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MEDICAL TECHNOLOGISTS AND SOCIOLOGY D iv isio n LABORATORY TECHNICIANS EMPLOYMENT OPPORTUNITIES FOR WOMEN Medical Series Bulletin No. 203—4 (1954) UNITED STATES DEPARTMENT OF LABOR James P. Mitchell, Secretary WOMEN’S BUREAU Mrs. Alice K. Leopold, Director UNITED STATES DEPARTMENT OF LABOR James P. Mitchell, Secretary WOMEN’S BUREAU Mrs. Alice K. Leopold, Director MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS EMPLOYMENT OPPORTUNITIES FOR WOMEN Medical Series Bulletin 203-4 (1934) U. S. GOVERNMENT PRINTING OFFICE WASHINGTON : 1954 For sale by the Superintendent of Documents, U. S. Government Printing Office, Washington 25 ,D.C. Price 25 cents This bulletin presents job information and training re quirements for tlie Medical Technologist and for a diversified group of Medical Laboratory Technician occupations. It excludes sucli scientific medical special ists as the biochemist, hematologist, bacteriologist, serologist, and histopathologist, except for reference to show laboratory staff relationships, or as possible specializa tions for the medical technologist who takes additional academic training. Among all medical laboratory occupations, the Medical Technologist alone has been given definition and stand ardization in accordance with minimum requirements set by the Registry of Medical Technologists of the American Society of Clinical Pathologists, in cooperation with the American Medical Association. Medical Technician and Assistant Technician jobs are loosely defined in practice but an effort is made in this report to group and describe them in broad outlines. Laboratory Helpers and Aides are classified as entry jobs which do not usually require experience. EMPLOYMENT OPPORTUNITIES FOR WOMEN Medical Series Physical Therapists. Bulletin 203-1, revised 1952. Occupational Therapists. Bulletin 203-2, revised 1952. Professional Nursing Occupations. Bulletin 203-3, revised 1953. Medical 'Technologists and Laboratory Technicians. Bulletin 203-4 {1954). ' . Practical Nurses and Auxiliary Workers on the Nursing Team. Bulletin 203-5 {1953). Medical X-Ray Technicians. Bulletin 203-8 {1954). ii LETTER OE TRANSMITTAL United States Department op Labor, Women’s Bureau, Washington, Jirne 4, 1954. I have the honor to transmit a report on opportunities for women who are interested in employment and training leading to ward careers in medical technology. An earlier Women’s Bureau publication, Bulletin 203, number 4, dealing with medical laboratory technicians and issued in 1944, is superseded by this report. Mildred S. Barber prepared this study under the supervision of Lillian V. Inke, Chief, Employment Opportunities Branch of the Research Division which is directed by Mary N. Hilton. Respectfully submitted. Alice K. Leopold, Director. Hon. James P. Mitciiell, Secretary of Labor. Sir: in Acknowledgments . . . are made to a number of persons and agencies for assistance in the preparation of this bulletin, including: (1) The staff of the Pathology Service, United States Public Health Service Hospital, Baltimore, Md., as arranged through Dr. G. H. Hunt, Assistant Surgeon General and Associate Chief, Bureau of Medical Services, Washington, D. C-, for their careful review of the manuscript. (2) Medical, research, and administrative personnel at several other Federal agencies, especially the Armed Forces Institute of Pathology, the National Institutes of Health, and the Veterans Ad ministration. (3) Officers and staff of the Registry of Medical Technologists of the American Society of Clinical Pathologists; the American Society of Medical Technologists; and the American Medical Technologists; and especially to Dr. Lall G. Montgomery, Chairman, and Mrs. Ruth Drummond, Registrar, of the A. S. C. P. Registry for their technical review. (4) The National Committee for Careers in Medical Technology. (5) Pathologists, medical technologists, and medical technicians at some 20 hospitals, clinics, and laboratories, both private and governmental. (6) For their courtesy in providing photographs, acknowledgment is made to the following: Oscar B. Hunter Memorial Laboratory (figs. 3-B, 4- C, 5-B, 5-C). Indiana University Medical Center (figs. 2-A, 2-C, 4-B). Merck & Co., Inc. (fig. 6). National Institutes of Health— National Cancer Institute (figs. 2-B, 4-A, 5-A, 7). National Institute of Arthritis and Metabolic Disease (fig. 1). National Microbiological Institute (fig. 3-A). IV CONTENTS Page Medical laboratory occupations: A preview vn I. The medical laboratory and its staff ___________________________ *' Behind the scenes with the medical team ____________________ Fact-finders for the physician Fifty years ago or so Formal recognition of the medical technologist in 1928_________ Technicians and technologists—-what’s in a name?_____________ Laboratory staffing patterns II. The medical technologist Versatility comes first in job demands ______________________ Specialization may follow___________________ ___ _ Service supersedes research___________________________ _ In order to qualify Required college courses for M. T. (A. S. C. P.) registration___ Some facts about hospital schools Cost of training__________ Inquiries may be addressed _______________________________ _ III. Medical laboratory technicians In support of research and service_______ _______________ A word to the student15 Representative jobs—thumbnail definitions__________ ____ Entry jobs—laboratory assistants and helpers__________ ______ IV. Opportunities___________________ Accent on women workers.^ 20 More jobs than qualified candidates_____________ ________ Looking ahead—job requirements and training _ ___ Openings for mature women_______________ Hospitals lead in employment1___________ A wide range of jobs outside hospitals_____ ___ ______________ Medical technicians in military service _____________________ Geography and the job-seeker_____________________________ V. Bread-and-butter questions 30 How much does a medical laboratory worker earn?____________ What is the workweek?:_____________________________ “Fringe” benefits___________________________________________ Are there part-time opportunities?_________________________ VI. Guide-lines for the career choice __ Appendix: 1. Work performed by the medical technologist___________________ 2. Requirements for registration by the Registry of Medical Tech nologists of the A. S. C. P 39 3. Professional organizations for medical technologists_____________ 4. Number of registered medical technologists and number per 100,000 population, by region and State, 1954________________ 5. Approved schools for medical technologists, February 1954______ Bibliography--------------------------------Tables: 1. Medical technicians in hospitals in continental United States: 1952^ 2. Facilities and services in medical technology and related services in 6,076 hospitals: 1952 v 1 1 1 2 3 3 4 10 10 io 11 11 12 13 13 13 15 15 15 19 20 20 23 24 24 26 26 28 30 31 31 32 33 36 40 41 43 53 25 26 MEDICAL LABORATORY OCCUPATIONS: A PREVIEW? V Among all trained medical laboratory workers, the majority, by far, are women. \/ About 9 out of every 10 registered medical technologists are women. V In 1954 there were 576 hospital schools (approved by the Ameri can Medical Association) in 48 States, the District of Columbia, Puerto Rico, Hawaii, and the Canal Zone which offered training courses for medical technologists. \/ About two-thirds of approved hospital schools charged no tuition in 1954, and about one-fourth paid students a small stipend during training. '\/ There is no upper age limit for qualified trainee candidates, al though most trainees enter hospital schools right from college science courses, and the majority are under 30. V Salaries for medical technologists and other trained laboratory \/ V V V personnel compare favorably with many jobs in teaching and social work which require as much, or more, training. Employment opportunities for medical laboratory workers exceed the present number of qualified candidates and seem to be increas ing year by year, both in diagnostic services and in research into disease. Part-time work is common in medical laboratories: in 1952, about 10 percent of hospital technicians worked part time. This means that there are opportunities for women who wish to plan on com bining careers with homemaking or who need to supplement income. Medical technology is a field for the woman who finds rewards in work that provides services to people and is an essential part of the practice of medicine, with its exacting demands and high, standards. At the same time, it is a vocational field which has limited contacts with patients and requires a good measure of scientific aptitude and manual dexterity. In this generation and those to come, the race against time to pre vent and control the major illnesses, such as cancer, poliomyelitis, multiple sclerosis, heart disease, lukemia, tuberculosis—and many others—can be considerably shortened by a continuing supply of trained medical technologists and technicians. VII wk m Figure 1.—Among the common clinical tests performed in the medical laboratory are those to determine blood type. This technician is typing an unknown sample of blood by mixing it with known serums and precipitins. VIII EMPLOYMENT OPPORTUNITIES FOR WOMEN AS MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS I. the medical laboratory and its staff Behind the Scenes With the Medical Team Teamwork of the physician and nurse on behalf of the patient has been extended in recent years to include a number of specialized medical workers whose services may be tapped according to individual needs. A medical “team” for only one patient may consist of the attending physician and one or more specialized physicians, of a professional nurse, supplemented by or assisted by a practical nurse or nurse aide, and also of such specially trained medical personnel as an occupational therapist, a physical therapist, and an X-ray technician— all of whom become known to the patient, with whom direct contact is made. Behind the scenes are a variety of medical laboratory personnel, who are key members of the team to aid in diagnosing and treating illness. As a group, they are known mainly as Technologists or Technicians, although there are other workers among them whose duties will be explained. Sometimes a laboratory worker is singled out and identified for the hospital patient because the physician has summoned her to assist in a task like taking a blood sample from the patient’s arm or finger tip. A patient may also make the brief acquaintance of a laboratory technician or technologist when he is sent by his physician to a medical laboratory or clinic for tests of various kinds. Unlike the X-ray technician or nurse, however, laboratory personnel may never see patients whose body tissues and substances they examine carefully for signs of illness or disease. Fact-Finders for the Physician In the course of his examination of a patient, the physician’s trained eye and the storehouse of experience and information he carries in his mind frequently lead him to accurate diagnosis of ill ness. On the other hand, the symptoms he can observe may not be 302850—54 -2 1 2 EMPLOYMENT OPPORTUNITIES FOR WOMEN sufficient to guide him to any conclusions. There are some diseases which cannot be diagnosed, and many which may not be identified with certainty, unless the deeply probing eye of the microscope is used, or the detective work of chemistry is applied to ferreting out information concerning the condition of certain body substances, or the presence of foreign or harmful substances in the body. A number of physicians maintain limited laboratories in which they or their assistants make routine tests. But the tasks of conducting medical tests have become highly specialized and increasingly com plex in the last 30 years. New and shorter methods, new equipment, and more accurate determinations of disease have been introduced into medical practice through the discoveries of research scientists. Practicing physicians are able neither to maintain complete labora tories nor to devote the special time required for all of the useful laboratory methods. Therefore, they must rely upon the medical laboratory of a hospital or clinic, or one conducted by a private physician who devotes himself to discovering and reporting upon the nature and condition of disease. All of the trained medical laboratory staff are fact-finders for the physician. They are adept in tracking down the minute details of illness, especially those symptoms which cannot be observed by the naked eye. In addition, they carry on a, continuous research for new facts and improved techniques. Fifty Years Ago or So . . . Hospitals at the beginning of the 1900’s probably had less laboratory equipment than'most physicians’ offices of today. The microscope was in use, as well as methods of counting the cells in a tiny drop of blood and looking for bacteria., or other minute organisms, in blood or body tissue. Chemical tests were used for analyzing urine, and for dis covering the presence of poisons in the body. Physicians and hospital internes, as part of their regular work, usually made the tests, many of which were simple and crude in comparison with methods in present use. As they got busier and the number of tests increased, physicians sometimes enlisted the help of hospital attendants or orderlies, who were at hand, to perform some of the routine tasks'. This is how the medical laboratory began: Some of the helpers were very skillful and gradually learned how to assist the doctors to a greater degree. Medical doctors began to see the advantage of setting up training courses for assistants to do laboratory work. In their offices and in hospitals, physicians began to devote some of their time to teaching laboratory methods to promising candidates. At first this was done on a small counter, with little more than a micro MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 3 scope and some test tubes and jars. Later, as laboratory equipment became more elaborate and new tests and techniques were developed, separate quarters were needed. Formal Recognition of the Medical Technologist in 1928 As the usefulness of laboratory personnel increased, questions of training and reliability of staff became of great importance to physicians. After the First World War, there was much discussion among members of the American Society of Clinical Pathologists and among the new group of laboratory workers themselves about the standards which should be set for medical laboratory occupations. It was not until 1928, however, that the A. S. C. P. created a registry to examine and certify Medical Technologists and assist them in finding suitable jobs. The same Registry of Medical Technologists of the American Society of Clinical Pathologists is in existence in 1954, although the occupation itself has gradually raised its standards through the years. In 1933, the Medical Technologists certified by the Registry organized a society of their own called “The American Society of Clinical Laboratory Technicians”; in 1936 the name was changed to “The American Society of Medical Technologists” (A. S.M. T.). Technicians and Technologists—What’s in a Name? A most difficult subject to explain is the meaning of medical labora tory job titles and their usage among a variety of employers. The same job title frequently is used to describe different jobs. All of the medical laboratory workers perform useful and essential services, but some of the laboratory jobs have been more exactly defined than others. Furthermore, in occupations that are relatively new, as in the medical laboratory field, it is to be expected that occupational changes are taking place and will continue to take place for some time to come, so that the exact definitions of today—where they exist—may be obsolete tomorrow’. There is still another point to keep in mind when thinking about occupational titles: general terms or alternate titles for the same jobs are in common use, and the title of a job does not necessarily describe it. For common usage, a general title may be descriptive enough. For anyone who is seeking information about the requirements and training for jobs, it is important to be exact. As previously noted, the occupation known as Medical Tech nologists was first defined in 1928, and still exists. In accord with the terms of the Registry affiliated with A. S. C. P., an exact set of training-and-job specifications is established, and (he official title “Medical Technologist (American Society of Clinical Pathologists)” may be used only by those certified by (he Registry. On the job, 4 EMPLOYMENT OPPORTUNITIES FOR WOMEN the “M. T. (A. S. C. P.)” may be called a “laboratory technician” or a “medical technician,” or by some other title if she becomes a specialist in one phase of the work. In recent years, another group of medical laboratory workers has begun to use the title of “medical technologist.” They, too, have established an organization, “The American Medical Technologists,” for certifying their members, and seek full professional recognition. Although there is no connection between them and the AMA affiliates, they have a legal right to use the title “M. T.,” which stands for Medical Technologist. (The standards for both M. T. (A. S. C. P.) affiliates and A. M. T. members are set forth in appendix 3.) Although medical technologist as a job title was distinguished from a number of loosely classified laboratory jobs in 1928, distinctions between titles sometimes disappear in common usage, and two or three different kinds of medical laboratory workers (some of higher, and some of lesser qualifications) may be called “medical technicians.” Among professional groups, however, the term Technologist is under stood to carry definite requirements which are somewhat more demanding than the qualifications for workers designated as Tech nicians (i. e., laboratory technicians, clinical laboratory technicians, or medical technicians). It should be kept in mind, however, that titles are likely to be misleading and that job definitions have not been standardized for all medical laboratory jobs. Laboratory Staffing Patterns The physician directly responsible for all of the clinical laboratory work is known as a Pathologist or, sometimes, Clinical Pathologist. He is a doctor of medicine who has specialized in the nature and causes of disease, and is, in a sense, a sort of medical Sherlock Holmes. On his staff are sleuths with specialized training in tracking down various kinds of diseases of the blood, the tissues, and the organs of the body, or in carrying out research on medical problems and developing im proved methods for tests. Depending upon the size of the medical laboratory and its capacity to carry out certain types of tests and research, a great variety of staffing patterns are found. These factors have a direct bearing upon the job duties and requirements for individual laboratory employees. In a small unit, for example, the pathologist may perform some of the tests, assisted by a medical technologist or a laboratory technician; or he may interpret and report upon the tests carried out by an assistant. As the unit grows in size, there is an accompanying breakdown and distribution of tasks, as well as an increase in the number of personnel, and a medical technologist may become a chief, in charge of other technologists. MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS y! 5 ; A. Flocculation tests can be used for syphilis and tuberculosis. The medical tech nologist and her assistant treat serums taken from patient with biochemical substances. If the result is a precipitate, the presence of disease is indicated. B. Paper chromotography method is sometimes used to test for unknown sub stances in specimens and samples. A drop of the specimen is placed on a specially pre pared paper strip, and if a certain color develops, the substance may be identified. C. Microscopes are used extensively in the medical laboratory to examine tissues, note cell structures, detect the presence of para sites or bacteria, and, very commonly, to count blood cells, as this medical techni cian is doing. Figure 2. Hundreds of tests to determine disease must be learned by medical technologists. 6 EMPLOYMENT OPPORTUNITIES FOR WOMEN A small laboratory staff may be shown, on a diagram, to look like this: Chart No. 1 Pathologist or M. I).-in-charge Medical technologist Laboratory technician Laboratory technician Helper The dotted-line boxes in the diagram indicate that the number of assistants reporting to the medical technologist may vary. If all po sitions are filled, there will be four levels of work, including the helper, who divides time between two technicians. In considerable contrast, a large laboratory stalling pattern, where many more specialized scientific personnel are likely to be found, is shown on the opposite page. It should be noted that the technicians who assist in bacteriology, biochemistry, serology, hematology, and liistopathology, on chart No. 2, may fit any one of (he following occupational categories, depending upon the requirements of the particular job: («) Medical technologist (registered). (l>) College graduate with a bachelor of science degree in biology, biochemistry, or bacteriology. (c) Medical technician with 2 years of accredited college work in biological science or chemistry, and 1 year of special experience in a medical laboratory. Generally, the medical technologist is required to have an extensive knowledge of tests and test methods in all of the special fields mentioned. Pathologist Hematologist Blood bank technician Histologist Hematology technician Chief medical technologist Bacteriologist Medical technologist Tissue technician Biochemist Serologist Biochemistry technician Serology technician Helper Helper Medical technician Laboratory helper Helper MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS Chart No. 2 -4 8 EMPLOYMENT OPPORTUNITIES FOR WOMEN A. Two technicians are weigh ing chicks to be used for research into the effective control of diphtheria. B. Medical technician inocu lates mice for one of hundreds of possible tests to determine disease. Figure 3.—Animals are examined and studied in the laboratory both for medical tests and research into disease. MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 9 The bacteriologist, hematologist, serologist, or biochemist is usually well qualified in theory, in his own special field, in order to carry out research, and is usually not required to make tests in any other field. In fact, this group of personnel may seldom perform tests in relation to the direct diagnosis or treatment of patients. They may work on long-term research projects and otherwise be called upon as consultants on current problems. Generally, a master’s degree or a doctoral degree in one of the sciences is required for this kind of specialization. Some medical technologists have moved into these scientific research fields through special training and experience. Laboratory technicians are not generally required to have as much training as the medical technologist. They may be employed to as sist the medical technologist or any of the scientific specialists. Under the guidance of a technologist, a technician may obtain experience on several test methods, and under a specialist, an intensive knowledge in one field. On the other hand, a medical technologist who has specialized in a single field, such as hematology, may assist another specialist or the clinical pathologist himself. In addition to the laboratory technicians there may be some special ized technicians to perform a limited number of routine tests, and also assistants and helpers who do a great deal of the manual work in cleaning equipment, making simple solutions, labeling materials, keep ing up supplies and lending a hand in various ways. On the other hand, the tissue technician or histologic technician is usually trained on the job to perform the sole task of mounting and staining tissue on the glass slide which is to be examined under the microscope by the histopathologist. Again, it is emphasized that the title “technician” is not, in itself, descriptive. More details concerning job definitions and training requirements are discussed in the sections following. Diagrams and stalling pat terns have been considered at this point to lay the foundation for understanding a group of jobs which are often closely interrelated, in a field where standards are likely to change from time to time— and place to place. With reference to standards, some recommendations have been made by professional groups for the clearer definition of medical labora tory jobs. (See p. 23.) • 302 850—54- 3 II. THE MEDICAL TECHNOLOGIST Versatility Comes First in Job Demands In order to qualify as a medical technologist the student learns to perform hundreds of medical tests which involve minute and accurate examination of body tissues, fluids, and by-products. Underpinning this wide range of medical testing methods there must be a working knowledge of anatomy, biological chemistry, bacteriology, and good grounding in mathematics and physics. The tests themselves require, in addition, a great deal of information about a variety of scientific laboratory equipment and skills in the step-by-step application of the methods of chemistry, microscopy, preparing bacterial culture media, separating and measuring blood content, and many other procedures which are used only in the medical laboratory. Occasionally, the medical technologist may be required to make tests outside the laboratory, with the patient. Usually she learns how to operate basal metabolism equipment, the electrocardiograph, and the electroencephalograph. Tt is standard practice in many large hospitals and clinics to have a nurse or physician-intern obtain samples of most body substances; tissue specimens are taken only by the surgeon, except possibly for post-mortem cases, when the physician-intern may assist. In some hospitals the medical technologist may take blood samples as a regu lar procedure, or she may be called upon to take a sample, or assist, on other occasions. For this purpose the technologist learns how to use a hypodermic needle and syringe skillfully with patients. She may also handle the inoculation of laboratory animals which are used for a number of tests. Specialization May Follow A versatile technologist is needed in the small laboratory. As the laboratory services expand, or as the technologist moves into the em ployment of a clinical pathologist with a crew of specialists, she may find herself assigned to a narrower range of tests. For example, she may work, for a time, almost exclusively in hematology and specialize in blood counts, blood typing, measure of coagulation rates, analysis of blood content, and tests for sedimentation and volume. Or she may perform a combination of these tasks with work in another field, such as the microscopic examination of blood or spinal-fluid samples for parasites which cause disease. 10 MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 11 There is, of course, significant interrelationship between the hun dreds of tests of different body substances. The clinical pathologist and the attending physician are expected to interpret the findings of any one test, or group of tests, and draw conclusions. But they depend upon the accurate work of the technologist, and often upon her judg ment in checking and double-checking results. The broader founda tion a specialist has, the greater is her value, even in a narrow field. Reference is made to appendix 1 for details of the work performed by a medical technologist. Service Supersedes Research Although the medical technologist may follow a career pattern which leads eventually to medical research, her job is essentially one of providing scientific services in answer to immediate needs. She is trained to carry out the instructions of the physician who wants to know the cause or character of an illness, or the cause of death, if a post-mortem diagnosis is requested. There are emergencies in which as many facts as possible must be ascertained in a very short time to save a life or prevent serious complications. This is not to under estimate the significance of research: as a matter of fact, the accumu lated medical test data on current problems often become part of, or lead to-, a research project. The medical technologist may also spend a part of her laboratory time on research, or in the improvement of techniques. But the medical technologist job was established, first of all, to provide laboratory services to the physician. In Order to Qualify Career preparation of the medical technologist begins with highschool science courses. Because all schools for medical technologists that are approved by the Council on Medical Education and Hospitals of the American Medical Association have set forth a requirement of 2 years or more of college, the student who wishes to qualify for A. S. C. P. approved registration will need to prepare for college entrance. In the education of medical technologists there is a noticeable trend toward higher academic prerequisites, which is hardly surprising, in view of the versatility demanded by the job and the new develop ments in medical science. There are a number of privately conducted laboratory technician schools which accept high-school graduation or the equivalent, but these schools do not prepare the student for employment which re quires registration of the medical technologist through the American Society of Clinical Pathologists. Generally speaking, 4 years of college-level training is needed to 12 EMPLOYMENT OPPORTUNITIES FOR WOMEN qualify a medical technologist for the M. T. (A. S. C. P.) title and certification, but a choice is possible between two educational plans: (1) 2 years of accredited college work followed by a course in an approved hospital school for medical technology of 12 (minimum) or 24 months; or (2) 4 years in a college which combines an approved hospital-school course with academic education, and which leads to a bachelor of science degree in medical technology. Some educators in the field of medical technology predict that the M. T. (A. S. C. P.) registration will eventually require the second plan of a straight 4-year college course leading to a bachelor of science degree for all candidates. If this occurs, a plan will undoubtedly be devised to protect the professional status of medical technologists who previously met the requirements for registration and who have been successfully employed. Required College Courses for M. T. (A. S. C. P.) Registration The Council on Medical Education and Hospitals of the American Medical Association provides the following standards for the mini mum 2 years of college work required for a student’s acceptance by an approved hospital school. The required college work must be done in a college or university approved by a recognized accrediting association and must consist of at least 60 semester hours (or 90 quarter hours) which include the following courses: (1) 12 semester hours (or 18 quarter hours) of biology, which may be taken in general biology, bacteriology, parasitology, physiology, anatomy, histology, embryology, and zoology; (2) 6 semester hours (or 9 quarter hours), including lectures and laboratory, of general inorganic chemistry ; and (3) 3 semester hours (or 4 quarter hours), including lectures and laboratory, of quantitative analysis, organic chemistry, or biochemistry. The remaining 39 semester hours (or 59 quarter hours) which are required for the minimum 2-year course may be taken in other college courses such as mathematics, physics, English, and psychology, de pending upon the requirements of the individual college or university. (The first two subjects and typing are highly recommended by the Registry of Medical Technologists.) These additional studies, be yond the required courses in biology and chemistry, will be helpful to the student in her chosen career and in extending her understand ing of people, including patients. Furthermore, they should serve to broaden her interests and opportunities for exchanging ideas and experiences with others. MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 13 Some Facts About Hospital Schools In February 1954, there were 576 approved hospital schools for medical technologists located in 48 States, the District of Columbia, Puerto Pico, Hawaii, and the Canal Zone. (See appendix 5.) Three-fourths of the 537 schools on which detailed information was provided for the year 1953 accepted 2 years of college for entrance. Of the remaining 124 schools, 1 required 2y2 years, 83 required 3 years, and 40 required a college degree. Length of training in the schools ranged from 12 to 24 months, but 12 months was by far the most common. Only 83 schools (15 percent of the total) specified more than 12 months’ training. The enrollment capacity of the 537 schools reporting was just under 4,100, an average of 7 or 8 students per school. A majority of the schools accommodated fewer than 10 students; the largest had a student ca pacity of 60. Cost of Training If a student can provide her own maintenance she can obtain a tui tion-free education in medical technology in many approved hospital schools. About two-thirds (369) of the 531 approved schools that reported in regard to fees for 1953 charged no tuition, and an addi tional 88 charged only $20 to $100 for the complete course. Among the remaining schools, 50 specified tuitions ranging from $105 to $425, and 24 provided for the regular tuition fee of the affiliated university. Students in hospital schools are required to wear uniforms, which are usually paid for by the student herself; however, laundering of the uniform may be provided by the hospital. Board and room and other personal expenses, also, are usually paid for by the student, but routine medical care may be provided by the hospital. In addition, some schools charge a small breakage fee in connection with the re quired laboratory work. On the other hand, about 25 percent of the 531 schools paid some sort of stipend to students. Some scholarship assistance is available, both locally and nationally. Hospital schools and the Registry of Medical Technologists usually keep current in formation on this type of aid. Many private commercial schools offer both day-time and evening courses in medical technology, with the day-time course lasting about 12 months and the evening course about 24 months. The cost of train ing in these schools varies widely; for example, an examination of the catalogs of four schools in four cities in 1953 showed a tuition range from $380 to $500. Charges in addition to tuition (such as for application fees, laboratory fees, books, breakage, diploma, locker, and health service) at these schools ranged from about $53 to $337. 14 EMPLOYMENT OPPORTUNITIES FOR WOMEN Thus, the total cost for 1 year of training in medical technology at the four private commercial schools examined ranged from $433 to $837. Students were required to purchase and wear uniforms and were responsible for all their personal expenses and for board, room, medical care, and laundry. Inquiries May Be Addressed ... A list of AMA-approved schools is given in appendix 5. Inquiries about their college affiliations and general requirements should be addressed to the Registry of Medical Technologists, 700 South Council Street, Muncie, Ind. No list of privately operated schools is available. One or more such schools will be found in most large cities. Inquiries may be ad dressed to the American Medical Technologists, Post Office Box 88, Easthampton, Mass. III. MEDICAL LABORATORY TECHNICIANS In Support of Research and Service A rather wide range of medical laboratory technician jobs has developed out of the need for medical service and research workers to assist at varying levels of technical skill and responsibility. Some of the medical technician jobs are essentially routine to handle the volume of work in large establishments. They are none the less sig nificant, and tend to produce refinements and increasing precision in medical testing methods and reduce the time demanded by long-term research projects. As noted earlier, the term “medical laboratory technician” is a general designation which may be applied to a scientific specialist with advanced academic training or to a technician who has learned to perform one or more medical tests through training on the job. Nevertheless, some standardization has begun to develop in laboratory technician jobs. A Word to the Student An effort is made here to present some broad definitions of repre sentative jobs as a guide to the student seeking career information in this field. A fuller explanation of terms can be found in a medica I dictionary. For the student who wishes to probe further into the subject of medical tests and techniques, and who has some background in biological science and chemistry, one of several basic textbooks in clinical laboratory procedures may be consulted. (See Bibli ography.) Representative Jobs—Thumbnail Definitions A Bacteriology Technician’s chief duties are to isolate and iden tify bacteria and other micro-organisms in all types of body sub stances and by-products. She may also be assigned to analyze water or food products for bacteria, and work either in medical services or research. A great part of the bacteriology technician’s time may be spent at such tasks as preparing culture media (vegetable or animal substances favorable to the growth of micro-organisms) and producing various “families” of bacteria under controlled conditions, so that they can be studied. Another set of tasks may involve the care and treatment of laboratory animals for bacterial research. She may be required from time to time to work on projects leading to the 15 16 EMPLOYMENT OPPORTUNITIES FOR WOMEN A. Technician em beds a piece of tissue in liquid paraffin. When the paraffin so lidifies the tissue is ready for cutting to make microscopic sec tions. Mi 15. Sometimes tissue is solidified by a freez ing process and then cut by a technician who runs it through a special machine which produces ribbon-like sections. . C. Tissue technician colors sections of body tissue by dipping them in a series of chemical stains so that their structure and composition may be viewed under the microscope. Figure 4.—Steps taken in the preparation and examination of body tissue are classified as histologic technique. MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 17 development and use of antibiotic medicines and new discoveries about the nature and treatment of bacterial diseases. The bacteriology technician works under the supervision of the bacteriologist (especially in research) or under a chief medical tech nologist (in services), and uses standard procedures for determining results. When test findings do not fall into recognized patterns, she consults with the supervisor. Qualifications are usually specified for this job as: a minimum of 2 years of accredited college science courses, particularly general chemistry and biology, and 1 year of training in an acceptable school for medical technicians, including courses in bacteriology, or 1 year of experience in bacteriology techniques in a medical laboratory which meets the employer’s standards. The bachelor of science degree with a bacteriology major may be accepted without additional experience or training, but some employers require special training beyond the B. S. degree. A Biochemistry Technician makes qualitative and quantitative chemical analyses of body fluids such as blood, urine, spinal fluid, and gastric juices for the purpose of diagnosing disease, or in research into the cause and treatment of disease. She applies her knowledge, obtained during training, of a wide variety of standardized chemical tests and reactions. Included in the job may be such assignments as: Making tests for determining the content and purity of other sub stances such as food products and water; inoculating test animals and checking results; skillful use of scientific equipment like the spectro graph, photelometer, and microscope. Education requirements for biochemistry technicians usually specify a minimum of 2 years of accredited college work, including courses in qualitative and quantitative chemistry, and 1 year of training in an approved school for medical technicians, including courses in medi cal chemistry, or 1 year of experience in biochemistry in an acceptable medical laboratory. A bachelor of science degree with a major in chemistry is preferred. The biochemistry technician is generally supervised by a bio chemist. A Hematology Technician prepares blood specimens sent to the laboratory for study and testing, but she may also be required to take blood samples from patients. Determination of the structure, con tent, volume, and properties of blood (such as type, coagulation time, and sedimentation rate) and checking for parasites are all part of the regular duties. Bone-marrow specimens are examined under the microscope because of an important relationship between bone marrow and blood-cell formation. 302850-54- 4 18 EMPLOYMENT OPPORTUNITIES FOR WOMEN This job is generally a part of medical services and the technician may be supervised by either a medical technologist or a hematologist. Employers usually require a minimum of 2 years of accredited college courses, including chemistry and biology, and 1 year of ex perience in hematology techniques, or 1 year of training in an ap proved school for medical technicians. Some employers prefer to hire a hematology technician who has a bachelor of science degree in biology and provide on-the-job training in hematology methods. A Blood-Bank Technician maintains the hospital or clinic blood bank, usually under the general supervision of a hematologist or medi cal technologist. Her duties include routine check of pulse, tem perature and blood pressure of patients; drawing blood from donors by hypodermic needle and syringe; performing tests to determine blood type; maintaining proper conditions for preserving blood from donors; processing blood plasma for future use; keeping detailed records; scheduling appointments for donors. She may also assist with transfusions. This job requires at least 2 years of accredited college science courses and 1 year of specialized training and experience in blood-bank tech niques in a recognized hospital laboratory school. According to the extent of responsibility demanded by a particular job, additional academic training and experience requirements are often specified. A Serology Technician works under the supervision of a medical technologist, aerologist, or bacteriologist. She applies standard pro cedures to assist in preparing serums, vaccines and other agents for use in medical tests and for treatment of patients wTith bacterial disease, allergies, virus infections, or toxic conditions which result from contact with infected animals or insects. In the medical service field, the serologist should know how to make the common tests for determining syphilis, tuberculosis, typhoid fever, pneumonia, and streptococcus infection. On some jobs, the entire work assignment may be related to the preparation of vaccines or antitoxins; or it may be in research on immunization. On other jobs, a majority of time is spent in services to patients. A bachelor of science degree in biology is the preferred minimum requirement for the job, although some employers will accept a com bination of 2 years of college science courses and 1 year of special experience in an acceptable laboratory. A Tissue Technician (sometimes called a histologic technician), prepares tissue specimens for microscopic examination by the special ist (pathologist or histopathologist), under his supervision, or directly under a medical technologist, who checks the work. The duties in volve standard procedures for trimming, staining, and affixing the specimens on a glass slide, and labeling them. MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 19 Hospital laboratories will accept and train high-school graduates for this job if they have successfully completed courses in chemistry, biology, or physics. To become a proficient tissue technician, how ever, at least 1 year of training on the job is required. During the training period, the candidate may work as a laboratory assistant and perform other duties, in addition. Entry Jobs—-Laboratory Assistants and Helpers Although some college training is recommended for most tech nician jobs, it is possible to break any of these jobs down into duties which inexperienced, but scientifically alert and manually skillful, high-school graduates can perform. Beginning jobs as laboratory assistants, helpers, and aides generally require higli-school science courses, particularly in biology, chemistry, and mathematics. Advancement on the job is very limited, however, unless the labora tory assistant obtains further academic training at the college level. Assistants may become adept at making some of the routine tests or in preparing materials to be tested, but today’s medical laboratory, with its great responsibilities toward patients and its increasing scientific complexity, requires technicians with more theory and information than high-school courses provide. Without additional education, the high-school graduate cannot expect to advance beyond the job of assist ant to a medical technician, a job which is most likely to be found in large laboratories with a number of specialized personnel. Laboratory helper jobs are distinguished from assistant jobs mainly by the number of routine physical or manual tasks which they require. “Helpers” and “assistants” are loosely used terms; other titles, such as “aides” are also used in a general way for a great many entry jobs for which no experience is needed. A helper or an aide may be a “chief bottle washer”—in charge of keeping test tubes and other containers clean. Or a helper may keep supplies in order, run errands, sterilize equipment, and prepare solu tions. A beginning job of this kind will serve as introduction to the medical laboratory, and may arouse a career interest in the young woman who has not decided upon a vocation. Meanwhile the job itself will help to keep the medical team functioning so that preven tion and treatment hold a wide margin over disease. Further details on the jobs described in this section may be found in the United States Department of Labor’s Job Descriptions and Organ izational Analysis for Hospitals and Related Health Services. 20 EMPLOYMENT OPPORTUNITIES FOR WOMEN «B8§(gjj§K A. Distillation apparatus is assembled by two technicians. This is used for many specimens to separate the chemical con tents by distilling. B. Van Slyke apparatus is used by a technician to analyze nitrogen con tent of a body specimen by reducing it to a gaseous substance. C. Chemical analysis is sometimes made by using a spectrophotometer (or flame photometer) by which the technologist can determine the presence of certain elements by subjecting a sample to measurements of light inten sity. Figure 5.—Medical technologists and technicians become expert in the use of many kinds of apparatus, of which three are shown here. IV. OPPORTUNITIES Accent on Women Workers From the very beginning, women were widely accepted in medical laboratory jobs. Most recent figures reported by the Registry of Medical Technologists (as of January 1954) indicate that about 90 percent of the 18,000 registered technologists are women. However, the number of men in the field has been increasing since World War II. Only 4 percent of the medical technologists certified as a result of the fall 1947 examination were men, but 14 percent of those registered in the spring of 1951 were men. Although the proportion of women among all medical technicians is not known, and may not be quite so high as among registered tech nologists, there is no doubt that women predominate in the field. In the 1950 decennial census, medical technologists and technicians were classified, along with X-ray and dental technicians, in a group of 78,000 called “medical and dental technicians,” of whom nearly 60 per cent were women. If dental technicians could be separated from the combined group, the percentage of women would be higher for the remaining occupations, as a majority of dental technicians are known to be men. A rough guess is that about three out of four of all medi cal laboratory technicians are women. Estimates from a variety of sources, including the Registry of Medical Technologists and the President’s Commission on Health Needs of the Nation, placed the total number of medical laboratory technicians at about 30,000 in 1950-51. About 2,000 new medical technologists have been graduated from approved schools annually since that time. More Jobs Than Qualified Candidates Prospects for employment of medical laboratory workers now, and for some time ahead, are better than good: there is an urgent need for medical technologists and technicians. The National Committee for Careers in Medical Technology (organized under the sponsorship of the American Society of Medical Technologists, American Society of Clinical Pathologists, and the College of American Pathologists) began a Nation-wide campaign in 1954 to recruit young people into medical technology and medical technician jobs. Among the first financial backers of this recruit ment drive were the American Cancer Society and the National Cancer 21 22 EMPLOYMENT OPPORTUNITIES FOR WOMEN Institute. Health groups with research programs for treatment of tuberculosis, poliomyelitis, leukemia and other diseases are expected to lend active support and some financial assistance to the campaign. Plans for drawing new workers into medical laboratory vocations include the establishment of scholarship aid to promising students. Estimates of the number of medical laboratory workers needed are made from time to time, but it is not possible to obtain accurate pre dictions about future supply and demand. Spokesmen for the Na tional Committee for Careers in Medical Technology have suggested a goal of 50,000 trained medical technologists to be employed by 1960. This would mean 20,000 more employed medical technicians (includ ing technologists) than were estimated for 1950. Other sources esti mate a need for 45,000 employed medical technologists by 1960. Unfilled hospital positions for laboratory technicians (including medical technologists) were estimated at more than 3,700 in Febru ary 1952 by the American Hospital Association. This meant that about 15 percent of hospital laboratory technician jobs were vacant, largely because of a shortage of trained workers, according to the AHA survey. Additional evidence of the shortage of skilled medical technicians is shown by the number of unfilled job orders in the files of State Employment Service offices each year since 1950. No reliable totals are available for these years, but the demand was such that many local employers sought applicants in neighboring States and in other parts of the country, through the national Employment Service system of job clearance. One of the chief difficulties in making realistic estimates of the need for medical laboratory personnel lies in the problem of job classifica tion. Although the key job of medical technologist was defined ami standardized over 25 years ago, most of the other laboratory jobs differ in their requirements from place to place. (See the discussion on staffing patterns and job titles in Section I.) Hospital and clinic employers everywhere are dealing continuously with the problem of dividing job responsibilities among their personnel in the best pos sible ways to meet their own work load. Their staffing patterns and their standards differ. Furthermore, they have been forced to employ untrained or partly trained technicians and give them training on the job in one or two clinical tests. Meanwhile, the increase in routine jobs has created a corresponding need for more supervisory staff at higher levels of work, and many trained medical technologists have been placed in positions of considerable responsibility. As a result, the standards for training of medical technologists have tended to advance. MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 23 At present, because of expanding medical services and a shortage of qualified workers, it is understandable that surveyors and census takers have had to combine a number of jobs, requiring different kinds of training, into broad groups. If some additional standards for division of function among all medical laboratory workers can be set in the next few years, a much clearer estimate of needs and better plans for developing trained workers may be achieved. Looking Ahead—Job Requirements and Training Students preparing now for medical laboratory occupations will be interested in the recommendations made, in a recent issue of the American Journal of Medical Technology, for the establishment of four classifications of laboratory personnel: Classification Laboratory Aide (L. A.)__ Suggested education and training (a) High-school diploma. (6) Some theoretical scientific background through night extension courses at a university, or lectures by A. S. C. I1, registered M. T.’s in a hospital school. (o) One year’s training course in a hospital where one or more M. T.’s (A. S. C. P.) are working in the laboratory. Laboratory Technician (L. T.)_. Two years of college and 1 year in an approved M. T. school. (Present A. S. O. P. Registry minimum requirements.) Medical Technologist (M. T.). . Three or 4 years of college with 1 year (at least) in an approved training school. Nothing less than B. A. or B. S. degree. (Present stand ards of many schools.) Medical Technologist-Specialist Advanced degrees in any of the special fields (M. T. S.) such as chemistry, bacteriology, etc., with train ing in medical technology. Before any steps are taken to standardize jobs, a great deal of dis cussion and planning will necessarily take place among the profes sional groups concerned. It is likely that changes will he made gradually, but a reasonable guess is that standards for the medical technologist occupation will be among the first to be revised, with the bachelor of science or bachelor of arts degree as a minimum requirement. Questions of this kind are of considerable importance to the student in terms of future opportunities: those, who obtain training which exceeds present minimum requirements should be able to meet future competition better than if they aim toward satisfying only today’s minimum standards. Numerous employers of laboratory personnel, as well as those con cerned with the Nation’s health, have emphasized that the shortage 24 EMPLOYMENT OPPORTUNITIES FOR WOMEN of medical laboratory staff is one of quality, as well as quantity. Fewer than 14,000 of the total estimated 30,000 medical technicians in 1950 were registered medical technologists, according to the Presi dent’s Commission on Health Needs of the Nation. Doubtless some of the non-registered technicians can meet minimum qualifications for registration, but a majority have entered the medical laboratory field by securing only sufficient training to equip them for relatively routine jobs. As a result, some employers have expressed the opinion that many of today’s technicians, particularly those who have acquired their skills solely on the job, without the benefit of college-level train ing in the sciences, are severely limited in possibilities for advance ment to supervisory or specialized positions. Opportunities for advancement are plentiful, but the better-paying jobs go to candidates who are fully trained. Openings for Mature Women Some approved hospital schools do not accept women who are over 30 years of age, but several of those questioned on age limitations in 1954 indicated that they impose no upper age limit on a prospective trainee, provided she has the necessary qualifications. One hospital school had graduated students as old as 50 years, but all schools indi cated that most applicants come directly from college and few are older than 25 or 27 years of age. It would appear, therefore, that women over 30, with at least 2 years of college training in the required subjects, can and do find opportunities for training in some approved hospital schools. Because of severe shortages in medical laboratory personnel, both in number and in quality, few barriers to employment of older women exist, particularly if such women are fully qualified, have secured their training in recognized institutions, and have had laboratory experi ence. Many older women are currently employed as medical tech nologists in positions of responsibility, and the Registry of Medical Technologists of the American Society of Clinical Pathologists im poses no age limits on registration. Hospitals Lead in Employment Although medical technologists and technicians may be found work ing for a variety of employers, such as public health laboratories, private laboratories, clinics, and doctor’s offices, the majority work in hospital laboratories. Recent data from the American Hospital As sociation and the American Medical Association indicate that some 24,000 were employed in hospitals in 1952. (See table 1.) MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS Table 1.—Medical Technicians in Hospitals in 25 Continental United States: 1952 Employer control Total . . . Total governmental _ Medical technicians employed— - Total Percent dis tribution by type of control Number Percent distribu tion 1 23, 822 100 8, 046 2 34 2100 3, 1, 1, 1, Full time Part time 21, 373 2, 449 7, 586 460 Federal _ State _ County .. City----------------------------City-countv _ Total nongovernmental 235 607 331 579 294 15, 776 14 7 6 7 1 2 66 40 20 17 20 4 100 200 482 174 467 263 13, 787 35 125 157 112 31 1, 989 Church Nonprofit association _ _ Individual, partner _ Corporation 5, 364 8, 947 793 672 23 38 3 3 34 57 5 4 4, 608 7, 956 647 576 756 991 146 96 3, 1, 1, 1, i 1 Includes 8,612 medical technologists registered by the ASOP. 2 Percents do not add to total due to rounding. Source: Journal of the American Medical Association, May 9,1953. Private hospitals employ the largest number of medical technicians. In 1952, almost twice as many medical technicians were employed by nongovernmental hospitals as by governmental hospitals, and less than 15 percent of all hospital medical technicians were employed in hos pitals operated by the Federal Government. (See table 1.) The importance of the clinical tests in hospital service is indicated by the fact that 85 percent of the 6,076 hospitals surveyed by the American Hospital Association in 1952 provided clinical laboratory services. The extent to which other services, such as blood bank and electrocardiograph, were provided by these hospitals is indicated in table 2. 26 EMPLOYMENT OPPORTUNITIES FOR WOMEN Table 2.—Facilities and Services in Medical Technology Services in-6,076 Hospitals: 1952 and Related Hospitals Facilities and services Number Clinical laboratory Metabolism apparatus^ .. -----............... Electrocardiograph----- -- ----Blood bank________________________________ Electroencephalograph Radioactive isotopes----- - - ---------- ------------------------------- 5, 4, 4, 2, 173 863 771 779 996 789 348 Percent (of 6,076) 85 80 79 46 16 13 6 Source: The American Hospital Association. A Wide Range of Jobs Outside Hospitals Jobs for laboratory technicians outside of hospitals are distributed among a wide range of employers: Private physicians who maintain their own laboratories; public health laboratories whose special con cern is contagious and communicable disease; and private laboratories established by pathologists or other physicians to provide laboratory services to individual physicians. Public health opportunities include State laboratories of all kinds, such as those where tissues are examined for purposes of disease pre vention or to determine causes of death and medical research projects where special studies of disease are conducted, such as the Cancer Clinic of the National Institutes of Health. Pharmaceutical and biological companies use medical technicians for research and manufacture of drugs, serums, vaccines and antibiotics. Medical technologists who have special training or many years of experience may work in educational institutions as full-time instruc tors, and all are expected to instruct, on a part-time basis, in order to “break in” new employees on the job. Medical Technicians in Military Service The three major branches of the Armed Forces—the Army, Navy, and Air Force—offer opportunities to enlisted women to train as medi cal technicians. All three also have some women commissioned as offi cers who hold college degrees with training in special fields, such as bacteriology, biology, parasitology, hematology, serology, and toxi cology. The Marine Corps and the Coast Guard do not train or place women in medical laboratory work because major medical care for MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 27 figure 6.—Bacteriology technicians often work with samples which require the use of sterile procedures. This technician wears a face mask to protect the cultures she is preparing. 28 EMPLOYMENT OPPORTUNITIES FOR WOMEN these services is provided by the Navy and the Public Health Service, respectively. Of course, no individual recruit of the Armed Forces can be assured that she will be trained and utilized as a medical technician. Recruits are selected for various types of training according to the needs of the services. However, an effort is made, wherever feasible, to consider the vocational preference and interests of women who enlist. WAC, WAVE, and WAF recruits are required first to take 8 to 9 weeks of basic military training which provides for indoctrination, career guidance, testing, and classification. Those who are to be trained in the medical field are then assigned to special training courses given by the medical and scientific specialists. Among the courses provided for the training of medical laboratory technicians are general chemistry, blood chemistry, hematology, bacteriology, and histology. These courses are directed toward teaching basic medical laboratory procedures and techniques, and are supplemented by prac tical experience in military hospitals. After leaving the service, it should be possible for a woman who has had training and experience in medical testing in a military hos pital to obtain a civilian job as an assistant laboratory technician. However, military training in laboratory techniques does not, in itself, qualify anyone for civilian employment, because military occupations often differ markedly from those outside the services. A tour of duty in the medical laboratory of a military hospital should provide a good foundation for further training, nevertheless, and accumulated GI benefits make it easy for young women who leave the services to finance further education in their chosen fields. Geography and the Job-Seeker As might be expected, the largest number of medical technologists are employed in the most populous States; however, some larger States have fewer technologists in proportion to their population, than some smaller States. (See appendix 4.) Of course, this does not necessarily mean that the medical services of the larger States are any less adequate because (1) information is available only for some 18,000 registered medical technologists and not for other medical laboratory personnel; and (2) the necessary or desirable ratio of medical laboratory workers to persons in the population is not known. As of January 1954, there were 11 registered medical technologists per 100,000 population in the United States, but the proportion in individual States varied from a low of 6 per 100,000 in New York and South Carolina to a high of 28 per 100,000 in Colorado. Some populous States, such as Massachusetts and California, showed ratios MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 29 below the national average of 11 per 100,000, while some less populous States, such as Kansas and Montana, showed ratios above the na tional average. It would seem reasonable to assume that in States where the ratio is low and the medical facilities prefer to employ registered medical technologists, opportunities for fully qualified laboratory personnel would be greatest. Thus, substantial employ ment opportunities should exist in States showing the lowest ratio of registered technologists to population. Nevertheless, since the shortage of qualified technologists is relatively widespread and medi cal services are expanding throughout the country, opportunities should continue to exist even in States showing a higher than average ratio. V. BREAD-AND-BUTTER QUESTIONS How Much Does a Medical Laboratory Worker Earn? Salaries for trained laboratory personnel, especially registered med ical technologists—“M. T. (A. S. C. P.)”—compare favorably with those for such predominantly woman-employing occupations as nursing, social work, and teaching. Among all medical laboratory classifications reliable information is on hand for registered medical technologists as a result of a 1953 study of 5,400 M. T.’s (A. S. C. P.) employed in 48 States. The median 1952 salary for the group surveyed was between $3,300 and $3,600 per year. Almost three-fourths of the group were paid between $2,700 and $3,900 per year; less than 10 percent received under $2,700 per year and 18 percent received $3,900 or more. About 11 percent received $4,200 or more. Of course, quite a bit of variation existed in salaries from State to State, but the median salary in most States fell in the range $3,000 to $3,300 or $3,300 to $3,600. Only the following States showed median salaries below these ranges: Massachusetts, New Hampshire, Pennsylvania, Rhode Island, South Carolina, and Vermont. Their median salaries fell in the range $2,700 to $3,000 per year. The only median salaries above $3,600 were in the range $3,600 to $3,900 and these were found in California, Delaware, Michigan, and Nevada. Present salaries may be slightly higher than those indicated in this survey since shortages still exist in this field. Of course, salaries for individual technologists and technicians vary according to education, training and experience, the locality, the size of the establishment or institution, the number of persons in the medical laboratory, and the nature of the job assignment. In order to obtain reliable information about medical technician salaries it would be necessary to make a survey of standardized jobs— but this could not be done, for reasons previously explained (see Sec tions I, IV), except for the medical technologist group. From several sources, however, it is possible to estimate the salary ranges for the broad group of undifferentiated medical laboratory workers. Exclusive of laboratory helpers, which are essentially unskilled or entry occupations, beginning salaries for a broad group of medical technicians in one large eastern city in 1953 were reported as ranging from $200 to $250 a month. Higher salaries were paid to persons in 30 MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 31 this group who had some college training. It was common practice to grant periodic increases for satisfactory work after each 3 to 6 months of uninterrupted service. For those who advanced into supervisory positions (presumably technologists or specialists) salaries of $300 to $400 per month were shown. A few outstanding supervisory spe cialists with long and varied experience were paid as much as $500 per month. A survey conducted by the Bureau of Labor Statistics in 19511 showed that 75 percent of the 2,738 medical technicians employed at that time by agencies of the Federal Government were in positions which were classified in grades 4 and 5. For these grades the current salary ranges (1954) are $3,175 to $3,655 and $3,410 to $4,160 per year. Some medical technicians (probably laboratory helpers) were in grade 1 positions, with a current salary range of $2,500 to $2,980; a very few were in grades 7 or 8, for which the top salaries are now $4,955 and $5,370.2 3 An annual increase is given until the top salary for the grade is reached. Among private employers (hospitals, clinics, and pharmaceutical manufacturers) it would be reasonable to conclude that wages for unskilled laboratory helpers follow the hourly rates for other un skilled workers in the locality, ranging from 80 cents to $1 per hour. What-Is the Workweek? Full-time workers in medical laboratories are usually scheduled for an 8-hour day and a workweek of 40 to 44 hours, depending upon the employing institution. Where the laboratory, such as those in hospitals, operates on a 24-liour basis, arrangements are usually made for shift work, emergency duty, and weekend duty. A great deal of variation exists among individual laboratories in schedules for providing 24-hour service. Some have separate shifts of workers, whereby certain persons work only at night or on week ends. Others provide for schedules in which the complete staff or selected members alternate between day work, night work, and week end work. Many provide extra compensation for necessary emer gency and overtime work by the regular staff. Some institutions use part-time workers on weekends and for emergency conditions and vacation periods. "Fringe” Benefits As is true for most occupations, the kind and amount of “fringe” benefits, such as retirement provisions, vacations with pay, sick leave 1 Federal White-Collar Workers. June 1951. Bureau of Labor Statistics, Bulletin 1117 1053. 3 At the time of the survey, in June 1951, Federal salaries for these grades were from $300 to $500 a year lower than in 1954, and (lie average annual salary for the 2,738 medical technicians included was $8,207 per year. 32 EMPLOYMENT OPPORTUNITIES FOR WOMEN with pay, uniform laundry service, room, board, free medical care, and annual bonuses, depend upon the practices of the individual employer. All Federal and most State and city institutions provide for vaca tions and sick leave with pay and also a retirement program to which employees make contributions. Most private employers also provide for vacations and sick leave with pay as well as for retirement benefits through the Social Security program; some make arrangements for additional retirement payments over and above the benefits provided through Social Security. Individual private employers differ greatly in their practice so far as other types of “fringe” benefits go. However, many provide laundry service for uniforms and routine medical care. A few, especially those institutions which are isolated, or in rural locations, provide room and board. Are There Part-Time Opportunities? Part-time work is quite common in medical laboratory occupations, particularly in hospital laboratories which must operate on a 24-hour, 7-day basis. Part-time workers frequently supplement the regular staff in order to cover peak loads, evening and week-end work, and emergency situations. About 10 percent of the medical technicians employed in hospitals in 1952 were part-time workers. Whereas only 6 percent of all the technicians employed in governmental hospitals were part-time workers, over 12 percent of all those in nongovernmental hospitals were employed on a part-time basis. (See table 1.) Part-time work is frequently very suitable to married women or older women who do not wish to work full time because of other responsibilities. This is particularly true for women who, though temporarily unable to work full time, want to keep informed of chang ing techniques so that they may resume full-time work at a future date. A women’s Bureau study3 in 1950 of part-time jobs for women in 10 cities showed that the most common hourly rate for laboratory tech nicians doing part-time work in hospitals was $1.25 to $1.50 per hour. The usual working hours of the part-time workers in hospital labora tories were 3 and 5 hours daily and 20 to 24 hours weekly. 8 Women’s Bureau Bulletin No. 238, published in 1951. VI. GUIDE-LINES FOR THE CAREER CHOICE /,? this your -field?—Stories told by successfully employed medical laboratory workers about the ways in which they reached a career decision in this field often have one thread in common: a strong inter ... o est m medical service, coupled with a feeling for the precise methods of scientific inquiry. Many small interests, talents, and personal characteristics combine to make the stuff from which the bright thread of positive choice is spun. Some of the details are intangible, but most of them can be identified, with the help of an interested counselor. In school work, the potential medical technician should be able to achieve average grades in mathematics and in the science courses like chemistry, zoology, botany, physics. If not, the chances are that college-level science courses will prove too difficult or demanding. As for ;personality, the candidate for a medical laboratory career should find it pleasant to be surrounded by test tubes and scientific apparatus, working for long stretches at quiet, precise and detailed tasks, her busy hands guided by an alert and ordered judgment. She must be fastidious about order and detail, but she cannot be squeamish about the strange sights and scents that may confront her from time to time: Like the doctor and the nurse, the laboratory technician must learn to work, in scientific detachment, with materials that lay men often find objectionable. More detached from people than the physician or nurse, because patient contacts are relatively limited, the trained technician never theless may be required to play a nurse’s role from time to time, as when she takes a blood sample or gives a metabolism test. Among the hard-to-measure characteristics required of medicallaboratory technicians are a strong sense of responsibility and a great deal of patience. _ Concerning physical demands, it is essential that medical techni cians possess normal vision, including color discrimination, that they have the full use of both arms and hands, and be able to stand during a part of the time. Some employers may allow handicaps which in clude impaired hearing or walking, but not to the degree to which these disabilities may create hazards in a particular job setting. Generally, tho hazards of the medical laboratory lie in contamina tion from infectious or toxic substances, but only on the part of the careless worker who does not observe the strict regulations concerning 33 34 EMPLOYMENT OPPORTUNITIES FOR WOMEN & ; ■ Figure 7.—Research laboratories often require many workers trained to perform a single procedure. All medical technicians here are part of a cancer research team to examine specimens microscopically for the detection of malignant tumors. antiseptic or aseptic practice. Because the success of a majority of medical tests depends extensively upon a knowledge of antiseptic and sterile procedures, the likelihood of contagion for the technician is remote, even when assignments involve work with disease-producing bacteria. Treatment is readily available for the worker who may have been exposed to infection. However, test mistakes are not likely to be excused easily by the employer because of the hazards to the public. Candidates for medical laboratory careers can check their voca tional aptitudes in several ways: (1) Through consultation with school counselors; (2) by taking aptitude tests offered on request, and free of charge, by most State employment offices; (3) by taking summer jobs as medical-laboratory helpers or aides. A survey conducted among medical-technology students and work ers by a professional group in 1952 revealed that the paths to the career choice were quite varied. They could be traced back, in some instances, to a single incident which served as a spark to set off the vocational decision, such as a visit to a hospital laboratory, a lecture MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 35 by a medical technologist, discovery of a book on the subject. Some students wishing to work in the medical field, but unable to undertake the physician’s long-term, rigorous training, found a rewarding sub stitute in medical technology. One young woman, in a letter to the survey group mentioned previously, explained her career choice in this way: This job is useful to humanity, the wage is good, and technologists are needed in the world to save lives. These are some of the reasons why I want to be one. Also it is a profession that you may leave for a while and go back to it again. . . .4 4 “About Medical Technology—A Survey.” By Sr. M. Alenin, OSB. The American Journal of Medical Technology, Vol. 18, No. 2, March-April 1952, page 55 ff. APPENDIX I Work Performed by the Medical Technologist1 Prepares for Laboratory Tests: Receives written requisition from physician for routine and special laboratory tests. Sets up and adjusts laboratory equip ment and apparatus, such as chemical glassware, balance, microscope, slides, and reagents. Obtains specimens: Obtains laboratory specimens, such as urine, blood, and sputum, from wards or directly from patient, using established laboratory tech niques. Punctures ball of patient’s finger or lobe of ear with sterile blood lancet in order to obtain capillary blood. Smears blood on microscope slide prepara tory to examination. To obtain venous blood, applies torniquet about patient’s elbow in order to distend vein. Cleanses site of puncture with alcohol, and punctures vein with needle attached to hypodermic syringe. Places specimens in containers under aseptic conditions. Stoppers and labels containers. In large hospitals, and those engaged in research, Medical Technologists may be responsible for tests and examinations in only one of several fields of clinical pathology. In smaller hospitals, technologists may perform clinical tests in any one or a combination of following areas of specialization, depending on size and type of laboratory and scope of its activity : In area of biochemistry: Makes qualitative and quantitative analyses of urine for determination of sugar and albumin ; and performs laboratory tests to detect presence of acetone bodies, blood, bile derivatives, Bence-Jones protein, and va rious drugs and poisons in urine. Adds specific reagents, which act as indi cators, to urine samples ; and notes change of color or appearance of precipitates. Makes quantitative determinations by comparing resultant colors against stand ards, or by making simple calculations based on quantity of reagent or sample used to obtain specific color. May detect presence of blood by means of a spectroscope. Centrifuges urine and examines resultant sediments under a microscope to detect presence of various types of cell bodies. Determines spe cific gravity of urine, using a urinometer, and notes general odor, color, and turbidity of sample. Tests gastric content for presence of free acids, using identifying reagents and noting changes of color. Titrates samples against standard reagents to make quantitative determinations. Tests for presence of vitamins and hormones, using established chemical pro cedures or by observing their effect on test animals under experimental conditions. Makes blood determinations for urea nitrogen, glucose, and carbon dioxide content of blood, and tests blood to determine impairment of liver functions. In the area of bacteriology, parasitology, and serology : Cultivates and iden tifies micro-organisms found in air, milk, water, and such body materials as feces, sputum, pus, serous fluids, and autopsy material. Makes cultures of * Excerpt from U. S. Department of Labor’s Job Descriptions and Organizational Analysis for Hospitals and Related Health Services. 36 MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS 37 micro-organisms, under aseptic conditions, in suitable media such as meat ex tracts, sugars, and body products and discharges. Incubates cultures for pre scribed lengths of time before examination through a microscope. Collects swabs from throat, ear, nose, and similar locations of patients, under supervision of physician, and makes direct smears on microscope slides of material thus obtained. Stains specimen under examination to define more clearly essential features, using one or a combination of standard stains. Performs macroscopic and microscopic agglutination and precipitation tests to detect presence of pathological bacteria in human host through identification of specific antibodies which are formed. Identifies pathogenic bacteria, including Rickettsiae and virus, and writes report on findings, including a count of number of bacteria found. Prepares culture media according to established formulas, titrating them to determine degree of acidity. Sterlizes media by autoclaving under standard conditions. Stores all media in refrigerators. Prepares bacteriophage (agents which destroy micro-organisms) by filtering feces or pus through special filters. Tests potency of phage by adding various dilutions to test tubes containing growths of organisms and noting reactions. Prepares standard reagents, solutions, and stains. Injects, and removes blood sample from, laboratory animals. Injects urine of women into rabbits, and makes a gross examination of rabbit’s ovaries to determine presence of a reaction indicative of pregnancy. Performs serologic tests for syphilis, using one of established laboratory methods, such as Wassermann, Kahn, Kline, or Eagle. Makes cell counts of cerebrospinal fluid. Places spinal fluid on counting chamber (glass microscope slide ruled into squares) and counts cells distributed within ruled area of a number of squares, as viewed through a microscope. Performs qualitative and quantitative determinations for proteins, glucose, and other chemicals indicative of abnormalities in cerebrospinal fluid; and performs such other tests as col loidal gold test for neurosyphilis. In the area of hematology and metabolism: Makes platelet and total and dif ferential blood cell counts. Places blood sample on counting chamber and counts number of cells within ruled squares of chamber as vewed through a microscope. Calculates number of cells per cubic millimeter of blood sample. Stains blood cells for clearer definition and to distinguish between various types of cells. Determines quantity of hemoglobin. Adds prescribed reagents to blood sample, and compares resultant color with standard color scales representing blood containing various amounts of hemoglobin; or makes color comparisons in a colorimeter or photelometer and converts scale reading into percent and grams of hemoglobin. Groups or types blood by mixing red cells of person to be typed with typing sera, and noting whether clumping of cells occurs. Cross-matches blood to deter mine compatibility of a donor’s blood with that of a patient. Determines Rh factor in blood as a precaution against reactions occurring after transfusions with blood of patient’s own group, and as a precaution in childbirth cases. Performs coagulation, clot retraction, bleeding, and prothrombin time tests to provide information used in diagnosis and treatment of hemorrhagic diseases. Determines sedimentation rate and fragility of red blood cells to indicate progress or presence of certain types of infectious diseases, and others resulting in destruc tion of red blood cells. 38 EMPLOYMENT OPPORTUNITIES FOR WOMEN Determines basal metabolism rate. Makes patient comfortable and at ease during test, and resting period prior to test. Fills apparatus with air and stoppers openings to test for leaks. Places mouthpiece in patient’s mouth, and applies nose clip to patient to assure breathing through mouth. After prescribed length of time, removes graph traced by automatic pen. Calculates patient’s rate of oxygen consumption based on height of graph lines, and temperature and pressure involved. Compares test data with tables of normal values based on age, weight, and height, to determine if patient’s metabolic rate is normal. In the area of histology: Prepare autopsy and surgical material for exami nation by Pathologist to provide information relative to cause of death, and to cause and progress of disease. Prepares tissue specimens. Fixes tissue in formalin for prescribed lengths of time. Prepares frozen sections or embeds specimen in paraffin or celloidln. Cuts thin sections for examination, using a microtome. Stains sections with standard dyes depending on type of structure to be examined. Sets up tissue on microscope stage for examination by pathologist. Prepares specimens for museum exhibition by positioning specimen in jar so as to show up essential areas. Adds preservatives. Seals and labels jars. Performs related tasks : May engage in research and teaching activities. May operate electrocardiograph and be required to assist in X-ray laboratory. Posts results of laboratory analyses on record cards and files report. Indicates on patient’s charge card amount to be charged to patient’s account. Identifies and labels all specimens to be retained, and files them for further reference or research. APPENDIX 2 Requirements for Registration by the Registry of Medical Technologists of the American Society of Clinical Pathologists Many employers of medical technologists require that they be registered or eligible for registration with the Registry of Medical Technologists of the American Society of Clinical Pathologists since this Registry is recognized by the American Medical Association, the Canadian Medical Association, the American College of Surgeons, the American College of Physicians, the Ameri can Hospital Association, the Catholic Hospital Association, and by pathologists, other physicians, and hospital administrators. Registration by this organiza tion entitles the technologists to use the letters “M. T. (A. S. C. P.)” after her name and is a widely-recognized designation of an established level of achievement. Application for the required examination for registration by the Registry of Medical Technologists may be filed with the Registry at Muncie, Ind., after completion of training in an approved hospital school. This examination is given twice yearly, usually in May and October, in various locations in the United States, Hawaii, Puerto Rico, and Canada. Under no circumstances are exemptions from the examination allowed. In addition to certifying qualified medical technologists, the Registry also provides for the certification by examination of other medical laboratory classi fications, namely, Specialist, Laboratory Aide, Histologic Technician, Chemist, Microbiologist and Blood-Bank Technician. Details on the requirements for these certifications and for medical technologists who completed their training at any time since 1928 may be secured from the Registry. 39 APPENDIX 3 Professional Organizations for Medical Technologists Tbe American Society of Medical Technologists The professional organization for medical technologists is the American Society of Medical Technologists which was organized in 1933 and has a number of State and local affiliates. The Society has a membership of about 5,500, the majority of whom are women. Mem bers customarily join through their State or local affiliate. Any technologist who has been certified by the Registry of Medical Tech nologists (A. S. C. P.) and is willing to abide by the code of M. T. (A. S. C. P.) ethics is eligible for membership. The Society has three main purposes: (a) to elevate the status of the medical technologist and to promote higher standards by co operating with medical groups and related organizations; (h) to have an affiliated organization of medical technologists in each State; and (o) to promote the mutual aid and benefit of the members. The official journal of the Society is The American Journal of Medical Technology, which is published bimonthly. Inquiries about membership may be directed to the American Society of Medical Tech nologists, Suite 25, Hermann Professional Building, Houston 25, Tex. The American Medical Technologists A more recent organization, the American Medical Technologists, was formed about 1940. This organization registers its own medical technologists and designates them as “M. TVs”; it is in no way affiliated with either the Registry of Medical Technologists of the American Society of Clinical Pathologists, or the American Society of Medical Technologists. This group publishes a bimonthly journal called The Journal of the American Medical Technologists from its headquar ters at Easthampton, Mass. Its objectives are: (1) to gain profes sional status, (2) to provide quality service to the sick, and (3) to secure State licensure for technologists. Membership and registration are open by examination to those who have a high-school education or the equivalent and have completed 12 months of training in an acceptable school of clinical laboratory technique or 24 months of on-the-job training. No college work is required. 40 APPENDIX 4 Number of Registered Medical Technologists and Number Per 100,000 Population, by Region and State, 1954 Registered 1 medical technologists Region and State United States ______ New England .. Central Atlantic Southeast Southwest. ___ East North Central West North Central Rocky MountainFar West New England: Connecticut . Maine__ Massachusetts New Hamsphire _ _ Rhode Island . Vermont Central Atlantic: Delaware _ District of Columbia Maryland New Jersey New York _ Pennsylvania West Virginia Southeast: Alabama- _ Arkansas _ Florida _ _ . Georgia . Kentucky__ Louisiana _ Mississippi ____ Total number Number per 100, 000 population 2 3 17, 773 ii 885 943 408 644 974 292 716 1, 911 9 8 10 13 12 16 19 12 220 86 404 84 55 36 10 10 8 16 7 10 57 128 252 365 899 1, 088 156 16 15 10 7 6 10 8 286 141 376 304 458 455 159 9 2, 3, 1, 3, 2, . .. 8 12 9 16 16 7 1 ^e,se fi&ures include only those medical technologists who were registered by the Registry of Medi cal Technologists of the American Society of Clinical Pathologists. 2 Based on provisional estimates of the population of States, July 1,1953, U. S. Department of Commerce, Bureau of the Census, Current Population Reports, Series P-25, No. 89. 3 An additional 536 registered medical technologists resided in Canada, Alaska, the Canal Zone, Hawaii Panama, and Puerto Rico. 41 42 Number EMPLOYMENT OPPORTUNITIES FOR WOMEN of Registered Medical Technologists and Number Per 100,000 Population, by Region and State, 1954—Continued Registered 1 medical technologists Region and State Southeast—Continued North Carolina____. ----South Carolina - ----- Tennessee _ -............................... -... _ - Virginia ..........................- - -- - Southwest: Arizona __ New Mexico .. Oklahoma ...... ------ — East North Central: Illinois__ Indiana Michigan Ohio . Wisconsin West North Central: Iowa_Kansas. Minnesota • MissouriNebraska _ North Dakota - South Dakota.. Rocky Mountain: Colorado___________________________________ Idaho______________________________________ Montana..... ............. — Utah - -...... Wyoming. _ _ ----- . — —...... Far West: California Nevada Oregon Washington-.. _-.............. - Total number Number per 100, 000 population 2 324 122 330 453 8 6 10 13 126 95 261 1, 162 14 13 12 14 950 455 916 1,054 599 10 11 13 227 427 654 594 218 84 88 9 21 21 15 16 14 14 406 69 128 78 35 28 12 21 10 11 1, 105 21 324 461 9 11 20 18 12 17 1 These figures include only those medical technologists who were registered by the Registry of Medical Technologists of the American Society of Clinical Pathologists. 2 Based on provisional estimates of the population of States, July 1,1953, U. S. Department of Commerce, Bureau of the Census, Current Population Reports, Series P-25, No. 89. Source: Registry of Medical Technologists of the American Society of Clinical Pathologists. APPENDIX 5 Approved Schools for Medical Technologists, February 1954 Note: NA means Not Available. Name and location of school Minimum prerequisite college (years) Alabama: Baptist Hospital, Birmingham, 2 Carraway Methodist Hospital, Birmingham2 Jefferson-Hillman Hospital, Birmingham3 St Vincent's Hospital, Bir mingham 2 South Highlands Infirmary, Birmingham_____________ 2 Lloyd Noland Hospital, Fairfield2 Holy Name of Jesus Hospital, Gadsden2 Mobile Infirmary, Mobile2 St. Margaret’s Hospital, Mont gomery----------------------------- Dg Druid City Hospital, Tusca loosa 2 Arizona: Good Samaritan Hospital, Phoenix3 Memorial Hospital, Phoenix... 2 St. Joseph’s Hospital, Phoenix_ 3 Tucson Medical Center, Tuc son----------------------------------- 3 Arkansas: Dg means Degree Name and location of school Minim mm prerequisite college (years) California—Continued Children’s Hospital, Los An geles -------------------------------- Dg Los Angeles County Hospital, Los Angeles______________ Dg St. Vincent’s Hospital, Los Angeles----------------- ------------Dg Veterans Administration Cen ter, Los AngelesDg White Memorial Hospital, Los Angeles3 U. S. Naval Hospital, Oakland. 3 Collis P. and Howard Hunting ton Memorial Hospital, Pasa dena 3 St. Luke Hospital, Pasadena. _ 2 Sacramento County Hospital, Sacramento. \a San Bernardino County Charity Hospital, San Bernardino__ 3 Mercy Hospital, San Diego___ 2 Letterman Army Hospital, San Francisco3 University of California School of Medicine, San Francisco _ 3 O’Connor Hospital, San Jose - 2 Santa Clara County Hospital, San Jose____ ________ Dg St. Vincent Infirmary, Utile Santa Barbara Cottage Hos Rock NA pital, Santa Barbara ___ Dg University of Arkansas School St. John’s Hospital, Santa of Medicine, LittleRock____2 Monica________________ Dg Veterans Administration Hos Colorado: pital. Little Rock _ ... ___ 2 St. Michael's Hospital, Tex Glockner-Penrose Hospital, Col arkana ___ _______________ 2 orado Springs___________ 2 St. Francis Hospital, Colorado California: Springs2 Kern General Hospital, Bakers Colorado General Hospital, fieldNA Denver3 Herrick Memorial Hospital, Denver General Hospital, Den Berkeley2 ver------------------------------------- 3 St. Joseph Hospital, Burbank._ 3 Mercy Hospital, Denver3 Glendale School of Medical St. Anthony Hospital, Denver. 3 Technology (Associated with St. Joseph’s Hospital, Denver.. 3 Kimball Clinical Laborato Colorado State Hospital, ries, Glendale Sanitarium Pueblo __________ 2 and Hospital, Behrens Me Connecticut: morial Hospital and Physi cians and Surgeons Hospital, Danbury Hospital, Danbury__ 2 Glendale), Glendale_______ NA Hartford Hospital, Hartford.. 2 43 44 EMPLOYMENT OPPORTUNITIES FOR WOMEN Name and location of school Minimum prerequisite college (years)' Name and location of school Minimum prerequisite college (years) Georgia—Continued Connecticut—Continued Grady Memorial Hospital, At St. Francis Hospital, Hartford- 2 lanta2 Middlesex Hospital, Middle Piedmont Hospital, Atlanta------Dg town 2 St. Joseph’s Infirmary, At New Britain General Hospital, lanta ---------------------------------- Dg New Britain------------------------Dg Veterans Administration Hos Grace-New Haven Community pital, Atlanta---------------------- NA Hospital, New Haven----------NA University Hospital,Augusta— 2 Hospital of St. Raphael, New Columbus City Hospital, Co Haven2 lumbus ----------------------------- 2 Norwalk Hospital, Norwalk— 2 Emory University Hospital, Stamford Hospital, Stamford_2 Emory University2 Charlotte Hungerford Hospital, Kennestone Hospital, Marietta- 2 Torrington2 St. Joseph's Hospital, Savan St. Mary’s Hospital, Waternah2 bury2 Waterbury Hospital, WaterIdaho: bury?--------------------------------2 St. Alphonsus Hospital, Boise- 2 St. Luke’s Hospital, Boise-------2 Delaware: Idaho Falls Latter-Day Saints Delaware Hospital, Wilming Hospital, Idaho Falls----- :— 2 ton----------------------------------- 2 Memorial Hospital, Wilming Illinois: ton_________________ 3 Copley Memorial Hospital, Wilmington General Hospital, Aurora3 Wilmington2 St. Joseph’s Hospital, Bloom District of Columbia: ington2 Burnham City Hospital, Cham Doctors Hospital, Washington- 2 paign-—•- NA Garfield Memorial Hospital, Alexian Bros. Hospital, Chi Washington----------------------- 2 cago2 Georgetown University Medical Augustana Hospital, Chicago— NA Center, Washington-------------Dg City of Chicago Muncipal Tu George Washington University berculosis Sanitarium, Chi Hospital, Washington2 . cago---------------------------------- 2 Providence Hospital, Washing Evangelical Hospital, Chicago- 2 ton2 Grant Hospital, Chicago-------- 3 Sibley Memorial Hospital, Hospital of St. Anthony de Washington----------------------- 2 Padua, Chicago----------------- NA Florida: Michael Reese Hospital, Chi Florida State Hospital, Chat cago — tahoochee2 Mount Sinai Hospital, Chi Duval Medical Center, Jack cago— sonville2 Northwestern University Medi St. Luke’s Hospital, Jackson cal School, Chicago-------------2 ville2 Norwegian-American Hospital, St. Vincent’s Hospital, Jackson Chicago2 ville2 Ravenswood Hospital, Chicago- 2 Jackson Memorial Hospital, St. Bernard’s Hospital, Chi Miami--------------------------------- Dg cago2 Mount Sinai Hospital, Miami St. Luke’s Hospital, Chicago— NA Beadh2 St. Mary of Nazareth Hospital, Escambia General Hospital, Chicago2 Pensacola-------------------------- 2 Wesley Memorial Hospital, Georgia: Chicago__2 St. James Hospital, Chicago Athens General Hospital, Heights2 AthensNA Lake View Hospital, Danville- 2 St. Mary’s Hospital, Athens— NA Evanston Hospital, Evanston— 2 Crawford W. Long Memorial St. Francis Hospital, Evanston- 2 Hospital, Atlanta----------------2 Ingalls Memorial Hospital, Georgia Baptist Hospital, At HarveyNA lanta2 MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS Name and location of school Minimum prerequisite college (years) Name and location of school 45 Minimum prerequisite college (years) Kansas: Illinois—Continued Grace Hospital, Hutchinson__ 2 Methodist Hospital of Central Illinois, Peoria2 St. Elizabeth Mercy Hospital, St. Francis Hospital, Peoria_2 Hutchinson2 Bethany Hospital, Kansas St. Mary’s Hospital, Quincy__ 2 City---------------------------------- 2 Rockford Memorial Hospital, Rockford2 Providence Hospital, Kansas St. Anthony Hospital, Rock City------------------------------------Dg St. Margaret’s Hospital, Kan ford2 sas City------------------------------- Dg Swedish-American Hospital, Rockford2 University of Kansas Medical Memorial Hospital, SpringCenter, Kansas CityDg field2 Lattimore-Fink Laboratories St. John’s Hospital, Spring(St. Francis, Stormont-Vail field2 and Santa Fe Hospitals), St. Therese’s Hospital, Wau Topeka2 kegan 2 Veterans Administration Cen ter, Wadsworth2 Indiana: St. Francis Hospital, Wichita- 2 St. John’s Hickey Memorial Wesley Hospital, Wichita____ 2 Hospital, Anderson2 Wichita-St. Joseph Hospital, Protestant Deaconess Plospital, Wichita2 Evansville----------- ------------- 2 Kentucky: St. Mary’s Hospital, Evans St. Elizabeth Hospital, Coving ville2 Lutheran Hospital, Fort ton3 Good Samaritan Hospital, Lex Wayne----------------------------- 2 St. Joseph Hospital, Fort ington------------------------------- 2 Wayne----------------------------- 2 St. Joseph Hospital, Lexing Indiana University Medical ton2 School, Indianapolis3 Norton Memorial Infirmary, Methodist Hospital, Indian Louisville2 St. Anthony Hospital, Louis apolis -------------------------------- Dg St. Vincent’s Hospital, Indian ville2 apolis 2 St. Joseph Infirmary, Louis St. Elizabeth Hospital, Lafay ville2 ette 2 SS. Mary and Elizabeth Hos South Bend Medical Founda pital, Louisville2 tion (Memorial and St. University of Louisville School Joseph Hospitals), South of Medicine, Louisville Bend2'------------------------------ 2 Louisiana: St. Anthony’s Hospital, Terre St. Frances Cabrini Hospital, Haute2 Alexandria2 Good Samaritan Hospital, Vin Baton Rouge General Hospital, cennes2 Baton Rouge2 Iowa: Our Lady of the Lake Sani Mercy Hospital, Cedar Rapids 2 tarium, Baton Rouge2 St. Luke’s Methodist Hospital, St. Francis Sanitarium, Mon Cedar Rapids-------------------- 2 roe2 Mercy Hospital, Council Bluffs- 2 Charity Hospital of Louisiana, Mercy Hospital, Davenport----- 2 New OrleansDg Broadlawns Polk County Hos Hotel Dieu, Sisters’ Hospital, pital, Des Moines---------------- NA New Orleans______ _______ 3 Mercy Hospital, Des Moines— 2 Mercy Hospital-Soniat Memo Finley Hospital, Dubuque-------2 rial, New OrleansDg St. Joseph Mercy Hospital, Ochsner Foundation Hospital, Dubuque2 New OrleansNA Veterans Administration Hos Sara Mayo Hospital, New pital, Iowa CityNA Orleans3 St. Joseph Mercy Hospital, Southern Baptist Hospital, New Sioux City2 Orleans2 St. Vincent’s Hospital, Sioux Touro Infirmary, New Orleans- 3 CityNA 46 EMPLOYMENT OPPORTUNITIES FOR WOMEN Name and location of school Minimum prerequisite college {years) Name and location of school Minimum prerequisite college (years) Michigan—Continued Louisiana—Continued U. S. Public Health Service City of Detroit Receiving Hospital, New Orleans3 Hospital, Detroit3 T. B. Sehumpert Memorial Detroit Memorial Hospital, Sanitarium, Shreveport2 Detroit_:2 Shreveport Charity Hospital, Evangelical Deaconess Hos Shreveport-- ----- ---------- 2 pital, Detroit________ _____ Grace Hospital, Detroit______ 2 Maine: Henry Ford Hospital, Detroit— Dg Eastern Maine General Hos Herman Kiefer Hospital, De pital, Bangor---------------------- 3 troit Dg Central Maine General Hos Jennings Memorial Hospital, pital, Lewiston______ 2 Detroit__________________ 2 Maine General Hospital, Port Mount Carmel Mercy Hospital, land2 Detroit----- ---------------- ---- 3 Mercy Hospital, Portland_ 2 Providence Hospital, Detroit 2 Maryland: St. John Hospital, Detroit__ _NA Mercy Hospital, Baltimore----- 2 St. Joseph Mercy Hospital, De St. Joseph’s Hospital, Balti troit . 2 more 2 Woman’s Hospital, Detroit_3 Union Memorial Hospital, Bal Wayne County General Hos timore. __ ______________ 2 pital and Infirmary, Eloise_3 Memorial Hospital, Easton----- NA Hurley Hospital, Flint;----------- 3 McLaren General Hospit al, Massachusetts: Flint- -3 Beverly Hospital, Beverly____ 2 St. Joseph Plospital, Flint____ 3 Faulkner Hospital, Boston----- 3 Blodgett Memorial Hospital, Massachusetts Memorial Hos Grand Rapids2 pitals, Boston-------------------- 2 Butterworth Hospital, Grand New England Deaconess Hos Rapids----------— 2 pital, Boston______________ 2 St. Mary’s Hospital, Grand New England Hospital, Boston- 2 Rapids2 Truesdale Hospital, Fall Mercy Hospital, Jackson-------- 3 River2 Borgess Hospital, Kalamazoo- 2 Burbank Hospital, Fitchburg— 2 Bronson Methodist Hospital, Holyoke Hospital, Holyoke----- 2 Kalamazoo2 Lawrence General Hospital, Edward W. Sparrow Hospital, Lawrence2 Lansing___________________ 3 St. Luke’s Hospital, New Bed Michigan Department of ford----------------------------------2 Health, Division of Labora Newton-Wellesley Hospital, tories, Lansing-------------------3 Newton Lower Falls----------- 2 St. Lawrence Hospital, Lan St. Luke’s Hospital, Pittsfield— 2 sing3 Quincy City Hospital, Quincy— 3 Haokley Hospital, Muskegon— 2 Salem Hospital, Salem_____ . 2 Port Huron Hospital, Port Mercy Hospital, Springfield— 2 Huron_____________________ 2 Springfield Hospital, Spring Saginaw General Hospital, field _2 Saginaw-----------------------------2 Tewksbury State Hospital and Minnesota: Infirmary, Tewksbury-------- 2 Memorial Hospital, Worcester- NA St. Luke’s Hospital, Duluth__ 2 Worcester City Hospital, St. Mary’s Hospital, Duluth__ 2 Worcester-------------------------2 Minneapolis General Hospital, Worcester State Hospital, Minneapolis_______________ Dg Worcester-------------------------2 Swedish Hospital, Minne apolis ______ 2 Michigan: University of Minnesota Hos University Hospital, Ann Ar pital, Minneapolis- --------- 3 bor3 St. Cloud Hospital, St. Cloud_2 Leila Y. Post Montgomery Hos Ancker Hospital, S1. Paul— — 3 pital, Battle Creek-------------2 Charles T. Miller Hospital, St. Mercy Hospital, Bay City-------2 Paul —_3 Veterans Administration Hos St. Joseph’s Hospital, St. Paul- Dg pital, Dearborn___________ 3 MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS . _ Name and location of school . . . Minimum prerequisite college (years) Mississippi: Mississippi Baptist Hospital, Jackson__________ 2 Mercy Hospital-Street Memo rial, Vicksburg 2 Missouri: St. Louis County Hospital, Clayton2 Independence Sanitarium and Hospital, Independence2 St. John’s Hospital, Joplin___ 2 Kansas City General Hospital No. 1, Kansas City2 Kansas City General Hospital No. 2, Kansas City2 ' Menorah Hospital Medical Cen ter, Kansas City_________ 2 Research Hospital, Kansas City____ _________________ 2 St. Joseph Hospital, Kansas City----------------:----------------- Dg St. Luke’s Hospital, Kansas City— ----------------------------- 2 St. Mary’s Hospital, Kansas City2 Trinity Lutheran Hospital, Kansas City;i Missouri Methodist Hospital, St. Joseph 2 Barnes Hospital, St. Louis___ 2 DePaul Hospital, St. Louis_. NA Homer G. Phillips Hospital, St. Louis:2 Missouri Baptist Hospital, St. LouisNA St. John’s Hospital, St. Louis ... 2 St. Louis City Hospital, St. Louis2 St. Louis University School ol Nursing, St. Louis2 Burge Hospital, Springfield___ 2 St. John’s Hospital, Springfield2 Montana: St. Vincent’s Hospital, Billings. 2 Butte Community Memorial Hospiial, Butte_____ ______ Dg Columbus Hospital, Great Falls3 Montana Deaconess Hospital, Great Falls-. 2 Nebraska: Bryan Memorial Hospital, Lin coln2 Lincoln General Hospital, Lin coln2 Bishop Clarkson Memorial Hos pital, Omaha__________ ___ 2 Creighton Memorial, St. Jo seph’s Hospital, Omaha____ 2 University of Nebraska Hos pital, Omaha2 Name and loca tion of school 47 Minimum prerequisite college (years) Nevada: St. Mary’s Hospital, Reno____ 3 New Hampshire: Mary Hitchcock Memorial Hos pital, Hanover2 Notre Dame de Lourdes Hos pital, Manchester2 Sacred Heart Hospital, Man chester2 New Jersey: Atlantic City Hospital, Atlantic City__________ ____________2 West Jersey Hospital, Camden. 2 Englewood Hospital, Engle wood_________ 2 Monmouth Memorial Hospital, Long Branch2 Fitkin Memorial Hospital, Nep tuneNA Hospital of St. Barnabas and for Women and Children, Newark____________ ______2 Newark Beth Israel Hospital, Newark__________________ 3 Presbyterian Hospital, New ark __ ____________ _______3 St. Michael’s Hospital, Newark. 2 Passaic General Hospital, Pas saic------------------------------------NA St. Mary Hospital, Passaic.. 2 Barnert Memorial Hospital, Paterson2 Paterson General Hospital, Paterson________ ______ 2 Muhlenberg Hospital, Plainfield 2 Overlook Hospital, Summit___ NA Holy Name Hospital, Teaneck. 2 Mercer Hospital, Trenton____ 2 New Mexico: St. Joseph’s Sanatorium and Hospital, Albuquerque2 New York: Albany Hospital, Albany_____ NA Bender School of Medical Tech nology, Albany2 Binghamton City Hospital, Binghamton 2 Our Lady of Lourdes Memorial Hospital, Binghampton____ NA Jewish Hospital, Brooklyn___ 2 Prospect Heights Hospital, Brooklyn2 St. Mary’s Hospital, Brook lyn2 Buffalo General Hospital, Buf falo__________ ___________ 2 Edward .1. Meyer Memorial Hospital, Buffalo2 Mercy Hospital, Buffalo2 48 EMPLOYMENT OPPORTUNITIES FOR WOMEN Name and location of school Minimum prerequisite college (years) Name and location of school Minimum prerequisite college (years) North Dakota—Continued New York—Continued St. Michael’s Hospital, Grand Millard Fillmore Hospital, Buf falo2 Forks3 Trinity Hospital, Minot2 Arnot-Ogden Memorial Hos pital, Elmira----------------------2 Ohio: St. Joseph’s Hospital, Elmira- 2 Children’s Hospital, Akron___ 2 Flushing Hospital, Flushing— 2 City Hospital, Akron2 Meadowbrook Hospital, Hemp Peoples Hospital, Akron2 stead-------------------------------- 2 St. Thomas Hospital, Akron __ 2 Mary Immaculate Hospital, Alliance City Hospital, Alli Jamaica---------------------- ----- 2 ance 2 Charles S. Wilson Memorial Aultman Hospital, Canton___ 2 Hospital, Johnson City-------2 Mercy Hospital, Canton2 St. John’s Long Island City Bethesda Hospital, Cincinnati- 3 Hospital, Long Island City— 2 Christ Hospital, Cincinnati___ 8 Northern Westchester Hospital, Cincinnati General Hospital, Mount Kisco---------------------- 2 Cincinnati3 Beth Israel Hospital, New York Good Samaritan Hospital, Cin City3 cinnati-------------------------------Dg Montefiore Hospital for Chron Jewish Hospital, Cincinnati-_2 ic Diseases, New York City- Dg Our Lady of Mercy Hospital, St. Barnabas Hospital for Cincinnati3 Chronic Diseases, New York City Hospital, Cleveland2 City---------------------------------- 3 Cleveland Clinic Hospital, St. Clare’s Hospital, New York Cleveland2 City---------------------------------- 2 Mount Sinai Hospital, Cleve United Hospital, Port Chester- NA land2 Rochester General Hospital, University Hospitals, Cleve Rochester---------------------------- Dg land2 St. Mary’s Hospital, Rochester- 2 Grant Hospital, Columbus____ 2 Ellis Hospital, Schenectady— 2 Mount Carmel Hospital, Co U. S. Public Health Service lumbus2 Hospital, Staten Island-------2 Ohio State University Hospital, St. Joseph’s Hospital, Syracuse- 2 Columbus3 Samaritan Hospital, Troy-------3 Good Samaritan Hospital, DaySt. Mary’s Hospital, Troy-------- NA ton2 Utica State Hospital Labora Miami Valley Hospital, Daytory Institute, Utica----------- 2 ton2 St. John’s Riverside Hospital, St. Elizabeth Hospital, DayYonkers2 ton2 North Carolina: Veterans Administration Cen ter, Dayton2 St. Joseph’s Hospital, Ashe Huron Road Hospital, East ville2 Cleveland2 University of North Carolina Elyria Memorial Hospital, School of Medicine, Chapel Elyria-------------------------------- 2 Hill-— 2 Mercy Hospital, Hamilton----- 2 Charlotte Memorial Hospital, Lakewood Hospital, Lakewood- 2 Charlotte-------------------------- 3 St. Rita’s Hospital, Lima2 Mercy Hospital, Charlotte----- 2 St. Joseph’s Hospital, Lorain_2 Presbyterian Hospital, Char Mansfield General Hospital, lotte -------------------------------- 2 Mansfield2 Duke Hospital, Durham-------2 Mercy Hospital, Portsmouth__ 2 Watts Hospital, Durham-------- 2 Rex Hospital, Raleigh----------- 2 Mercy Hospital, Springfield__ 2 North Carolina Baptist Hos Springfield City Hospital, pital, Winston-Salem----------3 Springfield2 Ohio Valley Hospital, Steuben North Dakota: ville2 Bismarck Hospital, Bismarck— 2 Flower Hospital, Toledo-------- 2 St. Alexius Hospital, Bismarck- 2 Maumee Valley Hospital, To St. Luke’s Hospital, Fargo----- 3 ledo2 Grand Forks Deaconess Hos Mercy Hospital, Toledo----------- 2 pital, Grand Forks-------------2 MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS Name and location of school Minimum prerequisite college {year8) Name and location of school 49 Minimum prerequisite college (years) Ohio—Continued Pennsylvania—Continued Riverside Hospital, Toledo___ Dg Hazleton State Hospital, Hazle St. Vincent’s Hospital, Toledo- 3 ton2 Toledo Hospital, Toledo3 Mercy Hospital, Johnstown__ 2 Trumbull Memorial Hospital, Lancaster General Hospital, WarrenNA Lancaster2 St. Elizabeth Hospital, Youngs St. Joseph’s Hospital, Lan town 2 caster2 Youngstown Hospital, Youngs Frankford Hospital, Phila town 2 delphia----------------------------- 2 Germantown Dispensary and Oklahoma: Hospital, Philadelphia2 Mercy Hospital, Oklahoma Hahnemann Hospital, Phila City2 delphia2 St. Anthony Hospital, Okla Jefferson Medical College Hos homa CityDg pital, Philadelphia2 University Hospitals, Okla Jewish Hospital (Northern Di homa City3 vision—Albert Einstein Med Wesley Hospital, Oklahoma ical Center) Philadelphia_2 City---------------------------------- Dg Lankenau Hospital, Philadel Hillcrest Memorial Hospital, phia---------------------------------- 2 Tulsa3 Misericordia Hospital, Phila St. John’s Hospital, Tulsa____ Dg delphia2 Oregon: Mount Sinai Hospital (South Sacred Heart General Hospital, ern Division—Albert Ein Eugene2 stein Medical Center), Phila Emanuel Hospital, Portland_2 delphia2 Good Samaritan Hospital, Port Nazareth Hospital, Philadel land 2 phia2 Portland Sanitarium and Hos Pennsylvania Hospital, Phila pital, Portland3 delphia2 St. Vincent’s Hospital, Port Philadelphia General Hospital, land----------------------------------- Dg Philadelphia2 University of Oregon Medical Presbyterian Hospital, Phila School Hospitals and Clinics, delphia2 Portland2 St. Agnes Hospital, Philadel Salem Memorial Hospital, phia2 Salem___________ ________ 2 St. Joseph’s Hospital, Phila delphia2 Pennsylvania: School of Auxiliary Medical Abington Memorial Hospital, Services, Graduate School of Abington2 Medicine, University of Penn Allentown Hospital, Allen sylvania, Philadelphia_____ 3 town -------------------------------- 2 Temple University Hospital, Sacred Heart Hospital, Allen• Philadelphia2 town3 Allegheny General Hospital, St. Luke’s Hospital, Bethle Pittsburgh2 hem2 Mercy Hospital, Pittsburgh_2 Bryn Mawr Hospital, Bryn Montefiore Hospital, Pitts Mawr2 burgh 2 Butler County Memorial Hos Pottsville Hospital, Pottsville_ 2 pital, Butler2 Community General Hospital, Geo. F. Geisinger Memorial Reading2 Hospital and Foss Clinic, Reading Hospital, Reading___ 2 Danville2 St. Joseph’s Hospital, Reading- 2 Fitzgerald-Mercy Hospital, Robert Packer Hospital, Sayre_ 2 Darby2 Moses Taylor Hospital, Scran Easton Hospital, Easton2 ton2 St. Vincent’s Hospital, Erie__ 2 Harrisburg Hospital, Harris Scranton State Hospital, burg2 Scranton2 Harrisburg Polyclinic Hospital, Sharon General Hospital, Harrisburg2 Sharon3 50 EMPLOYMENT OPPORTUNITIES FOR WOMEN Minimum Name and location of school prerequisite college (years) Name and location of school Minimum prerequisite college (pears) ic ro Pennsylvania—Continued Tennessee—Continued Allegheny Valley Hospital, Nashville General Hospital, Tarentum 2 Nashville 2 Wilkes-Barre General Hospital, St. Thomas Hospital, Nash Wilkes-Barre_____________ 2 ville ___________________ 2 Williamsport Hospital, Wil Veterans Administration IIosliamsport 2 pital, Nashville___________ 2 Rhode Island: Texas: State Hospitsil for Mental Dis Hendrick Memorial Hospital, eases, HowardDg Abilene________ 2 Memorial Hospital, Pawtucket- Dg I? r a c k e n r i d g e 1 lospital, Rhode Island Hospital, Provi Austin — Dg denceDg Baptist Hospital of Southeast St. Joseph's Hospital, Provi Texas. Beaumont__________ 2 dence 2 Hotel I lieu Hospital, Beau South Carolina: mont 2 St.. Therese’s Hospital, Beau Anderson County Memorial mont 2 Hospital, Anderson________ 2 Baylor University Hospital, Medical College of the State Dallas 2 of South Carolina, CliarlesParkland Hospital, Dallas— NA St. Paul’s Hospital, Dallas NA McLeod Infirmary, Florence— 2 Hotel Dieu Sisters’ Hospital, Greenville General Hospital, El Paso_______________ __ 2 Greenville____ _________ 2 Harris Hospital, Fort Worth Spartanburg General Hospital, Pennsylvania Avenue Hospital Spartanburg _____________ 2 (Affiliated with Fort Worth South Dakota: Medical Laboratories and St. Duke’s Hospital, Aberdeen- 2 Texas Department of Public St. John’s McNamara Hospital, Health), Fort Worth. _ _ Dg Rapid City 2 Terrell’s Laboratories (All McKenna n Hospital, Sioux Saints and City-County Hos Falls 2 pitals), Fort Worth_______ 2 Sioux Valley Hospital, Sioux St. Mary’s Infirmary, Galves Falls 2 ton , 2 Sacred Heart Hospital, Yank University of Texas Medical ton 2 Branch Hospitals, Galves Tennessee: ton ___ ■.__________________ 2 Hermann Hospital, Houston— Baroness Erlanger Hospital, Chattanooga _____________ 2 Jefferson Davis Hospital, Hous Memorial Hospital, Chatta ton _____________ nooga 2 Methodist Hospital, Houston_ East Tennessee Baptist Hos St. Joseph’s Hospital, IIouspital, Knoxville___________ 2 Knoxville General Hospital, Midland Memorial Hospital, Knoxville 2 Midland _NA St. Mary’s Memorial Hospital, St. Mary’s Hospital, Port Knoxville 2 Arthur 2 Madison Sanitarium and Hos Shannon West Texas Memorial pital, Madison College____ NA Hospital, San Angelo______ 2 Blount Memorial Hospital, Baptist Memorial Hospital, MaryvilleNA San Antonio______________ 2 Baptist Memorial Hospital, Robert B. Green Memorial Hos Memphis 2 pital, San AntonioNA John Gaston Hospital, Mem Nix Memorial Hospital, San phis 2 Antonio 2 Methodist Hospital, Memphis2 Santa Rosa Hospital, San St. Joseph Hospital, Mem Antonio 2 phis ___ 2 U. S. Air Force Hospital (Lack Geo. W. Hubbard Hospital, land), San Antonio_______ 2 Nashville 2 MEDICAL TECHNOLOGISTS AND LABORATORY TECHNICIANS Minimu hi prerequisite college (years j Texas—Continued Scott and White Hospital, Temple__ _ 2 U. S. Air Force Hospital (Sheppard), Wichita Falls.. 2 Utah: St. Benedict’s Hospital, Og den 2 Thomas I). Dee Memorial Hos pital, Ogden 2 Utah Valley Hospital, Provo_ 2 Dr. W. II. Groves Latter-Day Saints Hospital, Salt Lake City,_____________________ 3 Holy Cross Hospital, Salt Lake City--------------------------------3 St. Mark’s Hospital, Salt Lake City 2 Salt Lake County General Hos pital, Salt Lake City______ 3 Vermont: University of Vermont College of Medicine, Burlington____ 3 Virginia: University of Virginia Hospi tal, Charlottesville________ 2 Chesapeake and Ohio Hospital, Clifton Forge---------------------- Nit Memorial Hospital, Danville_ 2 Mary Immaculate Hospital, Newport News____________ 3 Riverside Hospital, Newport News 2 DePaul Hospital, Norfolk___ 2 Norfolk General Hospital, Nor folk .... 2 Grace Hospital, Richmond___ 2 Johnston-Willis Hospital, Rich mond 2 Medical College of Virginia, Hospital Division, Richmond 2 Stuart Circle Hospital, Rich mond 2 Jefferson Hospital, Roanoke_ 2 Lewis-Gale Hospital, Roanoke. 2 Memorial and Crippled Chil dren's Hospital, Roanoke__ 2 Washington: Children’s Orthopedic Hospi tal, Seattle 2 King County Hospital, Seattle. Dg Providence Hospital, Seattle_ 2 Swedish Hospital, Seattle____ NA University of Washington School of Medicine, Seattle. 3 Deaconess Hospital, Spokane— 2 Sacred Heart Hospital, Spokane 2 St. Luke’s Hospital, Spokane_ 2 Name and locution of school Minimum prerequisite college (yearsi Washington—Continued St. Joseph’s Hospital, Tacoma. 2 Tacoma General Hospital, Ta coma 2 St. Elizabeth Hospital, Yak ima ____________________ 2 West Virginia: St. Luke’s Hospital, Bluefleld. 2 St. Mary’s Hospital, Clarks burg --------------- ----------------2 Fairmont General Hospital, Fairmont 3 School of Medicine, West Vir ginia University, Morgan town :____________________ 3 Camden-Clark Memorial Hos pital, Parkersburg_______ 2 St. Joseph’s Hospital, Parkers burg 2 Myers Clinic Hospital, Phillippi---------------------------------- 2i/2 Wisconsin: St. Agnes Hospital, Fond du Lac 2 St. Francis Hospital, La Crosse 2 Madison General Hospital, Madison 2 St. Mary’s Hospital, Madison.. 2 State of Wisconsin General Hospital, Madison_________ 3 St. Joseph’s Hospital, Marsh field 2 Columbia Hospital, Milwau kee 2 Evangelical Deaconess Hospi tal, Milwaukee___________ 2 Milwaukee County Hospital, Milwaukee 2 Milwaukee Hospital, Milwau kee 2 Mount Sinai Hospital, Milwau kee 2 St. Joseph’s Hospital, Milwau kee 2 St. Luke’s Hospital, Milwau kee A 2 St. Mary’s Hospital, Milwau kee St. Mary’s Hospital, Racine_ St. Mary’s Hospital, Wausau.. Veterans Administration Cen ter, Wood 2 Wyoming: DePaul Hospital, Casper____ NA v Memorial Hospital,Cheyenne. 2 Canal Zone: Board of Health Laboratory Gorgas Hospital, Ancon___ 2 to to to Name and location of school 51 52 EMPLOYMENT OPPORTUNITIES FOR WOMEN Name and location of school Minimum prerequisite Name and location college of school (gears) Minimum prerequisite college (years) Hawaii: Puerto Rico: Kuakini Hospital, Honolulu_ 3 University of Puerto Rico, Queen’s Hospital, Honolulu__ 3 School of Tropical Medicine, St. Francis Hospital, Hono San Juan Dg lulu 3 Health Department, Common Tripler Army Hospital, Moanawealth of Puerto Rico, Sanlua, Honolulu_____________ 3 turce 2 Source: Council on Medical Education and Hospitals of the American Medi cal Association, 535 North Dearborn Street, Chicago, 111. BIBLIOGRAPHY American Hospital Association. Administrators’ guide issue. Hospitals 27 : 26, June 1953, Part II. ------ Critical shortage of personnel: results of a survey. Hospitals 26: 70-71, April 1952. American Journal of Medical Technology. Official publication of the American Society of Medical Technologists. Published bimonthly at Houston 25, Tex. American Medical Association, Council on Medical Education and Hospitals. Approved schools for medical technologists. Chicago, 111., the Council, 1953. 10 pp. American Society of Medical Technologists. Information Pamphlet. Houston, Tex., the Society, 1952. 10 pp. Arestad, F. H., and Mary A. McGovern. Hospital service in the United States. Journal of the American Medical Association 152: 143-163, May 9, 1953. Corwin, Edward H. L. The American Hospital. New York, N. Y., The Com monwealth Fund, 1946. 226 pp. Dorland, W. A. Newman. The American illustrated medical dictionary. Phila delphia, Pa., W. B. Saunders Co., 1944. 20th edition. 1668 pp. Expanding State health laboratory service. American Journal of Public Health 42 : 586-587, May 1952. Part I. Fagelson, Anna. Progress in medical technology. 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Baltimore, Md., Williams and Wilkins Co., 1948. 3rd ed. 1023 pp. Perry, Thomas M. Medicine behind the scenes. The Courier of the George Washington University Hospital, Washington, D. C., June 1950, pp. 10-13, 28. President’s Commission on Health Needs of the Nation: America’s Health Status, Needs and Resources, vol. II, December 1951; Statistical Appendix, vol. Ill, December 1951. Washington, D. C., the Commission. U. S. Government Printing Office, 1953. 53 54 EMPLOYMENT OPPORTUNITIES FOR WOMEN Registry of Medical Technologists of the American Society of Clinical Patholo gists. Muncie, Ind., the Registry, 21st edition, May 1954, 21 pp. ------The profession of medical technology. Muncie, Ind., the Registry, 6th edi tion, February 1954. 14 pp. Shepard, Wm. P. Manpower shortages in official health agencies. Public Health Reports 67: 709-724, August 1952. Technical Bulletin of the Registry of Medical Technologists. Official bulletin of the Registry of Medical Technologists of the American Society of Clinical Pathologists. Published monthly at Muncie, Ind. Todd, James Campbell and Arthur Hawley Sanford. Clinical diagnosis by lab oratory methods—A working manual of clinical pathology. Philadelphia, Pa., W. B. Saunders Co., 1939. 9th ed. 841 pp. United States Department of Labor, Bureau of Employment Security. Job de scriptions and organizational analysis for hospitals and related health serv ices. Washington, 1). C., U. S. Government Printing Office, 1952. 532 pp. — Bureau of Labor Statistics. Federal white-collar workers—their occupa lions and sal a ties, June 1951. Washington, D. C. U. S. Government Print ing Office, 1953. Bui letin 1117. 43 pp. - Women’s Bureau. Part-time jobs for women—a study in 10 cities. Wash ington, D. C., U. S. Government Printing Office, 1951. Bulletin 238. 82 pp. O