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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
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• 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
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Laboratory Science Education
• Hospital Based Programs• University Based Programs
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Hospital Based Programs
• 12 months• Lecture and Laboratory simultaneous• Trained for laboratory in house• Small• Labor intensive • Cost prohibitive
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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
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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)
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Content Versus Automation
• Large instruments • Hands on theory• Keeping a balance
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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
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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%*
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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
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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
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NAACLS- Myths
• Prescriptive• Curriculum outlined• Rotations, Internships• Length
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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
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CHALLENGE
Reduction in laboratory professionals
Education and Patient Care
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CHALLENGE
Reduction in Clinical Training Sites
Lengths of Rotations Staff in Clinical Training Sites; qualifications
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CHALLENGEUniversity Faculty
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OPPORTUNITY
Create model laboratory professionals
Create new models in education
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OPPORTUNITY
MLT MLS DCLS
Inter-professional advanced practice
Professional Growth Opportunities
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Doctorate in Clinical Lab Science
• Career ladder• Epidemiology• Pharmacology• Patient Assessment
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OPPORTUNITY
Draw in a wider variety of professionals
Maintain laboratory testing personnel
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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
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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?
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The doctor-patient relationship is evolving:Telemedicine means caregivers are remote, but their care isn’t.
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New Models, Collaborative Content Design and Review
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ANSWERS?
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QUESTIONS AND COMMENTS!