Applied Learning (Senior Secondary Level)Medical Laboratory Science

醫務化驗科學

Paul Li, Registered Med Technologist ,Part One,Hon Ass Professor (Life Sciences ), HKU SPACE

Feb 2012

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Teachers Dedication Caring

Healthcare

M.L.S

Healthcare professional

QoL, LaD

Timeless Coaching

MLSMedical Laboratory Sciences(提供) (在) (運用)

: - “to aid the detection, diagnosis, treatment and monitoring of a disease.”

病理化驗部 (P.I.)

病理 = science of diseasesPhysicsChemistry Maths, EngBiology

Abdominal pain

? GI cancer ... biopsy (Histopathology/ 細胞病理學)

? Parasites/cholera … microscopy, C/ST (Microbiology/ 微生物學)

? Liver … LFT (Clinical Chemistry/ 臨床生化學)

? IB … CBC (Haematology/ 血液學)

Presentation Outline

Med. Lab Sc ?

Significance (examples)

4 basic disciplines

Application of SSS

Job nature, outlook

Market analysis

HA storiesRegistrable qualifications

Conclusion

HAEM Cl Chem Microbiol HistopathExamples Anaemia DM Scarlet fever PNET

Transfusion Hepatitis Acne CIN

A.I.D. Candidiasis

4 basic disciplines(virology, immunology, molecular biology and etc)

Anaemia (貧血)CBCSmear

Blood Grouping and transfusion (血型/輸血)Cell sAgCross match

Haematology (血液學)

Diabetes mellitus (糖尿病) Very common Complications

FBS: glucoseUrinalysis: colour

reaction

Hepatitis B (肝炎) Worse than AIDS ! Common Complications

HBsAg: Ag-AbLFT: enzymes

protein

Clinical Chemistry (臨床生化學)

Antigen-antibody reaction

Scarlet Fever

Scarlet Fever Highly contagious, childhood (≤10) Streptococcus pyrogenes (serotypes) Fever, sore throat, strawberry tongue, body rash Lifelong immunity, lethal if complicated

Serology: Ag–Ab

C & ST: haemolysis

Microbiology (微生物學)

Culture & Sensitivity

MicrobiologyCandidiasis / Moniliasis (念珠菌) Candida albicansDM, antibiotics, OC etc → vaginitis (BV,

Trichomonas, C/M) Itchy, reddish, cottage cheese, recurrent !

MicroscopyC & STVaginal pH

We Lose Jobs Globally in 2011 not because of economic

tsunami but of PNET !

Histopathology (細胞病理學)Pancreatic Neuroendocrine tumours (PNET)Very rare, poor prognosis, late diagnosis,

relapse 5 year survival: ~2% Jaundice, pancreatitis, fatty stool, diabetic

WBC: countBilirubin: levelBiopsy: tumour cell, typing

Different disciplines =different work nature & career

e.g. Blood Bank: v. prudent, under stressCl Chem: instruments, pathophysiologyHistopath: formalin, staining, manual, microscopicMicrobiol: manual, obnoxious, strong, infectious

e.g. less demand of histopath;CC > HAEM > MICRO > HISTO, esp. in private sectorMolecular/ DNA lab staff

Common goal: aids diagnosis, screening, treatment & monitoring

Career Prospects (market analysis)Government Private

Academic Hospitals Hospitals Laboratory- research lab - pathology - pathology - POL- teaching lab - public health - molecular

Related occupations: biotech, forensic, environmental, food, vet and etc

Difference: 1. vacancies/ year2. salary, promotion3. job requirements/ duties4. professional development

HA stories

Before 1991, M & HD …. DH In 1990, HA established Staff salary & structure Entry qualifications for AMT/ MLT

- MLT Board registration, Chapter 359. 1990- Registrable qualifications

MLT registration in HK

Registrable Qualifications/ EducationLocal OverseasHKU SPACE (HTC) ….. II Charles Stuart (Aus)HKP(U) (Dip/ HD) .….. II Bradford (UK)HKPU (BSc) …………... II …etcHKU (BSc, MSc) ……… II ?

- Non-MLS graduates conversion course validation professional exam

- Advancement & P/G courses:HKU SPACE and HKPUMSc/ prof qualifications recognizedfor appointment of MT/ SMT

Job Nature in HA Job rotation:

- AMT in one discipline, under supervision- Rotation not common (esp. QM and PWH)- 3-year rotation training

Shift duties:- A must for HA AMT/MT to work overnight shifts- Non-overnight / Sunday / PH / emergency- Part (I) MT work independently, more frequent and pressure

Annual appraisal: promotion, training (not increments!)

少説話

多做事

勤洗手

周圍走

Career Prospects / Development Good in HA, esp. after medical laboratory

accreditation All government pathology lab achieved accreditation Private hospitals and labs on the track HOKLAS is the direction: better quality, training,

reassurance Very popular (forensic, food, CM), overseas Academic/ professional advancements 100% employment

Attractions

Conclusions MLS is not for everyone Attributes of a ‘good’ lab professional

Ranked 6th

sciences / experiments

technicalanalytical

obnoxiousduties

stable, non-social healthy

passion

AcknowledgementDr. S WuDr. M ChauMs. TamMr. Patrick WongMs. G Chan