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I agree with Steve. The situation in the UK is different to the USA and the Consultant Clinical Scientists in the UK have MRCPath as well as a scientific qualification. Training for Clinical Scientists in the UK includes the knowledge required to make diagnostic interpretation. The Clinical Pathology Accreditation (CPA) body in the UK has a standard that defines what competences are required at the highest level in the laboratory (see below) and, in part, the CPA B1 standard already reflects the AMA concerns. For Clinical Governance reasons it would be unlikely that CPA would change this standard especially in light of the debate in the US. Happy Christmas Martin Myers B1 Professional direction: Professional direction is essential for the proper performance of a laboratory. B 1.1 Each discipline shall be professionally directed by a consultant pathologist or clinical scientist of equivalent status. Competence shall be demonstrated in the following ways : a) by evidence of training and experience in a pathology specialty as normally exemplified, in the United Kingdom, by membership of the Royal College of Pathologists or its equivalent. (Taken from CPA UK) -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Frost, Stephen Sent: 21 December 2006 10:55 To: [log in to unmask] Subject: Re: AMA Wants Physician Oversight of Diagnostic Interpretation Ridicule aside, I think you are over-interpreting 'supervision'. I suspect the AMA idea may be to have one or a few medics (probably more or less as now) in each 'Pathology' (Laboratory Sciences?)Department. Rather similar to us in UK, except of course we have a few Consultant Clinical Scientists as well (usually clinically trained to MRCPath standard, with our lower emphasis on PhD). As a PhD is of itself no guarantee of clinical competence, I would have thought formal clinical supervision may be a good idea. We in the UK usually follow America so we need to be sure of our preferred wording and not just accept the American version (no disrespect). Merry Christmas Steve ----- > -----Original Message----- > From: Clinical biochemistry discussion list > [mailto:[log in to unmask]] On Behalf Of David Bullock > Sent: 20 December 2006 11:27 > To: [log in to unmask] > Subject: AMA Wants Physician Oversight of Diagnostic > Interpretation > > > For scientists of a pessimistic bent: > > "The American Medical Association adopted a new > policy in November > stating that a PhD clinical laboratory scientist or > other non-physician > lab > personnel should work under the supervision of a > physician to perform > tests > that will be the basis for a diagnostic > interpretation" > > http://www.ama-assn.org/amednews/2006/12/04/prsd1204.htm > > > Happy Christmas! > > David > > Dr David Bullock > Director, Wolfson EQA Laboratory > P O Box 3909, Birmingham B15 2UE, U K This message and any files transmitted with it are confidential and intended solely for the individual(s) addressed. If you have received this e-mail in error, disclosing, copying, distributing or retaining this message or any part of it is strictly prohibited; please notify the sender immediately and delete it from your system. Any views or opinions presented are solely those of the author and do not necessarily represent those of Lancashire Teaching Hospitals NHS Foundation Trust. The Trust accepts no liability for any damage caused by any virus transmitted with this e-mail, so although virus checked before transmission, the recipient should also check for the presence of viruses. The information contained in this email may be subject to public disclosure under the NHS Code of Openness or the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this email and any subsequent reply cannot be guaranteed. web :- http://www.lancsteachinghospitals.nhs.uk ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/