Contents
1. Introduction
2. Education Training
2.1 Training
department
2.2 Quality
department
3. Knowledge gained from the training
3.1 Training
department
3.2 Quality
department
4. Comments/ recommendations
Appendix
A Training brochure
Appendix
B Invitation letter
Appendix
C Certification
Appendix D Educator
Appendix D Meeting (Review of training)
Appendix E Seoul National University Hospital
1. Introduction
Education
training program is a part of the continue program which Asia Association of
Medical Laboratory Scientists (AAMLS) authorized Korean Association of Medical
Technologists (KAMT) to be the member association of this training course. The
purpose of this laboratory education training program is to strengthen
laboratory competence in a resource limited country by inviting a selected
member to Korea for clinical laboratory education training.
This
training was fully supported by KAMT for 4 candidates from three countries:
Mr. Yun Ted Siaw from Malaysia, Ms. Anna
Karenina Del Rosario from the Philippines, Ms. Ting-Mei Liu from Taiwan and Ms.
Ya-Ching Huang from Taiwan. The selections of participants will be reviewed and
evaluation by the Education and Laboratory Twining Committee and President of
AAMLS respectively. All the selected participants are registered professional
with their respective national level association which also part of the
criteria of application for this program.
The
trainings were offered to each of the participant based on the disciplines that
have been applied. The disciplines that available in this educational training
range from Clinical Chemistry, Hematology, Histology, Immunology, Laboratory
Accreditation, Laboratory Management, Microbiology, Molecular Biology,
Transfusion Science and etc. They have been providing us such quality training
from qualified educators with more than 10 years experiences in particular
fields.
The
following are brief report regarding training at selected training departments
and the quality department for 5 days of intensive training. I hope this report
can be shared to other professionals to optimize their views in molecular
diagnostic and also hope that the reader of this report will think we have
achieved some success of affiliation at the Asian level.
2. Education Training
The
Department of Laboratory Medicine performs and interprets various laboratory tests
for disease diagnosis, prognosis assumption, and treatment evaluation based on
the laboratory analysis of biomolecular and cellular compartments from samples
derived from patients. Our department is divided into individual laboratories
for diagnostic hematology, clinical chemistry, clinical microbiology,
transfusion medicine, diagnostic immunology, cytogenetics, and molecular
diagnostics & genetics. By using total laboratory automation (TLA), sample
transport via automated guided vehicles (AGVs), 24-hour rapid testing systems,
and thorough administration of quality control activities, accurate and precise
test results are provided promptly to the medical staff (https://www.snuh.org/english/).
2.1 Training department
Education
trainings were covered with general lab department, molecular diagnostic department
and blood bank department.
2.1.1 General Laboratory
One
day of intensive training at general laboratory at the main hospital, cancer
hospital, molecular diagnostic of diagnostic and research sections building and
other research centers such as vaccine, animal and bio-molecular research.
Day 1 (26th
October 2015)
Monday
began with four of discussing the timetable of activities for the week with
head of training and meeting with director of hospital.
Following
that meeting, we were introduced to some educator’s colleagues and shown round
the laboratory. During the laboratory tour, we were shown the different rooms,
and also the equipment we were to use for the various analyses.
We
also briefly train and educate regarding their lab safety and quality
management in each of the laboratory setting.
2.1.2 Molecular Diagnostics Department
Four
days of education trainings were at medical molecular department.
Day 2 (27th
October 2015)
Training
on real-time PCR to detect Epstein-Barr virus:
-Sample
preparation for gDNA extractions and RNA extrations;
-Run
auto-machine (COBAS): loading and systems;
-Interpretation
of results (positive and negative);
*Training
materials (such as protocol and reading materials are provided)-Handout.
Day 3 (28th
October 2015)
Automation
testing for the hepatitis B
virus (HBV), human immunodeficiency virus (HIV) and Tuberculosis (TB)
detections.
-Samples
preparations of body fluids based on infection;
-HBV
quatitation test using CAP/CTM;
-HIV
quatitation test using m2000SP/RT;
-TB
PCR test using Xpert system;
-Respiratory
virus test using NIMBUS/CFX96;
-Interpretation
of results (positive and negative);
*Training
materials (such as protocol and reading materials are provided)-Handout.
Day 4 (29th
October 2015)
Genetic
diseases detections are took for two days training. First day is for the
preparation (genetic testing 1) before the detection process (genetic testing
2).
-General
process: polymerase chain reaction (PCR) than PCR products purification
(by ExoSAP)
-Sample
preparations from g-DNA.
-Mastermix
preparations
-Loading
sample to PCR thermal
-Reading
results
-Purification
process (ready for sequencing for detection)
*Training
materials (such as protocol and reading materials are provided)-Handout.
Day 5 (30th
October 2015)
Specific genetic diseases are detection by
using DNA sequencing method.
-Sequencing
(dye purification);
-genetic
analyzer run using chemagic 360 (perkinelmer)
-Sequence
analysis by using software (SeqScape).
-Interpretation
of results (genotypes)
*Training
materials (such as protocol and reading materials are provided)-Handout.
2.1.3 Blood Bank Department
One
day of intensive training at blood bank department after the DNA sequencing at
molecular diagnostic laboratory.
Day 5 (30th
October 2015)
Blood
bank training was covered from donation to issues out the blood to donor.
-General
work flow in blood bank;
-ABO/Rh
test & Ab screen (manually and automachine- Qwalys & AUTOVUE);
-Special
test for alloantibodies (by using cell panels)
-Blood
donation (whole blood or blood components)
-Blood
managements (discussions)
2.2 Quality department
Qualities
of laboratory were briefly educating us from the management level to the services
level. Each head of the units reports to
the quality manager in the system and reviews in monthly basis. These lectures
were continually from the 1st day to the last day of training
sessions.
3. Knowledge gained from the training
After
these trainings, I have gained specific knowledge, skills and abilities for
handling samples based on the diagnostics protocol. Besides, also gain the
quality controls from this program which has been designed to supplement
internal management practices which a laboratory should have in place to
achieve the standard.
3.1 Training department
3.1.1 General laboratory
Cover at central
laboratory of main building and cancer laboratory of cancer hospital
-
Sampling site workflows
-
Sampling delivery workflows
-
Sorting sampling workflows
-
Barcode system for sampling
-
Turn over time test
3.1.2 Molecular diagnostics
-
Sample preparations for detections based on protocol of manufactures
-
Sample storage quality control
-
Principle of DNA and RNA extractions
-
General protocol of PCR, Sequencing with the principles of the test
-
Detection of
-
Exchange experiences of practicing of protocol
3.1.3 Quality department
-
Quality control of sampling
-
Quality control of sampling delivery
-
Quality control of laboratory safety
-
Quality control of laboratory defects
-
Quality control of laboratory services
-
Exchange experience of monitoring laboratory managements
4. Comments/ recommendations
Brilliant
trainers/ educators explained clearly with constructive, gave relevant
information. Kept day running smoothly and brought humor into a serious topic
but allowed us to understand the contents and outcomes, highly recommended!
Appendix A Training brochure
Laboratory
Educational Training Program 2015
Introduction
Asia
Association of Medical Laboratory Scientists (AAMLS) authorized Korean Association
of Medical Technologists (KAMT) to be the member association taking place for
the laboratory training course. The purpose of this laboratory educational training
program is to strengthen laboratory competence in a resource limited country by
inviting a selected member to Korea for clinical laboratory educational
training.
1.
Theme: A short term education and learning
program for medical laboratory scientists whose applications meet the criteria of
AAMLS.
2.
Final selection for participation: 2
members.
3.
Application period: August 15th,
2015 to 28th 2015.
4.
Training period: 26 – 30, October, 2015 (one
week)
5.
Laboratory education and training course
duration: 5 days.
6.
Accommodation and meals: 7 days/6 nights (cover
by KAMT)
7.
Flight ticket round trip: Economy class (cover
by KAMT)
8.
Training place: Department of Laboratory
Medicine, Seoul National University Hospital, Seoul, Korea
9.
Hospital: Seoul National University
Hospital (http://www.snuh.org/english/)
10. Certification:
From the president of KAMT and president of AAMLS.
Application
and Required Documents:
1. Completed
application form(Attachment)
2. Recommendation
letter from your academic supervisor or director of laboratory
3. Curriculum
Vitae
4. Photocopy
of the diploma for Degree in Medical Laboratory Science or Related.
5. Photocopy
of valid license in Medical Laboratory Science or Related
6. Photocopy
of your passport (the page containing personal information and photograph).
7. Proof
of travel insurance (if available).
(In case that any of the diplomas, certificates or
licenses are not in English, please submit the English translation certified by
the governmental authorities.)
Application
Process
Application
documents will be reviewed by the Education and Laboratory Twinning Committee
of AAMLS, and then be further evaluated by the President of AAMLS. Upon
approval, the selected applicants will receive a letter of acceptance, which
will be required when obtaining the Korean visa. The application processing
time will be around one week.
Contact Person:
LEE, Tae-bok, Director of AAMLS. taebox@hanmail.net Tel:+82-10-57120525 Fax:+82-0504-080-0525
Liaison office:
5F, KAMT Bldg. #41, Jongam-ro, Sungbuk-gu, Seoul 02811, Korea kamt@daum.net Tel:+82-2-3291-5437
Fax:+82-3291-5621
For
VISA application and other information, please check :
Ministry of
Foreign Affairs, Republic of Korea:
Incheon International
airport Immigration department:
Hi Korea
e-Government for foreigners :
Korea Immigration
Service:
Appendix B Invitation letter
Appendix C Certificate
Mr. Noh, Gyeong Woon, Vice
president of KAMT, presented the certificate of training.
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Appendix D Educators
Thank you to:
1. Ms. Yoon, 2. Mr. Kim, 3. Mr. Chris,
4. Joung, 5. Ms. Lee, 6. Mr. Ahn, 7. Ms. Cho, 8. Ms Yoon, and other
supporting staffs from Diagnostic molecular and Blood bank
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Appendix D Meeting (Review of training)
Meeting with Director of SNUH (1st
at 2nd row), head of units and head of educators (with lab coat);
Trainees: from Philippine, Malaysia and Taiwan (3rd – 6th
at front).
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Appendix E Seoul National University Hospital