McDonald J M, Smith J A
Department of Pathology, University of Alabama at Birmingham 35294-0007, USA.
Clin Chem. 1995 Aug;41(8 Pt 2):1256-62.
Clinical laboratory consultants (M.D.s and Ph.D.s) must add value and medical relevance to the healthcare system to earn and maintain their roles in an era of managed care. Service opportunities include new and expanded roles in system-wide (a) managing of point-of-care testing, (b) informatics and information systems, (c) clinical consultation, (d) resource management, (e) management of utilization, (f) improving healthcare quality assurance, and (g) technology assessment and implementation. Hypothesis-driven research focused on the linkage between the laboratory and outcome analysis, clinical practice guidelines, total quality improvement, technology assessment, and healthcare policy provides major opportunities to complete for expanding research support. Changes in clinical laboratory consultant training are necessary to provide the knowledge, skills, and experience required to provide value-added and medically relevant services. Clinical laboratory consultants with Ph.D. degrees should initially be trained broadly in all areas of the laboratory, with emphasis on system-wide issues, and then trained as specialized scientists.
临床实验室顾问（医学博士和哲学博士）必须为医疗保健系统增添价值并具备医学相关性，以便在管理式医疗时代赢得并维持其角色。服务机会包括在全系统范围内的新的和扩展的角色：（a）即时检验管理；（b）信息学和信息系统；（c）临床咨询；（d）资源管理；（e）利用管理；（f）改善医疗质量保证；以及（g）技术评估与实施。以假设为驱动的研究聚焦于实验室与结果分析、临床实践指南、全面质量改进、技术评估和医疗政策之间的联系，这为争取扩大研究支持提供了主要机会。临床实验室顾问培训的变革对于提供增值且具有医学相关性的服务所需的知识、技能和经验而言是必要的。拥有博士学位的临床实验室顾问最初应在实验室的所有领域接受广泛培训，重点是全系统范围的问题，然后再作为专业科学家接受培训。
