Enrollment is closed.
Kathleen P. Freeman
DIAG208-0213: The Veterinary In-Clinic Laboratory
Quality Concepts for In-Clinic Laboratory Testing, with Biochemistry and Hematology Instrument Performance Evaluation Practical
DVM, BS, MS, PhD, DipECVCP, FRCPath, MRCVS,
Certificate in Laboratory Quality Management (University of Wisconsin),
Royal College of Veterinary Surgeons Specialist In Veterinary Pathology
(Clinical Pathology) and European Veterinary Specialist in Clinical Pathology
BVSc, MS, DACVIM (Internal Medicine & Cardiology)
February 17-May 8, 2013
REAL TIME SESSIONS (RTS):
Sundays, February 24, March 3, 10, 17, 24, 31 and April 28, 2013; 2:30-3:30pm ET (USA)
Course RTS Times in Your Area:
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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
*The instructors for this course will be using audio which will require you to have a headset or speakers to listen.
If you have any concerns regarding your computer's audio capabilities, please be sure to attend
one of the Practice Sessions.
Level and Prerequisites:
course will be open to veterinarians and
veterinary technicians actively interested in veterinary laboratory testing,
quality assurance, quality control and best practices within the veterinary
in-clinic laboratory. In-clinic laboratory experience recommended if you are
a veterinary technician enrolling in this course.
VIN CE Course:
Open to veterinarians and veterinary technicians.
This course has been RACE approved for veterinarians and veterinary technicians.
The quality concepts portion of the course will cover quality assurance,
quality control and best practices for in-clinic laboratory testing,
including hematology, biochemistry, urinalysis, parasitology and ELISA testing.
It will cover statistical and nonstatistical QC, quality planning,
biologic variation and reference change value, sensitivity/specificity,
and positive and negative predictive value, optimal packing time for
spun PCVs, and 'best practice' principles for urinalysis, parasitology
and ELISA testing. An introduction to sigma metrics will be included.
The practical portion of the course will include performance evaluations
of your hematology and biochemistry analyzers. The quality control materials
used as part of the biochemistry evaluation will be subsidized by the
VIN Foundation. The instructors appreciate your commitment to participate
in the hematology and biochemistry instrument evaluations.
The hematology evaluation requires fifteen in-clinic CBCs done on a single
day and 3 sets of blood smear evaluation, as well as duplicate spun PCVs
for 3 sets of blood samples prepared from fresh pooled normal canine blood
from your practice. Each of the 3 samples should also be sent to your
usual reference laboratory for comparison. Your data will be turned
in to Dr. Mark Rishniw for analysis and results presented at the
end of the course.
The biochemistry evaluation requires analysis of 3 quality control
specimens daily for 5 days (15 biochemisty profiles) and sending out
at least 1 quality control specimen per day to your reference laboratory
for comparison (5 biochemistry profiles). You will enter your biochemistry
data in the VIN Instrument Evaluation Calculator as part of the evaluation
of this calculator for ongoing use by member of the VIN community.
A summary of the information obtained by the participants in this course
will be presented at the end of the course.
This course consists of seven (7) sixty (60) minute Real Time Session, supplemental library materials,
interactive message board discussions, 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
- Introduce participants to principles and concepts fundamental
to Quality Assurance and Quality Control within the veterinary
- Provide participants with the knowledge and tools to encourage assessment
and improvement of quality within the in-clinic laboratory.
- Provide participants with knowledge and tools to conduct statistical
QC for their in-clinic biochemistry and/or hematology analyzer.
- Characterize the performance capability of in-clinic analyzers and
reference laboratory analyzers. Evaluation of the biochemistry
analyzer will be by having participants run Quality Control Materials
(QCM1-3) on their biochemistry analyzers daily for 5 days and by
submitting QCM to be run as "patient samples" by their own reference
laboratory. Evaluation of the hematology analyzer will be conducted using
pooled patient specimens to create 3 samples for 5 repeated evaluations
(15 total CBCs) on a single day. Three samples will be submitted to the
reference laboratory for a CBC.
- Provide information about performance capability of in-clinic analyzers
in general, and specifically for participants in the course.
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.
About the Instructors:
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 founding Chair of the ASVCP Quality Assurance and Laboratory
Standards Committee and the founding Chair and current Co-Chair of the ECVCP
Laboratory Standards Committee. She is currently a member of both committees.
She has special interests in QA, QC, customer service, cytology and general
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!
has completed a PhD in physiology and developmental
biology at Cornell University and is a consultant for the
Veterinary Information Network.
Dr. Rishniw was previously staff cardiologist and chief of services at Cornell
University and registrar in internal medicine at Melbourne University, where he
received his DVM degree. He completed a residency in internal medicine at
Washington State University and in cardiology at University of California, Davis.
Dr. Rishniw has published articles and chapters in peer reviewed journals
and textbooks, and regularly presents clinical research at national
and international meetings.
(Real Time Session February 24)
- Definitions of Quality
- Standards of Quality
- Laboratory instrumentation for biochemistry and hematology analyses
- How we look at quality in laboratory instrument performance
(Real Time Session March 3)
- Instructions for running QCMs to characterize your
in-clinic biochemistry instrument performance
- Instructions for making samples from a patient pool
of EDTA-blood to characterize your in-clinic
- Interactive tool for looking at TE
- Introduction to statistical and non-statistical QC
- Statistical QC
- Pilot data from in-clinic and reference laboratories
(Real Time Session March 10)
- Conducting hematology analyses
- Principles of Quality Systems for In-Clinic Laboratories
- Quality Concepts
(Real Time Session March 17)
- Quality Concepts, continued
- Biochemistry analyses
(Real Time Session March 24)
- Index of Individuality
- Reference Change Values/Critical Differences
- Specific types of testing
(Real Time Session March 31)
*** BREAK for Data Analysis (April 1-27) ***
- Specific testing, continued
- Future of Quality in In-clinic Laboratory Testing
- Introduction to Sigma metrics
(Real Time Session April 28)
CE CREDITS: 7
- Summary of Data Analysis and Reports for Participating Clinics
Tuition: Member $140 ($126 early bird special if enrolled by February 3, 2013)
Maximum enrollment is set at 24.
Non-Member $227 ($204 early bird special if enrolled by February 3, 2013)
The cost of the quality control materials used in the practical portion
of this course for biochemistry instrument evaluation and shipping to
participants will be donated by the VIN Foundation (
The hematology specimens, costs of reagents and disposables for in-clinic analyses and
specimens sent to the reference laboratory will be the responsibility of the participating
individuals/clinics. In order to further offset some of these costs to the participating
individuals/clinics, the instructors have donated their services allowing us to keep the
per credit tuition for the course at a low level. You will not be allowed to take the
theory part of the course unless you agree to participate in the practical portion of
the course and accept the costs associated with the practical section.
*To ensure participants are ready and prepared for classes, enrollment will close when
the maximum number of participants is reached or at 5pm ET the day of the first
Real Time Session unless otherwise noted. If the first Real Time Session is on a
weekend, course enrollment will close on the Friday before the first Real Time Session.
*For more information on how online CE works, see the
Participant Resource Center
- 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)
Please include the course title, your full name, and contact information in your correspondence.
*Note: "This course is approved for 7 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
Debbie Friedler (Debbie@vin.com
); ext 756
Heather Schoffstall (Heather@vin.com
); ext 116
Jennifer Boyle (JenniferB@vin.com
); ext 169
Peggy Hall (Peggy@vin.com
); ext. 195
800.700.4636 | CEonVIN@vin.com | 530.756.4881 | Fax: 530.756.6035|
777 West Covell Blvd, Davis, CA 95616
Copyright 2002, Veterinary Information Network, Inc.