SALARY CONSIDERATIONS FOR CANCER REGISTRARS

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1 SALARY CONSIDERATIONS FOR CANCER REGISTRARS UPDATED 2012 SURVEY DATA

2 SALARY CONSIDERATIONS FOR CANCER REGISTRARS UPDATED 2012 SURVEY DATA Natinal Cancer Registrars Assciatin 1340 Braddck Place, Suite 203 Alexandria, VA (703) Published May 2013

3 Acknwledgements NCRA wishes t thank Vanessa Lindler, MA, frmerly f the University f Califrnia San Francisc, Center fr the Health Prfessins, fr analyzing the data and preparing this reprt. NCRA acknwledges the Centers fr Disease Cntrl and Preventin fr its supprt f the Jb Analysis frm which this reprt is derived. Natinal Cancer Registrars Assciatin (NCRA) Chartered in May 1974, NCRA is a nn-prfit rganizatin that represents mre than 5,000 cancer registry prfessinals and Certified Tumr Registrars (CTR ). Its missin is t prmte educatin, credentialing, and advcacy fr cancer registry prfessinals. Cancer registrars capture a cmplete summary f patient histry, diagnsis, treatment, and status fr every cancer patient in the United States, and ther cuntries as well. Cancer registrars hpe their wrk will lead t better treatments, and ultimately, a cure. Fr mre infrmatin abut NCRA, visit Natinal Cancer Registrars Assciatin s Cuncil n Certificatin NCRA s Cuncil n Certificatin prmtes standardizatin in the cllectin and use f cancer data thrugh examinatin and certificatin f cancer registrars and ther cancer data specialists. The Certified Tumr Registrar credential marks achievement, fsters prfessinal pride, and is natinally recgnized in the recruitment and retentin f cancer registry persnnel. T learn mre, g t Cpyright The cntent f this reprt is the intellectual prperty f the Natinal Cancer Registrars Assciatin. N part f this reprt may be reprduced in whle r in part, in hard cpy r in electrnic frmat, withut the written cnsent f the Natinal Cancer Registrars Assciatin, the cpyright hlder by the Natinal Cancer Registrars Assciatin. All rights reserved.

4 TABLE OF CONTENTS 1 Intrductin SALARY 3 Respndent CONSIDERATIONS Characteristics, Wrkplace, and Incme FOR CANCER REGISTRARS 9 Cmparing the : 2012 Jb Analysis and 2005 Wrkfrce Analysis 13 Summary UPDATED 2012 SURVEY DATA

5 INTRODUCTION The Natinal Cancer Registrars Assciatin s (NCRA) Cuncil n Certificatin initiated a Jb Analysis (JA) f cancer registry prfessinals in NCRA peridically cnducts a jb analysis t infrm the prcess f updating the test cntent utline fr the Certified Tumr Registrar (CTR ) examinatin. In additin t questins abut the essential perfrmance dmains and jb tasks f cancer registry prfessinals acrss the range f registry rles and settings, the 2012 jb analysis survey cntained questins abut the demgraphic characteristics f respndents, including educatin and incme, and the characteristics f their emplyers. NCRA used this data t cnduct further analyses f demgraphic and jb characteristics related t incme within the cancer registry wrkfrce. This reprt als cntains cmparisns t findings frm NCRA s 2006 wrkfrce analysis f the cancer registry field. 2 NCRA Salary Cnsideratins fr Cancer Registrars 1

6 Respndent Characteristics, Wrkplace, and Incme In NCRA s 2012 jb analysis survey, incme was reprted as either an hurly wage r annual salary. were als asked if they wrk full-time r part-time. They were nt asked t specify the average number f hurs they wrk. As a result, it was nt pssible t estimate annual wages fr hurly wrkers, and n direct cmparisns are made in this reprt between respndents wh earn hurly wages and thse wh earn salaries. Table 1 displays the mean hurly wage and annual salary fr respndents by jb title. These estimates d nt take int accunt the number f years respndents have served in their current psitins. Table1: Incme by Jb Title Jb Title Mean Hurly Wage Mean Annual Salary Cancer Registrar/Abstractr $21.90 $50, Analyst/Crdinatr/Supervisr/Cnsultant/Other $26.91 $60, Registry Manager/Directr $31.26 $71, Ttal Table 1 shws that amng hurly wrkers, cancer registrars/abstractrs make an average f $21.90 per hur, cmpared t $26.91 amng registry wrkers with supervisry r mid-level management titles, and $31.26 fr registry managers/directrs. On average, hurly mid-level management wrkers make 23 percent 3 mre than hurly cancer registrars and abstractrs, and hurly registry managers and directrs make 43 percent mre than hurly cancer registrars/abstractrs. 2 NCRA Salary Cnsideratins fr Cancer Registrars NCRA Salary Cnsideratins fr Cancer Registrars 3

7 Amng salaried wrkers, cancer registrars/abstractrs make an average f $50,599 annually, cmpared t $60,445 amng registry wrkers with supervisry r mid-level management titles, and $71,392 amng registry managers/directrs. On average, salaried mid-level management wrkers make 19 percent mre than salaried cancer registrars/abstractrs, and salaried registry managers and directrs make 41 percent mre than salaried cancer registrars/abstractrs. Table 2 displays the mean hurly wage and annual salary fr respndents by full-time (35 hurs r mre per week) r part-time (34 hurs r fewer per week) jb status. Table 2: Incme by Jb Status Jb Status Mean Hurly Wage Mean Annual Salary Full-Time (35 r mre hrs.) $24.05 $62, Part-Time (Fewer than 35 hrs.) $22.54 $43, Ttal Table 2 shws that amng full-time wrkers, the mean hurly wage is $24.05, cmpared t $22.54 fr part-time wrkers. Amng salaried full-time wrkers, the mean annual salary is $62,655, cmpared t salaried part-time wrkers, whse mean annual salary is $43,000. These data shuld be viewed with cautin because the number f part-time wrkers wh respnded t the JA survey was relatively small. Table 3 displays the mean hurly wage and annual salary fr respndents by emplyer type. Table 3: Incme by Emplyer Type Emplyer Type Mean Hurly Wage Mean Annual Salary Hspital $23.05 $63, Federal/State/Freestanding Center/Other $24.82 $59, Ttal Table 3 shws that amng hspital emplyees, wh make up the largest prprtin f respndents, hurly wrkers have mean wages f $23.05 and salaried wrkers make $63,099 annually. Amng all ther respndents emplyees f federal and state registries, freestanding cancer centers, cancer registry emplyment agencies and ther vendrs, and independent cntractrs hurly wrkers have mean wages f $24.82 and salaried wrkers make $59,794 annually. The estimates fr the nn-hspital categry shuld be interpreted with cautin because f the varius types f emplyers included in the categry. Figure 1 displays the mean hurly wage fr respndents by CTR credential status. Figure 1: Hurly Wage by CTR Status Average Hurly Wage $30 $25 $20 $15 $10 $5 $0 CTRs Cmpared t Nn-CTRs Average Hurly Wage and Percent Difference $24.55 CTR Percent Difference 28% Certified Tumr Registrar Status $19.19 Nn-CTR Figure 1 shws that having the CTR credential is an advantage in earnings fr cancer registry wrkers. Amng hurly CTRs, the mean hurly wage is $24.55, cmpared t $19.19 fr nn-ctrs a difference f 28 percent. Figure 2 displays the mean annual salary fr respndents by CTR credential status. 4 NCRA Salary Cnsideratins fr Cancer Registrars NCRA Salary Cnsideratins fr Cancer Registrars 5

8 Figure 2: Annual Salary by CTR Status Average Annual Salary $70,000 $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 Figure 2 shws that, amng salaried wrkers, CTRs make a mean f $63,286 annually, cmpared t $48,920 fr nn-ctrs a difference f 29 percent. Table 4 displays the mean hurly wage and annual salary fr respndents by educatin level. Table 4: Incme by Educatin Level Highest Degree Mean Hurly Wage Mean Annual Salary Assciate s Degree r Less $23.08 $58, Bachelr s Degree and Higher CTRs Cmpared t Nn-CTRs Average Salary and Percent Difference $63,286 CTR Percent Difference 29% Certified Tumr Registrar Status $48,920 Nn-CTR $25.59 $66, Ttal Table 4 shws that educatin als prvides an pprtunity fr higher earnings. with an assciate s degree r less have a mean hurly wage f $23.08, cmpared t $25.59 fr respndents with a bachelr s degree r greater; this is a difference f 11 percent. Amng salaried wrkers, thse with an assciate s degree r less have a mean annual salary f $58,725, cmpared t $66,591 fr thse with a bachelr s degree r greater; this is a difference f 13 percent. Table 5 displays the mean hurly wage and annual salary fr respndents by number f years in the field. Table 5: Incme by Years in Field Years in Field Mean Hurly Wage Mean Annual Salary 5 r Fewer $19.50 $53, t 10 $23.38 $56, t 20 $25.61 $61, r Mre $30.07 $70, Ttal Table 5 shws that mean hurly wage and annual salary increase by a categrical measure f years in the cancer registry field. Amng wrkers wh have been in the field fr five r fewer years, the mean hurly wage is $19.50 and the mean annual salary is $53,299. In cmparisn t these wrkers, hurly wrkers wh have been in the field fr 11 t 20 years have a mean wage f $25.61, which is a difference f 31 percent. Salaried wrkers wh have been in the field fr 11 t 20 years have a mean salary f $61,251, which is 15 percent higher than thse wh have been in the field fr five r fewer years. Table 6 displays the mean hurly wage and annual salary fr respndents by regin. Table 6: Incme by Regin 4 Regin Mean Hurly Wage Mean Annual Salary Suth/Suthwest $21.71 $57, Midwest $21.50 $63, Nrtheast $25.22 $64, West $28.43 $69, Ttal NCRA Salary Cnsideratins fr Cancer Registrars NCRA Salary Cnsideratins fr Cancer Registrars 7

9 Table 6 shws that n average, cancer registry wrkers in the Midwest and Suth/Suthwest have the lwest hurly wages at $21.50 and $21.71, respectively. The difference in these estimates is very small, hwever, and may nt be significant. Similarly, cancer registry wrkers in the Midwest have a mean annual salary f $63,031, while thse in the Nrtheast have a mean annual salary f $64,927, which is a small and perhaps nn-significant difference. Wrkers in the West have the highest mean hurly wage ($28.43) and annual salary ($69,620). Hurly wrkers in the West make 31 percent mre, and salaried wrkers in the West make 22 percent mre, than thse in the Suth/Suthwest. Cmparing the : 2012 Jb Analysis and 2005 Wrkfrce Analysis In 2005, NCRA cmmissined a cancer registry wrkfrce survey 5 as part f the first majr research prject n the cancer registry wrkfrce. The survey included detailed questins n earnings, including wages r salary, benefits, and average number f hurs wrked fr part-time wrkers. Althugh the 2012 jb analysis was nt intended as a fllw-up t the 2005 wrkfrce survey, a cmparisn f respndent characteristics suggests that the incme data cllected frm the tw surveys may be cmparable, thus permitting valid cmparisns f incme acrss the tw data sets. Table 7 displays the categrical age distributin f respndents t the 2012 jb analysis. Table 7: Age in 2012 Age Percent f 25 t t t t Ttal Lking at Table 7, the largest prprtin f respndents t the jb task analysis fell int the age categry 50 t 59. The 2012 survey cntains nly a categrical questin n respndent age, and unfrtunately, categrical age data is nt available frm the 2005 survey. Hwever, the mean age f respndents t the 2005 survey was 50, and the median age was 48, which suggests that respndents t the tw surveys are similar n age. 8 NCRA Salary Cnsideratins fr Cancer Registrars NCRA Salary Cnsideratins fr Cancer Registrars 9

10 Table 8 displays a cmparisn f gender between the 2012 and 2005 data sets. Table 8: Respndent Gender, 2012 versus 2005 Gender Percent f Percent f Female % % Male 28 4% 36 7% Ttal % % The fllwing figures display the hurly wage (Figure 3) and annual salary (Figure 4) estimates frm 2005 alng with estimates f the predicted values fr 2012, based n the rate f inflatin. Cmparing these tw values reveals whether hurly wage and annual salary are keeping pace with inflatin. Estimates f the predicted (inflatin-based) changes in wages and salary between 2005 and 2012 are based n the Cnsumer Price Index, and were calculated using the Bureau f Labr Statistics Inflatin Calculatr. 6 Figure 3: Percent Change in Hurly Wage, Table 8 shws that respndent gender is very similar acrss the tw grups f survey respndents. $30 Grwth in Hurly Wage 2005 t 2012: Predicted versus Actual Increase Table 9 displays a cmparisn f highest degree earned between the 2012 and 2005 data sets. Table 9: Highest Degree Obtained, 2012 versus 2005 Degree Obtained Percent f Percent f HS/Sme Cllege % % Assciate s Degree % % Bachelr s Degree % % Master s Degree 63 9% 45 8% PhD/MD 12 2% 4 1% Ttal % % Table 9 shws that respndents t the 2012 survey are very similar t respndents t the 2005 survey n highest degree earned. Taken tgether, the age, gender, and highest degree data frm the 2012 and 2005 surveys demnstrate that the tw grups f respndents have similar demgraphic characteristics, and that cmparisns f incme between these tw grups are valid. Average Hurly Wage $25 $20 $15 $10 $5 $0 $ Year $23.89 $22.92 Predicted Increase Actual Increase Figure 3 shws that the mean hurly wage amng respndents t the 2005 survey was $ If hurly wage had just kept pace with inflatin, the 2012 wage wuld have been $22.92, a 17.5 percent increase ver the seven years. Hwever, the mean hurly wage in 2012 was actually $23.89, an increase f 22.5 percent 7. This finding suggests that, amng hurly cancer registry wrkers, there has been an increase in incme f 5 percent ver the rate f inflatin ver seven years. 10 NCRA Salary Cnsideratins fr Cancer Registrars NCRA Salary Cnsideratins fr Cancer Registrars 11

11 Figure 4: Percent Change in Annual Salary, Average Annual Salary $70,000 $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 Grwth in Annual Incme 2005 t 2012: Predicted versus Actual Increase $47, Year $62,232 $56,931 Predicted Increase Actual Increase Figure 4 shws that the mean annual salary amng respndents t the 2005 survey was $47,968. If annual salary had just kept pace with inflatin, the 2012 annual salary wuld have been $56,931, a 17.5 percent increase ver the seven years. Hwever, the mean annual salary in 2012 was actually $62,232, which is an increase f 29.7 percent. This finding suggests that, amng salaried cancer registry wrkers, there has been a real gain f 12.2 percent in incme ver a perid f seven years. Summary Analysis f the 2012 jb analysis data reveals large differences ( 15%) in hurly wages and annual salaries by bth individual and wrkplace characteristics. Factrs assciated with large differences in incme include: Jb Title Registry analysts, crdinatrs, and ther mid-level manage- ment wrkers make abut 19% (salaried) t 23% (hurly) mre than cancer registrars and abstractrs. CTR Status Registry managers and directrs make abut 41% (salaried) and 43% (hurly) mre than cancer registrars and abstractrs. CTRs make abut 28% (hurly) t 29% (salaried) mre than nn-ctrs. Years in the Field Wrkers wh have been in the cancer registry field fr 11 t 20 years make abut 15% (salaried) t 31% (hurly) mre than thse wh have been in the field fr five r fewer years. Regin f the Cuntry Wrkers in the Western regin make the highest hurly wage and annual salary. Hurly wrkers make abut 31% mre, and salaried wrkers make abut 22%, mre than thse in the Suth/Suthwest. The relatinship f incme t regin varies by hurly wage versus annual salary, but incme tends t be lwer in the Suth/Suthwest and Midwest cmpared t the Nrtheast and West. 12 NCRA Salary Cnsideratins fr Cancer Registrars NCRA Salary Cnsideratins fr Cancer Registrars 13

12 Factrs assciated with smaller differences ( 15%) in incme include: Level f Educatin ENDNOTES 1 Full Reprt f the Jb Analysis Study fr Cancer Registrars (New Yrk: Prfessinal Examinatin Service fr the Natinal Cancer Registrars Assciatin Cuncil n Certificatin, Octber 2012.) 2 Susan A. Chapman, Vanessa Lindler, Vasey McClry, Christine Nielsen, and Wendy Dyer, Frntline Wrkers in Cancer Data Management: Wrkfrce Analysis Study f the Cancer Registry Field, Final Reprt (San Francisc: University f Califrnia San Francisc, Center fr the Health Prfessins, Schl f Nursing, Department f Dentistry, Department f Scial and Behaviral Sciences, June 2006). 3 Percent difference f hurly wage between cancer registrars/abstractrs and mid-level management wrkers is calculated as ($ $21.90) / $21.90 = (0.229)* Only U.S. states are represented. Based n U.S. Department f Health and Human Services regins mapped at Nrtheast = 1, 2, 3 Midwest = 5, 7, 8 Suth/Suthwest = 4, 6 West = 9, 10 Wrkers with bachelr s degrees r greater make abut 11% (hurly) t 13% (salaried) mre than thse with assciate s degrees r less. In additin, a cmparisn f earnings data between 2005 and 2012 reveals that there were real gains fr cancer registry wrkers during this time. The mean hurly wage increased 5 percent, and the mean annual salary increased 12.2 percent ver the rate f inflatin. These salary data frm tw different surveys shw interesting trends in wages and salaries ver time fr cancer registry wrkers. It wuld be useful t peridically cllect wage and salary infrmatin t track trends in the industry. 5 Susan A. Chapman, Vanessa Lindler, Vasey McClry, Christine Nielsen, and Wendy Dyer, Frntline Wrkers in Cancer Data Management: Wrkfrce Analysis Study f the Cancer Registry Field. 6 Predicted 2012 values btained at NCRA: A Leader in Cancer Registry Wrkfrce Research NCRA is the nly natinal rganizatin spearheading research n the cancer registry wrkfrce. In 2006, NCRA self-funded the study Frntline Wrkers in Cancer Data Management: Wrkfrce Analysis Study f the Cancer Registry Field. Cnducted by the University f Califrnia San Francisc, Center fr the Health Prfessins and Schl f Nursing, the reprt was used by the cancer registry prfessin, natinal rganizatins, and the educatinal cmmunity t better infrm decisins abut staffing and training prgrams. NCRA used the study t develp its pririties, including supprting nging cancer registry wrkfrce research. T that end, NCRA cmmissined tw new studies: NCRA Wrklad and Staffing Study: Guidelines fr Hspital Cancer Registry Prgrams (2011) and the NCRA/NPCR Wrklad and Time Management Study: Guidelines fr Central Cancer Registry Prgrams (2013). In additin t research, NCRA seeks t aid in the recruitment and retentin f cancer registrars thrugh a variety f resurces, including a Wrkfrce Develpment web page, PwerPint presentatins designed fr Health Infrmatin Management (HIM) instructrs and students, a Wrkfrce Study Tlkit, and fact sheets and articles n hw cancer registry data is used t imprve public health. T fllw NCRA s research and effrts n the cancer registry wrkfrce, visit 7 Percent change f hurly wage between 2005 and 2012 is calculated as ($ $19.50)/$19.50) = (0.225)* NCRA Salary Cnsideratins fr Cancer Registrars NCRA Salary Cnsideratins fr Cancer Registrars 15

13 NCRA TEMPLATES NCRA LOGOS 2 COLOR: PRIMARY 2 COLOR: PRIMARY WITH BLACK 1 COLOR: PRIMARY 1 COLOR: SECONDARY 1 COLOR REVERSE: PRIMARY 1 COLOR REVERSE: SECONDARY Natinal Cancer Registrars Assciatin 1340 Braddck Place Suite 203 Alexandria, VA (703) BLACK AND WHITE BLACK AND WHITE REVERSE

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