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Roles Of Physcians In Medical Laboratories by Nobody: 7:09am On Oct 11, 2013 |
many medical labotatory scientists usually insult doctors or pathologists who are laboratory specialists. please read this link and form your opinion. www.cap-acp.org/guidelines_laboratory_physicians.cfm www.medscape.com/viewarticle/803844 |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 11:39pm On Oct 11, 2013 |
Guy the first link says error 404 link not found while the second one shows nothing but registration. I repeat doctors dont have any role in the hospital laboratory again, |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 7:37pm On Oct 12, 2013 |
Emzybrown: Guy the first link says error 404 link not found while the second one shows nothing but registration. I repeat doctors dont have any role in the hospital laboratory again, Advances in medical laboratory technology have driven major changes in the practice of laboratory medicine over the past two decades by the development of automated, cross-disciplinary single platform analysers. This has led to the blurring of boundaries between traditional disciplines and the emergence of core automated or blood science laboratories. This paper was commissioned by the Union of European Medical Specialists to examine the changing role of laboratory-based physicians in the light of these advances by focusing on the added value of expert interpretation of test results and resultant improvements in clinical outcomes. The paper also considers the broad range of responsibilities of laboratory-based physicians and the difficulties in precisely measuring how this translates into improved clinical outcomes. Given its provenance, the paper concentrates predominantly on the role of laboratory-based physicians while acknowledging the essential and vital role of scientists in running diagnostic laboratory services. Introduction A predictable and welcome consequence of advances in understanding of the scientific basis of medical practice in the 20th century was the development of physicians specialising in laboratory medicine (LM) or pathology. While the early pioneers were pluripotent in their approach, embracing the composite breadth of LM, the pace of advance in tissue-based diagnosis and its immediately verifiable impact on disease management meant that histopathology (also known as morbid anatomy or cellular pathology) was the first laboratory-based specialty to carve out a distinct identity. Subsequently, advances in diagnostics in other areas of LM and the need for particular expertise in distinct subject areas led to the emergence of laboratory-based physicians in haematology (including transfusion medicine), clinical biochemistry (chemical pathology), microbiology (including virology) and immunology. Across Europe, the pace of specialisation has varied with the practice of LM in its broadest sense, with the continuation of general pathology or polyvalent LM in some countries alongside the single specialties listed above. The development of a Section of LM (Medical Biopathology) within the European Union of Medical Specialist (UEMS) in 1962 in order to promote and harmonise high standards of training and practice across LM in the constituent countries of the European Union and its subsequent evolution has followed a similar vein. Although at its inception the section of LM acted as an umbrella body for all laboratory-based specialties, the presence of a critical mass of practitioners and the distinctive nature of practice in histopathology and microbiology led to the creation of individual sections for these specialties in 1988 and 2009, respectively. Over the past few decades advances in medical laboratory technology have significantly influenced and directed changing roles for physicians in many laboratory disciplines with the possible exception of histopathology. Despite advances in image analysis, the role of the histopathologist in the critical analysis of diseased tissue using a variety of conventional and molecular biological techniques, has to date, not been significantly overtaken by technology. By contrast, the automated analysis of blood and other fluids in clinical biochemistry, haematology, microbiology and immunology laboratories using a variety of techniques is not dependent on direct physician involvement. What added value then, does a laboratory-based physician bring to practice in these disciplines? In the light of the organisational changes driven by these advances and attempts to contain healthcare costs, this paper was written at the invitation of the Section of LM of UEMS to examine the role of laboratory-based physicians in improving clinical outcomes for patients undergoing laboratory tests. By so doing, it does not diminish the vital role of laboratory scientists but highlights the complementary nature of their respective roles. www.medscape.com/viewarticle/803844 |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 7:59pm On Oct 12, 2013 |
so what do you want us to do, leave the laboratories for doctors and then work where |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 5:26am On Oct 13, 2013 |
What i am saying is that med lab scientists,pathologists and other laboratorians should work together as a team. Roles must be defined and career progressiom must be formulated for all. |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 7:42pm On Oct 13, 2013 |
Laalamed: What i am saying is that med lab scientists,pathologists and other laboratorians should work together as a team. Roles must be defined and career progressiom must be formulated for all. such a case scenario is already playing out in a morbid anatomy/ histo-cytopathology lab, i bet to tell you scientists are relegated to the background by doctors. |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 5:44am On Oct 14, 2013 |
And scientists arrogate laboratories to them in chem path, micro, haema. I was told of a scientist who was abusing a chemical pathologist in presence of others. My brother, if pathologists and other laboratorians settle their differences, things can be done amicably and labs would improve patients care. Emzybrown: |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 9:08pm On Oct 14, 2013 |
Laboratory assays are done by lab scientist, so what else should a doctor be doing in a lab apart from lab test interpretation, i want to tell you that tides have changed, mls is now a professional course in university, they no longer have diplomas but degrees, after five years in university i have been trained to study disease processes, make diagnosis as well as prognosis, so i can basically interpret lab test results without a doctors presence, thou in advance countries doctors are required to just authenticate the lab test result only. |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 7:37am On Oct 15, 2013 |
Yes, mls are trained to run the tests. The role of pathologists is to autheticate or certify results. If u can go to website of america college of pathologists or search google for role of physcians or pathologists in laboratories , u will understand better what i am trying to say. Mls are custodian of laboratories just as nurses are custodian of wards or clinics. If u check the website labsarevitals, u would see that pathologists, mls and research scientists are now brainstorm in repositioning lab role in diagnosis and treatment of diseases. Mls need pathologists in lab just as pathologists cannot do anything without mls. Emzybrown: Laboratory assays are done by lab scientist, so what else should a doctor be doing in a lab apart from lab test interpretation, i want to tell you that tides have changed, mls is now a professional course in university, they no longer have diplomas but degrees, after five years in university i have been trained to study disease processes, make diagnosis as well as prognosis, so i can basically interpret lab test results without a doctors presence, thou in advance countries doctors are required to just authenticate the lab test result only. |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 7:39am On Oct 15, 2013 |
If pathologists autheticate results in advanced countries, why should nigeria be different? Emzybrown: Laboratory assays are done by lab scientist, so what else should a doctor be doing in a lab apart from lab test interpretation, i want to tell you that tides have changed, mls is now a professional course in university, they no longer have diplomas but degrees, after five years in university i have been trained to study disease processes, make diagnosis as well as prognosis, so i can basically interpret lab test results without a doctors presence, thou in advance countries doctors are required to just authenticate the lab test result only. |
Re: Roles Of Physcians In Medical Laboratories by Nobody: 12:45pm On Oct 15, 2013 |
Laalamed: If pathologists autheticate results in advanced countries, why should nigeria be different? In Nigeria it is different, doctors claim to be demi gods, they want to be worshiped that's my annoyance they see other paramedicals as junior. W e ought to work in synergy you dig. 1 Like |
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