What’s wrong with Holly? - QUT...a university for the real world CRICOS No. 00213J R Using a case study to introduce first year undergraduate students to the profession of Medical

CRICOS No. 00213J a university for the world real R

Using a case study to introduce

first year undergraduate students

to the profession of Medical

Laboratory Science

What’s wrong with Holly?

Frances Breen


University - It’s a whole new world!

LQB181 Introduction to

Medical Laboratory Science

Transition to University

Support services

Academic skills

Graduate skills

What is a Med Lab Scientist?

Workplace/s

Disciplines

Professional behaviours


The Industry Experience

Lab visits Industry

speaker

panel Practical

Case

Study


Case Study: The Journey

‘real world’

technical and

analytical

skills

• From ‘Holly Sampson’s presentation to her GP, through the phases

of diagnosis of bacterial pneumonia and follicular B cell lymphoma

to monitoring and management

• Foundational knowledge lectures and discipline-specific practicals:

– Clinical Microbiology

– Cytopathology

– Histopathology

– Haematology

– Clinical Biochemistry

– Blood transfusion

• Case study flow chart – holistic patient care

• Work behaviours required of a MLS

– Reflections

– Case study examples

• Reflection each week: From the practical today what personal work

behaviours did you identify as being required of a competent

medical laboratory scientist?

•

Its hands on

- have a go!


Initiating the journey…..

Doctor-patient role play


Initiating the journey….. Holly presents to GP

Symptoms:

Fever

Chills

Productive cough

Shortness of breath

Discomfort on breathing

Tiredness

Empirical Diagnosis:

Pneumonia

Treatment:

Antibiotics (Gentamicin)

prescribed

Other Observations:

Overdue for pap smear

Blood pressure normal

Tests requested:

1. Sputum

Microscopy

Culture

Antibiotic susceptibility

2. Radiology: Chest X ray

3. Pap smear


Case Study Flow Chart





A taster – discipline-specific technical

and analytical skills

MIC

RO

BIO

LO

GY

• Microscopy – sputum

• Culture - 16 streak - API20E

• Antibiotic susceptibility - CDS

CY

TO

PA

TH

OL

OG

Y

• PAP Smear

• FNA

HIS

TO

PA

TH

OL

OG

Y

• Processing of tissue

• H & E stain


HA

EM

AT

OL

OG

Y

• FBE - DWCC - Hb

• Ref. Ranges

BIO

CH

EM

IST

RY

• Total Protein - Biuret assay

• SPEPP

BL

OO

D

TR

AN

SF

US

ION

• Blood grouping - ABO - Rh

• Donor compatibility

A taster – discipline-specific technical

and analytical skills


Professional behaviours

Integral to the case study learning:

• quality control

• attention to detail in

– checking patient identifiers

– correct use of instrumentation

– following method protocols

• Documentation – immediate, accurate

Weekly

reflections

Final case

reflection


The outcomes of the journey

• This ’taster’ of the profession allows students to progress

through the course with a clearer understanding of what lies

ahead in the course and in the workplace.

• Provides foundational ‘hands on’ experience of the work of a

MLS and the essential professional behaviours required to

deliver quality results.

• By setting the case within the context of a broader

healthcare scenario, students begin to understand

the importance of pathology results within the

multidisciplinary reality of quality patient care


Acknowledgements

I would like to acknowledge the LQB181 team:

Anne-Marie Christensen, Christine Knauth, Christine Knox, Paul Shield,

Steven Weier, Jo Kizu, David Rutherford, Jo-Anne Finnimore, Leanne

Hill, Helen O’Connor, Haydee Falconer, Jillian Howell, Beric Nott, Chris

Cazier, Louise McGregor, Celia McNeilly


Thank you

Documents

What’s wrong with Holly? - QUT...a university for the real world CRICOS No. 00213J R Using a case study to introduce first year undergraduate students to the profession of Medical