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Medical technologist

A medical laboratory scientist (MLS) (also referred to as a medical technologist, a clinical scientist, or clinical laboratory technologist) is a healthcare professional who performs chemical, hematological, immunologic, microscopic, and bacteriological diagnostic analyses on body fluids such as blood, urine, sputum, stool, cerebrospinal fluid (CSF), peritoneal fluid, pericardial fluid, and synovial fluid, as well as other specimens. Medical laboratory scientists work in clinical laboratories as well as hospitals, physician’s offices, reference labs, biotechnology labs and non-clinical industrial labs.

In the United States, a medical laboratory scientist (MLS), medical technologist (MT) or clinical laboratory scientist (CLS, California only) typically earns a bachelor’s degree in clinical laboratory science, biomedical science, medical technology or in a life / biological science (biology, biochemistry, microbiology, etc.), in which case certification from an accredited training program is also required. Medical technologists who are certified and in good standing by a number of certification bodies, including the National Medical Laboratory Science Council or the American Society for Clinical Pathology (ASCP) are entitled to use the credential “MLS” after their names.

Subspecialties also requiring a four-year degree include cytotechnologists, who study cells and cellular anomalies, and histotechnologists, who work on the detection of tissue abnormalities and the treatment for the diseases causing the abnormalities.

In addition, there are also medical laboratory technicians (MLTs) who earn two-year degrees plus certification.

In the United States, the Clinical Laboratory Improvement Amendments (CLIA ’88) define the level of qualification required to perform tests of various complexity. Clinical laboratory scientists, medical technologists and medical laboratory scientists are the highest level of qualification, and are generally qualified to perform the most complex clinical testing including HLA testing (also known as tissue typing) and blood type reference testing.

Most medical technologists are generalists, skilled in all areas of the clinical laboratory. However some are specialists, qualified by unique undergraduate education or additional training to perform more complex analyses than usual within a specific field. Specialties include clinical biochemistry, hematology, coagulation, microbiology, bacteriology, toxicology, virology, parasitology, mycology, immunology, immunohematology (blood bank), histopathology, histocompatibility, cytopathology, genetics, cytogenetics, electron microscopy, and IVF labs.

Medical technologists with such a specialty may use additional credentials, such as “SBB” (Specialist in Blood Banking) from the American Association of Blood Banks, or “SH” (Specialist in Hematology) from the ASCP.

In the United States, Medical Laboratory Scientists can be certified and employed in infection control. These professionals monitor and report infectious disease findings to help limit iatrogenic and nosocomial infections. They may also educate other healthcare workers about such problems and ways to minimize them.

LIS Market Evolving To Serve New Needs

CEO SUMMARY: Ongoing reimbursement declines, coupled with other key factors, are pushing labs to seek new capabilities for their laboratory information systems (LIS). Another influence is the growth of molecular diagnostic programs in hospital labs. Molecular testing places unique demands…

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JCAHO, NQF CEOs Speak to Lab’s Future Role

CEO SUMMARY: What an opportunity! On the same podium were the presidents of both the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the National Quality Forum (NQF), specifically to speak about laboratory medicine’s role in the evolution of the nation’s heal…

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Doctor “Pay to Perform” Launched by Medicare

CEO SUMMARY: Medicare’s just-announced physician “pay-for-performance” program will be a positive development for laboratories and pathologists. One consequence is that physicians will be measured on how effectively they use recommended lab tests in certain areas of care. This will …

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Bi-Annual Look at Trends Reshaping Clinical Labs

CEO SUMMARY: Among other things, we declare the end to the heyday of the independent commercial lab company which offers a broad test menu to all types of office-based physicians. In its place springs forth the specialty or niche testing laboratory. Small and focused on a specific number …

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Mayo’s Scottsdale Hospital Lab Hits Big “Lean” Home Runs

CEO SUMMARY: Are Lean and Six Sigma techniques ready to make a big contribution in the laboratories of smaller hospitals? If you ask lab managers at Mayo Clinic’s Scottsdale Hospital, the answer is an unqualified “Yes!” Their 15-week Lean project in the hospital’s high volume core…

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Linking UroCor Indictments With Specialist Doc Pathology

IS THE TIMING of the criminal indictments of three ex-UroCor executives going to be a fortuitous event for the anatomic pathology profession? I ask this question because the exploding trend of specialist physician groups internalizing anatomic pathology services was slated to be the…

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Sysmex Anticipates Major Shifts In Laboratory Testing Market

“Innovating from our core technologies will lead Sysmex into very different areas of laboratory testing.” —John Kershaw CEO SUMMARY: Sysmex America, Inc. surprised many this year when it hired its own sales and service team and begin distribu…

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Molecular Diagnostics’ “Gap in Expectations”

CEO SUMMARY: This year’s Executive War College provided strong evidence that the twin trends of molecular diagnostics and Lean management methods are taking root within the laboratory industry. Each is a trend in its infancy. Molecular diagnostics will require considerable time before i…

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Pathologist Activities Evolve In VA’s “Paperless” Hospitals

“When a hospital or laboratory goes ‘paperless’, it’s no longer ‘business as usual’ for pathologists.” —Bruce Dunn, M.D. CEO SUMMARY: One outcome of the Veteran Administration’s (VA) ongoing effort to create a totally-integrated i…

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ASCP’s “Molecular Pathology” Certification Now Available

RECOGNIZING the growing importance of molecular pathology, the American Society of Clinical Pathology (ASCP) established a new certification program in this diagnostic specialty. Offered since June 2003, 18 people have passed the examination and can use the designation “MP (ASCP)….

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