| Issue |
J Extra Corpor Technol
Volume 57, Number 3, September 2025
|
|
|---|---|---|
| Page(s) | 178 - 180 | |
| DOI | https://doi.org/10.1051/ject/2025029 | |
| Published online | 15 September 2025 | |
Letter to the Editor
Investing in the future: addressing the rising cost of perfusion education in 2025
1
Perfusion Services, UChicago Medicine, 5841 S Maryland Ave, Ste E500, MC5040, Chicago, IL 60637, USA
2
Perfusion Education Program, University of Iowa Carver College of Medicine, 200 Hawkins Dr, C43-Z GH, Iowa City, IA 52242, USA
* Corresponding author: blaine.johnson@uchicagomedicine.org
Received:
20
April
2025
Accepted:
24
May
2025
The demand for allied healthcare professionals has surged, raising concerns about the rising costs of education. Tuition for post-baccalaureate and master’s programs in perfusion technology ranges from $18,000 to $106,500 annually, often surpassing $100,000 in total expenses. This financial burden presents significant challenges for prospective students, restricting their entry into the field. High costs could lead to a reduction in the number of qualified perfusionists, negatively impacting patient care. To address these challenges, partnerships between academic institutions and healthcare organizations could facilitate the development of scholarships or sponsored work studies. Additionally, policymakers should advocate for increased funding and other initiatives to help alleviate the financial strain allied health professionals face. Creating innovative solutions to these financial challenges may lead to a more diverse group of professionals in the field, enriching perspectives and approaches to patient care. Investing in accessible education will strengthen the healthcare system, benefiting providers and patients.
Key words: Perfusion Education Program / Medical Education / Costs and Cost Analysis / Financial Aid / Scholarship
© The Author(s), published by EDP Sciences, 2025
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Discussion
As the demand for allied healthcare professionals continues to grow, addressing the rising costs of education in specialized fields such as perfusion technology has become increasingly urgent. The financial burden associated with pursuing a career in this specialty has grown substantially, raising concerns among prospective students and within the profession. Previous work has highlighted the rapid expansion of Perfusion Education Programs (PEPs) and emphasized the need for efficient application and educational pathways to support the field’s growth and sustainability in the U.S. [1–4].
Over the past decade, higher education costs in the United States have risen in nearly every discipline, particularly in allied healthcare training programs. This increase is partly due to inflation, higher operational expenses, and a greater reliance on tuition as a primary revenue source [5, 6]. High costs are associated with low student-to-faculty ratios and the need for extensive clinical facilities. Tuition fees for a post-baccalaureate certificate or master’s degree in perfusion technology range from $18,000 to $106,500 per year, depending on the institution (Table 1). These figures do not include additional expenses such as clinical rotation fees, textbooks, supplies, and living costs, which can easily push the total cost of education beyond $100,000.
Comparison of degree type and tuition cost for perfusion education programs in the United States.
The accumulation of student loan debt poses a significant concern for applicants, as it can take many years to repay, potentially limiting their ability to invest in their careers or pursue further professional development [7]. These high costs have broader implications. If fewer students can fund their essential training, there may be a lack of qualified perfusionists, ultimately affecting patient care throughout the United States [8, 9]. With the healthcare system already experiencing workforce deficits across multiple specialties, failure to address rising educational costs could deepen these challenges [10, 11].
Currently, aspiring professionals can choose between two entry-level degrees: a post-baccalaureate certificate (24% [6/25]) or a master’s degree (76% [19/25]). This decision can significantly influence both the cost and duration of their educational journey. While some have proposed making a master’s degree the standard entry-level credential, post-baccalaureate certificate programs offered by universities and hospitals in the United States present practical alternatives for those seeking a faster and more affordable pathway to education in this field [12–14]. Master’s programs typically demand more time and higher tuition, while certificate programs often provide a quicker and more affordable option.
While certificate programs can be completed in as little as 12 months, master’s programs typically require 18–24 months. This variation in time commitment affects the overall costs of education and how quickly graduates can enter the workforce. The cost of perfusion education also varies based on whether an institution is state-funded or private. State-funded programs usually offer lower tuition rates for in-state students, while private institutions often impose higher fees. Prospective students should consider these differences when evaluating their options. Geographic location also influences the cost and availability of perfusion education programs. Some regions have more accredited programs and a higher demand for perfusionists, which in turn impacts tuition rates and job opportunities. Prospective students must account for these factors when deciding where to pursue their education.
In the context of federal student aid for PEPs, the type of loan awarded is primarily determined by the degree the program offers. Students enrolled in post-baccalaureate certificate programs are considered undergraduate borrowers for federal aid purposes. Consequently, they may qualify for Direct Subsidized Loans and Direct Unsubsidized Loans, provided they have not reached their aggregate loan limits for undergraduate borrowing. In contrast, students in master’s degree programs are classified as graduate-level borrowers. They are only eligible for Direct Unsubsidized Loans or Graduate PLUS Loans, the latter of which requires a credit check, has higher interest rates, and may necessitate a parental co-signer.
Regardless of the program type, most PEP programs require applicants to have obtained a bachelor’s degree before matriculation. As a result, they are ineligible for Federal Pell Grants or Federal Supplemental Educational Opportunity Grants, both of which are designated for undergraduate students pursuing their first degree. It is also important to note that not all PEPs offer federal student aid. Some hospital-based, non-credit-bearing programs may not be recognized as institutions of higher education by the Department of Education. These programs may offer only private loans or no loan options at all.
To address these issues, institutions could explore partnerships with hospitals and healthcare organizations to subsidize tuition or offer scholarships. Models such as employer-sponsored scholarships, loan repayment assistance, and service-based tuition reimbursement programs not only alleviate the financial burden on students but also encourage long-term employment commitments. These approaches have proven effective in fields like nursing and primary care and could be adapted to perfusion education, particularly in underserved areas where workforce shortages are most severe [15–17].
Expanding financial aid options and offering more affordable tuition would also increase accessibility for a broader range of students. Targeted scholarship programs for those pursuing perfusion technology could be a strategic way to enhance and support diversity [18, 19]. Additionally, building strong alumni networks can improve the educational experience by providing mentorship, career guidance, and financial assistance to current students [20].
While these strategies lay a strong foundation, sustained change will require active policy engagement. Policymakers must build on these efforts by advocating for increased funding of allied health education programs and promoting policies that reduce financial barriers to entry. Federal and state legislators must recognize perfusionists as an essential component of the allied health workforce.
Conclusion
The rising cost of education in perfusion technology represents a considerable barrier for aspiring professionals and threatens the sustainability of the workforce at a time when the demand for perfusionists is increasing. With total educational expenses often surpassing $100,000, many students encounter significant debt burdens that may discourage them from entering the field or restrict their long-term career development. By promoting collaborations between educational institutions and healthcare organizations, improving financial aid options, and advocating for increased funding, we can ease the financial burdens facing prospective students. Together, we can create a more accessible and sustainable educational environment, benefiting healthcare systems and patients.
References
- Johnson B. The feasibility of centralized application services for perfusion education programs. J Extra Corpor Technol. 2025;57(1):50–52. [CrossRef] [EDP Sciences] [PubMed] [Google Scholar]
- Johnson B. The feasibility of a national matching service for perfusion education program applicants. J Extra Corpor Technol. 2025;57(1):53–55. [Google Scholar]
- Johnson B, Martin M, Reagor J, Tung A. Thirty years of perfusion licensure in the United States: exploring current concepts and developing new strategies for the future. J Cardiothorac Vasc Anesth. 2025;39(7):1832–1841. [Google Scholar]
- Hessel EA, 2nd, Groom RC, Sundt TM, 3rd. Perfusionists, surgeons, and anesthesiologists – a history of successful multi-disciplinary collaboration: What’s next? J Cardiothorac Vasc Anesth. 2025;39(7):1842–1843. [Google Scholar]
- Iwamasa D, Thrasher M. An analysis of instructional expenditures in U.S. public higher education from 2004 through 2015. Plann Higher Edu. 2019;47(3):5–22. [Google Scholar]
- Lai J, Fang E, Chan TM, Tekian A, Ibrahim H. Tuition costs of master’s of health professions education programs: a cross-sectional analysis. Acad Med. 2023;98(11):1319–1325. [Google Scholar]
- Webster P, North SE. Health professions educational debt: personal, professional, and psychological impacts 5 years post-graduation. Front Med (Lausanne). 2022;9:746463. [Google Scholar]
- Austin JW, Evans EL, Hoerr HR, Jr. Distributed perfusion educational model: a shift in perfusion economic realities. J Extra Corpor Technol. 2005;37(4):360–363. [CrossRef] [EDP Sciences] [PubMed] [Google Scholar]
- Colligan M. Results of the 2019 Survey on perceptions of vacancy and turnover among perfusionists in the United States. J Extra Corpor Technol. 2020;52(1):27–42. [Google Scholar]
- Stammers AH. Perfusion education in the United States at the turn of the century. J Extra Corpor Technol. 1999;31(3):112–117. [CrossRef] [EDP Sciences] [PubMed] [Google Scholar]
- Toomasian JM, Searles B, Kurusz M. The evolution of perfusion education in America. Perfusion. 2003;18(4):257–265. [CrossRef] [PubMed] [Google Scholar]
- Syracuse PL, Beckley PD. Master’s education for perfusion: Is it needed? Is it important to future sub-specialization? J Extra Corpor Technol. 1993;25(3):93–100. [Google Scholar]
- Sistino JJ. The case for a single entry level into the perfusion profession by 2020. J Extra Corpor Technol. 2014;46(2):127–129. [CrossRef] [EDP Sciences] [PubMed] [Google Scholar]
- Colligan M, Patel K. A single entry level into the perfusion profession is not the solution. J Extra Corpor Technol. 2014;46(4):324–325. [CrossRef] [EDP Sciences] [PubMed] [Google Scholar]
- Bruno F, Nizzer S, Moreira NA, et al. Developing and retaining homecare nurses through employer-based tuition assistance programs: a mixed methods study. J Community Health Nurs. 2024;41(3):175–188. [Google Scholar]
- Rowan K, Shah SV, Knudson A, et al. Health professional retention in underserved areas: findings from the National Health Service Corps Loan Repayment Program participants in the United States, 2019–2021. J Public Health Policy. 2024;45(4):639–653. [Google Scholar]
- Locke E, Dong F, Stiles R, Kellerman R, Ablah E. The influence of loan repayment and scholarship programs on healthcare provider retention in underserved Kansas. Kansas J Med. 2019;9(1):6–11. [Google Scholar]
- Camacho A, Zangaro G, White KM. Diversifying the health-care workforce begins at the pipeline: a 5-year synthesis of processes and outputs of the scholarships for disadvantaged students program. Eval Health Prof. 2017;40(2):127–150. [Google Scholar]
- Mutevere M, Dzinamarira TR, Muzenda L, et al. Empowering underprivileged students beyond financial aid: Insights from a scholarship program’s monitoring and evaluation. Eval Program Plann. 2024;105:102448. [Google Scholar]
- Cree-Green M, Carreau AM, Davis SM, et al. Peer mentoring for professional and personal growth in academic medicine. J Investig Med. 2020;68(6):1128–1134. [Google Scholar]
Cite this article as: Johnson B. Investing in the future: addressing the rising cost of perfusion education in 2025. J Extra Corpor Technol 2025, 57, 178–180. https://doi.org/10.1051/ject/2025029.
All Tables
Comparison of degree type and tuition cost for perfusion education programs in the United States.
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