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At the September Board of Directors Meeting, the NAACLS Board approved new Essentials/Standards for the Clinical Laboratory Scientist/Medical Technologist, Clinical Laboratory Technician/Medical Laboratory Technician, and Phlebotomist programs. This action is the culmination of over two years of work by major stakeholders. Accreditation in the United States is unique in that it is a participatory process whereby public hearings are held and representatives of professional organizations and individuals can offer comments, criticisms, and suggestions to strengthen the Essentials/Standards. The final Essentials/Standards express the majority opinion of where the profession is headed in the next several years and what should be evaluated through program accreditation. The 2001 description of the Clinical Laboratory Science profession better reflects our scope of practice. It accurately portrays for the public what the clinical laboratory professionals do and distinguishes it from other health professions. In part, the description states, "Clinical laboratory professionals perform, develop, evaluate, correlate and assure accuracy and validity of laboratory information; direct and supervise clinical laboratory resources and operations; and collaborate in the diagnosis and treatment of patients. The clinical laboratory professional has diverse and multi-level functions in the areas of analysis and clinical decision-making, information management, regulatory compliance, education, and quality assurance/performance improvement wherever laboratory testing is researched, developed or performed. Clinical laboratory professionals possess skills for financial operations, marketing, and human resource management of the clinical laboratory." This description establishes the basis for a curriculum of entry-level professionals. The 2001 Essentials/Standards further delineate differences between the CLS/MT and the CLT/MLT. There are several other changes from the Essentials that were adopted in 1995. There is no longer a requirement for an annual review of the contract with the clinical affiliate. The 2001 Essentials/Standards require that "All provisions of the agreement must be active with written documentation of the following items." The rationale behind this change was that programs had difficulty in obtaining yearly signatures, especially when the document had to be signed by the institution's legal department. The new change should assist program directors while still maintaining safeguards for students. There is no longer a requirement for a medical director/advisor. There must be "an advisory committee composed of individuals from the community of interest (i.e., pathologists, other physicians, scientific consultants, academic professionals, administrators and other professionals who have knowledge of clinical laboratory science education)." This change gives a program the option of actively utilizing a medical director/advisor, if appropriate, or having that person serve in an advisory capacity. Moreover, an advisory committee will provide broad input to the program. The new Essentials/Standards are available at the NAACLS website at www.naacls.org. There will be a transition period for the new Essentials/Standards over the next 12-18 months. Program directors who are currently writing their Self-Study Reports will continue under the previous Essentials. Continuing programs that are just beginning review process may choose either set. The NAACLS Board of Directors and Programs Review Committees wish to thank all who contributed to the 2001 Essentials/Standards. Your input was invaluable. Accreditation is a voluntary process, but the criteria used must reflect the current practice field as well as future directions for the profession. Those of you who thoughtfully reviewed proposed changes (and offered changes of your own), wrote or emailed suggestions and made comments at Open Public Hearings, provided evidence for the democratic process that represents our American way of life.
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