Nevalainen D E
Abbott Quality Institute, Abbott Park, IL.
Clin Lab Manage Rev. 1993 Sep-Oct;7(5):476, 471-5.
The reality of the world and the workplace is changing rapidly, and continuing the "old" ways will not provide the solutions needed to address the problems the health-care industry faces today. "The organization of the laboratory, as we now know it, will change. An environment in which every instrument is run by highly trained medical technologists is not likely to be the norm. Instead, laboratories will be staffed by lesser trained technicians under the direction of a limited number of medical technologists.... Licensing and regulatory trends for laboratories will support the downgrading of the average level of laboratory expertise required to perform tests". Similarly, in 1993 a regional director of the National Labor Relations Board (NLRB) ruled that many medical technologists do not meet the NLRB definition of professional because they perform highly automated and routine work that does not require the consistent exercise of discretion and judgment. Does the laboratory industry need to have all of its work done by highly trained medical technologists? A look at current laboratories would seem to answer that question as "no." On the other hand, do we need highly trained medical technologists in the laboratories? The answer is yes, but it is apparent that medical technologists of the future need to prepare themselves in new ways to address future demands on the profession.(ABSTRACT TRUNCATED AT 250 WORDS)
世界和职场的现实正在迅速变化，延续“旧”方式将无法提供解决医疗行业当今所面临问题所需的方案。“我们现在所熟知的实验室组织形式将会改变。由训练有素的医学技术专家操作每一台仪器的环境不太可能成为常态。相反，实验室将由训练程度较低的技术人员在少数医学技术专家的指导下工作……实验室的许可和监管趋势将支持降低进行检测所需的实验室专业知识平均水平”。同样，1993年美国国家劳动关系委员会（NLRB）的一位地区主任裁定，许多医学技术专家不符合NLRB对专业人员的定义，因为他们从事高度自动化的常规工作，不需要持续运用酌处权和判断力。实验室行业是否需要让所有工作都由训练有素的医学技术专家来完成？看看当前的实验室，答案似乎是“否”。另一方面，我们在实验室里是否需要训练有素的医学技术专家？答案是肯定的，但显然未来的医学技术专家需要以新的方式为自己做好准备，以应对该行业未来的需求。（摘要截选至250字）
