Exploration on the way to improve teaching quality of standardized residency training for laboratory physicians / 中华医学教育探索杂志

According to the current situation of the standardized training of laboratory physicians, China Medical University has established a high-quality teaching team of laboratory doctors who are proficient in both laboratory medicine and clinic practice; established a representative and valuable clinical case database based on organ, system, and disease, covering all aspects before, during and after analysis; and provided a direction for improving the teaching quality of standardized residency training for laboratory physicians by adopting such teaching modes as case-based learning (CBL), problem-based learning (PBL), autonomous learning, etc.

Genetic Counseling Status and Perspectives Based on a 2018 Professional Survey in Korea

BACKGROUND: Genetic counseling (GC) provides many benefits, including the identification of patients appropriate for testing, patient education, and medical management. We evaluated the current status of and challenges faced by GC practitioners in Korean hospitals.METHODS: An electronic survey was designed and conducted in 52 certified laboratory physicians belonging to the Korean Society of Laboratory Medicine, from August to September 2018. The questionnaires addressed three main categories of information: (1) current status of GC in hospitals; (2) essential qualifications of GC practitioners; and (3) challenges and perspectives for GC. Fisher's exact test was applied to analyze categorical data.RESULTS: Among a total of 52 participants who initially responded, 12 (23.1%) were performing GC either by direct or indirect care. GC clinics were opened regularly for one (33.3%) or more than three sessions (25.0%) per week; most respondents spent more time for pre-visit activities than in-person visits, both for a initial visit patient and for a follow-up visit patient. All laboratory physicians provided genetic information to their patients. Most recommended family genetic testing when indicated (91.7%), discussed disease management (75.0%), and/or ordered additional genetic testing (58.3%), and some referred patients to other specialists (8.3%).CONCLUSIONS: Both patients and laboratory physicians concede the advantage of GC performed by clinical geneticists; however, the practice of GC involves several challenges and raises some concerns. The cost and support required to implement GC need to be addressed in order to provide qualified GC in Korea.

Laboratory Workup of Drug-Induced Immune Hemolytic Anemia / 대한수혈학회지

Drug-induced immune hemolytic anemia (DIIHA) is rare condition that is often very difficult to diagnose. For proper diagnosis of DIIHA, careful interpretation of laboratory findings as well as correlation between those findings with the patient's history is important. Therefore, the role of the laboratory physician is critical. DIIHA can be diagnosed using a stepwise approach, from suspicion of hemolytic anemia in the patient to confirmation of serologic tests. Prompt diagnosis is necessary since an essential part of DIIHA treatment is to cease drug administration, and many cases of hemolysis can be improved without further intervention. Furthermore, distinction between the mechanisms of DIIHA is important, as clinical manifestation, treatment options, and prognosis of the disease can differ according to the main mechanism involved in the process of hemolysis.

Laboratory medicine education: challenges and opportunities / 中华检验医学杂志

Laboratory medicine is experiencing rapid development and moving from the edge of medicine stage to the center of medicine.Laboratory medicine has become the component of evidence-based medicine,the pathway to translational medicine and the core of precision medicine.These recent advances have increased the challenges and opportunities for laboratory medicine education.It will be the most urgent task to us how to train innovative personnel, medical laboratory physician, genetic counselor, medical laboratory scientist and personnel needed for personalized medicine.

Cultivation of laboratory physicians in China：current situation and reform measures / 中华医学教育探索杂志

Cultivation of laboratory physicians in accordance with the needs of discipline should be a priority of education on laboratory medicine in China. Unfortunately, the professional career of Chinese laboratory physicians is presently entrapped in a dilemma owing to unfavorable settings, in-cluding the late start of laboratory physician training in this country, unmatched installation between higher school faculty and curriculum, faulty programs of in-hospital training, disparity in management policies, low social esteem, uncertainty in personal intention of employment, and poor knowledge of position awareness. This paper puts forward a lot of measures such as the development trend of the university curriculum, which is in compliance with the subdivision and refinement of clinical medicine, the establishment of a medical degree for a professional laboratory physician, constantly improving the standardization of laboratory physician residency training and continuing education system for the in-spection of doctors , setting up physicians inspection posts and giving a clear mandate to examine physicians inside the hospital, while outside of the hospital continually improving awareness and accep-tance of the laboratory physicians, giving more educational resources to laboratory physicians, so as to improve the overall level of the laboratory medicine.

The Role of the Laboratory Physician for Blood Bank in Local Hospital / 대한수혈학회지

The goal of the laboratory physician is to achieve appropriate laboratory management for diagnosis of disease, proper therapy directions, anticipation of prognosis, health checkup, and consultation with each clinical department. In the laboratory department, the blood bank works with blood, which is a precious resource for appropriate care of patients. This article described the role of the laboratory physician in the blood bank of the local hospital, which is a common hospital type in Korea. The environment of laboratory medicine is constantly changing and tends to be restricted due to health insurance burdens. The blood bank has essential characteristics which remind laboratory physicians of the need for safe and proper usage of blood. The role of the transfusion medicine specialist in the local hospital is summarized as 1) central role as the manager for proper and safe transfusion 2) education of hospital workers, including clinical physicians 3) strict quality control and participation in laboratory accreditation programs 4) consultation with hospital staff 5) continued promotion of quality improvement 6) assessment of proper and safe blood usage 7) proper management of hospital transfusion committee 8) participation in hemovigilance programs 9) development of new laboratory territory. Laboratory physicians should obey the principles of transfusion medicine and make an effort to manage the blood bank efficiently.

The Training of the Laboratory Physician in Medical College / 中华医学教育探索杂志

By analyzing the goals and demands which the Ministry of Education cultivate to undergraduate and the deficiency which exists in present training of laboratory medicine,this text put forward the measure and method of training,in the meantime it also analyzes the training of laboratory physician and the difficulties which the position will face up.

From Laboratory Physicians's Localization to Discuss the Clinical Practice Teaching of Undergraduate Student / 中华医学教育探索杂志

From laboratory Physicians's localization to discuss the clinical practice teaching of undergraduate student,to cultivate the ability of turning laboratory data into effective information;to strengthen the teaching of evidence based laboratory medicine,to participate in clinical pathology discuss and to combine clinic to make scientific researches.It is very important to cooperate with the clinic in the practicing teaching.

Practice Characteristics and Relative Value of Laboratory Physician's Work / 대한진단검사의학회지

BACKGROUND: The Korean Medical Association intends to determine the relative value of physician's work separately from the total relative value scale for each medical or surgical procedure. This study was designed by the Korean Society for Laboratory Medicine to determine the relative value of laboratory physician's work (LPW) in each diagnostic test. The LPW was clearly defined first and then its relative value was measured quantitatively on the basis of time and intensity of work. METHODS: LPW in the laboratory test was categorized into three parts, pre-service, intra-service, and post-service. The relative value of physician's work was measured using Rasch paired comparisons. RESULTS: Practice characteristics of LPW were clearly defined according to the pre-service, intraservice, and post-service. However, any laboratory physician's effort to improve the quality of laboratory work, which could not be measured in each test, had to be comprised in a pre-service designated separately as `comprehensive pre-service'. Rasch analysis based on the rating survey for LPW taken by a diverse group of laboratory medicine and other medical specialists revealed higher values than those assigned previously in many routine diagnostic tests (e.g., Gram stain, hemoglobin, anti-HBs, ABO cell type). The results obtained by applying Rasch regression analysis showed that the diagnostic tests that had been given a low relative value of LPW tended to be measured with more improved relative valuation. CONCLUSIONS: LPW for quality control and quality improvement was acknowledged with an improved relative valuation, even in the routine diagnostic test, as the results of Rasch analysis based on the rating survey. LPW might be further equated across the specialties, considering the practice characteristics of LPW.