Rank
|
Skill
|
Skill-Job-Growth Product
|
1
|
Active Listening
|
52,729,916
|
2
|
Reading Comprehension
|
52,477,840
|
3
|
Critical Thinking
|
52,070,493
|
4
|
Speaking
|
51,481,774
|
5
|
Monitoring
|
49,815,058
|
6
|
Coordination
|
48,419,005
|
7
|
Social Perceptiveness
|
48,027,434
|
8
|
Writing
|
47,574,077
|
9
|
Service Orientation
|
47,178,353
|
10
|
Judgment and Decision Making
|
45,943,172
|
11
|
Active Learning
|
45,815,111
|
12
|
Time Management
|
44,982,511
|
13
|
Complex Problem Solving
|
44,624,404
|
14
|
Instructing
|
43,671,844
|
15
|
Persuasion
|
42,696,089
|
16
|
Learning Strategies
|
42,436,634
|
17
|
Negotiation
|
39,703,938
|
18
|
Management of Personnel Resources
|
39,210,957
|
19
|
Systems Evaluation
|
36,952,808
|
20
|
Systems Analysis
|
36,259,478
|
21
|
Mathematics
|
35,148,591
|
22
|
Operation Monitoring
|
30,301,912
|
23
|
Quality Control Analysis
|
27,595,984
|
24
|
Operations Analysis
|
22,708,414
|
25
|
Operation and Control
|
21,719,737
|
26
|
Management of Material Resources
|
21,601,778
|
27
|
Management of Financial Resources
|
19,478,547
|
28
|
Troubleshooting
|
19,330,105
|
29
|
Science
|
17,922,486
|
30
|
Technology Design
|
12,142,746
|
31
|
Equipment Selection
|
10,927,713
|
32
|
Equipment Maintenance
|
9,387,298
|
33
|
Repairing
|
8,946,558
|
34
|
Programming
|
8,935,518
|
35
|
Installation
|
4,495,964
|
Where Laurence Shatkin, PhD, mixes career information and career decision making in a test tube, and we see what happens.
Wednesday, January 29, 2014
The Skills Needed for the Fastest-Growing Occupations
Wednesday, January 15, 2014
Medical Scribe: Emergence of a New Occupation?
The need for these workers arose because of a provision of the Affordable Care Act: the requirement that physicians keep electronic records of patients and use these in exchanges of information. The purported reason is to reduce paperwork and administrative costs, but another important consideration is the ability of researchers to use the digitized data in (anonymized) records to study the effectiveness of various medical interventions. I could add a third reason: data security. Although it is often assumed that paper records are more secure than electronic records because of the risks of computer hacking, paper cannot be as easily stored offsite in redundant copies. (I learned of this vulnerability when my all of my daughter's medical records were lost at her pediatrician’s office.)
Before electronic records, physicians either jotted down notes or dictated comments into a voice recorder for later transcription to paper, perhaps by a medical assistant. Some physicians resent the switch to electronic records because keying data into a laptop during interactions with patients pulls physicians’ attention in two directions at once. They find that the nature of their job has moved away from the work tasks that drew them into this profession.
Medical scribes relieve physicians of these duties by being the one holding and using the laptop during interactions with patients. Scribes key in all of the information produced during sessions with patients, freeing physicians to give patients their undivided attention. Obviously, there is a monetary cost to hiring these workers, but it is offset by the amount of time scribes save for physicians (an average of three minutes per patient visit, according to one study cited in the Times article), which allows physicians to see more patients over the course of the day. That’s not to mention how medical scribes change the nature of physicians’ work tasks by removing the clerical element.
On the other hand, having a third person present during every session with a patient may reduce the feeling of privacy that exists between physician and patient. Another study cited in the article found that, in clinical settings, “roughly 10 percent of patients were uncomfortable with having the scribe present.”
One company that provides medical scribes to hospitals and medical practices estimates that almost 10,000 scribes are now at work, and businesses such as ScribeAmerica and PhysAssist Scribes have been established to meet the growing demand. These companies train the scribes in a program that takes about two or three weeks.
But is this a new occupation, or merely a specialization within an existing occupation, medical assistants? It would be easier to recognize as a distinct occupation if it had a formal educational credential. However, I would argue that it is an occupation in its own right because its work tasks are highly specific. It is unlikely that medical assistants are dividing their workdays to handle these tasks part of the time or that some of the work time of medical scribes is being diverted to doing tasks that medical assistants perform, such as measuring patients’ vital signs or scheduling appointments.
My guess is that this occupation will flourish for a few years but that voice-recognition software will eventually be adapted to the specific needs of recording data from sessions with patients. Some physicians are already using voice-recognition software in limited ways.
Tuesday, January 7, 2014
Employment Projections, Then and Now
Two years ago, the nation was just starting to climb out of its worst economic downturn since the Great Depression. Apparently, the high hopes of that time have been scaled back somewhat.
Here is a table showing the changes in the outlook for the major groups of industries:
Industry Group
|
Projection
2010-20 Percent) |
Projection
2012-22 (Percent) |
Difference
|
Agriculture, forestry, fishing, and hunting |
-3.6
|
-1.9
|
1.7
|
Mining, quarrying, and oil and gas extraction |
3.8
|
15.1
|
11.3
|
Utilities |
-6.5
|
-10.2
|
-3.7
|
Construction |
33.3
|
28.8
|
-4.5
|
Wholesale trade |
13.6
|
8.3
|
-5.3
|
Information |
5.2
|
-2.4
|
-7.6
|
Finance and insurance |
8.9
|
8.6
|
-0.3
|
Real estate and rental and leasing |
14.2
|
12.8
|
-1.4
|
Professional, scientific, and technical services |
28.7
|
23.1
|
-5.6
|
Management of companies and enterprises |
5.5
|
2.6
|
-2.9
|
Administrative and support and waste management and remediation |
21.3
|
20
|
-1.3
|
Educational services; State, local, and private |
13.6
|
9.4
|
-4.2
|
Health care and social assistance |
32.7
|
27.8
|
-4.9
|
Arts, entertainment, and recreation |
17.8
|
11.1
|
-6.7
|
Accommodation and food services |
9
|
9.1
|
0.1
|
Other services (except public administration) |
13.5
|
10.5
|
-3
|
Government |
1.6
|
-0.8
|
-2.4
|
Federal government |
-12.5
|
-14.5
|
-2
|
The industry with the biggest change in outlook is Mining, Quarrying, and Oil and Gas Extraction. It is expected to do much better than thought previously, thanks to the boom in oil and gas extraction. But it is the only industry with a major upward revision. Two other industries (Agriculture, Forestry, Fishing, and Hunting; and Accommodation and Food Services) have had very minor upward revisions to their projections.
All the other projections in this set have been revised downward. Of these, the most severe change is to the outlook for Information. Understand that this does not primarily mean information technology; rather, it refers to what is more commonly known as “the media”: publishing (including software publishing), news, and telecommunications. As someone working in the information industry, I can assure you that many jobs are being lost. Your local newspaper is much thinner these days than it was a decade ago, and this slimming-down is reflected in its staff roster.
The only other industry that actually went from positive to negative territory—that is, it was expected to expand modestly but now is expected to shrink—is Government. Keep this in mind the next time you hear a politician or commentator bloviating about how our government is growing too rapidly.
If you want to read about the revised forecasts for specific occupations, you are in luck: Tomorrow, the BLS will release the newest edition of the Occupational Outlook Handbook on the Web. Over the next few days, I will be working intensively to repurpose this Web content as a printed reference for JIST Publishing, replacing the previous edition on the shelves of libraries and career counselors. (The print edition will include some bonus chapters that you can’t find on the Web.) Some new occupations that you’ll find in this forthcoming edition are Solar Photovoltaic Installers; Wind Turbine Technicians; Phlebotomists; and Fundraisers.
I have surveyed the career information publications of other countries, and I can attest that we are very lucky to have a resource as excellent as the OOH. Government is shrinking, and it gets a lot of bad press in certain quarters, but it still does some things very well.