SALARY CONSIDERATIONS FOR CANCER REGISTRARS UPDATED 2012 SURVEY DATA
SALARY CONSIDERATIONS FOR CANCER REGISTRARS UPDATED 2012 SURVEY DATA Natinal Cancer Registrars Assciatin 1340 Braddck Place, Suite 203 Alexandria, VA 22314 (703) 299-6640 inf@ncra-usa.rg www.ncra-usa.rg www.cancerregistryeducatin.rg Published May 2013
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 www.ncra-usa.rg. 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 www.ctrexam.rg. 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. 2013 by the Natinal Cancer Registrars Assciatin. All rights reserved.
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
INTRODUCTION The Natinal Cancer Registrars Assciatin s (NCRA) Cuncil n Certificatin initiated a Jb Analysis (JA) f cancer registry prfessinals in 2012. 1 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
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 $50,599 304 Analyst/Crdinatr/Supervisr/Cnsultant/Other $26.91 $60,445 157 Registry Manager/Directr $31.26 $71,392 122 Ttal 361 222 583 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
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 $62,665 526 Part-Time (Fewer than 35 hrs.) $22.54 $43,000 48 Ttal 357 217 574 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 $63,099 410 Federal/State/Freestanding Center/Other $24.82 $59,794 146 Ttal 211 345 556 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
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 $58,725 341 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 $66,591 226 Ttal 351 216 567 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 $53,299 161 6 t 10 $23.38 $56,559 128 11 t 20 $25.61 $61,251 147 21 r Mre $30.07 $70,339 151 Ttal 363 224 587 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 $57,250 162 Midwest $21.50 $63,031 149 Nrtheast $25.22 $64,927 147 West $28.43 $69,620 84 Ttal 330 212 542 6 NCRA Salary Cnsideratins fr Cancer Registrars NCRA Salary Cnsideratins fr Cancer Registrars 7
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 29 16 2.5 30 t 39 73 11.5 40 t 49 156 24.5 50 t 59 283 44.5 60+ 108 17.0 Ttal 636 100.0 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
Table 8 displays a cmparisn f gender between the 2012 and 2005 data sets. Table 8: Respndent Gender, 2012 versus 2005 Gender 2012 2012 Percent f 2005 2005 Percent f Female 619 96% 495 93% Male 28 4% 36 7% Ttal 647 100% 531 100% 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, 2005 2012 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 2012 2012 Percent f 2005 2005 Percent f HS/Sme Cllege 159 24% 121 23% Assciate s Degree 228 35% 188 35% Bachelr s Degree 197 30% 176 33% Master s Degree 63 9% 45 8% PhD/MD 12 2% 4 1% Ttal 659 100% 534 100% 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 $19.50 2005 2012 Year $23.89 $22.92 Predicted Increase Actual Increase Figure 3 shws that the mean hurly wage amng respndents t the 2005 survey was $19.50. 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
Figure 4: Percent Change in Annual Salary, 2005-2012 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 $47,968 2005 2012 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
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 ($26.91 - $21.90) / $21.90 = (0.229)*100. 4 Only U.S. states are represented. Based n U.S. Department f Health and Human Services regins mapped at http://www.hhs.gv/abut/reginmap.html. 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 http://www.bls.gv/data/inflatin_calculatr.htm. 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 www.ncra-usa.rg/wrkfrce. 7 Percent change f hurly wage between 2005 and 2012 is calculated as ($23.89 - $19.50)/$19.50) = (0.225)*100. 14 NCRA Salary Cnsideratins fr Cancer Registrars NCRA Salary Cnsideratins fr Cancer Registrars 15
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 22314 (703) 299-6640 inf@ncra-usa.rg www.ncra-usa.rg www.cancerregistryeducatin.rg BLACK AND WHITE BLACK AND WHITE REVERSE