Veidlapa Nr. M-3 (8)
Study Course Description

Laboratory Work in Outpatient Medical Institutions

Main Study Course Information

Course Code
RLA_017
Branch of Science
Clinical medicine; Health care sciences and services
ECTS
7.05
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To prepare laboratory doctors for work in laboratories of outpatient medical institutions. To obtain knowledge about the specifics of laboratory work organisation and the range of examinations commonly used for outpatients. To use fully computerised systems for registration of samples, registration of testing results and drawing up of test reports in laboratory conditions. To obtain knowledge about advantages of choosing examination methods in outpatient medical institution laboratories, interpretation of obtained results, procedure of notification of critical values of indicators and selection of further examination tactics.

Learning Outcomes

Knowledge

1.- to describe stages of operation of an outpatient medical institution laboratory; - to name and characterise the most appropriate laboratory equipment, its power and specifics in laboratories of an outpatient medical institution; - to name and characterise most common examinations performed in laboratories of an outpatient medical institution; - to use diagnostic algorithms of different diseases; - to know Latvian laws on provision of laboratory services.

Skills

1.- to perform different types of testing using automated and manual methods; - to perform microscopy of biological material; - to evaluate clinical and laboratory aspects of reference values; - to interpret pathological results; - to conduct quality control tests.

Competences

1.To perform examinations of human biological material for diagnostics of different diseases in laboratories of an outpatient medical institution. To use modern technologies and methods, diagnostic criteria and examination algorithms for diagnostics and differential diagnostics of diseases. - to interpret examination results, incl. in patient groups of different ages, and to recommend further examination activity to clinicians. To ensure the evaluation of factors influencing testing results and corrective actions in case of stated non-compliances.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Preparation of a presentation about laboratory pre-examination, examination and post-examination stages. Summary of Latvian laws on observation of requirements with regard to patient’s welfare, environmental protection, personnel safety and observation of ethical standards. In-depth research: Algorithm of determining sex hormones and interpretation of results.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
2.

Examination

-
-
Assessment of knowledge – written answers to questions at the end of the study course.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Specifics of outpatient laboratory examinations
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Algorithm for ordering outpatient laboratory examinations
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Methodological evaluation of immunochemical diagnostic methods (accuracy, repeatability, reference methods)
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Laboratory diagnostics of allergies
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Algorithm for thyroid hormone detection, interpretation of results. Clinical and laboratory aspects of thyroid antibody detection and reference values
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Sex hormone detection algorithm, interpretation of results, and clinical and laboratory aspects of reference values
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Covid-19 pandemic - laboratory diagnostic algorithm in different phases of a pandemic
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Compliance of the medical laboratory with European standards and Latvia legislation on Quality management in medical laboratory
Total ECTS (Creditpoints):
7.05
Number of Residency Seminars:
8
Length (weeks):
14
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Henry's Clinical Diagnosis and Management by Laboratory Methods. 23rd Edition, Ed: Richard A. McPherson, Matthew R. Pincus. Sounders, 2021.

2.

Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. 7th Edition, 2014

3.

Preanalytical Phase Errors: Experience of a Central Laboratory Monitoring. Editor: Alexander Muacevic and John R. Adler; e7335. Published online 2020 Mar 20. 7335

4.

Manual of Molecular and Clinical Laboratory Immunology. 8th Edition, Ed: Barbara Detrick, Robert G. Hamilton, John L. Schmitz, 2016

5.

Oxford Handbook of Clinical and Laboratory Investigation. Edited by Drew Provan. Oxford University Press, 2018

6.

Clinical Microbiology Procedures Handbook, Parasitology. 4th Edition, 2016

Additional Reading

1.

Diagnostic Cytopathology Essentials, 1st Edition, Ed: Gabrijela Kocjan, Winifred Gray, Tanya Levine, Ika Kardum-Skelin, Philippe Vielh

2.

Kathleen Deska Pagana & Timothy J. Pagana & Theresa N. Pagana. Blood Cells. A Practical Guide. Barbara I. Bain, Blackwell Pablishing. 4th Edition, 2016

3.

Fred F. Ferri. Ferri's Best Test. A Practical Guide to Clinical Laboratory Medicine and Diagnostic Imaging. 3rd Edition, 2014

4.

Mosby's Diagnostic and Laboratory Test Reference. 13th Edition, Ed: Kathleen Deska Pagana, Timothy J. Pagana, Theresa N. Pagana, 2016

5.

Medical laboratories – Requirements for quality and competence. Geneva: ISO. 2012

6.

Manual of Molecular and Clinical Laboratory Immunology. 8th Edition, Ed: Barbara Detrick, Robert G. Hamilton, John L. Schmitz. 2016

Other Information Sources

1.

Practical Laboratory Medicine, Journal. Co Editors-in-Chief: William Clarke, Mike J. Hallworth

2.

The Journal of Laboratory and Clinical Medicine. The Official Publication of the Central Society for Clinical Research

3.

Clinical Chemistry and Laboratory Medicine (CCLM), Published in Association with the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM). Editor-in-Chief: Plebani, Mario

5.

http://www.ifcc.org/ifcc-communications-publications-division-(cpd)/ifcc-publications/ejifcc-(journal)/