DIAG207-1013: Quality Management for the Veterinary Clinical Pathology Laboratory, Part II
Enrollment is closed.
INSTRUCTOR(S):
Kathleen P. Freeman, DVM, BS, MS, PhD, DipECVCP, MRCPath, MRCVS,
Certificate in Laboratory Quality Management (University of Wisconsin)IDEXX Labs, UK,
Wetherby, West Yorkshire, UK
Ernst Leidinger, DVM, Dip.ECVCP, Specialist for Clinical Pathologist (national);
Lab director and clinical pathologist at In Vitro laboratory in Vienna, Austria
Stefanie Klenner, DVM, Dr.med.vet., Diplomate ECVCP, Hannover, Germany
COURSE OPEN: October 27, 2013-February 19, 2014
REAL TIME SESSIONS (RTS): Sundays, November 3, 17, December 1, 15, 29, 2013, January 12, 26 and February 9, 2014; 3:00-4:30pm ET (USA)
Course RTS Times in Your Area:
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Practice Sessions: In order to prepare you for a successful experience
in your CE course, we request you attend a Practice Session prior to the first
Real Time Session. Please arrive promptly at the start time; each Practice Session
is up to 1 hour in length.
For more information, please visit the
CE Practice Area.
Level and Prerequisites:
This
advanced course will be open to veterinarians and veterinary technicians
training for or who have experience working in a clinical pathology laboratory. This course is
not open to veterinary students.
The majority of candidates will be those in training for a career in clinical pathology
or those who already working in the clinical pathology laboratory. In some instances
there may be a practitioner or veterinary nurse with an intense interest in clinical
pathology that may wish to take this course, but should be advised that the course is
intensive and will require a considerable input of time and effort when coming from a
background without prior experience in a clinical pathology laboratory typical of a
University or reference laboratory.
Desired experience should include:
- prior experience in a clinical pathology laboratory environment.
- prior experience in clinical pathology laboratory testing.
- interest in quality systems for the clinical pathology laboratory.
- interest in provision of leadership and quality management in the clinical
pathology laboratory.
- desire to gain experience in application of quality management and planning
principles using data from your own laboratory, with guidance from experienced
clinical pathologists who are experts in quality leadership and quality management.
The Quality Management for the Veterinary Clinical Pathology Laboratory course is
presented in two parts; Part I is a prerequisite for Part II.
VIN CE Course: Open to veterinarians and veterinary technicians.
This course has been submitted for RACE approval for veterinarians only.
Course Description:
The Quality Management for the Veterinary Clinical Pathology Laboratory course is
designed to provide an introduction to and practical application of quality management
in the veterinary clinical pathology laboratory.
In Part I, participants will be introduced to theories of management and concepts vital
to quality planning. Examples of ISO-based and GLP standards are included.
Laboratory design, Westgard Rules, QC Validation and Sigma Metrics are covered.
In Part II, participants will learn about audits in the veterinary clinical pathology
laboratory and determination of reference intervals, as well as Improvement Opportunities,
external Quality Assurance performance and a Quality Plan for the laboratory.
There is an introduction to Method Validation and Instrument Performance Verification.
There will be Real Time Sessions approximately every 2 weeks. The majority of the work
will be done by e-mail of drafts and revisions to the instructors, with the final products
of some sections shared with the rest of the participants by posting on the course
message boards. The review and participant questions will also be shared on the course
message boards. In order to demonstrate satisfactory participation in this course,
participants are expected to attend all of the Real Time Sessions, hand in completed
homework assignments and to work with the instructor(s) in revising assigned items
until both the instructor(s) and participant are satisfied with the results, as well
as pass the examination with a score of at least 60%.
There is some flexibility in the length of time of the course to accommodate holidays
for the Instructors and participants. These should be arranged in advance between
the instructor and the participants assigned to him/her.
This course consists of eight (8) 90-minute Real Time Session, supplemental library materials,
interactive message board discussions, weekly assignments, and a mandatory end-of-course test.
Successful completion (scoring 80% or better) on the end-of-course test is required
to earn a certificate of completion for the course.
Upon completion of this course, the participant should be able to
- apply quality standards for an audit in the Veterinary Clinical Pathology
Laboratory and show how to do this by writing an SOP for an audit, and
designing an Audit Form for a process or task and conducting an audit for
an item within his/her laboratory.
- do health and safety risk assessments for the Veterinary Clinical Pathology
Laboratory and show how to do this by designing a Risk Assessment Form
and performing a Risk Assessment for an item within his/her laboratory.
- evaluate performance of the laboratory in external Quality Assurance (QA)
and show how to do this by evaluating external QA for an instrument within
his/her laboratory choice and making recommendations based on the findings.
- know about continuous quality improvement in the laboratory and show how to
promote this by developing an Improvement Opportunity Form.
- understand the purpose of Method Validation and Instrument Verification in
the laboratory and understand terminology and studies needed to undertake
these tasks.
- draft standard operating procedures for the various aspects of Method
Validation and Instrument Verification for an instrument within their
laboratory and complete a practical exercise comparing two methods.
- apply concepts for quality planning in order to promote ongoing quality
improvement with the veterinary clinical pathology laboratory and show
how to apply concepts for quality planning by drafting a Quality Plan
for his/her laboratory.
- share their thoughts, experiences, comments and work with others in the
course in order to contribute to better understanding of the topics and
appreciation of the approaches taken by others to similar or different
laboratory circumstances.
- successfully pass an examination with multiple choice, short answer and/or
essay questions regarding the above topics by achieving a score of > or = 60%.
Course Materials: Course materials will be available
in the course library prior to each Real Time Session.
Required Textbook(s): There is no required textbook for this course.
Recommended Textbook(s):
About the Instructors:
Kathleen Freeman is a 1981 graduate of Oklahoma State University, College
of Veterinary Medicine and received her MS and PhDs from OSU in 1984 and 1987, respectively.
She was on faculty at OSU and then at Cornell University before taking a detour and teaching
all sorts of Science courses and in the Educational Opportunity Program at Ithaca College
for several years. During these years she was also doing cytology and laboratory consultations
for commercial laboratories. She then moved into commercial laboratory medicine and worked
as Director or Senior Clinical Pathologist at several laboratories. She moved to the UK in
1997 to develop a diagnostic laboratory service for the Animal Health Trust and was Head
of Anatomic and Clinical Pathology there. She subsequently moved to Scotland and works
from home for Idexx Laboratories, based in Wetherby, West Yorkshire. She is past Chair
of the ASVCP QA Committee and the ECVCP Laboratory Standards Committee and is currently
a member of both committees, as well as the ECVCP Examination Committee. She has special
interests in QA, QC, customer service, cytology and general clinical pathology.
She obtained a Certificate in Laboratory Quality Management via e-learning from the University
of Wisconsin and had the opportunity to work with James Westgard which she says was
a great experience! It is that course that provided the inspiration for her to develop
THIS course for Quality Management in the Veterinary Laboratory.
Stephanie Klenner graduated in 2004 from the University of Veterinary
Medicine, Hannover, Germany. Between 2004 and 2006 she wrote her thesis about canine
intestinal permeability tests at the same University, successfully receiving her
Dr.med.vet. After a rotational internship at the Small Animal Clinic at the
Justus-Liebig-University in Giessen, Germany, Dr. Klenner started a residency
in veterinary clinical pathology at the Central Laboratory of Justus-Liebig University.
She is an experienced speaker in various themes of veterinary clinical pathology and
could already lecture at several national as well as international conferences.
Since 2009 Dr. Klenner is one of the instructors of the VIN Quality Management Course
and provides her skills and knowledge also to other courses of VIN. She is
especially interested in general clinical pathology, quality control as well as
learning strategies.
Ernst Leidinger graduated from the vet-school in Vienna, Austria
in 1986 and worked as assistant professor at the department for medical chemistry
for about 10 years. Since 1995 he is director of a private veterinary diagnostic
lab in Vienna were he established the lab's QM system resulting in an ISO 9001
accreditation about ten years ago. Being one of Dr. Freeman's Students in the VIN
QM course, he has been course instructor for several years now. He is webmaster and
chair of the website editorial board in the ECVCP. His special interest in the lab
are clinical chemistry, LIMS (computer bases lab management systems) and all aspects
of quality control. If there's some time left he enjoys SCUBA diving.
Course Outline:
Week 1 (Real Time Session November 3, 2013):
Audits in the Veterinary Laboratory
Content:
Types of audits and reasons for audits in the veterinary laboratory.
Week 2 (No Real Time Session):
Audits in the Veterinary Laboratory - continued
Content:
Draft a SOP for an audit, an audit form and conduct an audit within your laboratory.
Week 3 (Real Time Session November 17, 2013):
Health and Safety Risk Assessment
Content:
Introduction to health and safety risk assessment, draft of a Risk Assessment
form and conduct a risk assessment in your laboratory.
Week 4 (No Real Time Session):
Reference Intervals
Content:
- Introduction to reference interval determination within the veterinary laboratory.
- Determine the basis for reference intervals used in your laboratory.
Week 5 (Real Time Session December 1, 2013):
Improvement Opportunities
Content:
- The role of improvement opportunities as the basis for ongoing
quality improvement in the veterinary laboratory.
- Draft an Improvement Opportunity Form and provide an example of how
it could be used in your laboratory.
Week 6 (No Real Time Session):
External QA Performance Evaluation
Content:
- Introduction to external quality assurance performance evaluations.
- Evaluate external QA performance for an instrument in your
laboratory and make recommendations based on your findings.
Week 7 (Real Time Session December 15, 2013):
Method Validation/Instrument Verification
Content:
- Introduction to Method Validation/Instrument Verification
- Purpose, Planning, Types of information, bases for decision-making
- Definitions and Terminology
- Familiarization Period
- Reportable Range determination
- Calibration Verification
- Detection Limit determination
Week 8 (No Real Time Session):
Method Validation /Instrument Verification - continued
Week 9 (Real Time Session December 29, 2013):
Method Validation /Instrument Verification - continued
Content:
- Within run Precision study
- Interference study
- Recovery study
- Initial judgments about method
- Between Run Precision (Replication) Study
Week 10 (No Real Time Session):
Introduction to Method Validation/Instrument Verification - continued
Week 11 (Real Time Session January 12, 2014):
Audits in the Veterinary Laboratory
Content:
- Comparison of Methods Study
- Verification studies and how they differ from Method/Instrument Validation
Week 12 (No Real Time Session):
Quality Plan
Content:
Draft a quality plan for your laboratory covering the core areas of
environment, facilities, instrumentation, personnel and quality working practices.
Week 13 (Real Time Session January 26, 2014):
Revision, sharing and additional questions
Week 14 (Real Time Session February 9, 2014):
Examination
CE CREDITS: 12
Tuition: $700
*To ensure participants are ready and prepared for classes, enrollment will close at
5pm ET November 3, 2013
or when the maximum number of participants is reached.
*For more information on how online CE works, see the
Participant Resource Center.
TO ENROLL:
Enrollment is closed.
- Enrollment qualifications: VIN CE courses are open to
VIN member and non-member veterinarians. Veterinarians enrolling in a VSPN CE course
must be a VIN member. Veterinary support staff must be a VSPN member to enroll in a
VSPN CE or a VIN CE course open to VSPN member enrollment.
- Each enrollee must be able to receive emails from @vspn.org
and @vin.com addresses. Email is our major form of communication with participants;
personal emails are highly recommended rather than clinic/hospital email addresses.
- Each person is individually responsible for his/her own registration.
To ensure that all information received is secure and correct, please do not enroll
for a course on behalf of another individual.
- For further assistance call 1-800-700-INFO (4636) or email (VIN CE)
CEonVIN@vin.com or (VSPN CE)
VSPNCE@vspn.org.
Please include the course title, your full name, and contact information in your correspondence.
*Note:
"This course is submitted for approval for 12 continuing education credits in jurisdictions
which recognize AAVSB RACE approval; however participants should be aware that some
boards have limitations on the number of hours accepted in certain categories and/or
restrictions on certain methods of delivery of continuing education."
Call VSPN/VIN CE at 1-800-700-4636 for further information.
(Attendees are encouraged to check with their licensing jurisdiction(s) for
information regarding recognition by their board).
Course withdrawal and refund policy: A complete refund of the paid course price will be
issued when your withdrawal request is received prior to the listed start date of the course.
If you wish to withdraw after the start date please contact the VIN/VSPN office 1-800-700-INFO (4636)
to discuss eligibility for a pro-rated refund.
* Note: To ensure rapid handling of your request for withdrawal, we recommend that you
call the VIN/VSPN office at 1-800-700-INFO (4636).
*For more information on VIN's upcoming CE courses, check the
VIN Course Catalog.
Katherine James, DVM, PhD, DACVIM (SAIM)
VIN Education Coordinator
VIN CE Services:
CEonVIN@vin.com
1-800-846-0028 or 1-530-756-4881 or direct line to VIN/VSPN from the United Kingdom: 01452226154
Andrea Pomposo (
Andrea@vin.com); ext 126
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Debbie@vin.com); ext 756
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Heather@vin.com); ext 116
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JenniferB@vin.com); ext 169
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