Pat Tille Ph.D. MLS (ASCP)Assistant Dept. Head Chemistry and Biochemistry
Program Director Medical Laboratory ScienceSouth Dakota State University
Education and Healthcare Collaboration: The Next Generation of
Professionals
• Review traditional MLS/MLT models and professional training
• Explain NAACLS standards and revisions in laboratory science education
• List the challenges and opportunities to continue to produce high quality laboratory professionals
Objectives
Laboratory Science Education
• Hospital Based Programs• University Based Programs
Hospital Based Programs
• 12 months• Lecture and Laboratory simultaneous• Trained for laboratory in house• Small• Labor intensive • Cost prohibitive
University Based Programs
• Historically chemistry degrees• Low enrollments• Last resort majors • Change in pedagogy last 5 years• Expensive• Not real laboratory experience• Length 12 weeks to 9 months
Myths
• Hospital Based Program students score higher on the ASCP exam than University Based students (Evidence)
• Hospital Based students stay in the field longer (Conjecture)
• Hospital Based students have more broad training (Conjecture)
Content Versus Automation
• Large instruments • Hands on theory• Keeping a balance
ASCP Board of Certification
2010
2011
2012
2013
0 100 200 300 400 500 600 700
University Programs
Overall National
SDSU
Average of First Time Individual Student Scaled ScoresOverall Pass Rate 100%First Time Pass Rate 92%
✪
✪
SDSU Program Scores Higher than ✪Hospital and UniversityBased Program National Averages
2009 2010 2011 2012 20130
20
40
60
80
100
120
Professional Students
Percent Retention
Clinical Retention
Overall Professional Program Retention 83.4%Overall Success in Clinical Practice 96.8%*
SDSU Sub-content Areas
• IMMUNOHEME: Consistently added improved laboratory exercises; Fall of 2013 added a second semester.
• CHEMISTRY: Expanded Instrumentation for implementation this fall.
• HEMATOLOGY: Expanded differential counts, disease states and laboratory exercises. Implementing Cella-vision proficiency software this fall.
• URINALYSIS: Continued adding disease correlations; Fall 2013 added phase contrast microscopy.
BBNK CHEM HEM UA0
100
200
300
400
500
600
700
800
2010
2011
2012
2013
SDSU Sub-Content Areas• IMMUNOLOGY; Consistently added
more content and techniques including DFA, ANA; 2013 Supporting Course for Advanced Methods: MLS 471 included instrumentation in advanced immunoelectrophoresis and immunofixation
• MICROBIOLOGY: Consistently added more content; more variety of organisms, anaerobes, DFA, Acid Fast, Fungal Staining, increased gram stain interpretations, expanding micro II lab this fall, increasing antibiotic susceptibility interpretations.
• GENERAL LAB: 2013 Added more application and review of basic concepts; implementation of LIS. For the class of 2014, expanding instrumentation and quality control exercises
IMMUNO MICRO GEN LAB0
100
200
300
400
500
600
700
2010
2011
2012
2013
NAACLS- Myths
• Prescriptive• Curriculum outlined• Rotations, Internships• Length
New Standards
• Competency Based- Outcome Measures• Benchmarks: Measurable, empirical start points?• Must publish one according to NAACLS Guidelines
(External certification rates, graduation rates, attrition rates, placement rates, others exit interviews, alumni interviews etc.)
• Must be a three year aggregate• Program Director; MLS ASCP Certified• Accreditation: 5 yr Initial, 10 year re-accreditation
CHALLENGE
Reduction in laboratory professionals
Education and Patient Care
CHALLENGE
Reduction in Clinical Training Sites
Lengths of Rotations Staff in Clinical Training Sites; qualifications
CHALLENGEUniversity Faculty
OPPORTUNITY
Create model laboratory professionals
Create new models in education
OPPORTUNITY
MLT MLS DCLS
Inter-professional advanced practice
Professional Growth Opportunities
Doctorate in Clinical Lab Science
• Career ladder• Epidemiology• Pharmacology• Patient Assessment
OPPORTUNITY
Draw in a wider variety of professionals
Maintain laboratory testing personnel
Center for Collaborative Education
• Quality Performance Assessment• Aligned to the curriculum• Meets or exceeds core standards• Deliver Rigorous, culturally responsive and
relevant instruction• Leadership Development• Professional Learning Community
The future of healthcareIn the future will we even go to the hospital? Yes, but we will spend less time as inpatients and more time being monitored remotely by a team of experts. Prevention will be a higher priority. And if you do become ill, a robot may stand in for your doctor. Drugs of the future will target specific cells. Replacement organs will be a reality within years. Gene therapy will be a part of patient care. How and when will we get to this future?
The doctor-patient relationship is evolving:Telemedicine means caregivers are remote, but their care isn’t.
New Models, Collaborative Content Design and Review
ANSWERS?
QUESTIONS AND COMMENTS!