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Background to Development of the Clinical Doctorate Initiative
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NAACLS is an independent accrediting agency recognized for accrediting
academic programs that prepare graduates in a number of clinical laboratory
fields including CLS. Its responsibility is to determine and set educational
Standards for the professions it represents. Because development of Standards is
a lengthy and laborious process, NAACLS is charged with envisioning the future
while considering potential skills required by the workforce.
In 2000 NAACLS held a Futures Conference for stakeholders. The purpose of the
conference was to look at possible future health care scenarios and the roles
the CLS/MT and CLT/MLT would fulfill in those scenarios. Future skills needed by
each profession were delineated. Results of the conference were published and
used in development of revised Standards for CLS/MT and CLT/MLT programs in
2002.
Driven by: 1) massive growth in range and complexity of available tests and
services; 2) continuing need for increased differentiation between associate and
baccalaureate level programs, and 3) the emergence of numerous national studies
that called for reshaping of the health care delivery system, a NAACLS Task
Force was appointed to study the feasibility of graduate level entry for CLS/MT.
The Task Force developed numerous documents and made formal reports to
stakeholder organizations. There was no agreement among stakeholders about
changing entry level requirement and it was decided to maintain the Standards as
they were.
The NAACLS Board authorized a second Futures Conference for October 2004.
Participants at this conference once more met to hear projections of the future
and to discuss needed educational changes. They were strongly in favor of
maintaining the current entry level for CLS/MT but were now vocal about the need
for considering a clinical or advanced practice doctorate in the field.
As a result of evaluations of the conference and further discussion, the Board
appointed a new committee, the Graduate Task Force (GTF) to study the
possibility of an advanced practice doctoral degree for CLS/MT and to determine
if NAACLS should develop Standards for such an academic program.
The Graduate Task Force first met by teleconference late in the winter of 2004
and began to research the issues related to a clinical doctorate. After several
teleconference meetings it met face to face with the NAACLS Board in July and
September of 2005. At each meeting, extensive information was presented by the
GTF. The Board later authorized a March 1, 2006 invitational meeting to obtain
stakeholder input on numerous documents produced by the Task Force.
After the September NAACLS Board meeting, the American Society for Clinical
Laboratory Sciences (ASCLS) and the American Society of Clinical Pathology (ASCP)
were invited to nominate representatives to serve on the Graduate Task Force.
Discussions ensued about how the NAACLS task force might cooperate with a
similar ASCLS task force that was also investigating a professional doctorate.
At a winter 2006 face to face meeting of the now expanded GTF, it was concluded
that there was much overlap between the concept of the professional doctorate
being developed by the ASCLS Task Force, the Professional Doctorate Task Force (PDTF),
and the concept proposed by the NAACLS GTF. It was determined that after the
March 1 meeting the Task Forces would work cooperatively but with differing
agendas to develop competencies, curriculum, and Standards for programs
preparing to offer a clinical doctorate.
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