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Nairaland Forum / Nairaland / General / Health / Should Doctors Head Medical Laboratories In Nigeria? (3235 Views)
Roles Of Physcians In Medical Laboratories / Minister Of Health To Close Down Fake Medical Laboratories (2) (3) (4)
Should Doctors Head Medical Laboratories In Nigeria? by Nobody: 9:45pm On May 12, 2013 |
Pathology - What is Pathology? Pathology is the study and diagnosis of disease through examination of organs, tissues, bodily fluids, and whole bodies (autopsies). Pathology also encompasses the related scientific study of disease processes, called general pathology. Medical pathology is divided into two main branches, anatomical pathology and clinical pathology. General pathology, also called investigative pathology, experimental pathology, or theoretical pathology, is a broad and complex scientific field which seeks to understand the mechanisms of injury to cells and tissues, as well as the body's means of responding to and repairing injury. Areas of study include cellular adaptation to injury, necrosis, inflammation, wound healing, and neoplasia. It forms the foundation of pathology, the application of this knowledge to diagnose diseases in humans and animals. The term ''general pathology'' is also used to describe the practice of both anatomical and clinical pathology. Pathologists are doctors who diagnose and characterize disease in living patients by examining biopsies or bodily fluids. In addition, pathologists interpret medical laboratory tests to help prevent illness or monitor a chronic condition. The vast majority of cancer diagnoses are made by pathologists. Pathologists examine tissue biopsies to determine if they are benign or cancerous. Some pathologists specialize in genetic testing that can, for example, determine the most appropriate treatment for particular types of cancer. In addition, a pathologist analyzes blood samples from a patient's annual physical and alerts their primary care physician to any changes in their health early, when successful treatment is most likely. Pathologists also review results of tests ordered or performed by specialists, such as blood tests ordered by a cardiologist, a biopsy of a skin lesion removed by a dermatologist, or a Pap test performed by a gynecologist, to detect abnormalities. Pathologists work with other doctors, medical specialty societies, medical laboratory professionals, and health care consumer organizations to set guidelines and standards for medical laboratory testing that help improve a patient's medical care and guide treatment, as well as ensure the quality and safety of domestic and international medical laboratories. Pathologists may also conduct autopsies to investigate causes of death. Autopsy results can aid living patients by revealing a hereditary disease unknown to a patient's family. Pathology is a core discipline of medical school and many pathologists are also teachers. As managers of medical laboratories (which include chemistry, microbiology, cytology, the blood bank, etc.), pathologists play an important role in the development of laboratory information systems. Although the medical practice of pathology grew out of the tradition of investigative pathology, most modern pathologists do not perform original research. Pathology is a unique medical specialty. Pathology touches all of medicine, as diagnosis is the foundation of all patient care. In fact, more than 70 percent of all decisions about diagnosis and treatment, hospital admission, and discharge rest on medical test results. Pathologists play a critical role on the patient care team, working with other doctors to treat patients and guide care. To be licensed, candidates must complete medical training, an approved residency program, and be certified by an appropriate body. In the US, certification is by the American Board of Pathology or the American Osteopathic Board of Pathology. The organization of subspecialties within pathology varies between nations, but usually includes anatomic pathology and clinical pathology. www.news-medical.net/health/Pathology-What-is-Pathology.aspx |
Re: Should Doctors Head Medical Laboratories In Nigeria? by Nobody: 9:49pm On May 12, 2013 |
[quote author=Laalamed]Pathology - What is Pathology? Pathology is the study and diagnosis of disease through examination of organs, tissues, bodily fluids, and whole bodies (autopsies). Pathology also encompasses the related scientific study of disease processes, called general pathology. Medical pathology is divided into two main branches, anatomical pathology and clinical pathology. General pathology, also called investigative pathology, experimental pathology, or theoretical pathology, is a broad and complex scientific field which seeks to understand the mechanisms of injury to cells and tissues, as well as the body's means of responding to and repairing injury. Areas of study include cellular adaptation to injury, necrosis, inflammation, wound healing, and neoplasia. It forms the foundation of pathology, the application of this knowledge to diagnose diseases in humans and animals. The term ''general pathology'' is also used to describe the practice of both anatomical and clinical pathology. Pathologists are doctors who diagnose and characterize disease in living patients by examining biopsies or bodily fluids. In addition, pathologists interpret medical laboratory tests to help prevent illness or monitor a chronic condition. The vast majority of cancer diagnoses are made by pathologists. Pathologists examine tissue biopsies to determine if they are benign or cancerous. Some pathologists specialize in genetic testing that can, for example, determine the most appropriate treatment for particular types of cancer. In addition, a pathologist analyzes blood samples from a patient's annual physical and alerts their primary care physician to any changes in their health early, when successful treatment is most likely. Pathologists also review results of tests ordered or performed by specialists, such as blood tests ordered by a cardiologist, a biopsy of a skin lesion removed by a dermatologist, or a Pap test performed by a gynecologist, to detect abnormalities. Pathologists work with other doctors, medical specialty societies, medical laboratory professionals, and health care consumer organizations to set guidelines and standards for medical laboratory testing that help improve a patient's medical care and guide treatment, as well as ensure the quality and safety of domestic and international medical laboratories. Pathologists may also conduct autopsies to investigate causes of death. Autopsy results can aid living patients by revealing a hereditary disease unknown to a patient's family. Pathology is a core discipline of medical school and many pathologists are also teachers. As managers of medical laboratories (which include chemistry, microbiology, cytology, the blood bank, etc.), pathologists play an important role in the development of laboratory information systems. Although the medical practice of pathology grew out of the tradition of investigative pathology, most modern pathologists do not perform original research. Pathology is a unique medical specialty. Pathology touches all of medicine, as diagnosis is the foundation of all patient care. In fact, more than 70 percent of all decisions about diagnosis and treatment, hospital admission, and discharge rest on medical test results. Pathologists play a critical role on the patient care team, working with other doctors to treat patients and guide care. To be licensed, candidates must complete medical training, an approved residency program, and be certified by an appropriate body. In the US, certification is by the American Board of Pathology or the American Osteopathic Board of Pathology. The organization of subspecialties within pathology varies between nations, but usually includes anatomic pathology and clinical pathology. www.news-medical.net/health/Pathology-What-is-Pathology.aspx[/quote In sane countries pathologists direct laboratories services no wonder a pathologist is appointed as director of laboratories services in uch. |
Re: Should Doctors Head Medical Laboratories In Nigeria? by Nobody: 9:54pm On May 12, 2013 |
thology as a medical specialty Pathologists are physicians who diagnose and characterize disease in living patients by examining biopsies or bodily fluid. Pathologists infrequently conduct autopsies to investigate causes of death. Pathology is a core discipline of medical school and many pathologists are also instructors. As managers of medical laboratories, pathologists play an important role in the development of laboratory information systems. Although the medical practice of pathology grew out of the tradition of investigative pathology, most modern pathologists do not perform original research. Pathology is a unique medical specialty in that pathologists typically do not see patients directly, but rather serve as consultants to other physicians (often referred to as "clinicians" within the pathology community). To be licensed, candidates must complete medical training, an approved residency program and be certified by an appropriate body. In the US, certification is by the American Board of Pathology or the American Osteopathic Board of Pathology . The organization of subspecialties within pathology varies between nations, but usually includes anatomical pathology and clinical pathology. Training Pathology in the United States In the United States, pathologists are physicians (D.O. or M.D. ) that have completed a four-year undergraduate program, four years of medical school training, and three to four years of postgraduate training in the form of a pathology residency. Training may be within two primary specialties, as recognized by the American Board of Pathology: anatomical Pathology and clinical Pathology, each of which requires separate board certification. The American Osteopathic Board of Pathology also recognizes four primary specialties: anatomic pathology, dermatopathology, forensic pathology, and laboratory medicine . Many pathologists pursue a broad based training and become certified in both fields. These skills are complementary in many hospital based private practice settings, since the day to day work of many clinical laboratories only intermittently requires the attention of a physician. Thus, pathologists are able to spend much of their time evaluating anatomical pathology cases, while remaining available to cover any special issues which might arise in the clinical laboratories. Pathologists may pursue specialised fellowship training within one or more subspecialties of either anatomical or clinical pathology. Some of these subspecialties permit additional board certification, while others do not. [1] Pathology in the United Kingdom In the United Kingdom, pathologists are medical doctors registered with — and currently licensed by — the UK General Medical Council. The training to become a pathologist is under the oversight of the Royal College of Pathologists. After four to six years of undergraduate medical study, trainees proceed to a two year foundation programme. Full-time training in Histopathology presently lasts between five to five and a half years. The first year involves structured training and is assessed by an objective structured practical exam (OSPE), which must be passed to progress to year two. This is followed by further specialist training in surgical pathology, cytopathology, and autopsy pathology. There are two examinations run by the Royal College of Pathologists, termed Part 1 and Part 2. The Part 2 examination is designed to test competence to work as an independent practitioner in pathology and is typically taken after four or five years of specialist training. All postgraduate medical training and education in the UK is overseen by the General Medical Council (GMC). It is possible to take a specialist part 2 examination in forensic pathology, pediatric pathology, or neuropathology . It is also possible to take a Royal College of Pathologists diploma in forensic pathology, dermatopathology, or cytopathology , recognising additional specialist training and expertise. Pathology in France In France, Pathology is separate in two distinct specialties, Anatomical pathology and Clinical pathology . Residencies both lasts four years. Residency in anatomical pathology is open to physicians only, while clinical pathology is open to both physicians and pharmacists . Anatomical pathology in France is integrated in the internal medicine specialty track. At the end of the second year of clinical pathology residency, residents can choose between general Clinical pathology and a specialization in one of the disciplines, but they can not practise Anatomical pathology. And conversely, Anatomical pathology residents can not practise Clinical pathology. [2][3] ↑Jump back a section Other subspecialties The following outline is an attempt at synthesising information on profession pathology as it exists in the United Kingdom [4][5] and the United States.[6] 1) Clinical Pathology: 1.1) Biochemistry and Immunology: 1.1.1) Clinical Biochemistry 1.1.2) Analytical Toxicology 1.1.3) Histocompatibility and Immunogenetics 1.1.4) Immunology 1.1.5) Tissue Banking 1.2) Haematology and Transfusion: 1.2.1) Blood Transfusion 1.2.2) Haematology 1.2.3) Haemostasis and Thrombosis 1.3) Microbiology and Infection: 1.3.1) Microbiology and Virology 1.4) Dermatopathology 2) Cellular Pathology: 2.1) Anatomical Pathology 2.2) Cytopathology and Cervical Cytology 2.3) Histopathology 3) Molecular Pathology: 3.1) Embryology: 3.1.1) Embryology and Andrology 3.2) Genetics: 3.2.1) Cytogenetics 3.2.2) Molecular genetics en.m.wikipedia.org/wiki/Pathology_as_a_medical_specialty |
Re: Should Doctors Head Medical Laboratories In Nigeria? by Nobody: 11:47pm On May 12, 2013 |
No. |
Re: Should Doctors Head Medical Laboratories In Nigeria? by obi4eze(m): 1:28am On May 13, 2013 |
No. |
Re: Should Doctors Head Medical Laboratories In Nigeria? by Nobody: 6:38am On May 13, 2013 |
obi4eze: No. why do you answer so? it seems in uk and usa pathologists direct and manage medical laboratories. why should practice should be different in nigeria? pls i need clarification. tanx. |
Re: Should Doctors Head Medical Laboratories In Nigeria? by Nobody: 6:41am On May 13, 2013 |
Flytefalls: No.sir pathologists are doctors specialized in laboratory medicine and also work in laboratories as being practices internationally. why should practice be different in nigeria? |
Re: Should Doctors Head Medical Laboratories In Nigeria? by oyatz(m): 11:53am On Mar 27, 2016 |
The MLS in Nigeria are misinforming the gullible Nigerians that they are the ONLY health professionals that should be in Medical Laboratories. In truth, MLS can carry out some tests without recourse to Pathologists e.g HbEletrophoresis,blood group determination etc but more highly technical investigations like the diagnosis of Hodgkin's disease and HLA typing etc need the input of Haematologists. The Medical Labs are just workshops within the various departments of Pathology,so an Haematologist should be the head of haemetology department 1 Like |
Re: Should Doctors Head Medical Laboratories In Nigeria? by chriskosherbal(m): 12:14pm On Mar 27, 2016 |
To some extent. |
Re: Should Doctors Head Medical Laboratories In Nigeria? by obi4eze(m): 1:17pm On Mar 27, 2016 |
oyatz: You are just beating about the bush and contradicting yourself. A well trained professional MLS can carry out most if not all medical laboratory tests, especially those done in our hospitals. By law, the MLSCN is the statutory body that regulates medical laboratory science profession. A medical laboratory scientist who specialized in histopathology can diagnose a Hodgkins lymphoma case if a lymph node from a patient with the tumor is processed and stained for microscopic examination. You call the medical labs workshops yet doctors depend much on them to make diagnosis. Who is deceiving who? If the doctors can make diagnosis on their own, why refer the patients to them for tests? The problem with doctors is their ego and know-it-all attitude. Many of them feel that other professionals are irrelevant hence the problem in the health sector. 6 Likes |
Re: Should Doctors Head Medical Laboratories In Nigeria? by oyatz(m): 9:50pm On May 12, 2016 |
obi4eze:1) I think you are manifesting unnecessary 'Victim mentality'. So if someone say a place in an industry is a workshop,it is a derogatory remark and professionals should not depend on output from such a place? 2) The Medical Laboratory are like Workshops with MULTIPROFESSIONALS working there.Pls check Wikipedia on Google for Medical Laboratories and the Professionals working there where the Pathologists come first,followed by Clinical Biochemist and Pathologist Assistants even came before Medical Lab Scientists. 3) Pathologists make diagnosis of Hodgkin's Lyphoma or Neurofibromatosis, Bile Acid assay etc. MLS working in Histopathology help to prepare the slides (they don't read the Slides and give diagnosis). Ask the MLS who have been in the profession long before you 4) The unnecessary flexing of Muscles and anti-doctor posture only happen in Gov't Hospitals/Labs. The best Medical Laboratories in Nigeria like Lancets, Pathcare, Union Diagnostics are operated by Pathologists who are Medical doctors that specialize in Laboratory Medicine and the MLS and other Health workers there work harmoniously with them like a family without confrontation or insecurity |
Re: Should Doctors Head Medical Laboratories In Nigeria? by obi4eze(m): 9:55pm On May 12, 2016 |
oyatz:I laugh at you in Chinese. 1 Like |
Re: Should Doctors Head Medical Laboratories In Nigeria? by oyatz(m): 4:23pm On May 25, 2016 |
obi4eze:I am also laughing in Arabic at your level of ignorance. Serious minded but frustrated young MLS are working and saving income to write American Society for Clinical Pathologist (ASCP) qualifying exams because in the US, ASCP ceritfied Medical Lab Scientist are the highest paid and there are proud to where their ASCP badge and here in Nigeria,ignorant and sometimes mischievious fellows will be dishing out falsehood that Pathologists are not meant to work in Pathology Laboratorie just like saying Physicists aren't meant to work in Physics Labs |
Re: Should Doctors Head Medical Laboratories In Nigeria? by obi4eze(m): 5:41pm On May 25, 2016 |
oyatz: When you tired, you'll stop blabbing. 1 Like |
Re: Should Doctors Head Medical Laboratories In Nigeria? by joyandfaith: 8:20pm On May 25, 2016 |
Medical laboratory staff The staff of clinical laboratories may include: Pathologist Clinical Biochemist Pathologists' Assistant (PA) Biomedical Scientist (BMS) in the UK, Medical Laboratory Scientist (MT, MLS or CLS) in the US or Medical Laboratory Technologist in Canada Medical Laboratory Technician (MLT in US) Medical Laboratory Assistant (MLA) Phlebotomist (PBT https://en.m.wikipedia.org/wiki/Medical_laboratory |
Re: Should Doctors Head Medical Laboratories In Nigeria? by nelszx: 8:37am On May 26, 2016 |
joyandfaith: I believe this should be the US, on online platform this is what it is like but do a deep research urself, the second and third don't exist and in ur said published site it didn't state of importance; though let's be objective here when you say pathology lab, it has room for both the Dr and the scientist. That aside the Dr shouldn't impose himself on the scientist as wanting to be the head. Like where I did my internship the pathologist (Dr) is headed by a pathologist and the scientists have deir head. Both the Dr and the scientist are the heads of the department. Think of it u want to head a scientist who spent 5 years in training in pathology (in case you don't know MLS trains you in all aspect of clinical pathology) and does a pg in same pathology (a specialty) and even a PhD only for some person to claim he has a diploma fellowship in pathology and wants to head. See what is happening now u r busy killing urself on who should head the Medical Laboratory soon u will open another thread on who should head Radiology services. Cos the radiographers are pushing to throw the radiologists as the head. One thing is certain the radiologists and Pathologists (Dr) is a different profession from radiography and MLS alike. It is only common sense dey head themselves since dey are not answerable to the MDCN but a different body entirely. It's only a matter of time things will be put aright. Same way a Dr wants to head pharmaceutical services till dey were thrown out. 1 Like |
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