McGuire VA Medical Center, my place of employment, is an institution that necessitates and encourages education. This institution requires employees to take 40 hours of on line education annually. The employer encourages individuals to advance their level of education by achieving advanced degrees. This is accomplished by allowing the employee time off from work with compensation while providing for transportation to the educational site. Limited funding is available for tuition.
Barriers that exist at my institution vary by the level of employment. The higher level of employees, dentists or dental hygienist, has continuing education requirements to keep their licensure thus more courses are available for them to take. The dental assistants, which are at a lower paying level, do not have these requirements therefore not as many courses are offered at the job site or in the community. Another barrier for education can be time because many of the courses are offered on the weekends. Finances can be a barrier especially for those employees who earn less, especially if the courses are not be paid for by the institution.
After 31 years of employment at the VA hospital I have seen a change in the demographics of the employees at the dental clinic. Employees initially started at a young age and worked until retirement, but today you see employees starting at an older age. An example would be the dentist. They have served our nation as military dentistry for at least 20 years, retired and now are starting a second career at the VA hospital. Typically theses dentist will only work 10 years before retiring, therefore the training and knowledge that is required for acclimate these people to our institution to treat this special population will have to be repeated often. The lower salaried employees do not stay with the VA until retirement. The reason seems to be that the positions in the dental service are stagnant and with no opportunity for advancement. Today’s employees are single parents that need an opportunity to advance and increase their salary.
At our hospital we are treating the newly wounded solders from Iraq and Afghanistan. They receive their initial treatment in the fields of war, transfer to Germany and then to military hospitals in the United States. Eventually, they arrive at the VA Medical Centers for the completion of their long term medical care. The problem that exists is that when they arrive at the VA hospitals; the medical staff does not know what kind of treatment the patients have previously received. The globalization of medicine has created a solution to the problem. Technology has found a way to make all the medical records available to all the VA institutions. This allows for through and more complete care to be given to the patients.
My home situation is a fortunate one. My spouse is supportive of my desire to expand my education. He is willing to help with the house hold chores. He also spoils me by cooking dinner thus allowing me to do my reading assignments, write blogs and papers. Without his support returning to college would definitely be difficult. My largest personal barrier would have to be being out of school for thirty years. It is taking an extra effort to learn the new form of writing papers and making myself stick to a schedule for reading material and papers.