of a radio or television broadcasting studio, these technicians operate equipment that regulates the signal strength, clarity, and range of sounds and colors of recordings or broadcasts. They also operate control panels to select the source of the material. Technicians may switch from one camera or studio to another, from film to live programming, or from network to local programs. By means of hand signals and, in television, telephone headsets, they give technical directions to other studio personnel.

Broadcast technicians in small stations perform a variety of duties. In large stations and at the networks, technicians are more specialized, although job assignments may change from day to day. The terms "operator," "engineer," and "technician" often are used inter

changeably to describe these jobs. Transmitter operators monitor and log outgoing signals and operate transmitters. Maintenance technicians set up, adjust, service, and repair electronic broadcasting equipment. Audio control engineers regulate sound pickup, transmission, and switching of television pictures while, video control engineers regulate their quality, brightness, and contrast. Recording engineers operate and maintain video and sound recording equipment. They may operate equipment designed to produce special effects, such as the illusions of a bolt of lightning or a police siren. Field technicians set up and operate broadcasting portable field transmission equipment outside the studio.

Television news coverage requires so much electronic equipment, and the technology is changing so fast, that many stations assign technicians exclusively to news. Chief engineers, transmission engineers, and broadcast field supervisors supervise the technicians who operate and maintain broadcasting equipment.

Technicians in the motion picture industry are called sound mixers or rerecording mixers. Mixers produce the sound track of a movie, using a process called dubbing. They sit at sound consoles facing the screen and fade in and fade out each sound and regulate its volume. Each technician is responsible for certain sounds. Technicians follow a script that tells at precisely what moment, as the film runs through the projector, each of the sounds must be faded in and out. All the sounds for each shot are thus blended on a master sound track.

Working Conditions

Broadcast technicians generally work indoors in pleasant surroundings. However, those who broadcast from disaster areas or crime scenes may work under unfavorable conditions. Technicians doing maintenance may climb poles or antenna towers, while those setting up equipment do heavy lifting.

Technicians in large stations and the networks usually work 40hour week, but may occasionally work overtime, under great pressure

Broadcast technicians must have manual dexterity and an aptitude for working with electrical, electronic, and mechanical systems and equipment.

to meet broadcast deadlines. Technicians in small stations routinely work more than 40 hours a week. Evening, weekend, and holiday work is usual, because most stations are on the air 18 to 24 hours a day, 7 days a week.

Those who work on motion pictures may be on a tight schedule to finish according to contract agreements.

Employment

Broadcast technicians held about 46,000 jobs in 1996. About 7 out of 10 broadcast technicians were in radio and television broadcasting. Almost 2 in 10 worked in the motion picture industry. About 8 percent worked for cable and other pay television services. A few were self employed. Television stations employ, on average, many more technicians than do radio stations. Some broadcast technicians are employed in other industries, producing employee communications, sales, and training programs. Technician jobs in television are located in virtually all cities, while jobs in radio are also found in many small towns. The highest paying and most specialized jobs are concentrated in New York City, Los Angeles, Chicago, and Washington, D.C.-the originating centers for most of network programs. Motion picture production jobs are concentrated in Los Angeles and New York City.

Training, Other Qualifications, and Advancement The best way to prepare for a broadcast technician job in radio or television is to obtain technical school, community college, or college training in broadcast technology or in engineering or electronics.

This is particularly true for those who hope to advance to supervisory positions or jobs at large stations or the networks. On the other hand, there is no formal training for jobs in the motion picture industry. People are hired as apprentice editorial assistants and work their way up to more skilled jobs. Employers in the motion picture industry usually hire freelance technicians on a picture-by-picture basis. Reputation, determination, and luck are important in getting jobs.

Beginners learn skills on the job from experienced technicians and supervisors. They generally begin their careers in small stations and, once experienced, move on to larger ones. Large stations generally only hire technicians with experience. Many employers pay tuition and expenses for courses or seminars to help technicians keep abreast of developments in the field.

The Federal Communications Commission no longer requires the licensing of broadcast technicians, as the Telecommunications Act of 1996 eliminated this licensing requirement. Certification by the Society of Broadcast Engineers is a mark of competence and experience. The certificate is issued to experienced technicians who pass an examination. By offering the Radio Operator and the Television Operator levels of certification, the Society of Broadcast Engineers has filled the void left by the elimination of the FCC license.

Prospective technicians should take high school courses in math, physics, and electronics. Building electronic equipment from hobby kits and operating a "ham," or amateur radio, are good experience, as is work in college radio and television stations.

Broadcast technicians must have manual dexterity and an aptitude for working with electrical, electronic, and mechanical systems and equipment.

Experienced technicians may become supervisory technicians or chief engineers. A college degree in engineering is needed to become chief engineer at a large TV station.

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Job Outlook

People seeking beginning jobs as radio and television broadcast technicians are expected to face strong competition in major metropolitan areas, where the number of qualified job seekers greatly exceeds the number of openings. There, stations seek highly experienced personnel. Prospects for entry level positions generally are better in small cities and towns for people with appropriate training.

The overall employment of broadcast technicians is expected to grow about as fast as the average through the year 2006. Growth in the number of new radio and television stations and an increase in the number of programming hours should require additional technicians. However, employment growth in radio and television broadcasting may be tempered somewhat because of laborsaving technical advances, such as computer-controlled programming and remote control of transmitters.

Employment in the cable industry should grow because of new products coming to market, such as cable modems, which deliver high speed Internet access to PCs, and digital set-top boxes, which transmit better sound and pictures, allowing cable operators to offer many more channels than in the past. These new products should cause traditional cable subscribers to sign up for additional services. Also, employment in the cable industry should grow, as today's young people establish their own households, for they are more accustomed to the idea of paying for TV than their parents.

Employment in the motion picture industry will grow faster than the average for all occupations. Job prospects are expected to remain competitive, because of the large number of people attracted to this relatively small field.

Virtually all job openings will result from the need to replace experienced technicians who leave the occupation. Turnover is relatively high for broadcast technicians. Many leave the occupation for electronic jobs in other areas, such as computer technology or commercial and industrial repair.

Earnings

Television stations usually pay higher salaries than radio stations; commercial broadcasting usually pays more than educational broad

casting; and stations in large markets pay more than those in small

ones.

According to a survey conducted by the National Association of Broadcasters and the Broadcast Cable Financial Management Association, average earnings for technicians at radio stations were $30,251 a year in 1996. For chief engineer, average earnings were $46,602; and salaries ranged from $34,714 in the smallest markets to $46,602 in the largest markets. In television, average earnings for operator technicians were $24,260 a year and salaries ranged from $16,422 to $45,158; for technical directors, average earnings were $25,962 a year and the range was $18,444 to $44,531; for maintenance technicians, average earnings were $32,533 a year and the range was $24,210 to $50,235; and for chief engineers, the average earnings were $53,655 a year and salaries ranged from $38,178 in the smallest markets to $91,051 in the largest. Earnings in the motion picture industry depend on skill and reputation and, based on limited information, range from $20,000 to

$100,000 a year.

Related Occupations

Broadcast technicians need the electronics training and hand coordination necessary to operate technical equipment, and they generally complete specialized postsecondary programs. Others with similar jobs and training include drafters, engineering and science technicians, surveyors, air traffic controllers, radiologic technologists, respiratory therapy workers, cardiovascular technologists and technicians, electroneurodiagnostic technicians, and clinical laboratory technologists and technicians.

Sources of Additional Information

For information on careers for broadcast technicians, write to:

☛ National Association of Broadcasters Employment Clearinghouse, 1771 N St. NW., Washington, DC 20036.

For a list of schools that offer programs or courses in broadcasting, contact:

☛ Broadcast Education Association, National Association of Broadcasters, 1771 N St. NW., Washington, DC 20036.

For information on certification, contact:

Society of Broadcast Engineers, 8445 Keystone Crossing, Suite 140, Indianapolis, IN 46240.

For information on careers in the motion picture and television industry, contact:

☛ Society of Motion Picture and Television Engineers (SMPTE), 595 W. Hartsdale Ave., White Plains, NY 10607.

Public Relations Specialists

(D.O.T. 165.017 and .167)

Significant Points

Employment of public relations specialists is expected to increase rapidly, while keen competition is expected for entry-level jobs.

Opportunities should be best for college graduates with degrees in journalism, public relations, advertising, or other communications-related fields.

Public relations work experience in gained as an intern is an asset in competing for entry-level jobs.

Nature of the Work

An organization's reputation, profitability, and even its continued existence can depend on the degree to which its goals and policies are supported by its targeted "publics." Public relations specialists serve as advocates for businesses, governments, universities, hospitals, schools, and other organizations, and strive to build and maintain positive relationships with the public. As managers recognize the

growing importance of good public relations to the success of their organizations, they increasingly rely on public relations specialists for advice on strategy and policy of such programs.

Public relations specialists handle such organizational functions as media, community, consumer, and governmental relations; political campaigns; interest-group representation; conflict mediation; or employee and investor relations. However, public relations is not only "telling the organization's story." Understanding the attitudes and concerns of consumers, employees, and various other groups is also a vital part of the job. To improve communications, public relations specialists establish and maintain cooperative relationships with representatives of community, consumer, employee, and public interest groups and those in print and broadcast journalism.

Public relations specialists put together information that keeps the general public, interest groups, and stockholders aware of an organization's policies, activities, and accomplishments. Their work keeps management aware of public attitudes and concerns of the many groups and organizations with which it must deal.

Public relations specialists prepare press releases and contact people in the media who might print or broadcast their material. Many radio or television special reports, newspaper stories, and magazine articles start at the desks of public relations specialists. Sometimes the subject is an organization and its policies towards its employees or its role in the community. Often the subject is a public issue, such as health, nutrition, energy, or the environment.

Public relations specialists also arrange and conduct programs for contact between organization representatives and the public. For example, they set up speaking engagements and often prepare the speeches for company officials. These specialists represent employers at community projects; make film, slide, or other visual presentations at meetings and school assemblies; and plan conventions. In addition, they are responsible for preparing annual reports and writing proposals for various projects.

In government, public relations specialists—who may be called press secretaries, information officers, public affairs specialists, or communications specialists-keep the public informed about the activities of government agencies and officials. For example, public affairs specialists in the Department of Energy keep the public informed about the proposed lease of offshore land for oil exploration. A press secretary for a member of Congress keeps constituents aware of their elected representative's accomplishments.

In large organizations, the key public relations executive, who is often a vice president, may develop overall plans and policies with other executives. In addition, public relations departments employ public relations specialists to write, do research, prepare materials, maintain contacts, and respond to inquiries.

People who handle publicity for an individual or who direct public relations for a small organization may deal with all aspects of the job. They contact people, plan and do research, and prepare material for distribution. They may also handle advertising or sales promotion work to support marketing.

Working Conditions

Some public relations specialists work a standard 35- to 40-hour week, but unpaid overtime is common. In addition, schedules often have to be rearranged to meet deadlines, deliver speeches, attend meetings and community activities, and travel out of town. Occasionally they have to be at the job or on call around the clock, especially if there is an emergency or crisis.

Employment

Public relations specialists held about 110,000 jobs in 1996. About two-thirds worked in services industries-management and public relations firms, educational institutions, membership organizations, health care organizations, social service agencies, and advertising agencies, for example. Others worked for a wide range of employers, including manufacturing firms, financial institutions, and government agencies. A few were self-employed.

Some experienced public relations specialists start their own consulting firms.

Public relations specialists are concentrated in large cities in which press services and other communications facilities are readily available, and many businesses and trade associations have their headquarters. Many public relations consulting firms, for example, are in New York, Los Angeles, Chicago, and Washington, DC. There is a trend, however, for public relations jobs to be dispersed throughout the Nation.

Training, Other Qualifications, and Advancement

Although there are no defined standards for entry into a public relations career, a college degree combined with public relations experience, usually gained through an internship, is considered excellent preparation for public relations work. The ability to write and speak well is essential. Many beginners have a college major in public relations, journalism, advertising, or communications. Some firms seek college graduates who have worked in electronic or print journalism. Other employers seek applicants with demonstrated communications skills and training or experience in a field related to the firm's business-science, engineering, sales, or finance, for example.

In 1996, well over 200 colleges and about 100 graduate schools offered degree programs or special curricula in public relations, usually in a journalism or communications department. In addition, many other colleges offered at least one course in this field. The Accrediting Council on Education in Journalism and Mass Communications is the only agency authorized to accredit schools or department in public relations. A commonly used public relations sequence includes the following courses: Public relations principles and techniques; public relations management and administration, including organizational development; writing, emphasizing news releases, proposals, annual reports, scripts, speeches, and related items; visual communications, including desktop publishing and computer graphics; and research, emphasizing social science research and survey design and implementation. Courses in advertising, journalism, business administration, political science, psychology, sociology, and creative writing also are helpful, as is familiarity with word processing and other computer applications. Specialties are offered in public relations for business, government, or nonprofit organizations.

Many colleges help students gain part-time internships in public relations that provide valuable experience and training. The Armed Forces can also be an excellent place to gain training and experience. Membership in local chapters of the Public Relations Student Society of America or the International Association of Business Communicators provides an opportunity for students to exchange views with public relations specialists and to make professional contacts who may help them find a full-time job in the field. A portfolio of published articles, television or radio programs, slide presentations, and other work is an asset in finding a job. Writing for a school publication or television or radio station provides valuable experience and material for one's portfolio.

Creativity, initiative, good judgment, and the ability to express thoughts clearly and simply are essential. Decision making, problem solving, and research skills are also important.

People who choose public relations as a career need an outgoing personality, self-confidence, an understanding of human psychology, and an enthusiasm for motivating people. They should be competitive, yet flexible and able to function as part of a team.

Some organizations, particularly those with large public relations staffs, have formal training programs for new employees. In smaller organizations, new employees work under the guidance of experienced staff members. Beginners often maintain files of material about company activities, scan newspapers and magazines for appropriate articles to clip, and assemble information for speeches and pamphlets. After gaining experience, they write news releases, speeches, and articles for publication, or design and carry out public relations programs. Public relations specialists in smaller firms generally get all-around experience, whereas those in larger firms tend to be more specialized.

The Public Relations Society of America accredits public relations specialists who have at least 5 years of experience in the field and have passed a comprehensive 6-hour examination (5 hours written, 1 hour oral). The International Association of Business Communicators also has an accreditation program for professionals in the communications field, including public relations specialists. Those who meet all the requirements of the program earn the designation, Accredited Business Communicator. Candidates must have at least 5 years of experience in a communication field and pass a written and oral examination. They also must submit a portfolio of work samples demonstrating involvement in a range of communication projects and a thorough understanding of communication planning. Employers consider professional recognition through accreditation a sign of competence in this field, and it may be especially helpful in a competitive job market.

Promotion to supervisory jobs may come as public relations specialists show they can handle more demanding managerial assignments. In public relations firms, a beginner may be hired as a research assistant or account assistant and be promoted to account executive, account supervisor, vice president, and eventually senior vice president. A similar career path is followed in corporate public relations, although the titles may differ. Some experienced public relations specialists start their own consulting firms. (For more information on public relations managers, see the Handbook statement on marketing, advertising, and public relations managers.)

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Job Outlook

Keen competition for public relations jobs will likely continue among recent college graduates with a degree in communications-journalism, public relations, advertising, or a related field-as the number of applicants is expected to exceed the number of job openings. People without the appropriate educational background or work experience will face the toughest obstacles in finding a public relations job.

Employment of public relations specialists is expected to increase faster than the average for all occupations through the year 2006. Recognition of the need for good public relations in an increasingly competitive business environment should spur demand for public relations specialists in organizations of all sizes. Employment in

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