Enrollment Snapshot of Radiography, Radiation Therapy and Nuclear Medicine Technology Programs 2017
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1 Enrollment Snapshot of Radiography, Radiation Therapy and Nuclear Medicine Technology Programs 2017 February ASRT. All rights reserved. Reproduction in any form is forbidden without written permission from publisher.
2 Table of Contents Executive Summary... 4 Demographic Analysis... 4 Credit Hours, Accreditation and the State of Education... 4 Enrollment Analysis Student Capacity... 5 Near-term Changes... 5 Program Outcomes... 6 Comparing Canadian and U.S. Programs... 6 Glossary... 7 Demographics... 8 Indicate your program type What is your primary place of employment?... 8 What is the terminal degree earned by the graduates in your program?... 9 In what country is your program located?... 9 If you chose the United States in the question above, please indicate in which region your program is located Accreditation and Credit Hours What is the level of educational accreditation in your program? What type of credit system do you use in your program? Does your state mandate a limit on the maximum number of credits required for a degree in your program? Enrollment Analysis number of entering by program and institution type Is your program currently at full enrollment? Do you plan any changes related to enrollment? How viable is your program over the next few years? Longitudinal Enrollment Trends Radiography number of enrolled in all Radiography : Radiation Therapy number of enrolled in all Radiation Therapy : Nuclear Medicine
3 number of enrolled in all Nuclear Medicine : Number of ARRT-recognized by discipline: Comparison of U.S. and Canadian Programs Radiography Radiation Therapy Nuclear Medicine Technology Reported Job Placement of Graduates What percentage of were able to find employment in their discipline within six months after graduation? Appendix A. Survey Instruments and Invitation Letter (Please contact the ASRT for a copy.) Appendix B. Verbatim Responses (Please contact the ASRT for a copy.) Appendix C. Additional Accreditation and Credit Hour Questions (Please contact the ASRT for a copy.) 3
4 Executive Summary In early October 2017, an invitation to complete an online questionnaire was sent via to 954 radiography, radiation therapy, and nuclear medicine technology listed by the American Registry of Radiologic Technologists (ARRT). At the close of the survey in early December 2017, a of 333 responses had been received, yielding an overall response rate of 34.9%. Margin of Return Population Percent Sampled Error at the 95% Level Radiography % ±4.9% Radiation Therapy % ±13.2% Nuclear Medicine % ±14.8% Overall % ±4.3% This report summarizes findings regarding radiologic sciences enrollment in ARRT-recognized based on the responses from program directors. Demographic Analysis The largest group of respondents (39.9%) work at a community college or 2-year institution, 26.4% work at a university or 4-year institution, 18.3% work at a medical center, 9.3% work at a technical college, 2.7% work at a for-profit school, and the remaining 3.3% work at another type of institution. Most that responded to the survey are in radiography (77.8%); of the remaining respondents, 11.1% were radiation therapy, 9.6% were nuclear medicine, and 1.5% were other types of imaging. The terminal degree granted by responding to the survey was most likely to be an associate degree (61.3% of respondents); 22.5% grant a bachelor s degree, and the remaining 16.2% grant another type of terminal degree. The vast majority of surveyed (97.6%) are located in the United States; 2.1% are in Canada, and 0.3% are in Australia. The US regions with the highest response rates were East North Central and South Atlantic, with a response rate of 23.4% and 19.4%, respectively. The lowest response rates were in the Mountain region and New England at 6.8% and 6.5%, respectively. Credit Hours, Accreditation and the State of Education Respondents were asked several questions pertaining to the number of credits needed to graduate from their program and their institution s accreditation. Asked about the level of institutional accreditation in their program, 69.9% of respondents said they have both programmatic and institutional accreditation, 19.6% said they had only programmatic accreditation, 6.6% said they had only institutional accreditation, and the remaining 3.9% had another accreditation arrangement. The majority of responding to the survey (84.8%) use semester hours for their credit system; 6.1% use quarter hours, and the remaining 9.1% use another system. Asked whether their state mandates a limit on the maximum number of credit hours allowable for a degree in their program, 40.4% of respondents said yes, 32.2% said no, and the remaining 27.4% were unsure. Enrollment Analysis Based on the survey response, radiography enrolled an average of 21.7 in This represents an increase of 0.6 per program 4
5 from This produces an overall estimate of 15,769 entering ARRT-certified radiography in 2017, up from 15,537 in On average, radiation therapy enrolled 10.5 in This represents a slight decline of 0.3 per program from 2016, when on average, 10.8 enrolled in each radiation therapy program. This produces an overall estimate of 1,151 enrolling in ARRT-certified radiation therapy in 2017, down from 1,185 in On average, nuclear medicine enrolled 10.9 in This represents a decline of 0.5 per program from 2016, when on average, 11.4 enrolled in each nuclear medicine program. Overall, this produces an estimate of 1,273 enrolling in nuclear medicine in 2017, down from 1,368 in Student Capacity Asked whether their program is currently at full enrollment, 52.5% of radiography, 56.8% of radiation therapy, and 28.1% of nuclear medicine said that they are at capacity. There were statistically significant differences between groups. Programs not at full enrollment were asked how many additional their program could accommodate. On average, radiography said they could accommodate an additional 8.3, radiation therapy said they could accommodate an additional 5.2, and nuclear medicine said they could accommodate an additional 6.7. This produces an estimate of 2,849 additional across all radiography, 247 additional across all radiation therapy, and 559 additional in nuclear medicine. The mean number of qualified turned away by radiography was 30.8; radiation therapy turned away an average of 16.0 qualified, and nuclear medicine turned away an average of 2.5 qualified. This produces an estimate of 11,756 qualified turned away in radiography, 998 turned away by therapy, and 82 turned down by nuclear medicine. Near-term Changes Most of the surveyed plan to maintain their current levels of enrollment; 82.0% of across disciplines plan to keep their enrollment at the same level; 15.9% of plan to increase enrollment, and the remaining 2.1% plan to decrease their enrollment. In radiography, 82.9% of plan to maintain current enrollment; 15.1% plan to increase their enrollment, and the remaining 1.9% of plan to decrease their enrollment. In radiation therapy, 83.8% of plan to keep their current enrollment; 13.5% are planning an increase, and 2.7% plan to decrease enrollment. In nuclear medicine, 71.9% of plan to leave their enrollment unchanged, 25.0% are planning an increase, and 3.1% plan to decrease their enrollment. The majority of across disciplines (80.5%) will definitely continue to operate; 17.4% will most likely continue operations, 1.2% will likely close, and the remaining 0.9% will definitely close. There were significant differences between groups. In radiography, 81.5% of said they would definitely continue to operate; 16.6% will most likely continue operations, 1.5% will likely close, and the remaining 0.4% will definitely close. In radiation therapy, 81.1% of will definitely continue to operate, and the remaining 18.9% of will most likely continue operations. In nuclear medicine, 71.9% of will definitely continue to operate; 21.9% will likely continue to operate, and the remaining 6.2% will definitely close. 5
6 Program Outcomes Asked about the attrition rate 1 of their program, respondents indicated that, on average: 18.7% of in radiography failed to complete their course of study. 9.5% of in radiation therapy failed to complete their course of study. 9.3% of in nuclear medicine failed to finish their studies. For those who successfully completed the program, respondents were asked what percentage of graduates passed the credentialing exam on their first attempt: On average, 91.2% of radiography graduates pass the exam on their first attempt. On average, 91.6% of radiation therapy graduates pass the exam on their first attempt. On average, 91.9% of nuclear medicine graduates pass the exam on their first attempt. Asked whether graduates of their program were able to find employment in their primary discipline within 6 months of graduating: Comparing Canadian and U.S. Programs For radiography, the mean entering class size was larger in Canada than in the United States. On average, 27.3 entered Canadian, compared with an average of 21.7 entering in the United States. In radiation therapy, U.S. enrolled slightly more than their Canadian counterparts, with 10.5 entering in the U.S. compared with 10.3 in Canada. None of Canada s 5 nuclear medicine responded to the survey this year, making any comparison impossible. Based on the survey responses, the calculated mean entering class size, and the number of, the estimated enrollment for each discipline is: Radiography: 15,115 in the United States and 574 in Canada. Radiation therapy: 942 in the United States and 155 in Canada. U.S. radiography were more likely to be at full enrollment than their Canadian counterparts: 52.5% of U.S. radiography were at full enrollment, compared with 33.3% of Canadian. In radiation therapy, 55.9% of U.S. and 66.7% of Canadian were at capacity. Respondents said that, from the class of 2016, 95.4% of graduates from radiography, 92.0% from radiation therapy, and 89.8% of graduates of nuclear medicine were able to find employment in their field within 6 months. These placement rates represent an increase of 0.1% from 95.3% the previous year in radiography, an increase of 3.3% from 88.7% the previous year in radiation therapy, and an increase of 13.5% from 76.3% the previous year in nuclear medicine. 1 Methodological Note: In previous years, no attempt was made to determine the plausibility of responses about attrition. The last two years responses were recoded according to the following scheme: If the respondent indicated an attrition rate of 59% or lower, the response was left as is. If the respondent indicated an attrition rate over 59%, the response was recoded as (1-x) where x = uncoded user response. For this reason, reported attrition means on the last two Enrollment Snapshots will be noticeably lower than they have been in previous years. 6
7 Glossary The following statistical results are displayed using a common set of acronyms and symbols for brevity. The symbols and acronyms used are listed here for reference. N Number of responses. Valid Percent Percentage of responses. The arithmetic average. Population The number of. SD Standard Deviation. Χ 2 Chi-squared, from Pearson s Chi-Squared to test for statistical significance. F F-statistic, from analysis of Variance (ANOVA) to test for statistical significance. P Probability, as a measure for statistical significance when P
8 Demographics Indicate your program type. N Valid Percent Population Sample Return as Percent of Population Radiography % % Nuclear Medicine Technology % % Radiation Therapy % % Other 5 1.5% n/a n/a Total % % Indicate your program type % 80.0% 60.0% 40.0% 20.0% 0.0% Radiography Nuclear Medicine Technology Radiation Therapy Other What is your primary place of employment? Valid N Percent Community college or two-year institution % University or four-year institution % Medical center % Technical college % For-profit school 9 2.7% Other % Total % What is your primary place of employment? 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Community college or two-year institution University or four-year institution Medical center Technical college For-profit school Other 8
9 What is the terminal degree earned by the graduates in your program? N Valid Percent Associate degree % Bachelor's degree % Other % Total % What is the terminal degree earned by the graduates in your program? 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Associate degree Bachelor's degree Other In what country is your program located? N Valid Percent United States % Canada 7 2.1% Australia 1 0.3% Total % In what country is your program located? 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% United States Canada Australia 9
10 If you chose the United States in the question above, please indicate in which region your program is located. Valid N Percent East North Central (WI, MI, IL, IN, OH) % South Atlantic (DE, MD, DC, VA, WV, NC, SC, GA, FL, PR) % Mid-Atlantic (NY, PA, NJ) % West South Central (OK, TX, AR, LA) % West North Central (ND, SD, NE, KS, MN, IA, MO) % East South Central (KY, TN, MS, AL) % Pacific (AK, WA, OR, CA, HI) % Mountain (ID, MT, WY, NV, UT, CO, AZ, NM) % New England (ME, NH, VT, MA, RI, CT) % Total % If you chose the United States in the question above, please indicate in which region your program is located. 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 10
11 Accreditation and Credit Hours What is the level of educational accreditation in your program? Valid N Percent Both programmatic (JRCERT) and institutional % Only programmatic (JRCERT) % Only institutional % Other % Total % What is the level of educational accreditation in your program? 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Both programmatic (JRCERT) and institutional Only programmatic (JRCERT) Only institutional Other What type of credit system do you use in your program? N Valid Percent Semester hours % Quarter hours % Other % Total % What type of credit system do you use in your program? 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% Semester hours Quarter hours Other 11
12 Does your state mandate a limit on the maximum number of credits required for a degree in your program? N Valid Percent Yes % No % I don't know % Total % Does your state mandate a limit on the maximum number of credits required for a degree in your program? 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Yes No I don't know. 12
13 2017 Enrollment Analysis number of entering by program and institution type. Radiography Radiation Therapy Nuclear Medicine Technology Overall N SD N SD N SD N SD For-profit school Community college or two-year institution University or four-year institution Technical college Medical center Other Total An analysis of variance showed an overall difference in the mean number of entering by institution type, F(2, 324) = 16.17, P <.001. Post hoc comparisons using the Bonferroni correction indicated that the mean number of entering medical centers was statistically different than the other institution types, P <.001, (.05/6). number of entering by program and institution type. (Overall) For-profit school Community college or two-year institution University or four-year institution Technical College Medical center Other 13
14 Is your program currently at full enrollment? Nuclear Radiography Radiation Therapy Medicine Technology Overall Yes N % 52.5% 56.8% 28.1% 50.6% No N % 47.5% 43.2% 71.9% 49.4% Total N % 100.0% 100.0% 100.0% 100.0% The percentage differences were statistically significant χ 2 (2, n = 328) = 7.4, p =.025. Is your program currently at full enrollment? 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% Yes No 20.0% 10.0% 0.0% Radiography Radiation Therapy Nuclear Medicine Technology 14
15 If you are not at full enrollment, how many additional could be accommodated by your program? How many qualified did you turn away this fall? What was the attrition rate for the class of 2017? What percentage of graduating in 2017 passed the credentialing exam on the first try? Radiography Radiation Therapy Nuclear Medicine Technology Overall N SD N SD N SD N SD % % 9.5% % 9.3% % 16.8% % 91.2% % 91.6% % 91.9% % 91.3% % If you are not at full enrollment, how many additional could be accommodated by your program? Radiography Radiation Therapy Nuclear Medicine Technology What was the attrition rate for the class of 2017? 20.0% 15.0% 10.0% 5.0% 0.0% Radiography Radiation Therapy Nuclear Medicine Technology How many qualified did you turn away this fall? Radiography Radiation Therapy Nuclear Medicine Technology What percentage of from the class of 2017 passed the credentialing exam on the first try? 92.0% 91.5% 91.0% 90.5% Radiography Radiation Therapy Nuclear Medicine Technology 15
16 Do you plan any changes related to enrollment? Nuclear Radiography Radiation Therapy Medicine Technology Overall Plan to increase N % 15.1% 13.5% 25.0% 15.9% Plan to decrease N % 1.9% 2.7% 3.1% 2.1% Plan to remain the same N % 82.9% 83.8% 71.9% 82.0% Total N % 100.0% 100.0% 100.0% 100.0% There were no statistically significant differences between groups. Do you plan any changes related to enrollment? 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Radiography Radiation Therapy Nuclear Medicine Technology Plan to increase Plan to decrease Plan to remain the same 16
17 How viable is your program over the next few years? Nuclear Radiography Radiation Therapy Medicine Technology Overall Will definitely continue to N operate % 81.5% 81.1% 71.9% 80.5% Most likely will continue N to operate % 16.6% 18.9% 21.9% 17.4% Most likely will be closing N % 1.5% 0.0% 0.0% 1.2% Definitely will be closing N % 0.4% 0.0% 6.2% 0.9% Total N % 100.0% 100.0% 100.0% 100.0% The percentage differences were statistically significant χ 2 (6, n = 328) = 13.0 p =.043. How viable is your program over the next few years? 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Radiography Radiation Therapy Nuclear Medicine Technology Will definitely continue to operate Most likely will continue to operate Most likely will be closing Definitely will be closing 17
18 Radiography ARRTrecognized Percent of responding to survey with enrollment data number of entering classroom Longitudinal Enrollment Trends enrolled for all attrition Rate Percent of not at full capacity additional per program for those not at full capacity additional for not at full capacity qualified per program turned away qualified turned away Year % , % 50.2% % , % 30.9% 8.7 1, , % , % 21.2% , % , % 21.7% 7.5 1, , % , % 20.9% 7.4 1, , % , % 22.6% 7.0 1, , % , % 30.2% 7.1 1, , % , % 33.3% 8.4 2, , % , % 40.0% 3.7 1, , % , % 43.7% 7.6 2, , % , % 46.2% 7.6 2, , % , % 44.9% 8.3 2, , % , % 46.5% 7.8 2, , % , % 50.3% 7.2 2, , % , % 49.9% 8.7 3, , % , % 47.6% 6.6 2, , % , % 47.5% 8.3 2, ,756 18
19 number of enrolled in all Radiography : 20,000 18,000 16,000 14,734 14,965 15,684 16,333 17,323 16,614 17,066 16,785 15,948 16,454 15,645 16,154 15,211 15,228 15,537 15,769 14,000 12,000 12,508 10,000 8,000 6,000 4,000 2,
20 Radiation Therapy ARRTrecognized Percent of responding to survey with enrollment data number of entering classroom enrolled for all attrition Rate Percent of not at full capacity additional per program for those not at full capacity additional for not at full capacity qualified per program turned away qualified turned away Year % % 44.4% % , % 48.0% % , % 44.6% % , % 30.5% % , % 32.1% % , % 49.3% % , % 51.5% % , % 58.6% % , % 55.5% % , % 49.3% % 9.8 1, % 51.9% % , % 53.4% % , % 57.6% % , % 49.1% % , % 55.4% % , % 60.5% % , % 43.2%
21 number of enrolled in all Radiation Therapy : 1,800 1,600 1,400 1,200 1,326 1,274 1,513 1,416 1,295 1,576 1,313 1,525 1,462 1,204 1,403 1,513 1,544 1,572 1,185 1,151 1,
22 Nuclear Medicine ARRTrecognized Percent of responding to survey with enrollment data number of entering classroom enrolled for all attrition Rate Percent of not at full capacity additional per program for those not at full capacity additional for not at full capacity qualified per program turned away qualified turned away Year % , % 53.2% % , % 35.7% % , % 33.3% % , % 20.9% % , % 30.6% % , % 31.8% % , % 39.7% % , % 58.4% % , % 63.0% % , % 78.8% % 8.8 1, % 82.5% % , % 73.0% % , % 76.1% % 8.5 1, % 79.2% % , % 68.9% % , % 67.5% % , % 71.9%
23 number of enrolled in all Nuclear Medicine : 2,500 2,000 2,033 1,500 1,252 1,454 1,612 1,633 1,673 1,781 1,659 1,469 1,534 1,175 1,407 1,280 1,061 1,276 1,368 1,273 1,
24 Number of ARRT-recognized by discipline: Radiography Radiation Therapy Nuclear Medicine Technology
25 Radiography Percent of responding to survey with enrollment data 2017 Comparison of U.S. and Canadian Programs number of entering classroom enrolled for all attrition Rate Percent of not at full capacity additional per program for those not at full capacity additional for not at full capacity qualified per program turned away qualified turned away Country USA % , % 47.5% 8.4 2, ,513 Canada % % 66.7% ,387 Radiation Therapy Percent of responding to survey with enrollment data number of entering classroom enrolled for all attrition Rate Percent of not at full capacity additional per program for those not at full capacity additional for not at full capacity qualified per program turned away qualified turned away Country USA % % 44.1% Canada % % 33.3% Nuclear Medicine Technology ARRTrecognized ARRTrecognized ARRTrecognized Percent of responding to survey with enrollment data number of entering classroom enrolled for all attrition Rate Percent of not at full capacity additional per program for those not at full capacity additional for not at full capacity qualified per program turned away qualified turned away Country USA % , % 71.9% Canada 5 0.0% %
26 Reported Job Placement of Graduates What percentage of were able to find employment in their discipline within six months after graduation? West West North Mid- South Atlantic East North Pacific East South New Mountain (ID, South Central (ND, SD, Atlantic (DE, MD, DC, Central (AK, WA, Central England MT, WY, NV, Central NE, KS, MN, IA, (NY, PA, VA, WV, NC, (WI, MI, IL, OR, CA, (KY, TN, (ME, NH, UT, CO, AZ, (OK, TX, MO) NJ) SC, GA, FL, PR) IN, OH) HI) MS, AL) VT, MA, CT) NM) AR, LA) Overall Radiography % 80.3% 82.7% 84.5% 81.1% 77.8% 86.3% 86.2% 79.1% 82.2% % 76.2% 80.1% 85.6% 80.8% 74.2% 88.5% 82.1% 78.9% 80.8% % 87.0% 84.0% 93.0% 87.7% 81.0% 90.0% 85.9% 86.8% 86.9% % 84.6% 86.3% 77.8% 87.7% 84.7% 86.7% 80.3% 82.2% 85.3% % 86.6% 85.2% 80.4% 87.2% 85.2% 81.9% 76.9% 86.1% 85.1% % 92.9% 89.7% 95.9% 92.3% 90.5% 94.8% 87.8% 94.4% 93.0% % 94.3% 94.9% 96.0% 94.4% 95.8% 96.8% 96.8% 91.0% 95.3% % 98.4% 97.6% 97.1% 95.9% 94.5% 94.1% 94.0% 84.7% 95.4% Radiation Therapy % 83.2% 70.5% 79.8% 70.4% 92.0% 63.3% 84.2% % % 78.5% 78.7% 89.7% 87.7% 93.3% 78.3% 74.1% % % 85.0% 68.6% 85.0% 77.3% 96.0% 82.5% 87.5% 70.0% 81.4% % 88.7% 94.2% 78.8% 83.9% 82.2% 100.0% 92.5% 97.5% 87.2% % 92.3% 96.3% 65.8% 76.8% 89.7% 95.0% 85.0% 91.5% 85.6% % 86.0% 92.6% 85.0% 87.2% 97.5% 93.8% 93.2% 90.0% 90.6% % 80.0% 89.3% 95.0% 88.7% 95.0% 96.7% 98.0% 55.0% 88.7% % 84.0% 100.0% 100.0% 100.0% 100.0% 100.0% 91.7% 6.0% 92.0% Nuclear Medicine Technology % 79.4% 80.0% 90.1% 76.7% 83.9% 91.2% 83.8% 87.3% 83.2% % 61.6% 72.4% 77.0% 63.6% 76.7% 87.4% 63.8% 81.7% 70.6% % 41.9% 70.5% 77.3% 48.9% 92.3% 70.5% 48.8% 75.0% 63.6% % 80.8% 84.2% 71.7% 76.9% 100.0% 90.0% 83.2% 93.3% 83.8% % 80.0% 81.7% 80.0% 88.4% 92.0% 89.6% 70.3% 89.3% 83.7% % 45.3% 88.4% 84.9% 81.9% 93.3% 84.0% 64.5% 96.7% 82.1% % 59.3% 65.3% 83.8% 76.8% 80.0% 83.8% 71.0% 90.0% 76.3% % 96.5% 91.6% 67.0% 87.1% 100.0% 100.0% 50.0% % 26
27 100.0% 90.0% 80.0% 70.0% Overall Placement Rates for Graduates 60.0% 50.0% 40.0% Radiography Radiation Therapy Nuclear Medicine Technology 30.0% 20.0% 10.0% 0.0%
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