231 Barbara M. Castleberry Lecture for Laboratory Professionals

Barbara Castleberry PhD, MT(ASCP)

2011 Annual Meeting – Las Vegas, NV

AMERICAN SOCIETY FOR CLINICAL PATHOLOGY 33 W. Monroe, Ste. 1600

Chicago, IL 60603

231 Barbara M. Castleberry Lecture for Laboratory Professionals Barbara M. Castleberry PhD., MT (ASCP) will take an introspective look at her career as a Medical Technologist spanning 40 years as a bench technologist, educator, and administrator. Dr. Castleberry will describe her personal and professional evolution. She will discuss the principles, goals, and beliefs that guided her career. She will offer her perspective on using lessons of the past to face challenges of the future. Also the 2011 Lab Professional Regional Member Awards will be presented during this session. FACULTY: Barbara Castleberry PhD, MT(ASCP) Lab Directors or Managers Special Session Special Session 1.0 CME/CMLE Credit Accreditation Statement: The American Society for Clinical Pathology (ASCP) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education (CME) for physicians. This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME). Credit Designation: The ASCP designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. ASCP continuing education activities are accepted by California, Florida, and many other states for relicensure of clinical laboratory personnel. ASCP designates these activities for the indicated number of Continuing Medical Laboratory Education (CMLE) credit hours. ASCP CMLE credit hours are acceptable to meet the continuing education requirements for the ASCP Board of Registry Certification Maintenance Program. All ASCP CMLE programs are conducted at intermediate to advanced levels of learning. Continuing medical education (CME) activities offered by ASCP are acceptable for the American Board of Pathology’s Maintenance of Certification Program.

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MAKING THE CASE FOR MAKING THE CASE FOR A CAREER IN A CAREER IN LABORATORYLABORATORYLABORATORY LABORATORY

MEDICINEMEDICINEBarbara Marshall Castleberry Ph.D., MT(ASCP)Barbara Marshall Castleberry Ph.D., MT(ASCP)

BOB AND CASSIE MARSHALL WELCOMEBOB AND CASSIE MARSHALL WELCOMEBARBARA JEANBARBARA JEANAPRIL 21, 1947APRIL 21, 1947

HORSE LICK, KYHORSE LICK, KY

FOOTHILLS FOOTHILLS OFOFOF OF

APPALACHIA APPALACHIA

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TOO FAR EAST FOR TOO FAR EAST FOR BLUEGRASSBLUEGRASS

NOT FAR ENOUGH WEST FOR NOT FAR ENOUGH WEST FOR INDOOR PLUMBINGINDOOR PLUMBING

FIRST GRADEFIRST GRADEFIRST GRADEFIRST GRADE19521952

3

PLEASANT RUN SCHOOLPLEASANT RUN SCHOOL

PLEASANT RUN LUNCHROOMPLEASANT RUN LUNCHROOM

19641964

FIRST TO GRADUATE FROM HIGH FIRST TO GRADUATE FROM HIGH SCHOOLSCHOOLENROLLED AT CUMBERLAND ENROLLED AT CUMBERLAND COLLEGE WILLIAMSBURG KYCOLLEGE WILLIAMSBURG KYCOLLEGE, WILLIAMSBURG, KYCOLLEGE, WILLIAMSBURG, KYPREPRE--MED MAJOR LATER SWITCHED MED MAJOR LATER SWITCHED TO MEDICAL TECHNOLOGYTO MEDICAL TECHNOLOGY

4

TAMPA GENERAL HOSPITALTAMPA GENERAL HOSPITAL

TAMPA GENERAL HOSPITALTAMPA GENERAL HOSPITAL(CIRCA 1966)(CIRCA 1966)

TECHNICON DUAL CHANNEL AUTO TECHNICON DUAL CHANNEL AUTO ANALYZERANALYZERCOULTER COUNTER MODEL ACOULTER COUNTER MODEL ABACTERIAL ID BY GRAM STAIN, PLATE BACTERIAL ID BY GRAM STAIN, PLATE CHARACTERISTICS AND TUBE MEDIACHARACTERISTICS AND TUBE MEDIACHARACTERISTICS, AND TUBE MEDIA CHARACTERISTICS, AND TUBE MEDIA MOST CHEMISTRY BY MANUAL METHODS IN MOST CHEMISTRY BY MANUAL METHODS IN CIRCULATING WATER BATHCIRCULATING WATER BATHURINALYSIS BY DIPSTICK AND URINALYSIS BY DIPSTICK AND MICROSCOPICMICROSCOPICPARASITOLOGY OVA AND PARASITESPARASITOLOGY OVA AND PARASITES

LET THEM EAT CAKELET THEM EAT CAKE

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THANK YOU FOR SMOKINGTHANK YOU FOR SMOKING

GLOVES, WHAT GLOVES?GLOVES, WHAT GLOVES?

HOW TO USE A PIPETHOW TO USE A PIPET

“The pipets…are “The pipets…are normally filled by normally filled by suction This issuction This issuction. This is suction. This is usually done by usually done by mouth.”mouth.”

13 Ed. p.39213 Ed. p.392

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YOU MIGHT BE A 60’S MED YOU MIGHT BE A 60’S MED TECH IF YOU HAVETECH IF YOU HAVE

RUINED A NEW PAIR OF PANTYHOSE DOING PBI’SUSED A PAINT SHAKER TO MIX A 24 HOUR FECAL FAT SPECIMENDROPPED THE MERCURY BULB ON A VAN SLYKE APPARATUSDONE 120 VDRL’S ON MONDAY MORNINGDONE 120 VDRL S ON MONDAY MORNINGPERFORMED A PREGNANCY TEST USING A FROGHEMOLYZED THE SHEEP BLOOD IN A BATCH OF BLOOD AGAR PLATESEATEN BIRTHDAY CAKE OFF THE COUNTER IN MICROBIOLOGYPIPETTED BLOOD, SPINAL FLUID OR OTHER BODY FLUIDS BY MOUTH

CUMBERLAND CUMBERLAND COLLEGECOLLEGE

BACHELOR OF BACHELOR OF SCIENCESCIENCE

19671967

OHIO STATE OHIO STATE UNIVERSITYUNIVERSITYMASTER OFMASTER OFMASTER OF MASTER OF

SCIENCESCIENCE19691969

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WELCOME TO DALLAS 1970WELCOME TO DALLAS 1970

MT RECRUITMENT WAS EASYMT RECRUITMENT WAS EASYIN THE 70’SIN THE 70’S

HE’S GOT A GUNHE’S GOT A GUN

THE “SOLUTION”THE “SOLUTION”——EVEN EVEN MICKEY WEARS WHITEMICKEY WEARS WHITE

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Barbara and Bryan 1975Barbara and Bryan 1975

A BLESSING IN DISGUISEA BLESSING IN DISGUISE•• “In January 1977, a cataclysmic event occurred “In January 1977, a cataclysmic event occurred

during the ASCP Board meeting. The ASMT during the ASCP Board meeting. The ASMT representatives to the Board of Registry representatives to the Board of Registry tendered their resignation “en masse”. tendered their resignation “en masse”.

•• Although there had been difficult times, this Although there had been difficult times, this action was totally unexpected. The ASCP Board action was totally unexpected. The ASCP Board immediately set about filling the vacancies in the immediately set about filling the vacancies in the medical technologist representation to the Board medical technologist representation to the Board of Registry.of Registry.

•• Within a very short time replacements Within a very short time replacements were in place. These six individuals filled were in place. These six individuals filled the breech in admirable fashion: Gene the breech in admirable fashion: Gene Decker, Harriet Rolen, Jean Shirley, Anne Decker, Harriet Rolen, Jean Shirley, Anne Thompson, Sue Walters, and Barbara Thompson, Sue Walters, and Barbara Marshall.Marshall.

•• They served the Board with distinction and They served the Board with distinction and deserve our eternal gratitude. In retrospect deserve our eternal gratitude. In retrospect this event may have been a blessing in this event may have been a blessing in disguise.”disguise.”

•• Vernie Stembridge April 10, 1999Vernie Stembridge April 10, 1999

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••THE THE RR WORDWORD

RECERTIFICATIONRECERTIFICATION

1977 PHASE IN MANDATORY 1977 PHASE IN MANDATORY RECERTIFICATION OVER 5 YEARSRECERTIFICATION OVER 5 YEARSRECERTIFICATION OVER 5 YEARSRECERTIFICATION OVER 5 YEARS1997 VOLUNTARY CONTINUING 1997 VOLUNTARY CONTINUING COMPETENCE RECOGNITION COMPETENCE RECOGNITION PROGRAMPROGRAM2004 CERTIFICATION MAINTENANCE 2004 CERTIFICATION MAINTENANCE PROGRAM WITH TIMEPROGRAM WITH TIME--LIMITED LIMITED CERTIFICATIONCERTIFICATION

NORTH TEXAS NORTH TEXAS STATE STATE

UNIVERSITYUNIVERSITYUNIVERSITY UNIVERSITY PHDPHD

19811981

FROM VOLUNTEER TO STAFF FROM VOLUNTEER TO STAFF CHICAGOCHICAGO--19811981

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ADVICE FROM THE GODFATHERADVICE FROM THE GODFATHER

SURROUNDSURROUNDYOURSELFYOURSELF

WITHWITHSMARTSMART

TALENTEDTALENTEDPEOPLEPEOPLE

RESEARCH AND RESEARCH AND PUBLICATIONSPUBLICATIONSPUBLICATIONSPUBLICATIONS

DOES CERTIFICATION MAKE A DOES CERTIFICATION MAKE A DIFFERENCEDIFFERENCE

““The Impact of the Quality of The Impact of the Quality of Laboratory Staff on the Laboratory Staff on the Accuracy of Laboratory Accuracy of Laboratory

Results”, Results”, Lunz and Lunz and Castleberry Castleberry et alet al

JAMA 1987;258:361JAMA 1987;258:361--363363George Lundberg, MD George Lundberg, MD

EditorEditor

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WAGE AND VACANCY SURVEYWAGE AND VACANCY SURVEY

FIRST CONDUCTED FIRST CONDUCTED IN 1988 IN 1988

TO PROVIDE TO PROVIDE WORKFORCE DATA WORKFORCE DATA TO ASSIST IN TO ASSIST IN PLANNINGPLANNING

COMPUTER ADAPTIVE TESTINGCOMPUTER ADAPTIVE TESTING

1985 R&D STUDIES TESTING BY COMPUTER1985 R&D STUDIES TESTING BY COMPUTER1988 CAT COMMITTEE STUDIES COMPUTER 1988 CAT COMMITTEE STUDIES COMPUTER ADAPTIVE TESTINGADAPTIVE TESTING1991 CAT MODEL TEST SITE IN CHICAGO1991 CAT MODEL TEST SITE IN CHICAGO1991 CAT MODEL TEST SITE IN CHICAGO1991 CAT MODEL TEST SITE IN CHICAGO1992 6 CAT SITES AROUND THE US1992 6 CAT SITES AROUND THE US1994 ALL EXAMS BY CAT1994 ALL EXAMS BY CAT

CAT COMMITTEECAT COMMITTEE

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ASCP CERTIFICATION ASCP CERTIFICATION BY DECADEBY DECADE

100000

120000

140000

160000

0

20000

40000

6000080000

1928-37

1938-47

1948-57

1958-67

1968-77

1978-87

1988-97

1998-2007

2008-2010

WE HAD A WE HAD A GREAT RIDEGREAT RIDE

MICKEY MICKEY CELEBRATES CELEBRATES

BARB’S BARB’S RETIREMENTRETIREMENT

THE YEARS SINCETHE YEARS SINCE

INCREASED ORGANIZATIONAL INCREASED ORGANIZATIONAL PARTICIPATIONPARTICIPATIONADDED NEW CATEGORIESADDED NEW CATEGORIESEXPLANDED INTERNATIONALLYEXPLANDED INTERNATIONALLY

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NEW MEMBER NEW MEMBER ORGANIZATIONSORGANIZATIONS

AMERICAN ASSOCIATION OF PATHOLOGISTS’ ASSISTANTSAMERICAN SOCIETY FORAMERICAN SOCIETY FOR CLINICAL LABORATORY SCIENCE (FORMERLY ASMT)ASSOCIATION OF GENETIC TECHNOLOGISTS

INTERNATIONAL INTERNATIONAL CERTIFICATIONCERTIFICATION>60 COUNTRIES>60 COUNTRIES

>1000 CANDIDATES A YEAR>1000 CANDIDATES A YEAR

MT, MLT, PBT, MOLECULAR MT, MLT, PBT, MOLECULAR BIOLOGY, AND GYN CTBIOLOGY, AND GYN CT

NEW CERTIFICATION NEW CERTIFICATION CATEGORIESCATEGORIES

•LABORATORY SAFETY QUALIFICATION•DONOR PHLEBOTOMY TECHNICIAN•TECHNOLOGIST IN CYTOGENETICS•TECHNOLOGIST IN MOLECULAR BIOLOGY•PATHOLOGISTS’ ASSISTANT

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SATISFACTIONSATISFACTION

INNER ENERGY WHICH DETERMINES INNER ENERGY WHICH DETERMINES THE WAY WE FEEL ABOUT THE WAY WE FEEL ABOUT SOMETHINGSOMETHINGSOMETHINGSOMETHING

GENERATED BY THOUGHTS THAT GENERATED BY THOUGHTS THAT YOU FEED YOUR SUBCONSCIOUSYOU FEED YOUR SUBCONSCIOUS

SENSE OF PURPOSESENSE OF PURPOSE

YOU NEED TO SEE A REAL YOU NEED TO SEE A REAL BENEFIT OF WHAT YOU DOBENEFIT OF WHAT YOU DO

TIP: AT THE END OF EACH SHIFT TIP: AT THE END OF EACH SHIFT GIVE YOURSELF CREDIT FOR GIVE YOURSELF CREDIT FOR WHAT YOU HAVE ACCOMPLISHEDWHAT YOU HAVE ACCOMPLISHED

ATTITUDEATTITUDE

AVOID BLAMING OTHERSAVOID BLAMING OTHERSSWEETEN UNPALATABLE TASKS WITH SWEETEN UNPALATABLE TASKS WITH SMALL REWARDSSMALL REWARDSACCEPT THE FACT THAT THERE AREACCEPT THE FACT THAT THERE AREACCEPT THE FACT THAT THERE ARE ACCEPT THE FACT THAT THERE ARE ALWAYS GOING TO BE TASKS THAT ALWAYS GOING TO BE TASKS THAT YOU HAVE TO DO THAT YOU DISLIKEYOU HAVE TO DO THAT YOU DISLIKETIP:SOMETIMES YOU’RE THE BUG TIP:SOMETIMES YOU’RE THE BUG AND SOMETIMES YOU’RE THE AND SOMETIMES YOU’RE THE WINDSHIELDWINDSHIELD

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MOTIVATIONMOTIVATION

THE MOMENTUM THAT KEEPS YOU THE MOMENTUM THAT KEEPS YOU MOVING FORWARDMOVING FORWARDAVOID NEGATIVE MOMENTUM THAT AVOID NEGATIVE MOMENTUM THAT CAN PULL YOU DOWNCAN PULL YOU DOWNCAN PULL YOU DOWNCAN PULL YOU DOWNTIP: FEED YOUR MIND WITH POSITIVE TIP: FEED YOUR MIND WITH POSITIVE THOUGHTS THAT PROPEL YOU THOUGHTS THAT PROPEL YOU FORWARDFORWARD

USE FAILURE TO YOUR USE FAILURE TO YOUR ADVANTAGEADVANTAGE

IF AT FIRST YOU DON’T SUCCEED TRY IF AT FIRST YOU DON’T SUCCEED TRY AGAINAGAINFAILURE CAN BE THE MOST FAILURE CAN BE THE MOST VALUABLE LEARNING EXPERIENCEVALUABLE LEARNING EXPERIENCEVALUABLE LEARNING EXPERIENCE VALUABLE LEARNING EXPERIENCE THAT YOU HAVETHAT YOU HAVETIP: FIND THE THINGS THAT YOU CAN TIP: FIND THE THINGS THAT YOU CAN DO RATHER THAN FINDING EXCUSES DO RATHER THAN FINDING EXCUSES TO DO NOTHINGTO DO NOTHING

THIS PROFESSIONTHIS PROFESSION

APPLY BIOLOGY AND CHEMISTRY INAPPLY BIOLOGY AND CHEMISTRY INAPPLY BIOLOGY AND CHEMISTRY IN APPLY BIOLOGY AND CHEMISTRY IN A WAY THAT HELPS PEOPLEA WAY THAT HELPS PEOPLEKNOW THAT YOU ARE PREPARED KNOW THAT YOU ARE PREPARED FOR A CAREER WHEN YOU FOR A CAREER WHEN YOU GRADUATEGRADUATE

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FORTY YEARS LATERFORTY YEARS LATER

RETIREMENTRETIREMENT

QUIZ QUESTION 1QUIZ QUESTION 1

How did Barbara get to school?How did Barbara get to school?•• A. WalkedA. Walked•• B. Rode the busB. Rode the bus•• C. Took a cabC. Took a cab•• D. HitchhikedD. Hitchhiked

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QUIZ QUESTION 2QUIZ QUESTION 2

The acronym CAT stands for:The acronym CAT stands for:A.A. Computer Assisted TestingComputer Assisted TestingB.B. Computer Administered TestingComputer Administered TestingC.C. Computer Adaptive TestingComputer Adaptive TestingD.D. Computer Associated TestingComputer Associated Testing

QUIZ QUESTION 3QUIZ QUESTION 3

How many years did it take to establish a How many years did it take to establish a mandatory recertification program?mandatory recertification program?A. 7A. 7B 17B 17B. 17B. 17C. 27C. 27D. 57D. 57

QUIZ QUESTION 4QUIZ QUESTION 4

WHICH ANNIVERSARY WILL THE BOARD WHICH ANNIVERSARY WILL THE BOARD OF REGISTRY (NEE BOARD OF OF REGISTRY (NEE BOARD OF CERTIFICATION CELEBRATE IN 2011?CERTIFICATION CELEBRATE IN 2011?A 50A 50ththA. 50A. 50thth

B. 75B. 75thth

C. 83C. 83rdrd

D. 100D. 100thth

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THANKS FOR LISTENINGTHANKS FOR LISTENING

TRIGGERED MEMORIES OF YOUR TRIGGERED MEMORIES OF YOUR OWN SUCCESSESOWN SUCCESSES

REMINDED YOU OF THE REMINDED YOU OF THE LIMITLESS POSSIBILITIES A LIMITLESS POSSIBILITIES A CAREER IN LABORATORY CAREER IN LABORATORY MEDICINE OFFERSMEDICINE OFFERS

ACKNOWLEDGEMENTSACKNOWLEDGEMENTSKATHY BECANKATHY BECAN--MCBRIDEMCBRIDEMICHELE BESTMICHELE BESTANDREA BENNETTANDREA BENNETTBRYAN CASTLEBERRYBRYAN CASTLEBERRYDELVER CAINDELVER CAINFREIDA CARSONFREIDA CARSONMARIAN CAVIGNAROMARIAN CAVIGNAROPAUL CHERNEYPAUL CHERNEYPEGGY DANIELSPEGGY DANIELSDEANNA DUBYDEANNA DUBYPAT ELLINGERPAT ELLINGERMEL GOLMANMEL GOLMANJOHN GREENJOHN GREENMERYL HABERMERYL HABERMARILYN HELDMARILYN HELDCINDY JOHNSCINDY JOHNSBARBARA KASALLISBARBARA KASALLISALMA KUBYALMA KUBYDAVID LAFONDDAVID LAFONDVANESSA LEWINVANESSA LEWINGEORGE LUNDBERGGEORGE LUNDBERGMARY LUNZMARY LUNZBOB MARSHALLBOB MARSHALLCASSIE BURKE MARSHALLCASSIE BURKE MARSHALLBETTY MARTINBETTY MARTINKATHY MAUCKKATHY MAUCKMARILYN PARKSMARILYN PARKSGERRY PISKORSKIGERRY PISKORSKIFRED RODRIGUEZFRED RODRIGUEZ