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[Practical training adopted from essential laboratory tests in laboratory medicine]
1Department of Laboratory Medicine, School of Medicine, Tokushima University.
Summary
The essential laboratory tests curriculum was well-received by medical students, but its quality did not align with physician examination standards. Clinical practice utilizes a broader test selection than the proposed essential list.
Area of Science:
- Medical Education
- Clinical Pathology
- Laboratory Medicine
Context:
- The Japan Society of Clinical Pathology's 1989 proposal for essential laboratory tests was implemented in medical student education at Tokushima University.
- Evaluation involved student and clinician feedback via questionnaires to assess the impact on laboratory medicine lectures and practical training.
Purpose:
- To evaluate the effectiveness of incorporating the essential laboratory tests proposal into the medical curriculum.
- To assess student and clinician perceptions of the laboratory medicine education and practical training.
Summary:
- The laboratory medicine curriculum, focusing on essential laboratory tests, received positive student assessments, indicating good understanding of lectures and practical training.
- Intra-assay precision for serum protein concentration averaged 3.7% CV with 70.3% recovery, meeting essential test criteria.
- However, the experimental quality fell short of scholarly standards and physician state examination requirements, with clinicians using a more selective test panel in practice.
Impact:
- Findings suggest a discrepancy between the proposed essential laboratory tests for educational purposes and the actual diagnostic test selection in daily primary medical care.
- Re-evaluation of essential laboratory tests is recommended for aligning medical education with clinical practice realities.
- This study highlights the need for curriculum refinement to better bridge the gap between academic training and real-world clinical application in laboratory medicine.