[Histonet] 72644.18148.qm@web111105.mail.gq1.yahoo.com

Mon Apr 5 14:58:12 CDT 2010

Bryan,

Thanks for your details explanation on what look to be a very different
system.
Though something I am confused with an maybe you or someone else can clarify
this for me.

In the UK to be allow to practice as a Biomedical Scientist in any
laboratory discipline, you need of have a Accredited Hons Degree, and
undergo your HPC registration, Specialist status is only acquire after
passing the part 2 of the HPC registration (this is pretty new ).

Most of fully qualify Specialist Biomedical Scientist have also Post
Graduate qualifications.

Now I am reading right that not all the histotechnologist in the US are ASCP
registered ?
Is the ASCP registration not a Mendatory requirement to practice as a
histotechnologist ?
Does the registration rules vary from states to states?

Cheers

Malika

On Mon, Apr 5, 2010 at 8:37 PM, Bryan Llewellyn <llewllew <@t> shaw.ca> wrote:

> Comparing the situations in different countries can be very confusing.  I
> traied in the UK (many years ago) and have lived in Canada for a long time,
> but I do have some (limited) information about the US system.
>
> First off, Medical Laboratory Technology in the UK and Canada includes
> histotechnology as one of the integral subject areas, but the US does not.
> Histotechnology is a standalone subject there, by and large.
>
> The ASCP is different from the Health Professional Council (used to be
> Council for professions supplementary to medicine when I lived there).  That
> is a licensing body, and its function is carried out by some state agencies
> (in the US) and some provincial agencies (in Canada).  However, not all
> states and provinces require licensing to work as a medical laboratory
> technologist/histotechnologist.  The ASCP used to run the commonest US
> qualifying exams (still do ??, I am not sure) and kept a registry of
> qualified technologists, although there are others systems.  In Canada it is
> done by the CSMLS (Canadian Society for Medical Laboratory Sciences).  The
> equivalent organisation in the UK is the IBMS (Institute of Biomedical
> Sciences).
>
> In Canada it is possible to take specialty training in a subject area at
> both initial level and post initial level.  So you can be an RT (Registered
> Technologist) in medical laboratory technology generally, or an RT in
> cytology or electron microscopy as examples.  All RTs can take advanced
> examinations as general or specialist technologists, depending on their
> initial RT status.  There used to be a third level (Fellowship in the CSMLS)
> but it was abandoned because so few technologists took it.  That was about
> the same level as the UK three part exam.  An applicable BSc is now required
> in Canada to advance post RT.
>
> As to 16 year olds in labs.  I started work in the UK in Hackney six days
> before my 17th birthday in 1960.  A month later I was doing haemoglobins by
> finger stick with Hagedorn needles, ESRs and going around the wards.  A year
> later I was well versed in clinical chemistry (urea, glucose, bilirubin,
> alkaline phosphatases etc - all done manually with what passed for micro
> methods in those days.  Students like me did about 80% of the work in those
> days because the profession was expanding so fast due to the introduction of
> the public health care system in Britain.  Things change, and that just
> would not be allowed today.  I suspect that 16 year olds doing grossing is
> very unusal and in the US would likely be viewed as an invitation for the
> pathologists to be sued.  Remember, it was April 1st!
>
> In the US the CAP (College of American Pathologists) is involved in an
> accreditation system with other agencies.  In Canada the CAP (Canadian
> Association of Pathologists) is a player in some accrediatation systems, but
> in Canada health care is legally a provincial responsibility, so
> accreditation is done by provincial agencies for each province.  That is
> also the reason licensing varies from province to province here.  Our
> country wide qualifying system by the CSMLS is a fortunate anomoly that
> nobody wants to change because it works so well for us.
>
> I hope this explains a little.
>
> Bryan Llewellyn
>
> ----- Original Message ----- From: "Malika Benatti" <
> malbenatti <@t> googlemail.com>
> To: "Mark Tarango" <marktarango <@t> gmail.com>
> Cc: <histonet <@t> lists.utsouthwestern.edu>; "Andrew Burgeson" <
> napoli <@t> siscom.net>
> Sent: Monday, April 05, 2010 11:03 AM
> Subject: Re: [Histonet] 72644.18148.qm <@t> web111105.mail.gq1.yahoo.com
>
>
>  I am very confuse reading every email reply to this tread also I would be
>> really grateful if someone could enlighten with regard to what is the
>> comment practice in the US.
>>
>> Having been trained as a histotechnologist although we are call Specialist
>> Biomedical Scientist in the UK, we cannot practice unless we are fully
>> registered with the Health Professional Council HPC, which I believe has
>> the
>> same role as the ASCP. Every 2 years we may be audited a demonstrate that
>> we
>> fully comply with HPC regulation and CPD or lose or registration. All
>> laboratories are accredited by the Clinical Pathology Accreditation CPA
>> under the international organization for standardization legislation (ISO
>> 15189).
>>
>> Laboratory accreditation happen every 2 years cycle for which the
>> laboratory
>> has to comply with a set of standard.
>> During inspection accessor review everything with a fine tooth comb, and
>> score you some of the issues may just be minors but they will always get
>> you
>> with a critical issue, which you will have a set amount of time to
>> correct,
>> they will then return and verify that all non compliance and critical
>> issues
>> have been address before giving you CPA accreditation status.
>>
>> Having a 16 years old out of school with little experience in histology
>> and
>> no formal training grossing specimen is never heard off, only Register
>> Biomedical Scientist are allowed to do small biopsies, Advance
>> Practitioner,
>> Trainee Pathologist, will be involved in the grossing of lager specimens,
>> and tumour specimens.
>>
>>
>>
>>
>> On Mon, Apr 5, 2010 at 6:18 PM, Mark Tarango <marktarango <@t> gmail.com>
>> wrote:
>>
>>  When I was 16 years-old I was grossing in the lab.  We had
>>> very busy pathologists (busy reading slides) who thought it was okay to
>>> train their courier (me at the time) to gross.  I had already been there
>>> handing them bottles and closing cassette lids for several months.
>>>
>>> When we had our first CLIA inspection, they had me intial and sign
>>> paperwork
>>> saying that I had grossed so many cases of various specimen types under
>>> patholgist supervision and had been grossing so long.  The problem was
>>> that
>>> I was only a high school graduate at the time.  They then changed
>>> direction
>>> and told the inspectors that the pathologists did all the grossing.
>>>
>>> Just brings back memories.  Thought I'd share.
>>>
>>> Mark Tarango
>>> On Mon, Apr 5, 2010 at 10:03 AM, Andrew Burgeson <napoli <@t> siscom.net>
>>> wrote:
>>>
>>> > The point is not about gender, as I stated before...
>>> >
>>> > It's about a person's health risks and lack of training
>>> > overlooked for the sake of labor. TYVM
>>> >
>>> >
>>> >
>>> > _______________________________________________
>>> > Histonet mailing list
>>> > Histonet <@t> lists.utsouthwestern.edu
>>> > http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>>> >
>>> _______________________________________________
>>> Histonet mailing list
>>> Histonet <@t> lists.utsouthwestern.edu
>>> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>>>
>>>
>>
>>
>> --
>> " Smile .... it confuses people  "
>> _______________________________________________
>> Histonet mailing list
>> Histonet <@t> lists.utsouthwestern.edu
>> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>>
>>
>

-- 
" Smile .... it confuses people  "