Thoughts about the BOR action regarding continuing education
requirement
Mary Ann McLane, Region II Director
The Board of Registry (BOR) of the American Society for Clinical
Pathology has for its past 75 years of existence insisted that the
entry-level certification, taken by the majority of practicing clinical
lab professionals, is a permanent certification, never needing to be
updated. What that also means, however, is that individuals who have
passed the exam and never worked a day in their life in a clinical lab
setting could STILL place the initials after their name. In the late
1970's, our parent society, the American Society for Clinical Laboratory
Science, tried to get the BOR to make continuing education a mandatory
part of any certification process. This was based on the fact that
technology was rapidly advancing, and the fact that a person had passed
an entry-level test 10, 20, 40 or even just 3 years ago was no guarantee
to the general public, to supervisors or to their peers that one had
maintained continued competence.
The BOR chose not to so, and to that end, the National Credentialing
Agency (NCA) was established in 1978 , which offered its own
peer-reviewed, competency-based entry-level examinations, plus the
requirement that any successful certificant had to submit proof of
continuing education to maintain their certification.
It is now the 21st century, and there is a groundswell of voices
demanding that personnel show continued competency. In addition, states
with personnel licensure such as California are getting out of the
business of making their own state exams, and are moving toward
accepting national certifications, but only if the agency providing
those exams require continuing education. For those of us certified
through NCA, we've been doing that for almost 30 years. For those with
BOR certification, such a requirement is being initiated for those
passing the entry-level certification exam as of January 2004. This
means that those in school right now will have to begin keeping track of
their continuing education in order to have their certification
maintained as "current". But what about the rest of us? Somehow, it
seems a bit incongruous that a person who has been through a recent
education program, who can run rings around most of us on all aspects of
clinical lab testing simply because they have the most recent exposure,
would need to document their continued competence, and those of us who
have been in the field for 2 years or more would not! Kory Ward-Cook at
the BOR shared in an e-mail to me that the "examination committees
handling the specialists examinations are now in the process of
considering this requirement for specialists". She mentioned in a later
phone conversation that the BOR governing board is, in fact, going
through the logistics and legal questions about making continuing
education be mandatory for all certificants. Requiring it for the newest
graduates is just the first "roll-out". They just haven't made it public
yet that it's going to affect the rest of us. I would certainly
encourage you to contact the BOR and share your thoughts about this
(312-738-4861, koryw@ascp.org). They need to hear from the grass roots
about what this will mean for you and your practice of our profession.
No longer will your employers be able to deny you time and/or support
for getting continuing education since it will be mandatory for your
being able to work. Right now, despite some employers insisting on your
showing that little yearly sticker, the "registry" is meaningless since
there are no "teeth" in the BOR certification. You've gotten it once and
never are required to demonstrate that you have done one thing to
advance your knowledge. This action, already taken by most states with
personnel licensure, and about 30 years ago by NCA, and now contemplated
by the BOR, will put teeth into our insistence that we need to attend
continuing education sessions to maintain our level of competence. I
once again strongly encourage you to contact the BOR and let them know
your thoughts. Send them to me, too, if you wish:
mclane@udel.edu
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