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Clinical Laboratory Scientist

Occupational Description
Healthcare professionals order medical tests to determine the cause of a patient’s illness, the genetic predisposition to disease, and to measure the success of a treatment program. After the patient provides the laboratory with the sample specified (usually blood, saliva, stool, spinal fluid, urine or tissue), a Clinical Laboratory Scientist (CLS) uses automated testing equipment or manual testing to identify any abnormalities in the sample. The CLS then analyzes the findings and sends the information to the patient’s healthcare provider.

Significant Points

  • According to a press release from U.S. Newswire, The American Society for Clinical Pathology (ASCP) is moving forward with International Certification of medical laboratory professionals through the American Society for Clinical Pathology (ASCPi). These "harmonized eligiblity routes" should be available to participating countries by January 2007. This could bring more foreign trained laboratory professionals to work in the United States, though this particular certification may not provide eligibility for foreign trained CLSs to work in California because the ASPCi certification does not meet California's licensing requirements. Internationally trained laboratory professionals should contact the California Department of Health and Human Services-Laboratory Field Services Branch for more information. Click here for an explanation from the ASCP. Individuals interested in pursuing CLS training should not be deterred by concerns over international recruitment efforts or the introduction of the international certification.
  • The need for CLSs in the healthcare setting is great in the Bay Area and continues to grow. The current job vacancy rate for CLSs in South Bay Area hospitals was estimated at 10%.
  • The average age for a CLS in California is 57 years and this number continues to rise--this has important implications for the CLS workforce as workers retire.
  • Area training programs are located at San Francisco State University and San Jose State University. These programs accept a combined 60 students per school year--these graduates meet approximately 1/10th of the growing need for CLSs in the Bay Area.
  • There is also considerable speculation that CLSs will be utilized in the biotech sector in the near future, which is expected to dramatically increase the need for CLSs locally and in hotspots around the country. Approximately 5% of students in CLS training programs do internships with biotech employers for clinical training.
  • CLSs use highly sophisticated computer, testing, and laboratory equipment. Working with this changing technology is exciting for many CLSs.
  • CLSs work closely with other CLSs and lab personnel; frequent interpersonal interaction between the laboratory personnel is common.
  • Starting wages for CLSs range from $34-$35/hr with benefits.
  • According to the individuals interviewed, a significant percentage of CLSs pick up per diem shifts in addition to their 40-hour workweek to earn supplemental income. Experienced CLSs who work full-time and take on a per diem shift per week can earn over $100,000 per year in the Bay Area.
  • CLSs work with body fluids and potentially dangerous chemicals, and though laboratory safety protocols are in place, there is a risk of exposure. Individuals working in the occupation who were interviewed did not express concern about the risk of exposure.
  • Healthcare facilities–particularly emergent care facilities–staff CLSs around the clock. Individuals with seniority are generally given shift preference, and new graduates may have to work midnight, swing and/or graveyard shifts. Most facilities have a rotating holiday schedule. CLSs generally receive shift and holiday pay differentials.
  • Due to CLS staffing shortages, the workload for many incumbent workers has increased dramatically in recent years, which can lead to stress and strain and job dissatisfaction for some CLSs.
  • The incumbent Clinical Laboratory workforce is female-dominated. Employers and training providers have expressed concern about diversifying the CLS workforce.

Demand

The need for Clinical Laboratory Scientists has dramatically increased in the Bay Area due to: the increased reliance of healthcare professionals on laboratory tests in the diagnosis and treatment plan (laboratory tests are far less expensive than radiological tests and repeated testing does not generally compromise patient safety); the growing population and the squaring of the age pyramid ("baby boomers" and dramatic increases in lifespan); the lack of public awareness about the clinical laboratory profession outside of phlebotomy means fewer people enter the occupation; the closure of the Bay Area CLS training programs due to budget cuts and the migration to the high-paying high-tech field in the 1980’s and 1990’s means that relatively few local individuals trained as CLSs for nearly 20 years; the expected retirement of a significant percentage of the CLS workforce (the majority of working CLSs training in the 1960’s when CLS programs were better-publicized); and also the presence of multiple world-renowned healthcare organizations (we need more CLSs than the area’s population would indicate due to out-of-town patients seeking treatment at UCSF, Stanford, etc).

Individuals who have completed State-approved training programs, obtained California licensure, and who can communicate effectively in English, will likely be employed at graduation or shortly thereafter. Many individuals are hired directly from their internships. Employers prefer to hire CLSs out of their internship because it is a return on investment for the employer. Employers invest thousands of dollars in hosting internship sites for CLS programs and most will offer the intern a job before graduation if s/he has good clinical skills, a strong work ethic and good communication skills.

Employers prefer to hire experienced CLSs, but the critical shortage in the field and expected mass retirement of much of the incumbent CLS workforce does not leave employers with a choice. Several individuals interviewed quoted the following statistic: "The number of individuals who will graduate from local CLS programs in 2006 is roughly equal to 10% of the number of local CLSs that are predicted to retire in 2006."

Wages

Click here to view the Santa Clara County wage survey for CLSs and here to view the corresponding survey for San Mateo County. Data indicates that new graduates earn approximately $34/hr with the median hourly wage hovering around $40/hr. The 75th percentile earn more than $45/hr. CLSs work around the clock and receive shift differentials of up to 15%.

Employers commonly offer signing bonuses to incoming CLSs as the position is considered “difficult to fill”. These bonuses vary by employer and may reach $10,000 and/or include incentives such as student loan payback.

Employers usually pay most or all of the costs associated with completing the continuing education units required to maintain CLS licensure.

Education and Training

CLS training is available exclusively as a post-baccalaureate program. Individuals must have a bachelor’s degree and complete specific prerequisites courses, usually in biology, immunology, hematology, medical microbiology, advanced math, physics, chemistry, statistics and biochemistry. Individuals with an undergraduate degree in life sciences, physical sciences, natural sciences or applied sciences will be at an advantage when applying for CLS training programs, as they will have likely completed a number of the prerequisites as an undergraduate. Individuals who struggle with science classes and concepts may find the CLS curriculum overwhelmingly difficult. According to individuals interviewed, completing prerequisite courses at DeAnza College or at a California State University may be advisable due to rigor of coursework, transferability to the CLS program and an emphasis on the lab sciences at DeAnza (due to the MLT program).

Individuals with experience in a clinical environment (phlebotomy, biotech, environmental lab, etc.) are at an advantage when applying for admission to the CLS program as personal experience is considered in addition to academic factors. Phlebotomy may be considered to be the most valuable work experience for individuals pursuing CLS careers.

CLS training programs are generally 12 months long. Individuals begin an internship as soon as they start the training program and this provides individuals with hands-on exposure to clinical laboratory procedures. Usually, individuals attend the internship 4 days per week and spend 1 day per week exclusively in the classroom. In the last month and a half of the training program, students work five days per week at their internship site. Individuals are often given a small stipend from the internship host. CLS programs are considered to be rigorous, and students are advised to focus exclusively on their studies and to avoid working if at all possible.

Because the majority of CLS training is spent outside of the classroom, the number of students admitted to a CLS training program is contingent on the number of internship spots secured at participating medical laboratories. The number of spaces in a training program varies. Admission to CLS training programs has become somewhat more competitive in recent years as demand for CLSs has increased. San Jose State University admits students to the CLS program twice per year. In 2007, 60 students applied, and 12-15 were admitted each cycle. Though some unqualified students applied, approximately 10 students were not offered admission each cycle due to lack of internship availability.

Currently, San Jose State University and San Francisco State University offer the only basic CLS training programs in the Bay Area. UCSF offers a CLS specialist training program for CLSs interested in specializing in a particular area of the clinical laboratory. Currently, CLS programs are not on the ETPL in California.

Licensure

California CLS licensure is required for employment as a CLS in the State of California; national certification is optional, though the majority of CLSs hold national certification through the American Society for Clinical Pathology.

The licensure process for CLSs in California was revised in March 2007--a memo outlining the new process is available here. After an individual completes CLS training from a State-approved institution, s/he applies for eligibility for licensure through the California Department of Health and Human Services-Laboratory Field Services Branch. The individual's licensure application is reviewed and the individual is notified regarding status. S/he then has the option of taking the California State licensing exam, or instead taking certifying exams through California State approved credentialing agencies which include the ASCP or the American Association of Bioanalysts. Upon successful completion of the test, the individual is eligible for California licensure.

CLSs must complete 12 continuing education units per year to maintain his or her California license.

Career Ladder

Click here to view a clinical laboratory sciences career ladder diagram designed by the Healthcare Navigator.

CLSs with extensive experience may become supervisors or laboratory managers. CLSs may also choose to become experts in a particular type of testing (i.e. hematology, histology, genetics, etc.) and may pursue advanced training in a specialty area. Salaries are higher for individuals in laboratory administration and for CLSs who specialize.

Some CLSs may decide not to work in the laboratory full time and may instead work in education, pharmaceuticals, or as consultants for laboratory equipment companies. CLSs interested in public sector employment may work in public health departments or for regulatory and quality assurance agencies.

CLS Employers

Visit the Employers page for a comprehensive list of hospitals

Qwest Diagnostics

Kelly Scientific CLS Staffing

Aureus Medical Laboratory Staffing

CLS Training Providers

San Jose State University CLS Program

San Francisco State University CLS Program

UCSF Advanced Clinical Training Program

Resources

Additional Information

www.ChooseLab.com

State of California-Division of Laboratory Science Laboratory Field Services Branch

UCSF Report on the Clinical Laboratory Workforce

Silicon Valley Roots: Foundational Occupations with Growth Potential "Medical and Clinical Laboratory Technologists"

US Department of Health and Human Services-Bureau of Health Professions Report on CLS Workforce

ADVANCE Magazine for Medical Laboratory Professionals

Professional Associations

American Society for Clinical Pathology

American Society for Clinical Laboratory Science

American Medical Technologists

California Association for Medical Laboratory Technology

Phillipines Association of Medical Technologists

Accrediting Agencies

National Credentialing Agency for Laboratory Personnel

National Accrediting Agency for Clinical Laboratory Sciences

Commission on Accreditation of Allied Health Education Programs