You didn't mention what your current cutting speed is, nor what speed they want you to be at.

Ask your supervisor to set up goals for you to meet, with time frames. Each week, work on getting faster, not fast today, just faster each week.

At the School where I taught, we had goals set up during the time the students were learning, and also time when they were doing their histology lab rotation. When they were learning in the School, they would microtome 1-3 times a week for the first 2 months, and nearly daily the last 2 months, about 2 hours a day (for total of 120+ hours microtoming before their histology rotation). The first couple of months, emphasis was on quality, and then it shifted to quantity (speed) and quality. Every 4-6 weeks, they were reassessed as to whether they were meeting quality and quantity (speed) goals.

When they did their 1 month rotation through histology lab, they were full time in the lab, and microtomed about 2-3 hours a day (total about an additional 100 hours microtoming). They were expected to keep the quality up, and still improve their quantity (speed). When they graduated, no, they were not as fast as experienced techs, but they were close.

At any time (school or rotations), if they didn't measure up to the goals, they knew they had to repeat the evaluation and/or rotation. If they still could not meet the goals, they would be let go from the program. So they had to pass the academic part (tests for what they know) as well as psychomotor (DOING the sectioning, staining, embedding, etc.), and the affective (showing up on time, getting along with people, willing to volunteer, etc.).

This is the same as any histotech job. There are goals (quality and quantity (speed)) that everyone must be able to meet. You have been microtoming at your second job for 2 months, 8 hours a day, and 2-3 hours a day since April (up to 2 months) at your current job. That's about 400 hours of microtoming while at jobs. At this point, you should have quality down pat, and should be able to concentrate on speed.

So have your supervisor set specific speed goals and dates, and then you use those time intervals to keep improving your speed. Have your supervisor watch you, and see where you are being slowed down by unnecessary movements. And if you are the only histotech responding to the data entry person, then explain it to your supervisor, and get that responsibility on a rotating basis amongst all of you.

Peggy Wenk HTL (ASCP) SLS


-----Original Message----- From: Alpha Histotech
Sent: Tuesday, June 03, 2014 4:34 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Should I leave histology world

Hi everyone,

I wouldn't give too much detail information as the histology world is very small and everyone knows everyone.

I am in a dilemma. I have been a histotech (ASCP HT) for almost 6-7 yrs. I went to a NAACLS school and have a Associate in Science in Histology. In the 6-7 yrs I have changed jobs 3 times. All the jobs were graveyard shifts. The first place I worked for was Quest Diagnostics and I did a good 3 yrs. The other 2 places I won't mention and I currently still have a histology job. My problem is all the places I worked were factory style lab work and they all did derm work. In my career I really only embedded most of the time. I did occasional other stuff like special stains both by hand and using Dako Artisan and other things like cytology cytospin. But I never got to develop in cutting. My first job in quest..I maybe cutted one time for 2 or 3 weeks before they yanked me and put me back to embed. My 2nd job put me to cut the last 2 months (full 8hrs) I was working there. My current job I have been cutting since April 2014 ( but only 2-3hrs in the day and then I embed, I have been here now 1 yr, I was embedding most of the time before th cutting started). I was told by my director I need to speed up in cutting because corporate is asking why I am not increasing in speed. And if I don't speed up eventually then they will have to demote me to a lab aid and give me a pay cut. (where I work and the state I work in they have lab aids doing alot of stuff without being certified, it wasn't like that in the other state I am original from as you have to be state licensed and ascp) I sometimes laugh inside my head because before my director hired me I told him I don't have alot experience in cutting.

Now everywhere I have gone...speed is the name of the game. They say they care about quality but in the end if you can't put up then you will be put out! So I am just thinking I should just get out of histology world all together. Every where I have worked unfortunately have management who believe quantity over quality. OR Do you guys think I need more time cutting to develop speed? Beforehand I did need a little learning curve to cut and I have gotten through that now. It's just the speed that is killing me. And I also see if anyone at my work detours me for any reason like for example data entry person from front desk ask for missing gross dictation, then that lost time is very hard to recover as I am not soooo fast to recover. I feel I may have to become very rude(not help) with everyone I work around in order to stay glued to my seat when I am cutting my blocks. One thing I want to say also...until this day I never been written up for quality issues and I never lost any tissue while embedding. Embedding I am fast as most histotech (1 block a min or most times 30-45 secs 1 block) with proper embedding techniques demonstrated (tissue on same plane, tissue embedded with proper orientation and follow any other necessary embedding instructions. ) I just feel I haven't done my time in cutting as I did in embedding to become a fast cutter. I don't know if its because of working in a derm lab that management won't wait too long for you to develop like maybe a hospital lab may do. I was also thinking to find another histo job but not mention any of my experience so expectation won't be so high and I can get more time to develop. All of this also causes alot of stress and anxiety as it gets hard to coop with. What do you guys think and how I should go about with this. I am also not limited to histology. I have expertise in 2 other major fields that I wont mention because I don't want to be identified. I am also in my late 20's. Thanks for reading my post and I await your opinions as some of you all are veterans in the field of histology.

Thank you
Alpha Histotech (ASCP HT)


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