clinical genetics - csmls / scslm · 2020-02-05 · • medical laboratory professionals are...
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Competencies Expected of an Entry-LevelClinical Genetics Medical Laboratory Technologist
CSMLS Competency ProfileClinical Genetics
Revised January 2016
Effective with the February 2018 CSMLS Examination
CEXM-359-H2 – January 2020
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© Copyright CSMLS 2016
No part of this publication may be reproduced in any form without the written permission of the Canadian Society for Medical Laboratory Science.
Contact Information
Canadian Society for Medical Laboratory Science
Mailing address:
33 Wellington Street North
Hamilton, ON L8R 1M7
Telephone Fax
(905) 528-8642 or
(800) 263-8277(905) 528-4968
Email Website
[email protected] www.csmls.org
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Table of Contents
Code of Professional Conduct ............................................................................................... 1
Examination Blueprint ............................................................................................................... 2
Assumptions about Medical Laboratory Science ................................................................. 3
Clinical Genetics MLT Competency Categories ................................................................... 4
Category 1: Safe Work Practices ............................................................................................ 5
Category 2: Data and Specimen Collection and Handling ............................................... 6
Category 3: Specimen Preparation and Pre-analytical Processing ................................... 7
Category 4: Equipment, Instruments and Reagents ............................................................. 9
Category 5: Analysis ............................................................................................................... 11
Category 6: Recording and Reporting ................................................................................ 12
Category 7: Quality Management ....................................................................................... 13
Category 8: Resource Management ................................................................................... 14
Category 9: Communication and Interaction .................................................................... 15
Category 10: Professional Practice ....................................................................................... 16
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Page 1 CSMLS Competency Profile - Clinical Genetics MLT January 2020
Code of Professional Conduct
• Medicallaboratoryprofessionalsarededicatedtoservingthehealthcareneedsofthepublic.Thewelfareofthepatientandrespectforthedignityoftheindividualshallbeparamountatalltimes.
• Medicallaboratoryprofessionalsworkwithotherhealthcareprofessionals,toprovideeffectivepatientcare.
• Medicallaboratoryprofessionalsshallpromotetheimageandstatusoftheirprofessionbymaintaininghighstandardsintheirprofessionalpracticeandthroughactivesupportoftheirprofessionalbodies.
• Medicallaboratoryprofessionalsshallprotecttheconfidentialityofallpatientinformation.
• Medicallaboratoryprofessionalsshalltakeresponsibilityfortheirprofessionalacts.
• Medicallaboratoryprofessionalsshallpractisewithinthescopeoftheirprofessionalcompetence.
• Medicallaboratoryprofessionalsshallendeavourtomaintainandimprovetheirskillsandknowledgeandkeepcurrentwithscientificadvances.Theywillupholdacademicintegrityinallmattersofprofessionalcertificationandcontinuingeducation.
• Medicallaboratoryprofessionalsshallsharetheirknowledgewithcolleaguesandpromotelearning.
• Medicallaboratoryprofessionalsshallbeawareofthelawsandregulationsgoverningmedicallaboratorytechnologyandshallapplytheminthepracticeoftheirprofession.
• Medicallaboratoryprofessionalsshallpractisesafeworkproceduresatalltimestoensurethesafetyofpatientsandco-workersandtheprotectionoftheenvironment.
Revised November 2011 © CSMLS
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Page 2CSMLS Competency Profile - Clinical Genetics MLT January 2020
Examination Blueprint
CSMLSClinicalGeneticsMLTexamsarebasedonthisplan
Category Mark %
1. Safe Work Practices 4-6%
2. Data and Specimen Collection and Handling 3-5%
3. Specimen Preparation and Pre-analytical Processing 20-30%
4. Equipment, Instruments and Reagents 10-15%
5. Analysis 35-45%
6. Recording and Reporting 15-20%
7. Quality Management 2-4%
8. Resource Management 1-2%
9. Communication and Interaction 1-2%
10. Professional Practice 2-4%
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Page 3 CSMLS Competency Profile - Clinical Genetics MLT January 2020
Assumptions about Medical Laboratory Science
The Clinical Genetics Medical Laboratory Technologist
Uponsuccessfulcompletionofbothanaccreditedprogram/CSMLSpriorlearningassessmentandtheCSMLSnationalcertificationexaminations,theClinicalGeneticsMedicalLaboratoryTechnologist(ClinicalGeneticsTechnologist):
• hasdevelopedabroadscientific/geneticknowledgebaseandpracticalskills• appliescriticalthinkingskillstoconstructivelysolveproblems• practicesandpromotestheprinciplesofcontinuousqualityimprovementincludingprofessional
developmentandusingpersonalinitiativetoimprovelaboratorypractices• practicestoensurethesafetyofpatients,colleagues,self,andtheenvironment• contributestothehealthcareandeducationofthepublic,promotespatientwelfare,andrespects
thepatient’sdignityandconfidentiality• isanintegralmemberofthehealthcareteamwhosharesknowledgethatisessentialtothe
diagnosisandtreatmentofdisease,promoteslearning,andcollaborateswithotherprofessionalsinprovidingeffectivepatientcare
• isresponsibleandaccountableforprofessionalactsandpracticesaccordingtostandardsofpracticeaswellaslegislationandregulationsgoverningtheprofession
• abidesbytheCSMLSCodeofProfessionalConduct• useseffectiveinterpersonalskillstomaintainaprofessionalrelationshipwithclientsandhealth
careprofessionals• usesallavailableresourcestoprovideserviceinatimely,accurate,andcost-effectivemanner.
The Client/Patient
TheclientisanyindividualwhointeractswiththeClinicalGeneticsTechnologist,e.g.,patientpatientrepresentative,healthcareprofessionals,otherlaboratoryprofessionals.
The Environment
TheClinicalGeneticsTechnologistispreparedtoworkinavarietyofsettingsincluding,butnotlimitedto,hospitals,privateandgovernmentlaboratories,industry,andeducationalinstitutions.
TheClinicalGeneticsTechnologistworksinasafeenvironmentthatisdynamicandevolving.
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Page 4CSMLS Competency Profile - Clinical Genetics MLT January 2020
Clinical Genetics MLT Competency Categories
Categories Description
1. Safe Work Practices TheClinicalGeneticsTechnologistPracticesaccordingtoestablishedprotocols,safetyguidelines,andexistinglegislation(e.g.WHMIS).
2. Data and Specimen Collection and Handling
TheClinicalGeneticsTechnologistensuresthatdatarequiredforspecimenprocessingareavailableandthatspecimencollectionandhandlinghasbeenperformedaccordingtoestablishedinstitutionalprotocols.
3. Specimen Preparation and Pre-analytical Processing
TheClinicalGeneticsTechnologistusesjudgmentandknowledgetoperformappropriatetechniquesonspecimensthatoriginatefromavarietyofsourcesaccordingtoestablishedinstitutionalprotocols.
4. Equipment, Instruments and Reagents
TheClinicalGeneticsTechnologistuseslaboratoryequipmentandinstrumentsandpreparesreagentsaccordingtoestablishedinstitutionalprotocols.
5. Analysis TheClinicalGeneticsTechnologistusesscientificknowledgeandskillstoanalyzepreparations,andtoprovideaccurategeneticinformationaccordingtoestablishedprotocols.
6. Recording and Reporting
TheClinicalGeneticsTechnologistcorrectlydocumentsandcommunicateslaboratoryresultsaccordingtoestablishedprotocols.
7. Quality Management TheClinicalGeneticsTechnologistPracticesandpromotestheprinciplesofqualitymanagement.
8. Resource Management
TheClinicalGeneticsTechnologistaddressesworkplacechallengesbyapplyingskillsinchangemanagement,materialsmanagement,financialmanagement,informationmanagementandinterpersonalskills.
9. Communication and Interaction
TheClinicalGeneticsTechnologistinteractsusingeffectivecommunication,teamworkskillsandinterprofessionalcollaborationwithclientsandotherhealthcareprofessionals.
10. Professional Practice TheClinicalGeneticsTechnologistmeetsthelegalandethicalrequirementsofpracticeandprotectsthepatient'srighttoareasonablestandardofcare.Professionalpracticeencompassesscopeofpractice,accountabilityandprofessionaldevelopment.
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Page 5 CSMLS Competency Profile - Clinical Genetics MLT January 2020
Category 1: Safe Work Practices
TheClinicalGeneticsTechnologistpracticesaccordingtoestablishedprotocols,safetyguidelines,andexistinglegislation(e.g.WHMIS).
Number Competency
1.01 Appliestheprinciplesofstandardprecautions
1.02 Usespersonalprotectiveequipment(e.g.,gloves,gowns,mask,faceshields,aprons)
1.03 Appliesappropriatelaboratoryhygieneandinfectioncontrolpractices
1.04 Identifiesandminimizespotentialdangersfrombiologicalspecimens,laboratorysupplies,radioactivematerial,andequipment
1.05 Utilizeslaboratorysafetydevicesinacorrectmanner(e.g.,biologicalsafetycabinets,fumehoods,safetypipettingdevices,safetycontainersandcarriers,safetyshowers,eyewashes)
1.06 Labels,dates,handles,stores,anddisposesofchemicals,dyes,reagentsandsolutionsaccordingtoWHMISandexistinglegislation
1.07 Handlesanddisposesof"sharps"appropriately
1.08 Stores,handles,transportsanddisposesofbiological,radioactiveandotherhazardousmaterialsaccordingtoexistinglegislation
1.09 Selectsandutilizestheappropriatemethodforitemstobedisinfected/sterilized
1.10 Minimizesthepotentialhazardsassociatedwithdisinfection/sterilizationmethods
1.11 Appliesappropriatemeasuresinresponsetolaboratoryaccidents/incidents
1.12 Appliesappropriatespillcontainmentandclean-upproceduresforbiological,radioactiveandotherhazardousmaterials
1.13 Respondsappropriatelytoallemergencycodes
1.14 Reportsincidentsrelatedtosafetyandpersonalinjuryinatimelymanner
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Category 2: Data and Specimen Collection and Handling
TheClinicalGeneticsTechnologistensuresthatdatarequiredforspecimenprocessingareavailableandthatspecimencollectionandhandlinghasbeenperformedaccordingtoestablishedprotocols.
Number Competency
2.01 Providesinformationtotheclientonspecimencollection,transportationandstorage
2.02 Verifiesthatthepertinentdataonthespecimenandrequisitioncorrespond
2.03 Assessesthesuitabilityofthesamplefortesting
2.04 Verifiesthattherequiredclinicalinformationisontherequisition
2.05 Verifiesthesuitabilityofthetestrequestedfortheclinicalindication
2.06 Prioritizesspecimenpreparation
2.07 Entersintoandretrievesdatafromthelaboratoryinformationsystem
2.08 Identifiesdiscrepanciesinspecimenprocurementand/ordocumentationandinitiatescorrectiveactionasrequired
2.09 RecognizesCCMGguidelinesforspecimenretention
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Category 3: Specimen Preparation and Pre-analytical Processing
TheClinicalGeneticsTechnologistusesjudgmentandknowledgetoperformappropriatetechniquesonspecimensthatoriginatefromavarietyofsourcesaccordingtoestablishedprotocols.
Number Competency
3.01 Organizesworkflowtoaccommodatechangesinpriorities
3.02 Preparesspecimensinanefficientmanner(e.g.effectiveuseoftime,equipment,andpersonnel)
3.03 Setsupspecimensforcytogeneticanalyses
3.03.01 Initiatescorrectiveactionasrequired
3.04 Culturesspecimensforcytogeneticanalyses
3.04.01 Assessestheculturesandinitiatescorrectiveactionasrequired
3.05 Harvestsspecimensforcytogeneticanalyses
3.05.01 Assessestheharvestedspecimensandinitiatescorrectiveactionasrequired
3.06 Preparesslidesforcytogeneticanalyses
3.06.01 Assessesthequalityoftheslidesadinitiatescorrectiveactionasrequired
3.07 Stainsslidesforcytogeneticanalyses,including:
• Routine• Special
3.07.01 Assessesthequalityofthestainingandinitiatescorrectiveactionasrequired
3.08 Preparesspecimensforandappliesinsituhybridizationtechniques
3.08.01 Assessesthequalityofpreparationandinitiatescorrectiveactionasrequired
3.09 Preparesspecimensforfurthertestingasrequired
3.10 Maintainslongtermtissuecultures
3.10.01 Assessestheculturesandinitiatescorrectiveactionasrequired
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Page 8CSMLS Competency Profile - Clinical Genetics MLT January 2020
3.11 Understandstheprinciplesofcryopreservationandrecovery
3.12 Appliestheprinciplesofextractingnucleicacidsformoleculargeneticanalyses
3.13 Assessesthequalityofthenucleicacidpreparationformoleculargeneticanalysesandinitiatescorrectiveactionasrequired
3.14 Preparesnucleicacidspecimensformoleculargeneticanalyses
3.15 Banksspecimensforfuturegeneticanalysesasrequired(e.g.nucleicacids,cellpellets)
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Category 4: Equipment, Instruments and Reagents
TheClinicalGeneticsTechnologistuseslaboratoryequipmentandinstrumentsandpreparesreagentsaccordingtoestablishedprotocols.
Number Competency
4.01 Appliestheprinciplesofmicroscopyincluding:
• Brightfield• Fluorescence• Inverted• Phasecontrast• Dissecting
4.02 Capturesandenhanceselectronicimages
4.02.01 Usescomputerassistedkaryotypingsystems
4.03 Appliestheprinciplesofspectrophotometryandfluorometry
4.04 Operatesandmaintainsstandardlaboratoryequipment
4.05 Recognizesmalfunctionsinequipmentandinitiatescorrectiveactionasrequired
4.06 Preparesreagentsandmedia
4.07 Appliestheprinciplesof:
• Gelelectrophoresis• Fluorescencefortheanalysisofnucleicacids• Thermocyclingfornucleicacidamplification(e.g.PCR)• MLPA
4.07.01 Identifiessourcesoferrorandinitiatescorrectiveactionasrequired
4.08 Appliestheprinciplesofautomatedsystems,including:
• Geneticanalyzers(e.g.sequencingandfragmentanalysis)• RealtimePCR• Microarraytechnology
4.08.01 Identifiessourcesoferrorandinitiatescorrectiveactionasrequired
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Page 10CSMLS Competency Profile - Clinical Genetics MLT January 2020
4.09 Understandstheprinciplesofautomatedsystems,including:
• Metaphasefinders• Nextgenerationsequencing• Roboticliquidhandlers
4.10 Understandstheprinciplesof
• Nucleicacidtransfer• Chemiluminescencefortheanalysisofnucleicacids• Beadbasedassays
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Category 5: Analysis
TheClinicalGeneticsTechnologistusesscientificknowledgeandskillstoanalyzepreparations,andtoprovideaccurategeneticinformationaccordingtoestablishedprotocols.
Number Competency
5.01 Understandstherelationshipbetweenclinicalinformation,laboratoryanalyses,diagnosesandtheirimpactonpatientcare
5.02 Analyzesmetaphasechromosomepreparations
5.03 Analyzeskaryotypesandpartialkaryotypes
5.04 Analyzesspecialstainsofchromosomes
5.05 Analyzesinsituhybridizationpreparations
5.06 UnderstandstheprinciplesofDNAlinkage
5.07 Analyzesgenemutationsusingdirectmethods
5.08 Analyzesgenemutationsusingindirectmethods
5.09 UnderstandstheprinciplesofRNA-basedtechniques
5.10 Recognizesvariantorabnormalgeneticfindingsandrespondsappropriately
5.11 Recognizestheneedforfurthergenetictestingandrespondsappropriately
5.12 Recognizestheclinicalsignificanceofcytogeneticand/ormolecularfindingsinthecontextofthepatient'sconditionandrespondsappropriately
5.13 Assessesthequalityofthetestresultsandinitiatescorrectiveactionasrequired
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Category 6: Recording and Reporting
TheClinicalGeneticsTechnologistcorrectlydocumentsandcommunicateslaboratoryresultsaccordingtoestablishedprotocols.
Number Competency
6.01 Documentsproceduresandobservationsthroughoutspecimenprocessingandanalysis
6.02 Documentspertinenttechnicalinformation(e.g.bandresolution,qualityofpreparation,mastermix)
6.03 UsesthecurrentISCNsystemtodescribecytogeneticsresults
6.04 Usesthecurrentinternationallyacceptednomenclature(s)todescribemoleculargeneticsresults(i.e.HGVS)
6.05 Ensuresthatgeneticresultsareaccuratelydocumented
6.06 Provideslaboratoryinformationand/orresultsinatimelyandappropriatemanner
6.07 RecognizesCCMGguidelinesforrecordretention
6.08 Maintainsconfidentialityofallpatientinformation
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Category 7: Quality Management
TheClinicalGeneticsTechnologistpracticesandpromotestheprinciplesofqualitymanagement.
Number Competency
7.01 Providesaccurateandtimelyresultstotheclient
7.02 Followsestablishedprotocolsasdefinedinpolicyandproceduremanuals
7.03 Performsandassessesqualitycontrolmeasures(internalandexternal)
7.04 Validatesanalysesusingselectedcontrolswhereindicated
7.05 Understandsthepurposeofqualityassuranceprograms
7.06 Documentsdataaccordingtoqualityassuranceprocedures
7.07 Identifiesandreportsdeficienciesintheworkplacethatmayaffectthequalityoftesting
7.08 Followsestablishedpreventivemaintenanceprogramsandmaintainsinstrument/equipmentlogs
7.09 Performsanddocumentsqualitycontrolonreagentsandmedia
7.10 Assessesthequalityofnewreagentsandmedia
7.11 Ensuresthatthespecimeniscorrectlyidentifiedatalltimes
7.12 Appliescontinuousqualityimprovementtechniquesandriskmanagementprocessestoensurequalityclinicallaboratoryservices
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Category 8: Resource Management
TheClinicalGeneticsTechnologistaddressesworkplacechallengesbyapplyingskillsinchangemanagement,materialsmanagement,financialmanagement,informationmanagementandinterpersonalskills.
Number Competency
8.01 Demonstratestheknowledgeofchangemanagementstrategies
8.01.01 Anticipates,contributesto,respondsto,andeffectivelyworksinachangingenvironment
8.02 Demonstrateseffectivetimemanagement
8.03 Demonstratesinformationmanagementskills
8.03.01 Usesinformationtomakeinformeddecisions
8.04 Demonstratestheknowledgeofinventorycontrol
• Initiatesreorderingofreagentsandsuppliesasrequired
8.05 Contributestotheefficientuseofhealthcareresources
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Category 9: Communication and Interaction
TheClinicalGeneticsTechnologistinteractsusingeffectivecommunication,teamworkskillsandinterprofessionalcollaborationwithclientsandotherhealthcareprofessionals.
Number Competency
9.01 Practiceseffectivecommunicationwithclientsandotherhealthcareprofessionals,including:
• Activelistening• Verbalcommunication• Non-verbalcommunication• Writtencommunication• Identifyingbarrierstoeffectivecommunication• Usingtechnologyappropriatelytofacilitatecommunication
9.02 Demonstratesinterpersonalskillswheninteractingwithclientsandhealthcareprofessionals
9.02.01 Recognizessignsofindividualandgroupstress
9.02.02 Demonstratesempathyinassistingcolleaguestodealwithstress
9.02.03 Demonstratestheuseofconflictresolutionskills
9.03 Demonstrateseffectiveteamworkskills
9.04 Demonstratesinterprofessionalcollaborationindealingswithotherhealthcareprofessionals
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Category 10: Professional Practice
TheClinicalGeneticsTechnologistmeetsthelegalandethicalrequirementsofpracticeandprotectsthepatient’srighttoareasonablestandardofcare.Professionalpracticeencompassesscopeofpractice,accountabilityandprofessionaldevelopment.
Number Competency
10.01 Takesresponsibilityandisaccountableforprofessionalbehaviour
• isawarethatbreachesofstandardsofpracticemayleadtodisciplinaryand/orlegalaction
10.02 PromotestheimageandstatusofClinicalGeneticsTechnologistsasmembersofthehealthcareteambymaintaininghighstandardsofpractice
10.03 ClarifiestherolesandresponsibilitiesoftheClinicalGeneticsTechnologisttootherhealthcareprofessionalswherenecessary
10.04 PromotesanawarenessandunderstandingofthecontributionthattheClinicalGeneticsTechnologistprovidestotheconsumerandthepublic
10.05 Participatesintrainingandprofessionaldevelopment,andsharesnewknowledgewithotherhealthcareprofessionals
10.06 Keepsthewelfareandconfidentialityofthepatientparamountatalltimesandrespectsthedignity,values,andbeliefsoftheindividual
10.07 Complieswithlegislationgoverningmedicallaboratorytechnology
10.08 RecognizeshowmoralandethicalissuesinhealthcaremayaffecttheClinicalGeneticsTechnologist
10.09 Seekshelpandguidancewhenaskedtoperformbeyondcompetence
10.10 RecognizestheClinicalGeneticsTechnologist'srighttorefusetoparticipateinpotentiallydangeroussituations
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Canadian Society for Medical Laboratory Science
33 Wellington Street North Hamilton, ON L8R 1M7
Telephone: (905) 528-8642 or (800) 263-8277 • Fax: (905) 528-4968
Email: [email protected] • Website: www.csmls.org
© Copyright CSMLS 2016