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%

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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

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400

500

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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!