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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.
It’s Modular Automation At Beaumont Hospital Lab
By Robert Michel | From the Volume VIII No. 12 – September 4, 2001 Issue
CEO SUMMARY: Many hospital labs are evaluating laboratory automation options. The fastest-growing problem which needs an answer is the shortage of trained medical technologists and technicians. At William Beaumont Hospital’s new laboratory, selective workstation and modular automation s…
Hospital Association Studies Nurse & Lab Staffing Issues
By Robert Michel | From the Volume VIII No. 9 – July 2, 2001 Issue
WIDESPREAD PUBLICITY about the nursing shortage is not coincidence. The American Hospital Association (AHA) is making “staffing relief” a primary reason why the current Congress should increase reimbursement and provide funding for training and recruiting healthcare workers. A v…
Changing Lab Industry Trends Identified at War College
By Robert Michel | From the Volume VIII No. 7 – May 21, 2001 Issue
CEO SUMMARY: Clinical laboratories and pathology group practices are beginning to respond to a new set of marketplace trends. Speaker after speaker at this EXECUTIVE WAR COLLEGE included new business strategies not heard in past years. Probably the most notable difference is a growing emp…
Nurse Shortage Parallels That of Fewer Med Techs
By Robert Michel | From the Volume VIII No. 3 – February 26, 2001 Issue
CEO SUMMARY: It’s a story that will soon become a national headline. Even as laboratories struggle to find enough med techs to fill open positions, hospitals are facing an even bigger problem in getting enough nurses to keep units staffed and open. Recruiting nurses overseas is one solu…
Eight Trends Reshaping Clinical Lab Services
By Robert Michel | From the Volume VIII No. 2 – February 5, 2001 Issue
CEO SUMMARY: Once again, THE DARK REPORT’S annual list of lab industry trends deals less with government regulation and influence on laboratory operations and more with the impact of new technologies and new management philosophies. Marketplace acceptance of these lab industry trends is…
DARK REPORT Presents “White Paper” Summary Of Laboratory Industry
By Robert Michel | From the Volume VII No. 18 – December 25, 2000 Issue
INTRODUCTION: To celebrate five eventful years of service to the laboratory industry and pathology profession, THE DARK REPORT is pleased to present its first “White Paper” on the laboratory industry. Our goal is help laboratories and their suppliers accurately identify relevant market dynami…
Business Premises Underlying Lab Industry Dynamics
By Robert Michel | From the Volume VII No. 18 – December 25, 2000 Issue
This chapter addresses the characteristics of the laboratory industry which define the starting point for changes and ongoing evolution. The eight business premises listed in this White Paper describe unique situations which directly influence the ability of clinical laboratories to serve the medical…
“State of Lab Industry” Holds Surprises for All
By Robert Michel | From the Volume VII No. 1 – January 3, 2000 Issue
CEO SUMMARY: Say goodbye to several of the trends which shaped the lab industry during the 1990s, such as consolidation and government compliance programs. Although these trends won’t completely disappear, they will be superseded by a number of new transformational influences. During th…
1999’s Top Ten Stories Reflect Speed of Change
By Robert Michel | From the Volume VI No. 17 – December 13, 1999 Issue
CEO SUMMARY: This year’s round-up of the lab industry’s Top Ten most important stories lacks any compelling single theme. THE DARK REPORT’s conclusion? 1999 was a transition year. No new outside forces rattled the lab industry, allowing lab executives and pathologists to concentrate…
Wedding Between AutoCyte and NeoPath Will Spawn A Single Prep/Screen System
By Robert Michel | From the Volume VI No. 10 – July 19, 1999 Issue
CEO SUMMARY: Various technologies that automate cytology and Pap smear screening entered the clinical marketplace during the last four years. Because managed healthcare views new technology with a more skeptical eye than fee-for-service healthcare, THE DARK REPORT has provided extensive a…
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