Histology was taken out of the US med tech programs decades ago. At that time 
histo was all cutting, H&E and special stains. Since histotechs don't report 
out results they thought it was not really the same level as med techs so out 
it went. Most other countries have it as part of the med tech program and then 
the person specializes in their last year. That certainly makes for a more 
well-rounded tech. When I worked in Saudi the US techs were the least educated 
among all the techs from other countries working there. It was actually kind of 
embarrassing to see how far behind US techs were compared to their counterparts 
in other countries. Histotechnology is now pretty much similar to med tech in 
technological terms but we still don't report out anything. Of course, most of 
what med techs report out is just numbers from a machine. They are primarily 
responsible for ensuring the machine works correctly so are far more concerned 
about QC/QA and statistics. 

During lab week next year try getting a TV station into the lab for some shots. 
They always like tech stuff and just the mention of jobs may bring them in! (of 
course, the next question is, exactly how does a person get into 
histotechnology if there are no programs around?).


Tim Morken
Supervisor, Electron Microscopy/Neuromuscular Special Studies
Department of Pathology
UC San Francisco Medical Center
tim.mor...@ucsfmedctr.org


-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Teri Johnson
Sent: Monday, September 17, 2012 5:07 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Changing dynamics in histotechnology

Ok, my workplace blocks Facebook, so here is the article for those of you who 
can't read it from the original link provided: 
http://www.clpmag.com/issues/articles/2012-09_04.asp

Many good points have already been raised and discussed and I will not rehash 
them here. Here are my thoughts on the matter:

- First - kudos for the NSH, state societies, committee members and histology 
professionals for working their butts off to provide us with information and 
training opportunities, and for promoting our profession. They are doing what 
they can to provide the water for us to drink. It is up to us to partake in it.

- Why are we keeping this information in laboratory-centric publications? How 
in the world are we ever going to get the word out about our shortages and 
challenges unless we move outside of our own little box? Advance, Laboratory 
Medicine, NSH, etc are only read by personnel currently involved in laboratory 
testing. Sorry but we've been talking about this for YEARS and almost always in 
Lab publications. Is anything happening? What about People Magazine, or USA 
Today, or Sunday Morning or Good Morning America?

- We have long fought to keep Med Techs from coming into the histology lab and 
taking over the higher complexity testing because they have a 4-year degree and 
most of us don't. To say that it is a mistake to bring them in because only 
histologists "fully understand the preparation process and its effects of the 
variation of results and can effectively work, partner with the pathologist to 
provide the information and testing results required to make personalized 
medicine a reality" is like trying to hide behind a shield made of aluminum 
foil. If we can learn it on the job (as most of us have), then so can they. 
Encroachment by MTs might be the single biggest factor in promoting education 
in our field.

- I'm wondering if anyone(in clinical laboratory education) has started 
thinking about putting a histology component into Med Tech training. I know 
their schools are in trouble as well, but maybe the answer isn't to stay 
separate but to consolidate? I know, some of you are howling right now because 
this is an emotional issue for us. But take a moment to consider that other 
countries require folks who do Histology to be biomedical scientists, 
proficient in many laboratory disciplines including Histology. If we cannot 
adapt and educate ourselves with or without the assistance of the NSH, local 
Histo groups, pathologist support or employer support then I consider this may 
be a potential answer to the staffing issues.

- Having said all this - I like being separate from Med Techs. I like what 
makes us different. We make a decent wage considering the current lack of 
formal education requirement. I'm often surprised our profession doesn't make 
the list of higher paying jobs without advanced degree requirement. I am 
thinking that it's probably a good thing it hasn't as it might inadvertently 
promote the status quo.

Teri Johnson HT(ASCP),QIHC

Disclaimer: The thoughts conveyed above are strictly my own and do not reflect 
in any way on my employer, co-workers, family members, deceased pets, and 
future ex-husbands.

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