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ACC/CMGS Technologist Training Day - 1st October 2009
Integrating Molecular and Cytogenetics Working Practices
Jennie BellSenior Training Lead
Birmingham
ACC/CMGS Technologist Training Day - 1st October 2009
Traditional Situation Scientists and technicians usually work in
a designated area Constitutional cytogenetics Molecular Oncology Prenatal cytogenetics or Prenatal molecular
Focus on expertise in either molecular or cytogenetic techniques Sequencing Cell culture and harvesting
ACC/CMGS Technologist Training Day - 1st October 2009
Limitations Molecular and cytogenetic laboratories are
often physically distanced
Laboratory structure
Needs of the clinical service
Historical working practises The way we have always done it
ACC/CMGS Technologist Training Day - 1st October 2009
Why change? Emerging techniques
Changing workforce
Cost implications
Modernising Scientific Careers
ACC/CMGS Technologist Training Day - 1st October 2009
Technology Microarrays
Global view Falling costs Increasing expertise Bridging technology Mixed skills required
MLPA Widely used Resolve cytogenetically identified
abnormalities at the molecular level
ACC/CMGS Technologist Training Day - 1st October 2009
Changing Workforce Important to review roles within a
department
Is the most appropriate person doing the most appropriate job?
Develop individual skills
ACC/CMGS Technologist Training Day - 1st October 2009
MSC
ACC/CMGS Technologist Training Day - 1st October 2009
ACC/CMGS GT Training manual Formal move toward integrated training
programme
Recognises the need for technologists to have multidisciplinary skills
Module in cytogenetics or molecular for trainees recruited to specific discipline
ACC/CMGS Technologist Training Day - 1st October 2009
Impact of MSC Training focussed on patient care
pathways Learning Disorders Sexual differentiation and infertility Cancer Population Screening
Fully integrated training approach for both Scientists and Practitioners
ACC/CMGS Technologist Training Day - 1st October 2009
Skill requirements - Scientists Managing patients rather than specific
condition or disease
Knowledge of chromosome and molecular testing strategies
Provision of a combined report
Increase managerial skills
ACC/CMGS Technologist Training Day - 1st October 2009
Skill Requirements - Practitioners Managed all technical aspects of
laboratory Knowledge of cell culture and DNA
extraction – interlinking Increase technical expertise across a
range of sample referrals Broaden analysis skills Increase managerial skills
ACC/CMGS Technologist Training Day - 1st October 2009
Planning to provide integrated training
Team work Cross sectional support Appreciation of the need for change Careful planning Respect different working practises A new way of thinking A new way of working
ACC/CMGS Technologist Training Day - 1st October 2009
Delivering integrated training- Practitioners
ACC/CMGS Technologist Training Day - 1st October 2009
Delivering Integrated Training- Scientists
ACC/CMGS Technologist Training Day - 1st October 2009
Support Trainee Mentors
Paired cyto/molecular (Bristol model) Trainee Assessors In-house training
Trainers Trainees Journal Club Seminars
ACC/CMGS Technologist Training Day - 1st October 2009
New Ideas Develop new processes Use mixed-skill knowledge Are there any communal areas that could
be developed? Specimen reception Duty scientist
Look at particular laboratory scenarios Improve extraction of DNA from cultured cells
ACC/CMGS Technologist Training Day - 1st October 2009
Existing Staff Important to involve existing staff
Open discussion
Open planning
Continue to support their development
Encourage junior members of staff to participate in training delivery
ACC/CMGS Technologist Training Day - 1st October 2009
Conclusion Integration can be a positive thing
Staff become skilled in a broader range of techniques
Deploy staff in laboratory areas requiring maximum support
Improve patient care