The REAL Cost of AOM Education
Ok, so we all know that the cost of education in this field has sky rocketed--I know this from personal experience. You could say that this is a view from the trenches. Following on the heels of Lisa's open letter, I want to reveal some information that I had the good? fortune to come into during my tenure at an unnamed educational institution. I'm sure it'd be very easy to guess the school I'm talking about, I just thought it better not to use their name, as this is an indictment of the field as a whole--the specific institution is largely irrelevant to the point I'm trying to make. Suffice it to say that this school considers itself one of the largest and most esteemed schools in the country--with good reason, it probably is. Every school, as part of the accreditation process, has to do a "self-study", this hefty document is torturously large and deals almost exclusively with the day to day operations of the school. However, the juicy part I got my hands on is the Alumni Outcomes Survey.
The Alumni Outcomes Survey is a fairly short little document, but it speaks volumes about the state of our fair "profession". The vast majority of the document is a chance for alumni to write about how great the school was and how much they grew personally and spiritually while in school, how they feel they received a quality education, blah blah blah. But what's the bottom line? Not good, when we start looking at the brief section on what the alumni are ACTUALLY DOING now, and HOW MUCH THEY ARE MAKING doing it, we see a damn stark picture.
For the sake of completeness, this survey was conducted in 2003, and just to assuage the idea that a bunch of responses from that same year weighted the numbers unfavorably, only 4% of the respondents were 2003 graduates, while 6% had been in practice over 10 years! 40% in practice for 5-10 years, and 31% 2-4 years. 12% were 2002 graduates. We can see, that the majority of practitioners here are well past that small business "make or break" 3 year window. Only in the AOM "profession" would this argument hold any water--how many legal or medical or accounting schools would consider a 3 year window to success as acceptable for their graduates? They wouldn't! If a law school (which is fairly comparable as far as credit hours and length of programs are concerned) couldn't demonstrate that the majority of it's graduates were gainfully employed after a year or two--they'd have to close shop--no one would enter their program. So, how are the AOM grads doing?
Here I'm going to quote directly from the survey, as I think the numbers speak for themselves, the sample size was 190 grads:
Are you currently practicing Oriental medicine:
Part Time (fewer than 30 hours/week) 56%
Full Time (35 or more hours/week) 44%
If part time, is this by your own choice?
Yes 59%
No 41%
Approximately how many patients do you treat each week?
21 [If you do the math, and compare it to incomes, this number becomes rather suspect. . . ]
How much do you charge per visit for:
New patients $81
Returning patients $59
What percentage of your income results from AOM?
68%
Are you currently involved in other professional activities?
Yes 70%
No 30%
If yes, how would you describe these activities?
Attending continuing education seminars 86%
Teaching 54%
Lecturing about Oriental medicine 53%
Professional organizations 38%
Community service 25%
Research projects 4%
Publishing about Oriental medicine 3%
Legislative lobbying 3%
How did you finance your education? (please check all that apply)
Financial Aid 76%
Work 48%
Savings 36%
Family Support 27%
On-campus Work Study 11%
Do you have monthly student loan payments (from any school, including xxxx)?
Yes 67%
No 33% (many have deferred)
Do you consider your debt load to be an impediment to your practice or lifestyle choices?
Yes 67%
No 33% - Coincidence! [I did not put that in there, that is actually typed in this official document, whether as a ploy to down play the obvious or a bit of whimsy, I personally, fail to see the humor.]
[And now for the coup de grace!]
What was your adjusted gross income in the 2002 tax year (line 32 form 1040)?
Less than $10,000 24%
$10,000-20,000 18%
$20,001-30,000 14%
$30,001-40,000 12%
$40,001-50,000 12%
$50,001-60,000 5%
$60,001-70,000 4%
$70,001-80,000 1%
$80,001-90,000 4%
$90,001-100,000 1%
>$100,000 5%
Leaders, educators and administrators of our profession, how do you sleep at night?
--Matthew Gulbransen LAc


Re: The REAL Cost of AOM Education
Well...I am so glad I found this network! I have just recently thought about going to school for accupuncture. I was a little shocked to see the tuition, so I then started to check on potential earnings, etc. I was pretty disappointed!
Thanks for making this info and opinions available, it saved me much time and money :)
credit card building
http://jessemcbride.com/forum/viewtopic.php?p=18408
Re: The REAL Cost of AOM Education
I have just started acupuncture school and I have been told that the school will be starting a community style clinic that students and faculty will be participating/running. I need more details to confirm this, but this is exactly where I think that things should be headed. I am hoping that this profession, like so many others, is what you make of it. And I plan to do my part in creating a place of healing for people and myself- I hope that Im not nieve, just positive!
Re: The REAL Cost of AOM Education
It seems to me that what is needed to ensure the survival of our profession is to either to establish a school (or more than one!) geared toward this model with a Community Acupuncture style student clinic or to convert an existing school.
Re: The REAL Cost of AOM Education
you reminded of the PCOM ny open house, when they reported that less than 5% (if my memory serves) defaulted on their loans, and how impressed i was. Hmmm, I thought, so you can make a living at this thing. And did you know gullible isn't even in the dictionary?
We have a front desk volunteer who just started acupuncture school and who is basically freaking out about whether or not he can make a living at this, if all the debt will be worth it. I, of course, offer lots of hope and encouragement in the name of CA. Without this model, there would be none.
Re: The REAL Cost of AOM Education
The school I went to sent out survey forms to grads about 1 year ago. There was no verification of reported income.
Re: The REAL Cost of AOM Education
On Friday, while I was in pre-op for my knee surgery, the anasthesia nurse asked me what I used for Pain....motrin? aspirin? I cut her off and said "acupuncture".
She smiled and said "wonderful"..."I'm an acupuncture graduate from Santa Fe. I have a Masters, but I never took the exam." She basically said that her debt was too high and she couldn't even begin to contemplate leaving her nursing job. Sounds like she was taken for a big ride.
Re: The REAL Cost of AOM Education
unstainable is the new buzz word
waking us up
Hey Matt - You are "doing well"!
So...
- First Matt: I heard that only 10% responded to this survey. Is that right?
- 68% of income is from acupuncture, it is claimed. So, taking the AGI's at face value (and I don't) that means you reduce those AGI's by almost a third to get the acupuncture income. So if you reported $40K and just two-thirds of the income is from acupuncture than acupuncture gives you... $27,200K.
If you reported 30K, acupuncture gives you $20,400
If you reported 20K acupuncture gives you $13,600
If you reported 10K acupuncture gives you $6800.
Hell, I pay that in student loans a year...
- However we don't know if the reported AGI's are just from the practitioner or with the help of a spouse if they have one. Some here probably are including spousal income (more likely some of the higher income folks) but its not differentiated.
- I also note here that 54% of respondents teach, which I guess is the same as the 53% who lecture about Oriental Medicine. I am wondering what this means exactly- does it mean that 53% get income from teaching Oriental Medicine? If so than this survey is highly skewed. Ya know- most of us, or should I say the huge majority of us- don't teach. I have long thought that the faculty at this school are basically failed acupuncturists. The great majority of them are at most limping along in their private practice if not getting basically all of their income from the school (i.e. students paying on credit). It would make sense that in this survey the few dozen grads who teach and administrate at the school now would be more likely to answer the survey, no? And their teaching/administrating income inflate the income levels reported- more than half the reported incomes are more than just private practice incomes.
- If the average price charged is $59 for returning patients and the average number of patients seen is 21 then that's $1239/week or $64428/year if they worked all 52 weeks. (It's also not adding in the extra income those new patients @ $81 bring in.)
But in this same survey, somewhere around 8% of acupunks are reporting an AGI of $64K+.
Huh. That doesn't add up. Some I imagine is unreported cash income. But only some.
But you know what? I'm not surprised. I would expect people to embellish their success. For a survey like this to be valid you would have to have some way to verify income figures and my guess (Matt?) is that the methodology doesn't include any verification.
======================
Matt- Your school sucks.
To add salt in the wounds, at a conference a year ago (not a WCA conference) an official at your school said they got back results from a survey that said their graduates were "doing well". I presume this is the survey she was talking about.
Everyone- If this is anything like what other schools are like- and I see no reason why this isn't at least average and probably much better than average- then this is awful. I mean we can't go on like this awful. The schools are sucking up almost all the acupuncture money. That's wrong. To quote a paragraph of what Lisa was getting at in her open letter:
"The national leadership of the acupuncture profession in America currently seems to represent 1) those people who by virtue of seniority no longer need to make their living by actually practicing acupuncture -- those who have secured teaching jobs, lucrative consulting gigs, or have figured out how to work the CEU circuit; and 2) those companies and institutions whose revenue stream is provided either by acupuncture students or by acupuncturists who do practice. As a result, the national leadership inhabits a dramatically different economic reality from that of most rank and file acupuncturists who are trying to make a living practicing acupuncture. In 2005 (the most recent year for which figures were available from IRS Form 990), the compensation for the CEO of the NCCAOM was $210, 538. Since conservative estimates suggest both that two-thirds of acupuncturists are no longer practicing five years after graduation, and that current graduates are carrying unprecedented levels of debt ($100,000 or more in student loans), this suggests that the acupuncture profession is essentially afloat on the credit of individuals whose only mistake was to love Chinese medicine enough to want to study it. This is an unsustainable situation if ever there was one."