The Clinical Laboratory Scientist The Clinical Laboratory Science by oym20829

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									                           Oregon Institute of Technology at Oregon Health & Science University
                                  Joint Program in CLINICAL LABORATORY SCIENCE
                                                        OHSU-Clinical Laboratory Science Program
                                                             3181 SW Sam Jackson Park Rd.
                                                                    Mail Code: MTGH
                                                              Portland, Oregon 97201-3098
                                                         Phone: (503) 494-8698 Fax: (503) 494-2730


The Clinical Laboratory Scientist                                               Tests and procedures are performed or supervised
Clinical Laboratory Science, also called medical                                by laboratory scientists in hematology, coagulation,
technology, is a profession that combines the                                   microbiology, immunohematology, immunology,
challenges and rewards of medicine with laboratory                              clinical chemistry and urinalysis. Subspecialty
science. Clinical laboratory scientists perform                                 areas include molecular diagnostics, cytogenetic,
many and varied laboratory analyses and use critical                            fertility testing, flow cytometry, tissue typing, bone
thinking in determining the correctness of test                                 and skin banks, forensics and infection control.
results. They recognize the interdependency of                                  There are opportunities for graduates to work in
testing information and have knowledge of                                       hospital laboratories, clinics, physician offices,
physiologic and pathologic conditions affecting                                 public health agencies, research and industry.
results in order to validate them. In many health                               As medical knowledge continues to expand, for
care settings, they provide data used by physicians                             those who choose a career as a laboratory
in determining the presence, extent, and, as far as                             professional, the opportunity and the challenge
possible, causes of disease.                                                    never ends.
Clinical laboratory scientists:
    Develop and establish procedures for collecting,                            The Clinical Laboratory Science Program
    processing, and analyzing biological specimens;                             Oregon Institute of Technology (OIT) and Oregon
    Performs analytical tests of blood, body fluids,                            Health & Science University (OHSU) now jointly
    and other substances;                                                       offer the Clinical Laboratory Science Program,
    Integrate and relate data generated by various                              established in 1933 at Oregon Health & Science
    clinical laboratory departments while making                                University. The CLS Program is accredited by the
    decisions regarding possible discrepancies;                                 National Accrediting Agency for Clinical
    Confirm abnormal results;                                                   Laboratory Sciences (NAALCS).
    Establish and execute quality control and quality
    assurance measures;                                                         The structured 15-month program, which begins in
    Establish and perform preventive and corrective                             early September, is busy and intense and includes
    maintenance of instrumentation;                                             12-months of technical instruction and practical
                                                                                experience, followed by a 3-month clinical
    Develop, evaluate and select new techniques,
                                                                                laboratory internship. Forty hours a week are spent
    instruments and methods;
                                                                                in laboratory practice and lecture with additional
    Interact with other health care professionals to
                                                                                study time required. The scope of responsibilities is
    provide patient care;
                                                                                explored with emphasis placed on principles used in
    Provide leadership in educating health personnel                            diagnostic laboratory testing. Graduates are well
    and the community;                                                          prepared to enter the profession of clinical
    Participate in continuing education for growth                              laboratory science and have many diverse career
    and maintenance of professional competence;                                 opportunities available to them.
    Exercise principles of management, safety &
    supervision.                                                                Students are required to pass a criminal background
Source: National Accrediting Agency for clinical Laboratory                     check and urine drug screen. Contact the
Sciences, Chicago, Illinois, l995.                                              department office for more information.

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The CLS program provides undergraduate college                                      complete additional academic work to qualify.
instruction at the senior level, the completion of                                  This may be accomplished by:
which leads to a joint baccalaureate degree from                                    Completing a course in biochemistry and in
OIT and OHSU. A student may enter the program                                       microbiology (bacteriology). These courses
with or without a baccalaureate degree. Those                                       must be acceptable toward a major in the
students entering the program without a degree                                      appropriate area or be certified by the college or
must have completed at least 103 transferable                                       university as equivalent, and a grade of “C” or
quarter hours at an accredited college, community                                   better must be achieved in each course.
college and/or university prior to matriculation and                                Receiving credit by examination in
be eligible for an OIT/OHSU baccalaureate degree                                    biochemistry and in microbiology
upon completion of the program. Although students                                   (bacteriology). If a grade is given for credit by
may apply while in the process of completing the                                    examination, a grade of “C” or better must be
admission requirements, those admitted must                                         achieved in each course. Arrangements to
provide a final transcript prior to registration to                                 request credit by examination must be made
certify the completion of all required courses.                                     between the individual and an accredited college
                                                                                    or university offering the appropriate
Admission/Program Requirements                                                      examination.
Undergraduate work of at least 103-quarter credit                                   Achieving a CLEP score at or above the 50th
hours must include the following required courses.                                  percentile on both the biology and chemistry
(Semester credit-hours x 1.5 = quarter credit hours.)                               examinations. Further information can be
                                                                                    obtained by writing to the Education Testing
 Survey courses do not qualify as fulfillment of chemistry                          Service, CLEP Box 592, Princeton, NJ 08540.
           or biological science prerequisites.

                                                                                Degree Requirements
         Chemistry – at least 24-quarter credit hours
                                                                                Candidates for the joint OIT/OHSU baccalaureate
         of lectures and laboratory experience. No
                                                                                degree must complete a minimum of 186-quarter
         required courses. Suggested courses include
                                                                                credits with a cumulative GPA of 2.00 or better.
         general chemistry, inorganic chemistry,
                                                                                Requirements for the baccalaureate degree are as
         organic chemistry, biochemistry,
                                                                                follows: *Note: If you enter the CLS Program already the
         quantitative analysis and physical chemistry.                          recipient of a baccalaureate degree, these requirements will
                                                                                have been satisfied.
         Biological Sciences – at least 24-quarter
         credit hours. One course in                                            Written English/English Composition – 6 credit
         microbiology/bacteriology is required.                                 hours. WR121, 323 or equivalent.
         Immunology is required as part of
         microbiology or as a separate course.                                  Group Requirements – A minimum of at least 9
         Genetics, physiology and anatomy are                                   credit hours in each of Humanities and Social
         recommended.                                                           Sciences:

         Mathematics – One college level                                            Humanities: Courses may include English (does
         mathematics course is required. Minimum                                    not include 6 hours of written English
         requirements are met by courses recognized                                 composition), history of art or music,
         as prerequisites for admissions to college                                 appreciation of art or music, foreign languages
         physics. Courses in statistics, physics and                                (excluding first-year courses), linguistics,
         electronics are strongly recommended.                                      philosophy, speech, and theater arts.

    7-Year Limitation: Individuals who have met
    admission requirements seven or more years
    prior to application to the CLS Program must

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    Social Science: Courses may include                                         infections, central nervous system infections,
    anthropology, economics, general social                                     intravascular infections, bacteremia, endotoxemia,
    science, history, political science psychology,                             infections of the fetus and newborn, sexually
    religion and sociology.                                                     transmitted     diseases,     infections     in   the
                                                                                immunocompromised            patient,      nosocomial
                                                                                infections, and hospital infection control.
CLS Curriculum and Course Descriptions                                          Prerequisite: CLS 410 or consent of the instructor.
The curriculum contains the following courses
listed by term, class number, credit hours, title, and                          CLS 412         Pathophysiology (2 credits)
a brief description:                                                            Lectures reviewing processes that underlie many
                                                                                different disease states and health deviations. The
CLS 406          Biometry             (2 credits)                               study of the most common disease processes in
Problem solving related to clinical laboratory                                  humans and their correlation with laboratory
determinations to include: solution preparation,                                findings are explored.
systems of measurement, dilutions, factors, graphs                              Prerequisite: Admission to the Clinical Laboratory
and standard curves, and generation of laboratory                               Science Program or consent of the instructor.
results from raw data. Descriptive and inferential
statistics related to clinical laboratory science and                           CLS 415         Clinical Chemistry I (6 credits)
quality control to include: measures of central                                 The theory, practical application and technical
tendency, probability, distributions, hypothesis                                performance of chemical procedures.
testing, confidence intervals, Z-scores, t-tests, chi-                          Fundamentals of quantitative chemical analysis in
square, correlation and regression analysis, and                                the determination of endogenous and exogenous
ANOVA.                                                                          substances in body fluids such as blood, urine,
Prerequisite: Admission to the Clinical Laboratory                              spinal fluid, amniotic fluid and ascites. Emphasis
Science                                                                         areas will encompass amino acids, proteins,
                                                                                carbohydrates, lipoproteins, lipids, enzymes, renal
CLS 410        Clinical Microbiology I (2 credits)                              and liver functions analytes, GI function related
Lecture course studying the major bacterial                                     analytes, electrolytes, trace elements, hemoglobin
organisms pathogenic for man. Includes culture                                  and porphyrins, and hormones, bone metabolism,
methods, morphological characteristics, isolation                               nutrition, pregnancy and fetal development
methods, and identification of these organisms.                                 analytes, and geriatric considerations.
Discussion of the bacterial structures and processes,                           Prerequisite: Admission to the Clinical Laboratory
genetic determinants, normal flora, host-parasite                               Science Program
relationships,       sterilization        techniques,
epidemiological methods, antimicrobics, and                                     CLS 416        Clinical Chemistry II (2 credits)
principles of laboratory diagnosis of infectious                                The theory, practical application and technical
diseases.                                                                       performance of chemical procedures.
Prerequisite: Admission to the Clinical Laboratory                              Fundamentals of quantitative chemical analysis in
Science Program or consent of the instructor.                                   the determination of endogenous and exogenous
                                                                                substances in body fluids such as blood, urine,
CLS 411      Clinical Microbiology II (2 credits)                               spinal fluid, amniotic fluid and ascites. Emphasis
Lecture course studying the major spirochetes,                                  areas will encompass therapeutic drug monitoring,
mycobacteria, actinomycetes, chlamydia, rickettsia,                             toxicology, and method evaluation.
fungi, and viral organisms pathogenic for man.                                  Prerequisite: CLS 415
Includes discussion of bacteria causing zoonotic
diseases. Includes discussion of skin and wound                                 CLS 419       Immunohematology (2 credits)
infections, bone and joint infections, eye, ear, and                            Emphasis on theory and laboratory techniques used
sinus infections, dental and respiratory infections,                            in blood banking including blood typing, major
enteric infections and food poisoning, urinary tract                            blood group antigens and antibodies including their

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role in transfusion medicine, cross matching and                                disorders; laboratory procedures pertaining to
antibody identification. Current practices in blood                             hematology and hemostasis; microscopic
donation, component therapy and medical-legal                                   examination of blood films; and correlation and
aspects are also covered.                                                       interpretation laboratory data for disease states
Prerequisite: Admission to the Clinical Laboratory
Science Program or consent of the instructor.                                   CLS 443         Practicum: Transfusion Medicine
                                                                                (4 credits) Coordinated lecture and laboratory
CLS 420         Clinical Immunology (3 credits)                                 practice. The principles of immunohematology as
Fundamentals of humoral and cellular immunity, to                               applied to Transfusion Medicine with special
include innate and adoptive immunity, organs and                                emphasis upon blood groups and types, techniques
tissues of the immune system, principles of immune                              demonstrating antigen-antibody reactions; donor
activation, immunoglobulin and receptor                                         collection, processing, storage and hazards of
biochemistry, immunogenetics, cytokines, the                                    transfusions, blood components and quality control
complement system, white blood cell populations,                                are covered.
and phagocytic mechanisms. Clinical applications                                Prerequisite: Admission to the Clinical Laboratory
to include protective immunity, immunodeficiency                                Science Program or consent of the instructor.
conditions, inflammation, immune mediated
diseases, neoplasms of the immune system,                                       CLS 444         Practicum: Microbiology (6 credits)
transplantation, and cancer immunology. An                                      Emphasis on clinical laboratory techniques.
overview of immunoassay and serology testing                                    Methods include discussion, case histories,
formats.                                                                        computer tutorials, hands-on exercises,
Prerequisites: Admission to the Clinical Laboratory                             demonstrations, problem solving, and interpretation
Science Program                                                                 of results. Includes study of the culture,
                                                                                morphological characteristics, serologic methods,
CLS 440         Practicum: Specimen Collection (1                               isolation and identification of bacterial organisms.
credit) Provides theory, demonstrations and                                     Includes safety, specimen collection, microscopic
practice of medical laboratory techniques pertaining                            methods, and antimicrobial susceptibility.
to the science of specimen collection or                                        Organisms include normal and pathogenic gram
phlebotomy.                                                                     positive cocci, gram negative cocci, gram positive
 Prerequisite: Admission to the Clinical Laboratory                             bacilli, gram negative bacilli, spirochetes,
 Science Program or consent of the instructor.                                  anaerobes, and related organisms with emphasis on
                                                                                organisms seen in a clinical laboratory. Includes
CLS 441        Practicum: Instrumentation (1                                    discussion of chlamydia, mycoplasma, and
credit) Principles and applications of the                                      rickettsiae.
instruments in use in the modern clinical                                       Prerequisite: Admission to the Clinical Laboratory
laboratory. Basic principles of instrument                                      Science Program or consent of the instructor.
operation for methods of detection, with emphasis
on maintenance and safety. Instrumentation                                      CLS 445         Practicum: Mycology (2 credits)
formats to include: spectrophotometry,                                          Emphasis on clinical laboratory techniques.
electrochemistry, osmometry, electrophoresis,                                   Methods include microscopy, discussion, case
particle analysis, and measurement of radioactive                               histories, computer tutorials, hands-on exercises,
decay.                                                                          demonstrations, problem solving, and interpretation
Prerequisite: Admission to the Clinical Laboratory                              of results. Includes study of the culture and
Science Program                                                                 morphological characteristics of normal and
                                                                                pathogenic fungi and yeast with emphasis on
CLS 442        Practicum: Hematology (6                                         organisms seen in a clinical laboratory.
credits) Normal development and function of blood                               Prerequisite: Admission to the Clinical Laboratory
cells; mechanisms of hemostasis; basic                                          Science Program or consent of the instructor.
pathophysiology of hematological and hemostasis

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CLS 446         Practicum: Parasitology (2 credits)                             include microscopy, discussion, case histories,
Emphasis on clinical laboratory techniques.                                     computer tutorials, hands-on exercises,
Methods include microscopy, discussion, case                                    demonstrations, problem solving, and interpretation
histories, computer tutorials, hands-on exercises,                              of results.
demonstrations, problem solving, and interpretation
of results. Includes study of normal and pathogenic                             CLS 452        Practicum: Advanced Hematology
parasitic organisms with emphasis on organisms                                  Techniques (2 credits) Microscopic examination
seen in a clinical laboratory.                                                  of blood films and body fluids; instrumentation
Prerequisite: Admission to the Clinical Laboratory                              methodologies for analyzing cellular components of
Science Program or consent of the instructor.                                   blood; analysis and interpretation of disease states.
                                                                                Prerequisite: Successful completion (a C or better)
CLS 447         Practicum: Chemistry (6 credits)                                of CLS 442.
Principles of chemical analysis, quality control,
laboratory utilization, and safety. Hands-on                                    CLS 453         Practicum: Advanced Transfusion
exercises, demonstrations, and computer tutorials                               Medicine Techniques (2 credits) Provides directed
illustrating chemical analysis and data evaluation in                           study, review and advanced problem solving and
a clinical chemistry laboratory. Discussion of case                             critical thinking related to Transfusion Medicine.
studies using problem-solving methods to analyze                                May include, but not be limited to, discussion, case
and interpret relevant chemical analysis data.                                  histories, computer tutorials, hands-on exercises,
Prerequisite: CLS 441                                                           demonstrations, problem solving and interpretation
Co requisite: CLS 415                                                           of results.
                                                                                Prerequisites: Successful completion (a grade of C
CLS 448        Practicum: Immunology/Infectious                                 or better) of CLS 443
Serology (2 credits) Techniques in immunologic
and serologic procedures. Hands-on exercises,                                   CLS 454        Practicum: Advanced Microbiology
demonstrations, and computer tutorials illustrating                             Techniques (2 credits)
immunoassay analysis and data evaluation in a                                   Advanced techniques and review of microbiological
clinical immunology and infectious serology                                     organisms. Includes study of bacterial, fungal, and
laboratory. Discussion of immunoassay systems to                                parasitic organisms and associated techniques.
include spectrophotometry, nephelometry,                                        Methods include microscopy, discussion, case
turbidimetry, fluorescence,                                                     histories, computer tutorials, hands-on exercises,
electrochemiluminescence, radioassay, and flow                                  demonstrations, problem solving, and interpretation
cytometry, instruction and practice of testing                                  of results.
methods and interpretation to include precipitation,                            Prerequisites: Admission to the Clinical Laboratory
agglutination, receptor-ligand, complement,                                     Science Program, CLS 410, CLS 411, CLS 444,
microscopy, electrophoresis, and cell-mediated                                  CLS 445, and CLS 446.
assays. Discussion of case studies using problem-
solving methods to analyze and interpret relevant                               CLS 457         Practicum: Advanced
immunology and serology data.                                                   Chemistry/Immunology Techniques (2 credits)
Prerequisite: CLS 420, CLS 441                                                  Directed study, review, and demonstration of
                                                                                advanced methods and instruments in use in
                                                                                clinical or research laboratories. These may
                                                                                include, but not be limited to tissue typing,
CLS 449         Practicum: Urinalysis (2 credits)                               molecular methods, automated systems, flow
Study of urine with emphasis on urinalysis                                      cytometry, and chromatographic methods.
techniques, renal function, physical examination,                               Prerequisite: CLS 447, CLS 448
chemical examination, microscopic examination,
renal disease, and metabolic disorders. Methods

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CLS 461         Clinical Laboratory Management I                                General Information
(2 credits)                                                                     Application Process: An admission application
Principles and fundamentals of management                                       may be obtained from the CLS Admissions
responsibilities: regulation and public financing of                            Coordinator. No applications can be accepted on-
clinical laboratories; financial management--                                   line. Applications are available after October 1st and
productivity, budgeting, cost accounting;                                       are accepted until the class is filled. If application
information systems; quality assessment.                                        is made before March 1st, the $50.00 application fee
                                                                                is waived. The mailing address for the Admission
CLS 462        Clinical Laboratory Management II                                Packet is:
(2 credits)
Principles and fundamentals of supervision and                                  OHSU
management: communication, team building,                                       3181 SW Sam Jackson Park Rd.
recruitment, selection and training; employee                                   CLS Admission Coordinator, Mail code: MTGH
performance; ethical considerations.                                            Portland, Oregon 97201-3098
Prerequisite: CLS 461                                                           503-494-8698

CLS 463:        Practicum: Clinical Laboratory                                  All graduates of foreign institutions must provide an
Management III (1 credit)                                                       official evaluation of their academic credentials
Applications of principles learned in CLS 461 and                               prepared by an international credentialing agency.
462 are studied using cases studies, computer
models and projects.                                                            Financial Aid: Financial Aid is through Oregon
Prerequisite: CLS 462                                                           Institute of Technology (OIT) at Klamath Falls.
                                                                                Please direct all questions and concerns to the OIT
CLS 470         Clinical Laboratory Externship (16                              Financial Aid Office.
credits) Sixteen weeks of clinical laboratory                                   The phone number is (541) 885-1280. The e-mail
experience at an OIT approved clinical site                                     address is >dollars@oit.edu>. A student seeking
correlating knowledge and skills presented in                                   admission who needs financial aid should complete
lectures and labs. Designed for the development of                              the “Free Application for Federal Student Aid”
skills necessary for entry into professional practice.                          (FAFSA). March 1st is OIT’s priority deadline.
Students work under the direct supervision of                                   OIT’s school code is 003211. Students who file
certified clinical laboratory scientists.                                       after that date will still have eligibility. However,
Prerequisites: Successful completion of all                                     some funds are limited and may be expended by
academic course work in the Clinical Laboratory                                 that priority date.
Science Program.
                                                                                Non-Discrimination Policy
National Certifying Examination                                                 Oregon Institute of Technology does not
Upon satisfactory completion of the program, the                                discriminate on the basis of race, color, national
student is eligible to take one or both of the two                              origin, gender, disability, age, religion, marital
nationally recognized certifying examinations: The                              status, or sexual orientation in its programs and
Board of Registry examination given by the                                      activities. The following office is designated to
American Society of Clinical Pathologists (ASCP)                                handle inquiries regarding this policy: Office of the
and/or the National Certifying examination given by                             Director for Campus Access and Equal
the National Certification Agency (NCA). Upon                                   Opportunity, Oregon Institute of Technology,
passing either of the examinations, the student is                              phone: (541) 885-1031.
certified as a clinical laboratory scientist by the
ASCP or NCA, or both.




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Students with Disabilities                                                      World Education Services, Inc.
OIT is committed to accommodating the needs of                                  PO Box 26879
students with disabilities whenever possible.                                   San Francisco, CA 94126-6879
Students with disabilities who anticipate needing                               Phone: (800) 414-0147
accommodations should contact the office of                                     Fax: (415) 677-9333
Services for Students with Disabilities, LRC235, as
soon as possible in advance of enrollment, to ensure                            Credentialing Agencies
timely provision of services. Questions may be                                  The Clinical Laboratory Science student may
directed to: Services for Students with Disabilities,                           receive credentialing through either the ASCP, or
phone (541) 885-1031.                                                           the NCA. For more information about the
                                                                                credentialing process, contact the ASCP or NCA.
Housing
The Residence Hall, located at OHSU’s campus, is                                American Society for Clinical Pathologists
open to all students. For information call 503-494-                             (ASCP)
7747, well in advance of the start of the program.                              2100 W. Harrison Street
                                                                                Chicago, IL 60612-3798
CLS Accrediting Agency                                                          Phone: (312) 738-1336
The Clinical Laboratory Science Program is                                      http://www.ascp.org/
accredited by NAACLS:
                                                                                National Certifying Agency
National Accrediting Agency for Clinical                                        P.O. Box 15945-289
Laboratory Sciences (NAACLS)                                                    Lenexa, KS, 66285
8410 W. Bryn Mawr Avenue, Suite 670                                             Phone: (913) 438-5110
Chicago, IL 60631-3415                                                          Fax: (913) 541-0156
Phone: (773) 714-8880                                                           http://www.appleapro.com/nca/
Fax: (773) 714-8886
Email: naacls@naccls.org http://www.naacls.org/


Foreign Transcript Evaluation Agencies
All graduates of foreign institutions must provide an
official evaluation of their academic credentials
prepared by a credentialing agency.

International Education Research Foundation,
Inc.
P.O. Box 66940
Los Angeles, CA 90066
Phone: (310) 390-6276
Fax: (310) 397-7686

Foundation for International Services, Inc.
21540 30th Drive, S.E. Suite 320
Bothell, WA 98021
Phone: (425) 487-2245
Fax: (425) 487-1989




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