PRINCIPLES OF MEDICAL
LABORATORY SCIENCE PRACTICE 1
UNIT I:
OVERVIEW OF THE MEDICAL
TECHNOLOGY / MEDICAL
LABORATORY SCIENCE
PROFESSION
OUTLINE
• Definition of Medical Technology
• Historical perspective
• Medical Technology/Medical Laboratory Science practices
• Medical Technology education
LEARNING OUTCOMES
1. Trace the history of medical technology globally and the Philippines.
2. Enumerate the scope of medical technology practices.
3. Discuss the scope of medical technology curriculum and different job
opportunities.
WHAT IS MEDICAL TECHNOLOGY?
RUTH HEINEMANN
“…application of the principles of natural, physical,
and biological sciences to the performance of
laboratory procedures which aid in the
diagnosis and treatment of diseases.”
ANNE FAGELSON
“…branch of medicine concerned with the
performance of laboratory determinations
and analyses used in the diagnosis and
treatment of disease and the maintenance of
health.”
WALTERS
“…health profession concerned with performing
laboratory analyses in view of obtaining
information necessary in the diagnosis and
treatment of disease as well as in the
maintenance of good health.”
RA 5527
“…an auxiliary branch of laboratory medicine which deals
with the examination of tissues, secretion, and excretion
of the human body and body fluids by various electronic,
chemical, microscopic, and other medical laboratory
procedures or techniques either manual or automated
which will aid the physician in the diagnosis, study and
treatment of disease and in the promotion of health in
general.”
WHAT IS COMMON AMONG THEM?
CLINICAL LABORATORY
It is a facility that performs chemical and microscopic
examinations of various body fluids.
INSIDE THE CLINICAL
LABORATORY…
WHAT DOES A MEDICAL
TECHNOLOGIST DO?
MEDICAL TECHN OLOGISTS AS…
MEDICAL
DETECTIVES
ROLES OF A MEDICAL
TECHNOLOGIST
Observe, identify, and analyze organisms and cells
causing infection and disease
ROLES OF A MEDICAL
TECHNOLOGIST
Perform blood tests
ROLES OF A MEDICAL
TECHNOLOGIST
Measure substance in blood and other body fluids
ROLES OF A MEDICAL
TECHNOLOGIST
Operate complex apparatus, instruments, and
machines
ROLES OF A MEDICAL
TECHNOLOGIST
Use standards and controls to improve reliability of
results
ROLES OF A MEDICAL
TECHNOLOGIST
Work under pressure with accuracy and precision
ROLES OF A MEDICAL
TECHNOLOGIST
Adhere to high ethical standards of performance
HISTORY OF MEDICAL
TECHNOLOGY
Global and Local
EARLY BEGINNINGS
400 B.C.
• Hippocrates (Father of Medicine)
• Described the “four humors” in man
• Blood, phlegm, yellow bile, and black bile
• Urinalysis
• Oldest laboratory procedure
EARLY BEGINNINGS
600 B.C.
• Hindu physicians recorded the sweet taste of diabetic urine as well as
polyuria in diabetes
1500 B.C.
• Vivian Herrick identified Taenia and Ascaris
• “Ebers Papyrus” was discovered
“EBERS PAPYRUS”
• Oldest preserved Egyptian compilation of medical texts
EARLY BEGINNINGS
1632
• Anton van Leeuwenhoek
• Invented the compound microscope
• First to described red blood cells, protozoa, and to classify bacteria according to
shape
EARLY BEGINNINGS
1628-1694
• Marcelo Malphigi
• Founder of Pathology
• Greatest of the early microscopists
• Contributed to embryology and anatomy
1847
• Rudolph Virchow
• Founder of the “Archives of Pathology” in Berlin
EARLY BEGINNINGS
1848
• Herman Fehling
• Performed the first quantitative test for urine sugar
15th Century
• Discovery of aniline dyes
• Staining of microorganisms
IN THE UNITED STATES
1878
• Dr. William H. Welch
• Established a laboratory at Bellevue Hospital Medical College
• First professor of Pathology at John Hopkins University (1885)
IN THE UNITED STATES
1896
• Dr. William Osler
• Opened the first clinical laboratory at John Hopkins Hospital
• William Pepper Laboratory was opened at the University of Pennsylvania
IN THE UNITED STATES
1908
• Dr. James C.Todd
• Wrote “A Manual of Clinical Diagnosis” which became the standard reference of
laboratories
1921: Denver Society of Clinical Pathologists was organized
1936: American Board of Pathology was organized
IN THE UNITED STATES
World War I
• Produced a great demand for technicians
• University of Minnesota
• One of the first schools to establish trainings for workers in 1922
• First to offer degree program in 1923
IN THE UNITED STATES
World War II
• “Closed system” of blood collection was adopted
• Advanced instrumentation
• Automated equipment
• Quality control programs
IN THE PHILIPPINES
January 9, 1945
• First clinical laboratory
• 26th Medical Infantry of the 6th U.S. Army
• Located at Quiricada St., Sta. Cruz, Manila
• Known as Public Health Laboratory
October 1, 1945
• Dr. Pio de Roda and Dr. Mariano Icasiano
• Reopened as Manila Public Health Laboratory
IN THE PHILIPPINES
1947
• Dr. Pio de Roda and Dr. Prudencia Sta. Ana
• Offered a training for high school and paramedical graduates
1954
• Dr. Pio de Roda instructed Dr. Sta. Ana (with Dr. Briones)
• Formal syllabus
• Six-month laboratory training was offered
“The training program offered by Dr. Pio de Roda did
not last long, for during the same year, the formal
education of Medical Technology in the Philippines
began.”
FORMAL MEDICAL TECHNOLOGY
EDUCATION IN THE PHILIPPINES
MRS. WILLA HILGERT-HEDRICK
• Founder of medical technology
education in the Philippines
• American medical practitioner of the
Seventh Day Adventist Church in the
Philippines
HISTORY
Philippine Union College of Baesa (1954)
• First to offer B.S. Medical Technology
• Dr. Jesse Umali: first graduate after two years
University of Santo Tomas (1957-1958)
• Dr. Antonio Gabriel and Dr. Gustavo Reyes
• Offered MT as an elective to pharmacy students
• Due to its popularity, it was decided to be offered as a course
• June 14, 1961: recognition of 4-year B.S. MT
HISTORY
Centro Escolar University (1960)
• First batch graduated in 1962
Far Eastern University (1962)
• Dr. Horacio Ylagan and Dr. Serafin Juliano
• Applied for the offering of B.S. Medical Technology course
• First batch graduated in 1963
HISTORY
University of the Philippines
• Offers the same course but the degree is conferred to as B.S. Public Health
PROFESSIONAL ORGANIZATION S
• PASMETH
• Philippine Association of Schools of
Medical Technology and Public Health,
Inc.
• PAMET
• Philippine Association of Medical
Technologists
MEDICAL TECHNOLOGY
EDUCATION IN THE PHILIPPINES
NATURE OF THE FIELD OF STUDY
• Program course shall be called as:
• Bachelor of Science in Medical Technology or
• Bachelor of Science in Medical Laboratory Science
• Four-year program
• One-year internship with rotational duties in different laboratory sections in a
CHED-accredited training laboratory
• Passed the licensure examination
PROGRAM GOALS
• Develop knowledge, skills, professional attitude and values in the performance
of laboratory procedures
• Acquire critical thinking skills
• Engage in research and community-related activities
PROGRAM GOALS
• Participate in activities promoting the profession and engage in life-long
learning undertakings
• Develop collaborative and leadership qualities
EXPECTED PERFORMANCE
OUTCOMES
• Technical competence
• Analytical and critical thinking skills
• Proper collection, analysis, and projection of health information
• Inter-personal skills, leadership qualities, and ethical practice of profession
• Research skills
• Community-oriented activities
• Life-long learning activities
• Effective teaching and communication skills
PROGRAM CURRICULUM
GENERAL EDUCATION
CORE COURSES
PROFESSIONAL COURSES
SCOPE OF THE LICENSURE
EXAMINATION
Clinical Chemistry 20%
Microbiology and Parasitology 20%
Hematology 20%
Blood Banking and Serology 20%
Clinical Microscopy 10%
Histopathologic Techniques and MT Laws 10%
EMPLOYMENT OPPORTUNITIES
FOR MEDICAL TECHNOLOGY
GRADUATES
EMPLOYMEN T OP PORTUNITIES
• Medical technologist • Educational representatives
(generalist/specialist) (company/health program)
• Clinical laboratory supervisor • Researcher
• Chief medical technologist (industrial/medical)
• Laboratory owner • Teacher/instructor
(secondary/tertiary levels)
• Sales and public relations
representative • Employment abroad
MEDICAL TECHNOLOGIST SPECIALIST
PHLEBOTOMIST
INDUSTRIAL OR MEDICAL
RESEARCHER
MEDICAL DOCTOR
MEDICAL SALES REPRESENTATIVE
CLINICAL LABORATORY SUPERVISOR
LABORATORY OWNER
EMPLOYMENT ABROAD
TEACHER/INSTRUCTOR
REFERENCES
• Cardona, Meim, and Martin (2015). Introduction to Medical Technology Practice
in the Philippine Setting. C and E Publishing, Inc.
• Rabor, R. (2012). Medical Technology Laws and Ethics: A collection of Philippine
Laws, statutes, and codes of medical technology profession (3rd ed.) Philippines:
EDL Printing Press
• Seyoum, Berhau (2006). Introduction to Medical Laboratory Technology. Ethiopia
Public Health Training Initiative, The Carter Center, the Ethiopia Ministry of
Health, and the Ethiopia Ministry of Education
• CHED Memorandum Order 13 (2017). Policies, Standards and Guidelines for
the Bachelor of Science in Medical Technology/Medical Laboratory Science Program
END OF DISCUSSION