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ADVANCE Outlook: Lab Professionals

Letter to the Editor: AMT's View of the ASCP-NCA Merger

Published October 19, 2009 11:21 AM by Matthew T. Patton

To the Editor:
Since ASCP and NCA issued their press release announcing they had reached agreement on combining their lab personnel certification programs, I have, in my capacity as executive director, been asked by our members and the outside world for AMT’s views on this recent announcement, and what its implications are for AMT and its MT and MLT certificants.

In my view, what is significant is not what the announced deal is, but what it is not: It does not represent the creation of a brand new certification agency. ASCP is, in fact, the putative “new” agency, with a cosmetic name change applied to its Board of Registry. ASCP continues on while NCA is going out of business. It does not represent a merger between “equals.” After leaving ASCP some 30 years ago, NCA evidently decided it no longer chose to try to make a go of independent existence. NCA certification activity has always been relatively small; certainly in recent years smaller than AMT in annual numbers certified. In many respects, the resulting entity looks to be very much an “ASCP show.”

This does not mean there is now only one certification agency. The news articles ignore the existence of AMT, and, for that matter, AAB—other agencies certifying MTs and MLTs. The implication in the news reports is “where there were two certifying bodies there is now one.” In reality, where there were four there are now two major ones (AMT and ASCP) and a smaller third (AAB). The “new” certification agency will not automatically be significantly larger in terms of numbers of certificants than ASCP BOR had been pre-merger. Many, if not most, NCA certificants already possessed dual certification with ASCP. The NCA credential was an add-on. The NCAers will eventually lose their NCA credential and just maintain the ASCP credential they already had. What surprises us a little is ASCP agreed to a change in designation for MTs and MLTs.

Instead of MT, or CLS (a suffix to which ASCLS and NCA had devoted much advocacy and energy over the years), the two organizations (ASCP and the soon-to-be-defunct NCA) decided to issue an edict that henceforth, the designation shall be medical laboratory scientist (MLS). Never mind that the rest of the world calls them MTs, or CLSs in some cases. This intriguing development will, in the coming weeks and months, likely overshadow the relative insignificance of the so-called “merger” as the lab industry scratches its head as to whether and how anyone might go about implementing such a nomenclature change.

How will this new credential be greeted by the lab world? Will it be a big hit? Or will it follow in the footsteps of “the new Coke” and “the Edsel” and prove to be a bust soon withdrawn? Normally, certification bodies have to follow the lead of the workplace. If educational programs for lab techs and employers all agree on a new name for a particular profession, then that is what the new credential should be called. For now, AMT plans to continue to offer the time-honored “MT” credential until we perceive the workplace is calling it something different. The ASCP-NCA announcement provides AMT with the opportunity to reiterate its belief in the principle of non-physician laboratory technologists running their own certification program—something the sponsors of NCA also used to believe in, but apparently no longer do.

We want the word to go forth to lab science students, currently credentialed MT/CLSs and MLT/CLTs, and employers of lab professionals that freedom of choice still exists in the world of laboratory personnel certification. We at AMT hold to the same belief on which NCA was originally founded—undertaking a certification and credentialing program for the clinical laboratory profession that is peer-based; a program by, of and for the non-physician clinical laboratory professionals themselves, and governed by them.

To celebrate our commitment to this peer-based ideal of our profession standing on its own with its own identity, AMT is extending a hand to lab professionals holding the certification credential of the NCA. From our Web site, any NCA-credentialed CLS or CLT can download and complete an application for MT or MLT, and with documentation of having passed an NCA generalist exam for CLS or CLT, we will extend MT(AMT) or MLT(AMT) certification and 1-year of membership free of charge. AMT is only providing this offer until Dec. 31, 2009. As has already been pointed out, “unity” is perhaps an overstatement because there are more than just those two lab credentialing agencies. But more importantly, the BOR-NCA agreement only deals with one aspect of laboratory professionalism: certification. Advocacy efforts on behalf of MTs and CLSs will continue to be made by the usual variety of groups: AMT, ASCLS, AAB, CLMA, AACC, ASCP and the lab subspecialty organizations.

One final note: In the Sept. 7 issue of ADVANCE, Glen McDaniel wrote on pg. 6 ASCP and NCA “together have certified more than 95 percent of the MLT/CLT and MT/CLS professionals currently practicing.” Standing alone and out of context, this “95 percent” has struck many of us as counterintuitive and misleading. For one thing, it would not seem to take into account those working as MT or MLTs who are not certified by anyone. Also, in recent years, AMT’s slice of the annual new MT/CLS certificant “pie” (combined ASCP-NCA-AMT new certifications) has been on the order of 25 percent. This overstated percentage is an unfortunate anomaly in McDaniel’s otherwise well-reasoned column.

—Christopher Damon, JD,
Executive Director,
American Medical Technologists

ADVANCE reserves the right to edit submissions for clarity and brevity. To write a letter to the editor, contact: ADVANCE for Medical Laboratory Professionals, 2900 Horizon Dr., King of Prussia, PA 19406, Attention: Matthew T. Patton; e-mail mpatton@advanceweb.com or fax to 610-278-1425.

4 comments

As a tech for 23 years it is very hard for me to read some of the comments about this merger. I agree with Advance that the merger of ASCP and NCA ignores the other accrediting agencies. Unfortunately Advance as well as ASCP, NCA and many others ignores that those 48 year old and aboves may also have another certification that is entirely forgotten. The HEW. Now I am sure that many of the education snobs believe my 23 years of lab experience is nothing next to their 4 years of college but I beg to differ. I did attend an accredited college for clinical lab for the 2 year degree, then found I was qualified to take the HEW to be a med tech due to the combination of credit hours, education and experience. Only 45% of the eligible people who took that exam passed the HEW. After getting the HEW I decided I wanted to be a member of ASCP so just took their MLT cert test. Since the time I passed the HEW I have been called a MT and had no problems with getting a postion of any kind from bench MT to lab director. I have worked in a variety of clinical settings and am currently supervising a hospital chemistry department. Due to all the hoopla about ASCP and NCA merger recently my facility reviewed their lab staff and made adjustments in pay based on the MT vrs MLT certification. Suddenly I am told I am no longer a MT and have been reclassified as a MLT due to my stupidity in taking the ASCP MLT exam. My HR department informed me that they have no clue what an HEW is so they went with the MLT cert instead despite protests from staff. Why because they contacted an ASCP certified tech who informed them that ASCP is the gold standard. To add to the insult one of the older gentlemen I work with has less education but took the AAB MT exam so they left him as a MT. Until there is one certification agency for our field these problems will still occur. How will you AMT/AAB certified MT's feel when suddenly labs decide ASCP is the only true certification?

M Marie, Generalist - Lead tech, MGRMC February 19, 2010 4:14 PM
AZ

Looking at all the acronyms for the agencies that "represent" all of us in the Clinical Laboratory brings home the point of what keeps us from true professional standing...we are divided and conquered in effect.  

Why is it that we do not have a single entity that will represent ALL of the college educated, B.S. degree or higher, MT's or CLS's, regardless of which "credentialling" exam we have sat for, either state specific, such as California was until recently, or the NCA, ASCP, AAB...to convey a nationally recognized certification and standard that is RECOGNIZED IN EVERY STATE IN THE U.S.A.?

Or the same for the MLT / CLT and the Phlebotomy teams?  Why doesn't ASCP "grandfather in" all MT/CLS that meet the educational standards of the profession?  Does AMT?  ABB?  Why not?  Isn't a RN a RN in any state?  What purpose does it serve for the Laboratory professionals to remain fractionated (or whose purpose)by these different "credentials"?

Isn't it a bit ironic that historically, the Laboratory professionals in California set the educational standards for MT that the ASCP had later adopted, yet a California licensed CLS is not recognized as "qualified" by some employers in other states unless they also possess a ASCP certificate?  And until recently, visa versa, where a ASCP MT faced the same hurdle in California?

This has always bothered me, and while some may think their particular "qualifing agency", whether state or private, is the gold standard, in my personal experience working in California and Idaho, the college educated MT's/CLS's that were certified by AMT, NCA, or the ASCP, or licensed soley by the State of California as a CLS were all of excellent professional caliber, as demonstrated by their day to day competent management of the workload, iincluding the usual quality control, quality assurance, and trouble-shooting challenges common to all laboratories, as well as their committment to the patient to ensure the reporting of quality test results.

OK, take a deep breath....exhale.....calm.  I am done pontificating on this huge issue.  I hope change for the better comes soon.  It can only make us stronger as a profession.

Anonymous December 30, 2009 1:29 PM

I have to say, as a MLT about to become a "MLS", I think it’s dumb there are so many names for this field. I actually seem to notice more school BS programs change their name from MT to CLS over the years and I think MLS is not as good as CLS, but I personally like it better than MT.  I think AMT may want the new name to "fail", but I don't think it will. I foresee many years from now larger hospitals and University programs using "MLS" but AMT stubbornly sticking to their guns and sticking with the title MT. If AMT actually got on board with at least the name change (MT to MLS) I would think strongly on taking them up on their offer and join possibly join their organization, but I refuse to have two certifications with two different names for the exact same job.

Anonymous December 30, 2009 1:28 PM

Very Interesting.  At one point a while back, there were several comments here, a few even critical of this letter. Now it all went "poof".

My only comment is although its not perfect, overall the NCA-ASCP BOR merger was a giant step in the right direction for unity in the field. I respect any efforts of advocacy that AMT perform, but as far as certification, I flat out think it’s ridiculous to have several certifications out there for the same field. It’s great for the new grads to not worry about having to get several different certifications for the same job or even for those of us old timers who pay dues for various professional organizations, ASCP and NCA uniting helped out our pocketbook. I’m all for advocacy and professional groups for our field, but its way past time we have ONE CERTIFICATION just like EVERY other ancillary field.

In closing, I have to add although I prefer Clinical Laboratory Scientist to Medical Laboratory Scientist, I think either title is still much better than Medical Technologist.

Timothy, MLS December 23, 2009 9:16 AM
Minneapolis MN

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