ht exam
From: | Patsy.Ruegg@UCHSC.edu |
This addresses the issue of not being involved in fixation and processing
schedules.
I would like to tell you all about an example of someone taking the HT exam
here at my institution (yes it was embarising to me at least) a couple of
years ago. They were not involved in the processing schedule or fixation
process and used just what was set up for them. Their tissues also were not
reviewed by me or anyone else with the expertise required to identify
problems. The point of this story is that they flunked the practical exam
because their tissues were poorly fixed and processed. After the fact, the
fixation and processing for the department was scrutinized and changes were
made which benefited the entire histology department. If you are not
involved in determining the fixation and tissue processing schedule for your
department, you should be for taking the HT exam, just because that is what
has been done in your department for a long time does not mean it is good
quality practice.
Patsy Ruegg
-----Original Message-----
From: Coskran, Timothy M
[mailto:timothy_m_coskran@groton.pfizer.com]
Sent: Monday, March 12, 2001 6:50 AM
To: Histonet (E-mail)
Subject: size requirements
The message below details a problem that I don't think
should exist for
people taking the HT or HTL exams. Why is it that some
individuals
preparing for the exam are tested not only for their
histology skills but
for their ability to locate a particular piece of tissue?
Locating could
come down to how many desperate phone calls or emails they
can send looking
for tissue, because even though they may have piece of
thyroid or a piece of
cervix its not the "correct size". I don't understand why
there is a size
requirement. I've worked in a small hospital setting and a
research
setting. Being able to come across all the required tissues
with the needed
size requirements can be tough. That shouldn't be the tough
part of the
practical. The challenge should be obtaining quality
sections with quality
stains. Why would it be wrong for someone working with
murine tissue to
take 3 mouse kidneys and put them into one block and perform
a PAS. I
would also think that some of the more challenging aspects
of histology have
everything to do with size, that is small dimensions. Being
able to
sections liver, prostate, FNA's, and sectioning cell blocks,
require a great
deal of skill and patience. I think the BOR should get rid
of the size
requirements and/or do more to help out the people who are
trying to get
certified. Provide blocks. I understand you that the BOR
wants to test an
applicants ability to fix and process a piece of tissue.
However, how may
techs that join a new lab and want to take the HT are
involved in coming up
with the lab's tissue processing schedule. This has most
likely been
established and the blocks that they would submit are, in
most cases, going
to follow a processing schedule that the applicant did not
establish.
an occasional 2 cents
Tim Coskran HT, HTL
Pfizer
I know this is a long shot but the tech in the lab I work in
is currently
doing her HT practical and needs thyroid that isn't
autolysed. We work in a
small hospital, not many thyroidectomies or posts, and
everything we've come
up with isn't suitable. We tried a neighboring hospital
with no luck. She
needs a 1.0x1.0 piece of thyroid asap as her slides have to
be sent in next
Friday, March 16. We're in MA and would be happy to pay
shipping, etc. If
anyone can help, please respond off net and we can figure
out logistics.
I realize I'm asking the impossible!
Thanks.
Nancy
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