Standard 20

Accredited Program Administration

Required Materials

• Guide to Accreditation (add link) Standard 20 & associated guidelines

• Faculty Fact Sheet (add link)• NAACLS Glossary of Terms (add link)

Learning Outcomes:

Upon completion of this instructional unit andreview of additional resources, the learner shall beable to:• Describe responsibilities of the Program Director

according to NAACLS Standards.• List the qualifications of the Program Director

according to NAACLS Standards.• Explain the composition and responsibilities of the

Advisory Committee according to NAACLS Standards.

CLS/MT Program Director Responsibilities

• The program director must be responsible for the organization, administration, periodic review, planning, development, evaluation and general effectiveness of the program.

• The program director must have input into budget preparation and must be responsible for maintaining NAACLS accreditation of the program.

CLS/MT Program Director Qualifications The Program Director:• must be a medical laboratory scientist who holds

nationally recognized generalist certification• must hold a master’s or doctoral degree• has three years of experience in clinical laboratory

science education• has knowledge of education methods and

administration• has knowledge of current accreditation and

certification procedures

CLS/MT Program Director Faculty Appointment

• The program director must have a faculty appointment at the sponsoring institution or must have a faculty appointment in each affiliated academic institution.

• In the case of a clinically based program, the program director's appointment at affiliated academic institutions may be a regular one, a non-salaried clinical or courtesy appointment, or an adjunct appointment, depending upon the regulations of the academic institution

CLS/MT Advisory Committee• There must be an advisory committee composed of

individual(s) from the community of interest who have knowledge of clinical laboratory science education.

• For example, the committee can be composed of the following: pathologists, other physicians, scientific consultants, academic professionals, administrators, practicing clinical laboratory scientists/medical technologists, practicing clinical laboratory technicians/medical laboratory technicians and other professionals

CLS/MT Advisory Committee Responsibilities

• The advisory committee of the program shall have input into any aspect of the program/curriculum with regard to its current relevancy and effectiveness

• For example, number of students enrolled, curriculum input regarding the current practices

CLT/MLT Program Director Responsibilities

• The program director must be responsible for the organization, administration, periodic review, planning, development, evaluation and general effectiveness of the program.

• The program director must have input into budget preparation and must be responsible for maintaining NAACLS accreditation of the program.

CLT/MLT Program Director Qualifications The Program Director:• must be a medical laboratory scientist who holds

nationally recognized generalist certification• must hold a master’s or doctoral degree• has three years of experience in clinical laboratory

science education• has knowledge of education methods and

administration• has knowledge of current accreditation and

certification procedures

CLT/MLT Program Director Faculty Appointment

• The program director must have a faculty appointment at the sponsoring institution or must have a faculty appointment in each affiliated academic institution.

• In the case of a clinically based program, the program director's appointment at affiliated academic institutions may be a regular one, a non-salaried clinical or courtesy appointment, or an adjunct appointment, depending upon the regulations of the academic institution

CLT/MLT Advisory Committee• There must be an advisory committee composed of

individual(s) from the community of interest who have knowledge of clinical laboratory science education.

• For example, the committee can be composed of the following: pathologists, other physicians, scientific consultants, academic professionals, administrators, practicing clinical laboratory scientists/medical technologists, practicing clinical laboratory technicians/medical laboratory technicians and other professionals

MLT/CLT Advisory Committee Responsibilities

• The advisory committee of the program shall have input into any aspect of the program/curriculum with regard to its current relevancy and effectiveness

• For example, number of students enrolled, curriculum input regarding the current practices

CG Program Director Responsibilities

• The program director must be responsible for the organization, administration, periodic review, planning, development, evaluation and general effectiveness of the program.

• The program director must have input into budget preparation and must be responsible for maintaining NAACLS accreditation of the program.

CG Program Director Qualifications• The program director must maintain current certification or

licensure in cytogenetic technology, medical genetics, or another human genetics area

• The program director must have a minimum of a master's degree and at least three years of experience in education

• The Program Director must be a cytogeneticist, medical geneticist, or other human geneticist with three years of clinical cytogenetic experience.

• The program director must have knowledge of education and administration as well as current accreditation, certification and licensure procedures

• The program director, if applicable, must demonstrate relevant continuing education hours (3.6 CEUs or 36 hours) within the previous three years.

CG Program Director Faculty Appointment

• The program director must have a faculty appointment at the sponsoring institution or must have a faculty appointment in each affiliated academic institution.

• In the case of a clinically based program, the program director's appointment at affiliated academic institutions may be a regular one, a non-salaried clinical or courtesy appointment, or an adjunct appointment, depending upon the regulations of the academic institution

CG Advisory Committee• There must be an advisory committee

composed of individual(s) from the community of interest who have knowledge of cytogenetic education.

• For example, the committee can be composed of the following: pathologists, other physicians, scientific consultants, academic professionals, administrators, practicing cytogenetic technologists and other health professionals

CG Advisory Committee Responsibilities

• The advisory committee of the program shall have input into any aspect of the program/curriculum with regard to its current relevancy and effectiveness into the medical content of the program

• For example, number of students enrolled, curriculum input regarding the current practices

DMS Program Director Responsibilities

• The program director must be responsible for the organization, administration, periodic review, planning, development, evaluation and general effectiveness of the program.

• The program director must have input into budget preparation and must be responsible for maintaining NAACLS accreditation of the program.

DMS Program Director Qualifications• The program director must:• be a clinical laboratory scientist/medical technologist, clinical

laboratory specialist in cytogenetics or molecular biology laboratory specialist

• hold nationally recognized certification• has a master’s or doctoral degree and three years of

experience in clinical laboratory science or diagnostic molecular education

• has knowledge of education methods and administration, as well as current accreditation and certification procedures.

DMS Program Director Faculty Appointment

• The program director must have a faculty appointment at the sponsoring institution or must have a faculty appointment in each affiliated academic institution.

• In the case of a clinically based program, the program director's appointment at affiliated academic institutions may be a regular one, a non-salaried clinical or courtesy appointment, or an adjunct appointment, depending upon the regulations of the academic institution

DMS Advisory Committee• There must be an advisory committee composed

of individual(s) from the community of interest who have knowledge of molecular science education.

• For example, the committee can be composed of the following: pathologists, other physicians, scientific consultants, academic professionals, administrators, practicing clinical laboratory technologists, practicing clinical technicians and other health professionals

DMS Advisory Committee Responsibilities

• The advisory committee of the program shall have input into any aspect of the program/curriculum with regard to its current relevancy and effectiveness into the medical content of the program

• For example, number of students enrolled, curriculum input regarding the current practices

HT Program Director Responsibilities

• The program director must be responsible for the organization, administration, periodic review, planning, development, evaluation and general effectiveness of the program.

• The program director must have input into budget preparation and must be responsible for maintaining NAACLS accreditation of the program.

HT Program Director QualificationsThe program director must:• have a baccalaureate degree• have three years of experience in medical or laboratory• have knowledge of education methods and

administration as well as current accreditation and certification procedures.

• be nationally certified in histotechnology– if the program director is not certified in histotechnology, a

qualified, nationally certified in histotechnology education coordinator must be an employee of the sponsoring institution or a contractual relationship between the parties must be documented.

HT Program Director Faculty Appointment

• The program director must have a faculty appointment at the sponsoring institution or must have a faculty appointment in each affiliated academic institution.

• In the case of a clinically based program, the program director's appointment at affiliated academic institutions may be a regular one, a non-salaried clinical or courtesy appointment, or an adjunct appointment, depending upon the regulations of the academic institution

HT Education Coordinator (when required)

A. Responsibilities• The education coordinator, when required,

must provide supervision and coordination of the instructional faculty in the academic and clinical phases of the education program.

HT Education Coordinator (when required)

B. Qualifications• The education coordinator, when required, shall be

a histotechnology professional who is certified in histotechnology by a nationally recognized certifying agency, and who has at least an associate’s degree and three years of experience in histotechnology

• The education coordinator must have knowledge of education methods and current accreditation and certification procedures

HT Advisory Committee• There must be an advisory committee

composed of individual(s) from the community of interest who have basic knowledge of laboratory medicine

• For example, the committee can be composed of the following: pathologists, other physicians, scientific consultants, academic professionals, administrators, histotechnologists, histotechnicians, and other health professionals

HT Advisory Committee Responsibilities

• The advisory committee of the program shall have input into any aspect of the program/curriculum with regard to its current relevancy and effectiveness into the medical content of the program

• For example, number of students enrolled, curriculum input regarding the current practices

HTL Program Director Responsibilities

• The program director must be responsible for the organization, administration, periodic review, planning, development, evaluation and general effectiveness of the program.

• The program director must have input into budget preparation and must be responsible for maintaining NAACLS accreditation of the program.

HTL Program Director QualificationsThe program director must:• have a baccalaureate degree• have three years of experience in medical or laboratory

education• have knowledge of education methods and administration

as well as current accreditation and certification procedures.• be nationally certified in histotechnology

– if the program director is not certified in histotechnology, a qualified, nationally certified in histotechnology education coordinator must be an employee of the sponsoring institution or a contractual relationship between the parties must be documented.

HTL Program Director Faculty Appointment

• The program director must have a faculty appointment at the sponsoring institution or must have a faculty appointment in each affiliated academic institution.

• In the case of a clinically based program, the program director's appointment at affiliated academic institutions may be a regular one, a non-salaried clinical or courtesy appointment, or an adjunct appointment, depending upon the regulations of the academic institution

HTL Education Coordinator (when required)

A. Responsibilities• The education coordinator, when required,

must provide supervision and coordination of the instructional faculty in the academic and clinical pases of the education program

HTL Education Coordinator (when required)

B. Qualifications• The education coordinator, when required, shall be

a histotechnology professional who is certified in histotechnology by a nationally recognized certifying agency, and who has at least an baccalaureate degree and three years of experience in histotechnology

• The education coordinator must have knowledge of education methods and current accreditation and certification procedures

HTL Advisory Committee• There must be an advisory committee

composed of individual(s) from the community of interest who have basic knowledge of laboratory science education

• For example, the committee can be composed of the following: pathologists, other physicians, scientific consultants, academic professionals, administrators, histotechnologists, histotechnicians, and other health professionals

HTL Advisory Committee Responsibilities

• The advisory committee of the program shall have input into any aspect of the program/curriculum with regard to its current relevancy and effectiveness into the medical content of the program

• For example, number of students enrolled, curriculum input regarding the current practices

PathA Program Director Responsibilities

• The program director must be responsible for the organization, administration, periodic review, planning, development, evaluation and general effectiveness of the program.

• The program director must have input into budget preparation and must be responsible for maintaining NAACLS accreditation of the program.

PathA Program Director QualificationsThe program director shall have:• a faculty appointment in the sponsoring institution and meet all

requirements specified by the institution responsible for providing the didactic portion of the educational program and maintaining the overall operation of the program.

The program director shall be: • a graduate of a NAACLS-accredited (AAPA approved prior to 1995)

pathologists’ assistant educational program with an advanced degree (masters or doctoral), or a board-certified anatomic pathologist, or hold a doctoral degree in a basic medical science.

The program director shall have:• practical knowledge of educational methods, and current accreditation and

certification procedures.

PathA Advisory Committee• There must be an advisory committee

composed of individual(s) from the community of interest who have knowledge of clinical laboratory science education.

• For example, the committee can be composed of the following: pathologists, other physicians, scientific consultants, academic professionals, administrators, practicing pathologist’s assistants, and other professionals

PathA Advisory Committee Responsibilities

• The advisory committee of the program shall have input into any aspect of the program/curriculum with regard to its current relevancy and effectiveness

• For example, number of students enrolled, curriculum input regarding the current practices

Medical Advisor/Medical Director

Responsibilities:• The medical advisor/director shall provide

continuous medical direction for clinical instruction.

• The medical advisor/director shall actively elicit the understanding and support of practicing physicians, and shall participate in the clinical instruction of pathology within the program.

Medical Advisor/Medical Director

Qualifications• The medical advisor/director shall have a

faculty appointment in the sponsoring institution and shall be a licensed, board-certified anatomic pathologist.