An Introduction to Biomedical Science in Professional and Clinical Practice is intended to help biomedical scientists undertaking their preregistration training; we aim to help them understand the important aspects of working as a professional biomedical scientist in the clinical laboratory. It will be useful for students on ‘coterminous’ or ‘integrated’ Applied Biomedical Science BSc programmes, graduate trainee biomedical scientists and other staff who need to be aware of the knowledge and competency required to be a Health Professions Council registered practitioner. The book will also help qualified staff involved in training, by providing background information, key definitions and sources of further information. It brings together the essential information into a single text and points the reader towards more detailed sources where they might be appropriate. The suggested exercises that accompany each chapter aredesigned to provide ideas for suitable evidence for the Institute of Biomedical Science Registration Portfolio; the trainee and trainer can work together to adapt them to the local situation.
The recently established Applied Biomedical Science degrees in biomedical science, which this book is intended to support, arose as ventures between universities and clinical pathology departments across the UK. These programmes, supported by the professional body, have in our view given rise to new levels of excellence in partnership between academics and practitioners and are proven to be ‘fit for purpose’ by providing graduates who are ‘fit to practise’ by meeting the standards for professional registration. In addition to being a resource to support student-trainees and educator-trainers, we hope that this book exemplifies the success that this closer collaboration between academics and practitioners in biomedical science has brought. As the nature of the professional skills practiced by biomedical scientists evolves in response to innovations in diagnostic science and changing patterns of healthcare delivery, this partnership should be an invaluable foundation to support and shape further the future developments in healthcare science education and training.
To reinforce key concepts, self assessment quizzes are included at the end of each chapter alongside suggested exercises in each topic which can be used to gather evidence of knowledge and competency.
1 Introduction to a career as a biomedical scientist 1
1.1 What is a biomedical scientist? 1
1.2 Early development of clinical laboratory sciences 3
1.3 Development of the biomedical science profession 5
1.4 Role of the IBMS as the professional body for biomedical scientists in the 21st Century 7
1.5 Health Professions Council 11
1.6 Education and training for biomedical scientists 17
1.7 Codes of conduct 21
1.8 Conclusion 22
Quick quiz 23
Coursework exercises 23
Suggested references 23
2 Organization of pathology departments and the role of pathology in healthcare 25
2.1 Introduction 25
2.2 Organization of pathology departments 25
2.3 Staff groups within pathology 26
2.4 Role of pathology in healthcare 37
2.5 Users of the service 40
2.6 Evidence-based laboratory medicine 44
2.7 Improving the pathology service 48
2.8 Point of care testing (POCT) 50
2.9 Role of POCT in patient care 52
2.10 Conclusion 54
Quick quiz 54
Suggested exercises 55
Suggested references 55
3 Communication for biomedical scientists 57
3.1 Introduction 57
3.2 Communicating as a scientist 58
3.3 Communicating as a healthcare professional 58
3.4 Delivering the message: applying principles of effective communication 60
3.5 Communication techniques 68
3.6 Conclusion 81
Quick quiz 81
Suggested exercises 82
Suggested references 83
4 Quality management in the clinical laboratory 85
4.1 Introduction 85
4.2 Quality in pathology 85
4.3 Quality Control 88
4.4 Quality Assurance 93
4.5 Quality assessment 98
4.6 Quality audit 101
4.7 Clinical governance 104
4.8 Quality management system (QMS) 106
4.9 Accreditation 107
4.10 Factors affecting the quality of work in a pathology laboratory 111
Quick quiz 112
Suggested exercises 113
Suggested references 115
5 Basic principles of working in a clinical pathology laboratory 117
5.1 Introduction 117
5.2 Working as a professional biomedical scientist in the laboratory 118
5.3 Flow of work in a clinical laboratory 119
5.4 Health and safety in the clinical laboratory 136
5.5 Confidentiality, the Data Protection Act 1998 and the Caldicott Principles 139
Quick quiz 141
Suggested exercises 142
Suggested references 142
6 Introduction to the biomedical science disciplines 145
6.1 Introduction 145
6.2 Haematology and transfusion science 147
6.3 Clinical biochemistry 154
6.4 Histopathology and cytopathology 159
6.5 Medical microbiology 165
6.6 Liaison between pathology disciplines 171
6.7 Evaluation of a new diagnostic test 171
6.8 Sensitivity and specificity of an assay 173
Quick quiz 176
Suggested exercises 177
Suggested references 177
7 Biomedical science laboratory techniques 179
7.1 Introduction 179
7.2 Haematology 181
7.3 Clinical chemistry 187
7.4 Medical microbiology 192
7.5 Histopathology 194
Suggested references 199
8 Development of knowledge and competency for biomedical scientists 201
8.1 Introduction 201
8.2 Gathering evidence of knowledge and competency for HPC registration 202
8.3 Continuing professional development 204
8.4 Professional body support for CPD 206
8.5 Reflective practice for biomedical scientists 208
8.6 Approaches to reflective practice 209
8.7 Critical incident analysis 211
8.8 Learning styles 213
8.9 Planning a career as a biomedical scientist; generic skills and employability 215
8.10 Conclusion 217
Quick quiz 217
Suggested exercises 218
Suggested references 218
Index 219
The recently established Applied Biomedical Science degrees in biomedical science, which this book is intended to support, arose as ventures between universities and clinical pathology departments across the UK. These programmes, supported by the professional body, have in our view given rise to new levels of excellence in partnership between academics and practitioners and are proven to be ‘fit for purpose’ by providing graduates who are ‘fit to practise’ by meeting the standards for professional registration. In addition to being a resource to support student-trainees and educator-trainers, we hope that this book exemplifies the success that this closer collaboration between academics and practitioners in biomedical science has brought. As the nature of the professional skills practiced by biomedical scientists evolves in response to innovations in diagnostic science and changing patterns of healthcare delivery, this partnership should be an invaluable foundation to support and shape further the future developments in healthcare science education and training.
- Includes exercises throughout the text with examples of coursework and self assessment questions.
- Includes summary boxes with key facts, ideas for small group/tutorial discussions and further references to key websites and relevant texts.
- Suitable for either undergraduates following an accredited biomedical sciences BSc, graduate trainees or experienced staff with overseas qualifications.
- Covers basic biomedical techniques common to all pathology disciplines.
1 Introduction to a career as a biomedical scientist 1
1.1 What is a biomedical scientist? 1
1.2 Early development of clinical laboratory sciences 3
1.3 Development of the biomedical science profession 5
1.4 Role of the IBMS as the professional body for biomedical scientists in the 21st Century 7
1.5 Health Professions Council 11
1.6 Education and training for biomedical scientists 17
1.7 Codes of conduct 21
1.8 Conclusion 22
Quick quiz 23
Coursework exercises 23
Suggested references 23
2 Organization of pathology departments and the role of pathology in healthcare 25
2.1 Introduction 25
2.2 Organization of pathology departments 25
2.3 Staff groups within pathology 26
2.4 Role of pathology in healthcare 37
2.5 Users of the service 40
2.6 Evidence-based laboratory medicine 44
2.7 Improving the pathology service 48
2.8 Point of care testing (POCT) 50
2.9 Role of POCT in patient care 52
2.10 Conclusion 54
Quick quiz 54
Suggested exercises 55
Suggested references 55
3 Communication for biomedical scientists 57
3.1 Introduction 57
3.2 Communicating as a scientist 58
3.3 Communicating as a healthcare professional 58
3.4 Delivering the message: applying principles of effective communication 60
3.5 Communication techniques 68
3.6 Conclusion 81
Quick quiz 81
Suggested exercises 82
Suggested references 83
4 Quality management in the clinical laboratory 85
4.1 Introduction 85
4.2 Quality in pathology 85
4.3 Quality Control 88
4.4 Quality Assurance 93
4.5 Quality assessment 98
4.6 Quality audit 101
4.7 Clinical governance 104
4.8 Quality management system (QMS) 106
4.9 Accreditation 107
4.10 Factors affecting the quality of work in a pathology laboratory 111
Quick quiz 112
Suggested exercises 113
Suggested references 115
5 Basic principles of working in a clinical pathology laboratory 117
5.1 Introduction 117
5.2 Working as a professional biomedical scientist in the laboratory 118
5.3 Flow of work in a clinical laboratory 119
5.4 Health and safety in the clinical laboratory 136
5.5 Confidentiality, the Data Protection Act 1998 and the Caldicott Principles 139
Quick quiz 141
Suggested exercises 142
Suggested references 142
6 Introduction to the biomedical science disciplines 145
6.1 Introduction 145
6.2 Haematology and transfusion science 147
6.3 Clinical biochemistry 154
6.4 Histopathology and cytopathology 159
6.5 Medical microbiology 165
6.6 Liaison between pathology disciplines 171
6.7 Evaluation of a new diagnostic test 171
6.8 Sensitivity and specificity of an assay 173
Quick quiz 176
Suggested exercises 177
Suggested references 177
7 Biomedical science laboratory techniques 179
7.1 Introduction 179
7.2 Haematology 181
7.3 Clinical chemistry 187
7.4 Medical microbiology 192
7.5 Histopathology 194
Suggested references 199
8 Development of knowledge and competency for biomedical scientists 201
8.1 Introduction 201
8.2 Gathering evidence of knowledge and competency for HPC registration 202
8.3 Continuing professional development 204
8.4 Professional body support for CPD 206
8.5 Reflective practice for biomedical scientists 208
8.6 Approaches to reflective practice 209
8.7 Critical incident analysis 211
8.8 Learning styles 213
8.9 Planning a career as a biomedical scientist; generic skills and employability 215
8.10 Conclusion 217
Quick quiz 217
Suggested exercises 218
Suggested references 218
Index 219
Book Details
- Paperback: 240 pages
- Publisher: Wiley; 1 edition (April 28, 2009)
- Language: English
- ISBN-10: 0470057157
- ISBN-13: 978-0470057155
- Product Dimensions: 9.5 x 6.5 x 0.6 inches