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@mark1millikan

A medical laboratory scientist, researcher and a proud gunner.....COYG

Koforidua-Ghana Katılım Ağustos 2023
386 Takip Edilen93 Takipçiler
RedCard
RedCard@mark1millikan·
@MzInterkudzi @aky_agyemang @dr_bandak The training starts in medical school, yet these medics come to the field after medical school and not even know the principle behind common ABO blood grouping lol...how were they trained?
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Eva Goodbody
Eva Goodbody@MzInterkudzi·
@aky_agyemang @dr_bandak Laboratory physicians aren’t trained in 2 years. The training starts from medical school. The basic sciences are everything. They build on that in clinical years and then at residency
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Dr. Banda Khalifa MD, MPH, MBA
Honestly, I would have preferred a different way of handling this. A strike over laboratory access feels like an overreach, especially in a national referral hospital where any disruption immediately affects patients. But the strike is not the real story. The real story is how we got here. Is this a leadership battle, or a territorial battle? If you believe the laboratory should be reserved only for medical laboratory scientists, that is not consistent with how modern diagnostic systems work. If you also believe the laboratory must be led only by laboratory physicians, that is equally incomplete. Those are the two extremes. A serious health system should be able to find a workable middle ground between them. —- The reason this conflict feels so intense is that the laboratory is the center of modern diagnosis. It determines cancer diagnoses, antimicrobial choices, transfusion safety, and clinical decision-making. That is why leading teaching hospitals treat laboratories as diagnostic systems rather than professional territories. ——- Medical laboratory scientists protect the technical reliability of results. They manage testing systems, sample processing, quality control, method validation, instrumentation, accreditation, and workflow. Their core question is: Is this result accurate and reliable? If a test is technically unreliable at Korle Bu, the mere presence of laboratory physicians will not automatically correct that failure. That is why this debate should not be reduced to a vague claim about “validating results.” —- I have also noticed that a few people don't seem to understand what laboratory medicine is about. Laboratory medicine is a well-established specialty. (The history of infectious diseases is one of my favorite topics) Laboratory physicians bring a different function. They connect laboratory findings to diagnosis, specialist reporting, treatment decisions, and complex patient care. Ghana’s own specialist training pathway recognizes laboratory medicine in anatomic pathology, chemical pathology, hematology, and medical microbiology. Their core question is: What does this result mean for the patient? ——- The term “validation” must be separated into at least two levels. Medical laboratory scientists confirm that the sample is acceptable, the instrument worked, quality control passed, and the result is analytically sound. In other words, “Technical Validation.” Laboratory medicine physicians provide clinical validation for a select # of specialist cases. It is worth noting that not every result needs a laboratory physician's sign-out/validation. Most are released through technical validation and approved procedures/protocols. But some tests are different. For example; A biopsy can diagnose cancer. A bone marrow report can diagnose leukemia. Genomic results can shape major clinical decisions. These sometimes require clinical correlation. In most established systems, this is mostly done by laboratory physicians —- If this dispute is mainly about who leads the laboratory, then a better model would be structured co-leadership. A laboratory physician can lead the clinical domain. A medical laboratory scientist should lead the technical and operational/administrative domain. This is what is done in major hospital labs. Then again, I hope this is not merely about “who heads the lab.” And I will be more disappointed if it's also about “ACCESS” —— Healthcare should be organized for patient outcomes and higher standards of care. We can achieve that only through collaboration. Not competing for professional dominance. —- In Johns Hopkins & other major hospitals, laboratory services sit within departments of pathology and laboratory medicine. They have a medical director (usually a laboratory physician/pathologist) and an administrative director (usually a medical laboratory scientist) ——- But what do you think the real issue is? I would love to hear from both sides
Dr. Banda Khalifa MD, MPH, MBA tweet media
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SpecOpter@bleym12·
@_oaklight @dr_bandak @mark1millikan Yh and this was as far back as 2018 now they want it to sound like it's about lab headship only! They've in the past threatened to physically assault laboratory physicians who came to work in the laboratories!
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Dr. Banda Khalifa MD, MPH, MBA
Is this the real reason? Access? If so, why is this so difficult?
Eva Goodbody@MzInterkudzi

@dr_bandak Laboratory physicians are asking to be allowed to work in the labs, to do the things they are trained to do. They acknowledge the importance of the scientists and the work they do however unfortunately the scientists don't want the physicians in the lab

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RedCard
RedCard@mark1millikan·
@bleym12 @dr_bandak It has never been about access, but headship Why have they called off the strike after the management withdrew the current head of labs and said the medical director should now be the head?
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Eva Goodbody
Eva Goodbody@MzInterkudzi·
@dr_bandak Laboratory physicians are asking to be allowed to work in the labs, to do the things they are trained to do. They acknowledge the importance of the scientists and the work they do however unfortunately the scientists don't want the physicians in the lab
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RedCard
RedCard@mark1millikan·
@_iamsamani KODA is saying the results produced by a laboratory that's accredited by the American Association of Laboratory Accreditation do not make sense. Do these doctors know how accreditation works? Eeii🤣🤣
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Emmanuel Samani
Emmanuel Samani@_iamsamani·
I just watched this interview of a Korle Bu doctor explaining the strike and I’m honestly angry. Saying lab professionals “don’t have the training to correlate results with clinical findings” is simply false. Clinical correlation is part of our training. It’s exactly why we ask for DIAGNOSIS on request forms. You cannot send incomplete forms with no diagnosis, then turn around and say labs can’t correlate results. ALSO, The claim that labs have been producing “nonsensical” results for 10–15 years is not just inaccurate, it’s reckless. If that were true, we would have system-wide clinical failure, no routine care still functioning across the country. Lab medicine is not guesswork. It’s a regulated discipline built on SOPs, internal QC, EQA schemes, validation protocols and trained professionals who understand both the analytics and the clinical context. And since we’re talking about “why tests are repeated” and “why revenue drops,” let’s not pretend there aren’t other drivers. There are well-known practices where requests are redirected to private labs so that you the prescribers get a commission and we know it all too well and that has to be part of the conversation too. If there are specific cases of poor quality, present the data, audit it, fix it. But blanket statements about incompetence???? After training for 6 plus years I beg to differ! We all want patient safety. That requires accurate testing, proper clinical information and honest collaboration. Not selective narratives that place blame on one group while ignoring the full picture.
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RedCard
RedCard@mark1millikan·
@KobbyA_ The "so-called" laboratory physicians can never be more knowledgeable in laboratory diagnosis than specialist laboratory scientists! People wey go medical school 6yrs yet didn't know the principle behind ABO blood grouping? Now claims know better because of 1.5yr course
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RedCard
RedCard@mark1millikan·
@KobbyA_ And currently, laboratory scientists are the ones teaching the so-called haematologists If it's history, then the then pupil teachers should be teaching at the universities now
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KO Amoako
KO Amoako@KobbyA_·
The whole issue is funny because historically, medical doctors actually started training medical lab scientists in 🇬🇭
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RedCard@mark1millikan·
@KobbyA_ Yes, so-called laboratory physicians
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RedCard
RedCard@mark1millikan·
@Didymus1234 Peak delusional statements! To be a haematologist, you must be able to diagnose and manage... good the laboratory scientist can't diagnose and manage? You people are funny and delusional for real🤣🤣 You think there are no specialists in the laboratory profession?🤣🤣
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Moneytall
Moneytall@Didymus1234·
Lmao An MLSD fake hematologist can never be rated close to a hematologist To be a hematologist U must be able to diagnose and manage The foundation of it all is to first be a physician Go and Google who a hematologist is Delulu of grandiose dey worry U Comot for there
TheLabDoc@K_Reeves98

@hinakijnr So you strategically stopped at 6yrs for med lab as if we don't have specialists too😂 The amount of haematology we study during MLSD alone is enough to wipe your specialist heamatologists we don't just boast like you people do😂

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RedCard@mark1millikan·
@KobenaLutterodt What's so wrong with qualified laboratory physicians taking samples and running tests for the qualified laboratory scientist to validate?
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Übermensch
Übermensch@KobenaLutterodt·
You know very well what you’re doing. This is to do with Lab Physicians not having lab access but you know why you have framed it like all doctors want to work in the lab. Also at your best, what’s so wrong with QUALIFIED Laboratory Physicians validating results?
Dr. Precious Achana@precious_achana

Announcement. Dear Ghanaians. Medical doctors at korlebu teaching hospital will be embarking on an industrial action (strike ) from 2nd May onwards. Reason for strike : Medical Doctors want to work in the Medical laboratory at korlebu.

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TheBoy
TheBoy@hinakijnr·
Right from Level 100 medical students have always been the target. What wrong did they do🙏 They become doctors and everyone's still on their neck. Hmm Hard
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RedCard@mark1millikan·
@KobbyA_ @_Sam_CFC Working space? When did it become their working space? If it's their working space, why are they now fighting to be there?
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KO Amoako
KO Amoako@KobbyA_·
@_Sam_CFC You are welcome No MD would want to claim/is claiming to be MLS Also, because “you” can do the work now means LPs should be denied entry into their working space with the threat of bodily harm. That is where I draw the line.
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Kay
Kay@real___KD·
@_Sam_CFC @deelite @precious_achana Do you think an MLS (consultant or not) understands clinical diagnostics better than a specialist physician in Laboratory Medicine???
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Dr. Precious Achana
Dr. Precious Achana@precious_achana·
Announcement. Dear Ghanaians. Medical doctors at korlebu teaching hospital will be embarking on an industrial action (strike ) from 2nd May onwards. Reason for strike : Medical Doctors want to work in the Medical laboratory at korlebu.
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RedCard
RedCard@mark1millikan·
@mohgovgh 900 slots for Allied health professionals who are over 35,000?? You call this recruitment?
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