A Snapshot of the AOM Profession in America: Demographics, Practice Settings and Income.

INTRODUCTION: Since 2008, the National Certification Commission for Acupuncture and Oriental Medicine has performed job analyses on its member Diplomates by collecting relevant data, including demographics and income profiles as well as practice patterns and environment. These data have significantly contributed to the profession's application to the U.S. Bureau of Labor Statistics requesting that "Acupuncturists" be assigned an independent Standard of Occupational Classification. As a result of the applications submitted in 2008 and 2016, a new code for Acupuncturists, SOC - 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018. In addition to the demographic and clinical practice characteristics data identified by the periodic NCCAOM job analyses, the NCCAOM began collecting similar data from NCCAOM Diplomates during their 4-year recertification cycle. METHODS: Data collected from recertifying Diplomates (n=1047) collectively for the years 2014, 2015 and 2016 were analyzed for trends and to provide a benchmark for the profession. Upon completion of their recertification application, Diplomates were asked to voluntarily complete a 28-item survey questionnaire. RESULTS: The outcomes of these surveys demonstrated that the acupuncture and Oriental medicine workforce is 70% female, averaging 52 years of age and approximately 13 years of experience. Responding Diplomates were from 49 states and two territories, including a small sample from other countries. Initial evaluation and treatment fees averaged $112 among the respondents, with an average return visit costing $78. Roughly 45% of the respondents worked more than 32 hours per week and 26.1% worked less than 20 hours per week. The average Diplomate treated 24 patients per week. The median income of Diplomates was reported to be between $40,000 and $60,000 per year. DISCUSSION: This descriptive research paper summarizes selected demographic, economic and practice setting characteristics for NCCAOM Diplomates each year, between 2014 and 2016, at the time of recertification. While the demographic profile of the Diplomates remained consistent (70% women, an average of 13 years in practice, and the majority in solo practice), there were some subtle changes that occurred between 2014 and 2016. One change indicated a greater number of practitioners working in other practice settings besides solo practice, such as hospital-based practice. Although the median annual income is in the range of $40,000 to $60,000, there were fewer Diplomates making less than $20,000/year and more earning greater than $100,000/year between 2014 and 2016. CONCLUSION: There are a variety of business models employed among Diplomates across the country. These vary by location, employment status, and pay structures. Further information on the success and failure of acupuncture practices should be researched and distributed to students and practitioners to assist in supporting the acupuncture and Oriental medicine community. Additionally, government agencies, such as the Centers for Medicare and Medicaid Services, the Bureau of Labor Statistics, the Department of Veterans Affairs, and the National Center for Health Workforce Analysis, require nationwide data for policy decision-making and to publish annual reports as well as update their publications. [ABSTRACT FROM AUTHOR]