Re-entry of resolution

NLCMLS Policy 2013-001

Re-entry to Practice 
Approved by the NLCMLS Board of Directors

Original policy:    January 25, 2013

Revision:             April 15, 2016

Preamble

This policy has been developed by the Newfoundland and Labrador College of Medical Laboratory Sciences (NLCMLS) and approved by the NLCMLS Board of Directors. 

This document provides direction to Medical Laboratory Technologists (MLT) who are re-entering the workforce but do not meet work hours requirements for registration outlined in the Medical Laboratory Technologists Regulations. This policy will also be used by the Registration Committee of the Newfoundland and Labrador Council of Health Professionals (NLCHP) to support registration applications for MLTs who have been out of the workforce for an extended period.

Cases that do not fall within the limits of this policy, will be reviewed individually by the NLCHP Registration Committee with input and clarification from the NLCMLS respecting circumstances not covered in this policy. 

To obtain and maintain a registration to practice as an MLT in Newfoundland and Labrador, and according to the regulations, MLTs must work at least 960 eligible hours (Canadian) in the previous four years, or as may be approved by the NLCMLS on a case by case basis pending verification of job description of MLT practice in another jurisdiction. 

Definitions

Hours of work means work in the four domains of medical laboratory sciences that involve direct practice, education, research and administration in the performance of medical laboratory sciences.

Registration Categories:

General Status Registration:  Registrants who have satisfied the NLCHP Registration criteria for MLT including successfully completing a medical laboratory sciences program of at least 2 years duration or another program of study approved by the NLCMS, and have successfully challenged the Canadian Society for Medical Laboratory Science (CSMLS) certification examination. Applicants who have been graduated for greater than 4 years must also have been employed in the practice of medical laboratory technology as defined in the MLT regulations for a minimum of 960 hours in the practice of medical laboratory technology. 

General Status (Subject-Registered):  Registrants who have satisfied the NLCHP Registration criteria with proof of certification as a subject-registered technologist for each subject discipline as approved by the NLCMLS, as well as have been employed for at least 960 hours in the practice of medical laboratory technology for at least 960 hours.

General Status (Temporary): Registrants who have completed all academic and clinical course requirements to become eligible to write the CSMLS certification examination, or an international candidate approved to write the CSMLS certification examination. In all circumstances these registrants are subject to a requirement for direct supervised practice by a Medical Laboratory Technologist (MLT) in good standing who is currently registered with the NLCHP in the subject area(s) being supervised. 

Re-Entry to Practice as a Medical Laboratory Technologist (MLT)

Re-Entry to practice as an MLT is available for two types of applicants: 

Applicants who have been employed in the past 4 years who do not meet the 960 hours of work experience in medical laboratory technology practice (direct, education, research or administration) and who are applying for registration with the NLCHP.

These applicants will be considered according to the following criteria: 

Applicant possesses the required MLT education and clinical training acceptable to the NLCMLS and the NLCHP Registration Committee;

Applicant has worked as a MLT in the immediate 4 years preceding an application for registration; 

Applicant has completed a minimum of 10 hours of current* continuing education (CE) for each year they have not worked as a MLT. For example, if an applicant has not worked as an MLT in the previous year, 10 CE are required for that year. If the applicant has not worked as an MLT in the 2 years prior to making application for registration, accordingly 20 CE are required to be completed in this 2 year period.

*(education in the previous 12 months)

For these circumstances as described above, a complete application form and supporting CE documentation are required and submitted to the NLCHP office. 

Note: Applicants must apply for registration with the NLCHP prior to commencing employment. 

In addition: Applicants will be required to complete a period of supervised practice for the balance of any shortfall in hours below the required 960 for general status registration using the following formula:  

Where an applicant has worked 700 hours or more in the previous (4) years, they will require supervised practice for 100% of the time remaining in the balance of 960 hours required for registration. For example, if the applicant worked 800 hours, with a shortfall of 160 work hours, the applicant will require full time supervision of the 160 remaining hours to be with full time supervision. 

Where an applicant has worked less than 700 hours that applicant must be supervised full time for that first 260 hours, and 50% of the balance remaining of the required hours. For example, if an applicant worked 500 hours in the previous 4 years (short 460 hours), the applicant would require 260 hours of full time supervision; and supervision also for the half of the balance of the remaining hours. In this example of having only 500 hours, supervision is required for 260+100(half of remaining 200)= 360 total supervised hours.

Applicants who have not been employed in the past 4 years in medical laboratory technology practice (direct, education, research or administration) immediately preceding an application for registration with the NLCHP.

Applicants will be considered according to the following criteria: 

Applicant possesses the required MLT education and clinical training acceptable to the NLCHP;

Applicant has written and passed the CSMLS certification examination more than four (4) years ago;

Applicant will be required to successfully complete a course of studies (refresher/re-entry courses only) as established and required by the NLCMLS prior to submission of an application for registration to the NLCHP (see below for duration of refresher/re-entry course(s); 

The course of study proposed by the applicant must be submitted to the NLCMLS for approval prior to commencement.

Applicant will be required to successfully complete a period of supervised MLT practice hours. Requirements will be determined on an individual basis. Normal requirement will be 240 hours of supervised practice per subject area to a maximum of 960 hours for multiple subject areas.


For these circumstances as described above, a complete application form is required and submitted to the NLCHP office.
The following chart outlines the refresher /re-entry course hour requirements:

Number of years                           Minimum number of refresher course hours 

away from MLT practice:            required:    

>10 *                      Enrollment in CSMLS PLA Program
7-10                                                      120
4 – 7                                                       80

* Enrollment in the Canadian Society of Medical Laboratory Sciences (CSMLS) Prior Learning Assessment (PLA) is required for all applicants who have been away from MLT practice greater than 10 years. All costs associated with the PLA program will be borne by the applicant. (Current cost is ~ $1500.00)

NLCMLS Approved list of Refresher/Re-Entry Courses 

The NLCMLS recognizes that a number of organizations develop and deliver re-fresher/re-entry course for MLTs. As education training programs and course approvals ( ie accredited courses) change from time to time, it is advisable for the individuals to contract the NLCMLS to determine if a course listed below is currently approved for use as  a refresher course for the purposes of refresher/re-entry with the NLCMLS. 

Courses must be of a length and duration to be considered a refresher/re-entry course and not courses generally considered as continuing education on a specific topic or focus (i.e. less than 4 hours). Refresher/re-entry courses generally have an aspect of evaluation as part of the course completion (i.e. exam, clinical practicum). 

Refresher/re-entry courses should be focused on the area of practice where the applicant will be employed. For general status MLT’s working in a core laboratory, the refresher/entry course(s) selected should include as a minimum, course work in the area of hematology, chemistry and transfusion medicine. One or more courses may be taken to achieve the required number of hours identified in the chart below. The completion of refresher courses must be within the four years preceding the date of application for registration with the NLCHP.
  
The NLCMLS may consider other courses for approval. Such approval must be obtained prior to enrolment in the course. 

All applicants must receive approval from the NLCMLS for their proposed refresher/re-entry courses to ensure that the education program chosen by the individual will meet the NLCMLS requirements for refresher/re-entry. 

The following is a partial list of courses and can be available at the following link(s)

Medical Laboratory Science Refresher Course List 

http://cmlto.com/images/stories/Members/medical_lab_science_2016_rfsh_crse.pdf 

 (The above list used with permission of the College of Medical Laboratory Technologists of Ontario)

The CSMLS has recently published its latest document on Prior Learning Assessment and Re-Entry into Practice. Please go to page 25 of the document for information on refresher courses.

CSMLS Prior Learning Assessment Information Handbook and Application 2016:
http://go.csmls.org/cert/MLT_PLA_Guidebook.pdf 

CSMLS List of Refresher Programs:
https://learn.csmls.org/topclass/browse.do?c=1391 

CSMLS List of Courses applicable for professional refresher, but requiring pre-approval by NLCMLS. The list may also be viewed on the NLCMLS website: www.nlcmls.ca 

The NLCMLS will review the list of courses on an annual basis to ensure that the approved courses are current.