[Histonet] ASCP - lots of questions!!!
ploykasek <@t> phenopath.com
Tue Mar 1 11:55:08 CST 2005
I do agree with most of your statement. Was just wondering what final
diagnosis are you making? Histotechs can do FISH but NO ONE but a doc should
interpret FISH on solid tumors - histo techs, med techs and cytogenetics
techs do not have the training to determine what is tumor and what is not
tumor. This is a regulation. For anatomic pathology, the CLIA & CAP etc
consider the docs ³testing personnel² - they are the ones making the final
diagnosis. We are here to perform technological services to ensure high
quality patient care, and to support the pathologist. As I have moved along
in my career, I have come to view my role a bit more as a ³support² for the
docs. Without our high quality lab work, the docs can not make as good a
diagnosis. I try to work with the docs to come up with the services to meet
their needs. And if you¹re really lucky, as I have been, you work for
people who value your skills and knowledge.
Just my thoughts on this rather interesting topic.
\ From what I read, those newly registered will be required to have CEUs in
> order to renew their registry with the ASCP. I have not ready anything that
> is going to require those that have been registered to acquire CEUs. I have
> thought that eventually we will all be required to have the CEUs in order to
> renew membership. Why did the ASCP not do that?
> I think it is a good idea. But what will happen if one does not renew
> their registry? What kind of regulations are going to require that the
> histologists renew their membership? How are they going to enforce this?
> And if
> it turns out that this will be required of all of us ... what is to keep
> labs from hiring unregistered (unrenewed membership). Is this really going
> amount to anymore then a pile of beans? It would be nice if it did.
> As it is, there are some pathologists that feel a monkey can crank that
> microtome. No respect for our professions. This is really a true
> statement. Here in the state of Louisiana when Licensure came up for medical
> professionals, we were not included. Intentionally not included. Not just
> oversight. Manicurist and hair dressers here are licensed, but not the
> And some of this disrespect has been earned! It has taken so long for us to
> accept the fact that we need college. How many of us out there can say that
> we have kept up with new technology in our field? If you are a member of
> this histonet server and an NSH member you most likely have taken those giant
> steps forward. Think of all the folks you know in histology that think they
> know it all and yet you would not want them in your lab! Maybe if we do this
> and bit that bullet, get our education (four years of college) and CEUs CLIA
> might recognize us! CLIA might just realize that we are a professional group
> that can do "complicated" tests, such as flow, fish and probes. If they
> knew how complicated immunohistochemistry is, they just might take that away
> from us too! If they knew that we are the professionals that make that final
> diagnosis they might not let us work in the lab! They can do all the blood
> work and do all kinds of tests.... but they still need us!
> My apologies,if I have offended anyone. My cage just got rattled and I
> just can't be quiet anymore.
> Pearl, from Louisiana
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