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In the new or variant acute respiratory infectious diseases, as a result of the not fully discovered ways to control the infection as well as the not fully defined pathogenicity of pathogens, there is still a greater risk of infection for the laboratory front-line staff who are in close contact with pathogen samples. Therefore, the psychological status, biological safety, and work quality of the interns in the laboratory are also main concerns of the teaching hospitals in the epidemic prevention and control work. In view of the problems exposed in the epidemic situation of viral respiratory infectious diseases, this paper analyzes the influence of the whole process of the test on the test results and carries out the process control, aiming at enhancing the interns' ability to resist pressure, improving the students' awareness of biological safety, promoting the interns' comprehensive analysis ability and the formation of clinical critical thinking, and providing reference for the training qualified medical laboratory professionals.
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Objective:To evaluate the effectiveness of the course of Laboratory Medicine and Clinical Sciences in the Laboratory Medicine Faculty of Sun Yat-sen University. Methods:Twenty-four undergraduate students in Batch 2016 of Medical Laboratory Faculty were divided into small groups (4-6 students per group). They learned each case in groups before class. In the first session of each class, the case-based study (CBS) tutor would randomly assign case-related questions to the students. Students were required to present their answers in class. The CBS tutor would guide the students to discuss the case further. In the second session, a lecture associated with the case would be given by a special subject lecturer. After the course, students, tutors and lecturers were given questionnaires and were randomly interviewed to comprehensively understand the course's effectiveness. SPSS 19.0 was used for statistics.Results:Most case discussion tutors agreed that they could guide students to discuss clinical cases well in class and give comments according to students' presentations (93.75%, 15/16). Most of the lecturers agreed that they could well guide students to think about the relationship between laboratory and clinical diagnosis and treatment in class (91.67%, 11/12). Both teachers and students had very positive evaluations of the learning mode, learning content, inspiration to students, and teachers' ability of this course. All the teachers and students agreed that the learning mode of combining CBS with special subject lecture was more helpful for the students to systematically learn medical knowledge compared with a CBS session alone or a lecture alone.Conclusion:The course, Laboratory Medicine and Clinical Sciences, which combines the CBS with the traditional lecture mode, integrates the advantages of the two learning modes. It not only stimulates students' enthusiasm for active learning, deepens clinical knowledge memory, and builds a clinical thinking model, but also enriches the teaching modes of medical laboratory education.
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Visiting students' education is an important part of laboratory medicine continuing education. In the new era, the traditional continuing education model faces severe challenges in how to improve the clinical serviceability of grass-roots laboratories, the training quality of medical laboratory students, and the students' personal quality and professional ability. In the process of exploring the new training model for a long time, combined with the characteristics of the laboratory medicine and the needs of the visiting students, we put forward the new training concept of "tutorial system" for laboratory medicine students. The "one-to-one" model is used to teach students in accordance with their aptitude according to their aptitude for students of different levels and different cultural backgrounds and it has achieved certain success. The practice shows that the "tutorial system" for visiting laboratory medicine students can increase their belonging sense, improve the quality and level of the training, and expand the effect of continuing education.
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The thyroid function test is universally used for the evaluation of thyroid function. However, there are factors other than endocrine diseases, such as special physiological conditions, interference in laboratory measurement, or disorders in other systems that should be taken into consideration. When encountering thyroid function test results that are not in line with clinical manifestation, a comprehensive evaluation is essential for a correct and timely diagnosis. We presented a case of a significant rise in serum total triiodothyronine(TT 3) secondary to multiple myeloma. Through case studies and literature review, we intended to provide clinicians with experience for better interpretation of abnormal thyroid function test results.
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Objective:To establish a reasonable and effective formative evaluation system based on the characteristics of practical teaching of medical laboratory to evaluate the effect of practical teaching and improve the quality and level of teaching.Methods:A survey and research method was used to screen the elements needed for the formative evaluation system, so as to construct the framework and evaluation indicators of the practice teaching of this specialty. The students from Batch 2016 were scored before and after implementing formative evaluation, and the results were statistically analyzed by paired t test with SPSS 20.0 software. Results:The survey results of a total of 30 teachers (experts) and 121 students in this major were counted. According to the practical characteristics of this major, the evaluation system included two first-level indicators, five second-level indicators, and corresponding third-level and fourth-level indicators. After statistical analysis, students' learning interest, practical ability, self-learning ability, team assistance ability and knowledge development ability were all significantly improved after the implementation of formative evaluation ( P<0.01- P<0.05), and students' enthusiasm for class also increased ( P<0.05). Conclusion:It proves that the constructed formative evaluation system conforms to the characteristics of practical teaching of medical laboratory, which helps to improve the effect of practical teaching and lays a foundation for its application in the practical teaching of this professional course.
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After participating in the student selection training and on-site refereeing of the clinical examination skills competition for college students in Sichuan-Chongqing region twice in succession, the author combined the on-site performance and competition results of the participating students with pre-match training experience and normal teaching experience. A comprehensive analysis found that the students' proficiency in basic testing skills, psychological quality and humanistic quality have an important impact on the results of the competition. Teachers should not only pay attention to the quality of basic skills training and theoretical knowledge teaching in practical teaching, but also pay attention to the cultivation of students' teamwork ability and good working habits. Therefore, the clinical laboratory skills competition has a strong leading role in promoting the education and teaching reform of medical laboratory technology and improving the quality of professional practice teaching. It is hoped that more medical colleges and universities will pay attention to and participate in it, and further promote the development of practical teaching of medical laboratory technology.
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The undergraduate four-year medical laboratory technology major aims to cultivate advanced medical application-oriented talents. The realization of this purpose depends on the construction of an innovative practical teaching curriculum system. This article combines the four modules of basic practice, professional practice, vocational skill practice, and innovative practice to improve the problems existing in the traditional practice teaching system, and proposes a "3+1" three-dimensional practice teaching model in order to adapt to the rapid development of medical laboratory technology.
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In order to train professionals in medical laboratory technology who are directly engaged in medical examination and medical laboratory work and who have strong practical ability and can adapt to the development of precision medicine, the reform of precise teaching for experiment is implemented. Through the precise stratification of experimental projects and knowledge points, the design of precise teaching activity and the construction of precise evaluation system for experiments, guided by precision medicine during the experimental process, the standardization and precision training of basic skills for students are strengthened in clinical laboratory test. The students can more well adapt to the needs of society for technical and innovative talent in the new period. The precise teaching for experiment will become one of the main characteristics of medical laboratory technology education in our school.
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Experimental teaching occupies an important position in the teaching of medical laboratory technology. At present, many experimental projects cannot be carried out due to the high cost and the long process of the experiment, the difficulty of morphology teaching and the biological safety of clinical specimens. Virtual simulation experiment platform can break through the limitations of conventional experimental teaching in time, space and safety by integrating course experiment, increasing the experiment test item, building morphological inspection data repository, the virtual operation platform for inspection instrument and equipment and the virtual experiment assessment operation platform, and play an important role in the experimental teaching. This paper reviews the current situation of experimental teaching of medical laboratory technology, the construction and application, the existing problems and countermeasures of virtual simulation experiment platform, and expects to provide reference for the construction and application of virtual simulation experiment platform for medical laboratory technology in the future.
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Medical laboratories in China have gained advances to some extent in recent years, and played an important role in prevention and control of COVID-19 epidemic. This paper analyzed their opportunities and challenges in the new era by means of SWOT analysis. Recommendations made by the authors are that medical laboratories should integrate into the national prevention and control system against major infectious diseases, to safeguard biosecurity and public health safety. Meanwhile, medical laboratories should enhance their high-end testing ability, seize the opportunity of DRG payment reform, and carry out various forms of cooperation with public hospitals of all levels, and play a more important role in county-wide medical system development.
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In December, the outbreak of a novel coronavirus (2019-nCoV) in Wuhan, China, has attracted extensive global attention. On January 20, 2020,the Chinese health authorities upgraded the coronavirus to a Class B infectious disease in the Law of the People's Republic of China on the Prevention and Treatment of Infectious Diseases, and considered it as Class A infectious diseases in disease control and prevention. On January 22, 2020, the 2019-nCoV nucleic acid detection test was listed as the diagnostic criteria in the "guidelines for diagnosis and treatment of pneumonia due to 2019-nCoV (Trial Version 2)" . Therefore, standardizing the operation process of the 2019-nCoV nucleic acid detection in clinical laboratories has become a top priority. It is of paramount importance to establish standard protocols for detection of the 2019-nCoV nucleic acids in clinical laboratories to improve the reliability of the results and ensure the biosafety of laboratory personnel.
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With the outbreak and spread of the 2019 Novel Coronavirus pneumonia, laboratory biosafety has become increasingly prominent. The Society of Laboratory Medicine of Chinese Medical Association formulates this guideline with reference to Chinese National Recommendations and relevant documents. From the perspectives of Microbiology, Epidemiology, Case Definition, Safety Principles, Personal Precaution, Specimen Collection, Specimen Transport, Specimen Handling, Analysis, Post-Analysis and Emergencies, this guideline gives recommendations on biosafety precaution and biosafety protection. We hope that it can be practically implemented and continuously improved to ensure laboratory safety.
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RESUMEN El objetivo del presente trabajo es valorar el impacto del diplomado de Ciencias del Laboratorio. Se realizó un estudio de corte cualitativo descriptivo transversal en el período comprendido entre marzo y mayo del 2018 en la Universidad de Ciencias Médicas de Camagüey. De los métodos empíricos fueron empleados el análisis de documentos y la encuesta aplicada a egresados y jefes de los servicios asistenciales. Se concluye que la evaluación del impacto del diplomado de Ciencias del Laboratorio es satisfactoria, pues la preparación de sus titulados mediante el programa de estudio permite perfeccionar su desempeño profesional, lo que se confirma con la satisfacción que tienen los graduados y empleadores al respecto, además se corrobora que la evaluación debe convertirse en un proceso sistemático, en el que se debe medir en diferentes momentos el desempeño profesional del egresado para el perfeccionamiento de su labor.
ABSTRACT The objective of the research was to evaluate the impact of the Laboratory Sciences course. A cross-sectional qualitative descriptive study was conducted in the period between March and May 2018 at the "Carlos J. Finlay" University of Medical Sciences, in Camagüey. From the empirical methods, there were used the analysis of documents and the survey applied to graduates and heads of the welfare services. It is concluded that the evaluation of the impact of the Laboratory Science course is satisfactory, since the preparation of their graduates through the study program allows them to improve their professional performance, which is confirmed by the satisfaction of graduates and employers in this regard, as well it is corroborated that the evaluation must become a systematic process, in which the professional performance of the graduate must be measured at different times in order to perfect their work.
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Medical Laboratory Technology now belongs to the first-level discipline of medical technology and focuses on the cultivation of technical talents.At present,there are some problems in this professional education,such as emphasizing theoretical knowledge teaching,neglecting practical skills training,weak practicability of some courses and graduates' lack of professional quality.In this study,we have combined "Teaching,Clinical and Scientific research" together.By improving the teaching staff,increasing the proportion of experimental courses,clinical skills and scientific research training,relying on "verification-synthesis-design" experiments,laboratory opening and undergraduate scientific research competitions,we have carried out professional personnel training,and have achieved better educational results,which is also helpful to the development of laboratory discipline.
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To summarize the projects granted by National Natural Science Foundation of China related to tumor biomarkers in laboratory medicine from 2010 to 2018. The projects are categorized and analyzed according to tumor classification, biochemical properties of biomarkers. What's more, characters of granted projects of tumor biomarkers in recent 9 years are summarized and development trends are pointed out.
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The modern laboratory developed tests (LDTs) plays a very important role in the development of precision medicine and clinical laboratory diagnosis. The perfect LDTs inspection platform not only requires strict quality control system and management standards, but also requires technical support from high-end professional teams. By combing the development process of LDTs, this paper discusses the significance of developing LDTs in the context of precision medicine, the positive role played by the development of laboratory medicine and the cultivation of laboratory talents, and how to effectively develop LDTs.
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Real world study has attracted more and more researchers' attention because of the evidence obtained from real clinical practice. With the development of big data in laboratory medicine and the needs for translational studies for diagnostic markers, the concept of real world study has also been introduced in laboratory medicine. This article presents a preliminary discussion on the opportunities and requirements for the real world study in the development of laboratory medicine, and on how the researchers conduct real world study.
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The past 70 years witnesses that China's laboratory medicine has realized the development from "medical laboratory" to "laboratory medicine". The construction of the laboratory has undergone tremendous changes from manual workshop to standardization, automation and intelligence, and the test efficiency and test results accuracy has been greatly improved. The professional team has also grown stronger, and the education level has been continuously improved, marking the entry of China's laboratory medicine into the modern era. The article also reviews the important role of the Chinese Medical Association played in promoting the development of China's laboratory medicine in the 40 years since its establishment, and looks forward to the future development of laboratory medicine.
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After more than half a century and several generations' efforts, the clinical laboratories in China have developed rapidly from the "workshop-style" pure manual operation and limited number of assays to the automated, intelligent modern laboratory. In addition to the great development of working condition, environment and equipment, the number of professional staffs, their educational background and technical ability have also been greatly improved. These have doubled the varieties, throughput and decreased turnaround time of testing assays in order to meet the clinical requests. At the same time, the concept of laboratory medicine has changed from "focusing on specimen" to "focusing on patients and clinical needs". The scientific ethics and practical experience of laboratory management and quality control have also been enriched, which provide more reliable and convenient services for patients and clinicians. Nowadays, the rapid development of detection technology, as well as artificial intelligence, network communication and big data which based on computer science, have brought enormousopportunities and challenges to the development of laboratory medicine.