DIAG206-1118: Quality Management for the Veterinary Clinical Pathology Laboratory Part I
The lectures for this course will be presented in an audio format using a webinar platform.
Enrollment is closed.
Presenters:
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, SCIL Animal Care Company, Viernheim, Germany
Liesl Julie Van Rooyen, BVSc(Hons), BSc
A. Russell Moore, DVM, MS, DACVP, Assistant Professor, Department of Microbiology,
Immunology, and Pathology, College of Veterinary Medicine, Colorado State University,
Fort Collins, CO 80524, USA
Course Open: November 17, 2018-March 20, 2019
Real Time Sessions (RTS): Sundays, December 2, 16, 2018,
Jan 6, 20, Feb 3, Feb 24, March 10, 2019; 3:00-4:30 pm time ET (USA)
Course RTS Times in Your Area:
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Level and Prerequisites:
Due to the
advanced nature of the course material, the instructors require
that the course participants have a specific type of training and experience.
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.
- A 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.
VIN CE Course: Open to veterinarians and veterinary technicians/technologists.
This course has been submitted for RACE approval for veterinarians and veterinary technicians/technologists.
Course Information:
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. It is given in two parts
(Part I and Part II). Part I is a prerequisite for Part II.
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 classroom 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 80%.
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.
Week 1 (November 17, 2018 - No Real Time Session):
Introduction to Concepts of Total Quality Management, LEAN management and Six Sigma Management
Required Reading/Homework/Practical Assignment due November 25, 2018: Refer to Course Syllabus.
Objectives: Upon completion of the reading/homework assignments, the participant should be able to
- Understand current concepts of laboratory quality management,
including Total Quality Management, LEAN and Six Sigma Management.
- Demonstrate understanding by explaining the inter-relationships
and use of these concepts in laboratory management.
- Demonstrate knowledge by examination of concepts relating to TQM,
LEAN and Six Sigma Management.
Week 2 (November 24, 2018 - No Real Time Session):
Introduction to Quality Planning and Quality Standards
Required Reading/Homework/Practical Assignment due December 1, 2018: Refer to Course Syllabus.
Week 3 (Real Time Session December 2, 2018):
Introduction to Veterinary Laboratory Design
Presenter: Kathleen Freeman
Format: Audio
Required Reading/Homework/Practical Assignment due December 8, 2018: Refer to Course Syllabus.
Objectives: Upon completion of this session, the participant should be able to
- Understand the importance of quality planning and the quality standards
provision of high quality laboratory services.
- Demonstrate understanding by critical evaluation of the laboratory standards
and planning processes currently in place in their laboratory and
recommendation for improvements, if any.
- Discuss the ISO-based and GLP-based standards applicable in the veterinary laboratory.
- Understand the relationships of appearance and function of the veterinary
clinical pathology laboratory.
- Demonstrate knowledge by examination of concepts underlying veterinary
clinical pathology laboratory design and what a veterinary clinical
pathology laboratory should look like.
- Demonstrate understanding by critical evaluation of the appearance and
function of their laboratory and recommendations for improvements, if any.
- Demonstrate knowledge of quality planning, quality standards and laboratory
design by examination of concepts relating to these topics.
Week 4 (December 9, 2018 - No Real Time Session):
Westgard Rules, Policies and Audits
Required Reading/Homework/Practical Assignment due December 15, 2018: Refer to Course Syllabus.
Week 5 (Real Time Session December 16, 2018):
Westgard Rules, Policies and Audits
Presenter: Liesl van Rooyan
Format: Audio
Required Reading/Homework/Practical Assignment due December 15, 2018: Refer to Course Syllabus.
Objectives: Upon completion of this session, the participant should be able to
- Understand and apply the 'Westgard rules' for quality control.
- Demonstrate understanding by evaluation of the rules currently
used in their laboratory and the bases for their use.
- Demonstrate knowledge of Westgard rules by examination on this topic.
- Understand the use of policies and audits in the veterinary clinical laboratory.
- Demonstrate understanding of policies and audits by drafting SOPs for
a policy and audit and discussion of various audits in the veterinary
clinical laboratory.
- Write Standard Operating Procedures(SOP) and Policies for the veterinary
clinical pathology laboratory and show how to do this by developing a list
of Policies and SOPs for a depart of his/her choice, writing a SOP for am
SOP, a Policy and SOP for a process of his/her choice.
- Demonstrate knowledge by examination on various aspects of quality standards
and processes involved in quality planning.
**** BREAK - December 23 and 30, 2018 ****
Week 6 (Real Time Session January 6, 2019):
Westgard Rules, General QC and Biologic Variation
Presenter: A. Russell Moore
Format: Audio
Required Reading/Homework/Practical Assignment due January 12, 2019: Refer to Course Syllabus.
Objectives: Upon completion of this session, the participant should be able to
- Understand advantages and disadvantages of various QC applications in the
veterinary laboratory and statistical and nonstatisitcal QC commonly
applied in veterinary laboratories.
- Demonstrate understanding by application of Westgard Rules to determine
acceptability of QC data and show how to do this by analyzing data from
an instrument within his/her laboratory and making recommendations for
QC based on his/her findings.
- Demonstrate knowledge by examination of various Westgard rule applications
and QC data.
- Understand the basic design for studies of biologic variation in veterinary
species, as well as its application in various laboratory and clinical applications,
including its place in the Milan hierarchy of quality specifications, determination
of quality specifications, determination of applicability of population-based
reference intervals or reference change value via the index of individuality,
its use in evaluation of serial results, dispersion of results and application
with expert recommendations or cut-off values.
- Demonstrate knowledge by examination on the concepts of biologic variation noted above.
Week 7 (January 13, 2019 - No Real Time Session):
Westgard Rules, General QC and Biologic Variation
Practical Assignment due January 19, 2019.
Required Reading/Homework due January 12, 2019: Refer to Course Syllabus.
Week 8 (Real Time Session January 20, 2019):
Sigma Metrics and QC Validation
Presenter: Kathleen Freeman
Format: Audio
Practical Assignment due February 2, 2019.
Required Reading/Homework due January 26, 2019: Refer to Course Syllabus.
Objectives: Upon completion of this session, the participant should be able to
- Understand the calculation of and application of sigma metrics in the veterinary
clinical laboratory and their relationship to statistical QC and choice of rules
for statistical QC, as well as other applications in the laboratory.
- Demonstrate knowledge and understanding by calculation of sigma metrics for
tests for an instrument with the laboratory of his/her choice.
- Demonstrate knowledge by examination on concepts related to sigma metrics and
their relationship to statistical QC and choice of control rules.
- Understand the process of QC Validation in providing a scientific basis for choice
of control rules applied in the veterinary laboratory.
- Demonstrate knowledge and understanding by undertaking QC validation for an
instrument within the laboratory of his/her choice and making recommendations
for QC rules to be applied.
- Demonstrate knowledge by examination on concepts related to sigma metrics,
QC validation and the relationships between these.
Week 9 (January 27, 2019 - No Real Time Session):
Sigma Metrics and QC Validation
Practical Assignment due February 2, 2019.
Required Reading/Homework/Practical Assignment due January 26, 2019: Refer to Course Syllabus.
Week 10 (Real Time Session February 3, 2019):
QC Validation (Continued)
Presenter: Stefanie Klenner
Format: Audio
Required Reading/Homework/Practical Assignment due February 9, 2019: Refer to Course Syllabus.
Objectives: Upon completion of this session, the participant should be able to
- Understand the process of QC Validation in providing a scientific basis
for choice of control rules applied in the veterinary laboratory.
- Demonstrate knowledge and understanding by undertaking QC validation
for an instrument within the laboratory of his/her choice and making
recommendations for QC rules to be applied.
- Demonstrate knowledge by examination on concepts related to sigma metrics,
QC validation and the relationships between these.
Week 11 (Real Time Session February 10, 2019):
QC Validation (Continued)
Presenter: Stefanie Klenner
Format: Audio
Required Reading/Homework/Practical Assignment: None.
Objectives: Upon completion of this session, the participant should be able to
- Understand the process of QC Validation in providing a scientific basis
for choice of control rules applied in the veterinary laboratory.
- Demonstrate knowledge and understanding by undertaking QC validation
for an instrument within the laboratory of his/her choice and making
recommendations for QC rules to be applied.
- Demonstrate knowledge by examination on concepts related to sigma metrics,
QC validation and the relationships between these.
**** BREAK - February 17, 2019 ****
Week 12 (Real Time Session February 24, 2019):
QC Validation (Continued)
Presenter: A. Russell Moore
Format: Audio
Required Reading/Homework/Practical Assignment: None.
Objectives: Upon completion of this session, the participant should be able to
- Understand the process of QC Validation in providing a scientific basis
for choice of control rules applied in the veterinary laboratory.
- Demonstrate knowledge and understanding by undertaking QC validation
for an instrument within the laboratory of his/her choice and making
recommendations for QC rules to be applied.
- Demonstrate knowledge by examination on concepts related to sigma metrics,
QC validation and the relationships between these.
Week 13 (March 3, 2019 - No Real Time Session):
QC Validation (Continued)
Practical Assignment due by Monday March 4, 2019.
Week 14 (Real Time Session prior to March 10, 2019):
Review, Questions and Examination
Presenter: A. Russell Moore
Format: Audio
Required Reading/Homework/Practical Assignment: None.
Objectives: Upon completion of this session, the participant should be able to
- Understand the process of QC Validation in providing a scientific basis
for choice of control rules applied in the veterinary laboratory.
- Demonstrate knowledge and understanding by undertaking QC validation
for an instrument within the laboratory of his/her choice and making
recommendations for QC rules to be applied.
- Demonstrate knowledge by examination on concepts related to sigma metrics,
QC validation and the relationships between these.
Successful completion (scoring 80% or better) on the end-of-course test is required
to earn a certificate of completion for the course.
To learn more about the requirements for earning a CE certificate, please refer to
Receiving Your CE Credit and Course Completion Certificate.
Course Materials: Course materials will be available
in the course library prior to each Real Time Session.
Required Textbook:
- Westgard, JO. Basic QC Practices, 4th edition.
Training in Statistical Quality Control for Medical Laboratories.
Westgard QC, Madison, Wisconsin, 2016.
Available through the Westgard Store:
https://www.westgard.com/store.html
About the Presenters:
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, Ltd, based in Wetherby,
West Yorkshire. She is past founding Chair of the ASVCP Quality Assurance and
Laboratory Standards Committee and the founding 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 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!
Stefanie 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. Currently, she is
working as scientific product manager laboratory diagnostic for scil animal care company.
She is an experienced speaker in various themes of veterinary clinical
pathology and lectures often at national as well as international
conferences. She is the current Chair of the Lab Standards Committee
of the ECVCP. 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.
A. Russell Moore received his DVM from Purdue University
in 2006, after which Dr. Moore practiced veterinary medicine in a small
animal predominant clinic for 5 years. He returned to academia for a
residency in clinical pathology and completed a MS at the University
of Illinois. In keeping with his interests included exotic animal pathology
and quality control practices, Dr Moore's masters project developed a method
for measuring fibrinogen in turtles, validated that method for clinical use
and produced reference intervals for red-eared slide fibrinogen. Dr. Moore
sat boards and was made a Diplomate of the American College of Veterinary
Pathologists in 2014.
He is currently an assistant professor at Colorado State University in Fort
Collins, Colorado where he enjoys the outdoors, biking and playing with his
wife and three children. Current research interests focus on methods for
increasing diagnostic accuracy in clinical pathology and other clinically relevant projects.
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 where 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 a Councilor for the Executive Board of 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.
Liesl van Rooyen qualified as a veterinarian from University of
Pretoria (South Africa) in 2011.She then spent three years working in welfare
practice while completing BVSc (Hons) degree in Small Animal Medicine and Veterinary
Clinical Pathology. In 2015, she enrolled for the MMedVet (Clinical Laboratory Diagnostics)
external residency offered by the University of Pretoria and IDEXX Laboratories
South Africa, and obtained her MMedVet (CLD) specialist degree in 2018.
Her research project conducted at the University was a continuation of previous
work done by the Faculty regarding haemostatic derangements in dogs with Babesia
rossi infection. She is currently employed as a Clinical Pathologist at IDEXX
Laboratories South Africa. Her professional interests include diagnostic cytology
and haematology, and laboratory quality management.
Total CE Credit: 12
Tuition: $700
Prices are listed in US dollars.
*To ensure participants are ready and prepared for classes,
enrollment will close on November 26, 2018 at 5 pm ET (USA)
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.
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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.
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Please include the course title, your full name, and contact information in your correspondence.
"This program (RACE program number to be determined) has been submitted
for approval by AAVSB RACE to offer a total of 12 CE Credits, with a maximum
of 12 CE Credits being available to any individual
veterinarian or veterinary technician/technologist.
This RACE approval is for the subject matter categories of:
Scientific,
using the delivery method of Interactive-Distance: (Web-based, Teleconference or Audio-Conference).
This approval is valid in jurisdictions which recognize AAVSB RACE; however, participants are
responsible for ascertaining each board's CE requirements."
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 office 800-846-0028 ext. 797
to discuss eligibility for a pro-rated refund.
*For more information on VIN's upcoming CE courses, check the
VIN Course Catalog.
Katherine James, DVM, PhD, DACVIM (SAIM)
VIN Education Director
VIN CE Services:
CEonVIN@vin.com
800-846-0028 or 530-756-4881; ext. 797
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