The Doctorate in Clinical Laboratory Science in USA

Transcription

1 The Doctorate in Clinical Laboratory Science in USA Dr. Behzad Poopak, DCLS PhD. Head Iranian Association of Clinical Laboratory Doctors

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3 Important Work! Clinical laboratory professionals are vital members of the health care team Up to 70% of physician decisions regarding g patient diagnosis and therapy are based on lab test results Modern medicine could not function without clinical laboratory professionals g

4 The Clinical Lab is a Biomedical Environment Requires excellent technical skills as well as problem solving, data analysis, computer skills, and good oral and written communication org

5 Clinical i l Laboratory Professionals Highly versatile skills Solving medical mysteries Providing vital information to save a life and cure a disease

6 Who Works in a Clinical Post HS Associate (2.5 Year Degree) Baccalaureat e (4 Year Degree) Masters, PhD, MD Laboratory? Phlebotomist (PBT) Clinical Laboratory Technician (CLT) or Medical Laboratory Technician (MLT) Histotechnician (HT) Clinical Laboratory Scientist (CLS) or Medical Technologist (MT) Cytotechnologist (CT) Histotechnologist (HTL) Directors, Managers, Coordinators www. LabScience. org

7 Problems Need for professionals with an advanced base knowledge and clinical practice (realized with completion of the Human Genome Project). A rapid explosion of technology an expansion of tests & laboratory services and its Complexity. Prompted the need for consultation services for test result interpretation, test utilization, and informatics. The emergence of numerous national studies that called for reshaping of the health care delivery system

8 Demands Demands on the health care system in the US U.S. to improve patient t safety and quality and resource utilization. the Institute t of Medicine i (IOM) emphasized patient-centered care, evidence based practice, and information technology.

9 Way of Approach to Problems To Achieves These goals, restructure the training of health professionals and to provide more opportunities for interprofessional training. A subsequent report, t Health Professions Education: A Bridge to Quality These demands directly impact and highlight the clinical laboratorians role in diagnostics, health and treatment monitoring, and disease prevention and early detection.

10 Timeline for Development of First DCLS Program University of Medicine and Dentistry of New Jersey,UMDNJ National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) American Society for Clinical Laboratory Science (ASCLS)

11 DCLS as a New Member DCLS is intended as the terminal practice degree for the Clinical i l Laboratory Science profession. An opportunity for advanced d practice in multiple venues including - Clinical i l institutions, - Reference laboratories, - Physician practices, - Industry, - Public health agencies, - Government facilities, - Research organizations, and - Academic institutions,

12 Responsibilities of the DCLS NAACLS categorizes the responsibilities of the DCLS into 4 areas in which these roles are utilized: - Patient care management, - Education, - Research applications, - Health care policy development, and health care services delivery and access. To contribute to the common goals of decreasing medical errors To contribute to the common goals of decreasing medical errors, reducing health care costs, and improving patient outcomes

13 The Concept of the DCLS: Role, Responsibilities and Education DCLS will provide a critical interface between practice, research, and health care policy. Assure the effective and appropriate utilization of laboratory tests This will result in decreased costs, earlier This will result in decreased costs, earlier diagnosis, and improved patient outcomes.

14 Patient Care Management DCLS will assure - Cost effective, - Medically indicated and - Quality laboratory services by developing/implementing critical paths/laboratory test algorithms, - participating in interdisciplinary rounds, managing and ordering diagnostic and therapeutic studies entering notes into patient records leading - therapeutic studies, entering notes into patient records, leading laboratory utilization reviews.

15 Education Effectively disseminate laboratory related information i as a faculty member in academe, A counselor to patients and families, A consultant to other health care professionals. Teach the public and health care professionals about over the counter and point of care laboratory tests Educate other health care professionals about new p analytes and tests resulting

16 Research In the practice of Research Applications: they will perform clinical research and outcomes studies applying research findings to clinical practice (to include applied and translational forms).

17 Health Care Policy In practice related to Health Care Policy, DCLS participate in decision-making teams Provide consultation and input in areas such as services reimbursement, professional advocacy, ethics Human subjects oversight, expert witness testimony. integral part of and participate in laboratory resources management..

18 the first advanced practice p doctorate in CLS offered in the USA

19 Doctorate in Clinical Laboratory Science: The Program The DCLS is designed for the MLS-ASCP CM with an interest in advancing theoretical and clinical learning, practice, and research. The program prepares the certified MLS for advanced practice opportunities with academic and clinical professional growth through: Advanced expert-knowledge and skills Critical thinking proficiency Interdisciplinary edscp ay collaboration a o through a focused clinical ca residency Increased skills in evidence-based practice, and research methodologies Conduct translational l research in clinical i l laboratory science

20 Mission Statement - DCLS The mission of the DCLS is: To prepare graduates for advanced practice in clinical laboratory science, instill the importance of the inter-professional team approach to health care, and increase skills in evidence-based practice and research methodologies to conduct translational research in clinical laboratory science.

21 A DCLS can contribute to the inter-professional healthcare team as: Partner with clinical pathology to serve as consultants involved in patient care and providing information to improve clinical diagnosis Consult with clinicians regarding lab test ordering and interpretation Consult with patients on understanding lab tests Develop patient-centered test algorithms, reflex testing Participate in inter-professional healthcare team conferences and clinical rounds Conduct outcomes studies that would benefit patients, patient safety, and the institution Promoters of quality health care through appropriate and cost effective utilization of clinical laboratory services Advocates of patient safety by contributing to the reduction of medical errors

22 Program Competencies The DCLS program implements the competencies developed by: 1. The American Society for Clinical Laboratory Science (ASCLS) Professional Doctorate Task Force, & 2. The Graduate Task Force of the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS). All general competencies stated shall be achieved in course experiences:

23 Program Competencies Patient Care Interpersonal and Communication Skills Professionalism Outreach Continuous Practice Improvement

24 Doctorate in Clinical Laboratory Science: Curriculum Advanced Clinical Laboratory Science Core Molecular Diagnostics 27 credits Topics in Molecular Diagnostics Advanced Hematology Advanced Hemostasis Transfusion Practice Clinical Immunology & Transplantation Advanced d Topics in Clinical i l Chemistry Infectious Disease Overview of Disease Processes & Treatment

25 Professional Core 22 credits Clinical Laboratory Utilization in Quality Healthcare Delivery Healthcare Regulations & Laboratory Management Health Services Issues & Trends Health Epidemiology Clinical & Laboratory Diagnosis Correlation I Clinical & Laboratory Diagnosis Correlation II DCLS Seminar I DCLS Seminar II DCLS Seminar III

26 Research Core 19 credits Clinical Laboratory Data Analysis Data Analysis & Interpretation I Research Methods in the Health Sciences Evidence-based Literature Review DCLS Project I DCLS Project II DCLS Project III

27 Doctorate in Clinical Laboratory Science: Curriculum Clinical Practice Core 12 credits DCLS Clinical Practicum I DCLS Clinical Practicum II DCLS Clinical Practicum III Electives may be taken in addition to the required 80 credits: Advanced Topics in Clinical Microbiology Regulatory Requirements in Clinical Investigation

28 A Pathologist's Perspective The Clinical Doctorate: A Boon to Pathologists However, how would these clinical laboratory specialists fit in alongside clinical pathologists? Further, how would clinical pathologists perceive and receive these professionals? The overall understanding of the role of the doctoral level laboratory specialist is key to these questions.

29 Will this be accepted by pathologists universally? Probably not in the short-term term. But with time and a concerted effort to work side-by side with, and not against, each other, Pathologists and clinical laboratory specialists can improve the quality of care for patients and lower the cost of healthcare.

30 What is the correct way in IRAN? BS/CLS* Clinic al Practi ce Specialis t Certifica tion Researc h/ Teachin gphd Msc Manage ment MBA Msc: Quality Managem ent? AS/MLT( CLT) BS/CLS

31 What is the correct way in Clinic al Practi ce DCL S IRAN? Researc h/ Teachin g PhD Specialis t Certifica Msc BS/CLS* tion Manage ment MBA Msc: Quality Managem ent? AS/MLT( CLT) BS/CLS

32 The DCLS, Our PhD Colleagues & the pathologist working together to improve the efficiency and quality of laboratory testing and assure patient safety.