[Histonet] Re:peggy wenk comments on HT/HTL practical - To stick a Pin

Wed Aug 31 10:46:04 CDT 2011

If my memory severs me correctly.....  is not "required" that a canidate must also have lab experience inorder to take the exam wheather it be from a histotech program or on the job training. So anyone who becomes HT/HTL certified should not only know basic theory but should also have atleast basic experience in micotomy, staining, fixation etc. I thought that this was the case for any of the routes that it takes to become certified.

What I have found is that a person can start out in a specialty lab and work thier way up  and get the work experience that is required to sit for the exam however because they only have experience in THAT lab, they are in a disadvantage because they do not have routine experience.

For example, I know a person who started out in  a research lab and was trained and worked thier way up in about 3 years. They studied and sat for the exam because they had the required work experience and passed. They are now certified. However, whenn they got employed at a hospital that mostly did routines, they did have to be trained a little to undertsand rouine histology. They had never done basic trichromes and they were slow at sectioning because speed was not as important where they were from. But the basic theory and micotmy, he had.

I say all this to say...... Just because a person has the credientials does not mean that they have all the experience even though they are certified. So sometimes it may take a little training but i admit that it shouldnt take much as if they are a beginner... as they are certified. Thats just my opinion.

I remain yours truely, 

Candice Camille 

From: Jennifer MacDonald <JMacDonald <@t> mtsac.edu>
To: Rene J Buesa <rjbuesa <@t> yahoo.com>
Cc: "histonet <@t> lists.utsouthwestern.edu" <histonet <@t> lists.utsouthwestern.edu>; Matthew Lunetta <MLunetta <@t> luhcares.org>; JoyceWeems <JWeems <@t> sjha.org>; histonet-bounces <@t> lists.utsouthwestern.edu; Shirley A. Powell <POWELL_SA <@t> mercer.edu>
Sent: Wednesday, August 31, 2011 10:21 AM
Subject: RE: [Histonet] Re:peggy wenk comments on HT/HTL practical - To stick a Pin

Graduating students in histotech programs DO clinical rotations.  They 
have hands-on experience.  They are not just learning the theory from 
books. 

Rene J Buesa <rjbuesa <@t> yahoo.com> 
Sent by: histonet-bounces <@t> lists.utsouthwestern.edu
08/31/2011 07:54 AM

To
"Shirley A. Powell" <POWELL_SA <@t> mercer.edu>, JoyceWeems <JWeems <@t> sjha.org>, 
Matthew Lunetta <MLunetta <@t> luhcares.org>, 
"histonet <@t> lists.utsouthwestern.edu" <histonet <@t> lists.utsouthwestern.edu>, 
JoeGalbraith <joseph-galbraith <@t> uiowa.edu>
cc

Subject
RE: [Histonet] Re:peggy wenk comments on HT/HTL practical - To stick    a 
Pin

Regardless of all the reasoning and good intentions, or even "advantages" 
eliminating the practical part of the ASCP (either HT or HTL) and 
concentrating in the "theory" only, is like graduating a medical student 
without doing any hospital rotations.
I would not want to be treated by such an MD.
If cheating in the exam was "a given" it is because those who were 
supposed to do the training were not doing their job correctly.
I would not want to have a recently "certified" HT(ASCP) in my lab that I 
would have to train the practical aspects of the trade. I would expect 
that such a certified HT would be able to work with quality since the 
beginning.
You can never correct "a wrong" by doing another even greater "wrong".
René J

--- On Wed, 8/31/11, Galbraith, Joe <joseph-galbraith <@t> uiowa.edu> wrote:

From: Galbraith, Joe <joseph-galbraith <@t> uiowa.edu>
Subject: RE: [Histonet] Re:peggy wenk comments on HT/HTL practical - To 
stick a Pin
To: "Shirley A. Powell" <POWELL_SA <@t> mercer.edu>, "Weems, Joyce" 
<JWeems <@t> sjha.org>, "Matthew Lunetta" <MLunetta <@t> luhcares.org>, 
"histonet <@t> lists.utsouthwestern.edu" <histonet <@t> lists.utsouthwestern.edu>
Date: Wednesday, August 31, 2011, 9:36 AM

Histoland:

I have to agree also.  Programs that are graduating students with none of 
the skills listed in Matt's message are not doing their students or the 
profession any favors.  Programs certified to produce graduates should be 
required to place these students in rotations that give them practical 
experience and manual skills.  As a University based hospital we 
collaborate with area programs to provide their students with a practical 
rotation.  Believe me they must get up to speed quickly under our tutelage 
and leave having learned the skills or they do not pass our rotation.  If 
programs are just training students to pass the ASCP written exam without 
any practical experience either on site at the program or in collaboration 
with real labs then that is indeed a sad state of affairs and one that we 
as professionals should address via NSH and ASCP.  The practical may not 
have been the answer for everyone but we should not allow students to 
graduate without
basic practical skills.  Thanks.

Joe Galbraith
Univ of Iowa

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu 
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Shirley A. 
Powell
Sent: Tuesday, August 30, 2011 7:32 PM
To: Weems, Joyce; Matthew Lunetta; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Re:peggy wenk comments on HT/HTL practical - To 
stick a Pin

I second that Joyce.
sp

________________________________________
From: histonet-bounces <@t> lists.utsouthwestern.edu 
[histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce 
[JWeems <@t> sjha.org]
Sent: Tuesday, August 30, 2011 6:17 PM
To: Matthew Lunetta; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Re:peggy wenk comments on HT/HTL practical - To 
stick a Pin

I don't understand how a student of any program would have not a portion 
of their program dedicated to these skills. We partner with Darton College 
and their students to do a certain number of hours for their "Clinicals". 
They know how to do those things, are trained by the clinical coordinator 
for the program, and are graded on their work.

Are they prepared to go into a lab and work like they've done OJT for 1-2 
years? Not at all, but they need to be hired with the understanding that 
they will need time and patience to develop their speed and their skill.

My 2 cents...

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu 
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Matthew 
Lunetta
Sent: Tuesday, August 30, 2011 13:59
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Re:peggy wenk comments on HT/HTL practical - To stick 
a Pin

Hey all,

I found Peggy's comments on why the practical was discontinued to be very 
interesting. Of late I have had some experience with a new HT that 
graduated from a program and passed the current HT exam.
So, as they say in Great Britain, to stick a pin in the ASCP reasons.

This new fresh and shiny HT has all the book knowledge we needed them to 
have. What they did not have was any technical skills.
1) never used a microscope or centrifuge.
2) no special staining experience
3) no embedding experience
4) no cutting experience

When they cut or embed they are no were near the speed, accuracy or 
quality that is needed in our industry. While they can answer any question 
you ask them they just do not have the technical skills one would expect 
from a new graduate.

I have learned several lessons from this experience.

1) I am so very glad I was one of the last HT's to have taken the 
practical
2) Any new HT's will be taking a practical if I am involved in the 
selection process.
3) I will question they quality of any new HT from this particular program

While I am sure that there are many new HT's that do have the skills 
needed, this one experience has caused me to be more cautious.

Respectfully,

Matt Lunetta
BS, HT (ASCP)

Message: 2
Date: Tue, 30 Aug 2011 18:09:46 +0200
From: "Gudrun Lang"
Subject: AW: [Histonet] Re: peggy wenk comments on HT/HTL practical
To: "'Bob Richmond'"
Cc: histonet <@t> lists.utsouthwestern.edu
Message-ID: <8B7976B131854ABC8DB236FAB5026851 <@t> dielangs.at>
Content-Type: text/plain; charset="iso-8859-1"

Dear Dr. Richmond
Here in Austria we have a job open for a pathologist with 5 years
experience. ;)
Please, think it over to come. Lovely mountains, lovely techs...

It sounds, like you are from that sort of pathologist techs dream of.
Gudrun

-----Ursprüngliche Nachricht-----
Von: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] Im Auftrag von Bob
Richmond
Gesendet: Dienstag, 30. August 2011 04:43
An: histonet <@t> lists.utsouthwestern.edu
Betreff: [Histonet] Re: peggy wenk comments on HT/HTL practical

I really appreciate Peggy Wenk's analysis of the practical examination
and why it had to be dropped. I never really understood the issue
before.

I must confess I always enjoyed helping the prospective examinee
obtain exactly the right tissue.

"No, this endometrium is poorly preserved. We'll arrange with surgery
for a completely fresh specimen - I'll block it initially for the
diagnosis, then we'll fix it overnight and then block it exactly to
specifications. - Ick - this one's been curetted - we'll get another
one".

"I'll block the margins of this colon resection specimen, then we'll
pin a portion of tissue onto paraffin and fix it flat overnight."

"Next time I do an autopsy we'll get a lumbar spinal cord in the
intact dura. I'll open the dura dorsally and ventrally with iridectomy
scissors, then we'll hang it in neutral buffered formalin for two
days. Then I'll tie the dura and dependent nerves with a cotton
string. When you embed you'll remove the string, taking care that dura
and nerves remain in position. After that it's all yours. If it
doesn't work the first time, we've got three more levels in the jar."

OK, I'm a geek, I'm 72 years old, I got a right.

Bob Richmond
Samurai Pathologist
Knoxville TN

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