3/10/2016. Medical Laboratory Training Platform 59 TH TRG. Overview. Overall Process

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1 Medical Laboratory Platform 59 TH TRG Mission: Develop and Sustain the World s Finest Medics Vision: The Medical Standard of Excellence Overview Requirements Process STRT/U&TW Process ITRO Process Occupational Analysis CDCs Schoolhouse Update Overall Process Develop America's Airmen Today... for Tomorrow OAR Data STRT CRE Determine Requirements Feedback AF Mission Needs Preliminary Resourcing CTP U&TW Conduct Development Aim High...Fly-Fight-Win Resources 1

2 Air Force Occupational Analysis AFSC 4T0X1 Medical Laboratory Survey Background Last occupational analysis report (OAR): Jul 2015 Survey developed: Jan - Mar 15 Nellis AFB, NV Wright Patterson AFB, OH Keesler AFB, MS Joint Base Langley-Eustis (JBLE), VA Joint Base San Antonio (JBSA) Lackland, TX Component/CAFSC surveyed: AD: 3-,5-,7-, and CEM levels First Enlistment (N=159) Percent of AFSC 4T0X1 TAFMS Members Responding to Job Satisfaction Indicators Job Interest Second Enlistment (N=149) Career Airmen (N=225) Interesting Neutral Dull Utilization of Talents 11 First Enlistment (N=159) Second Enlistment (N=149) Career Airmen (N=225) Well Neutral Poorly First Enlistment (N=159) Utilization of Second Enlistment (N=149) Note: Columns may not add to 100% due to rounding Well 5 Career Airmen (N=225) Neutral Poorly Sense of Accomplishment Satisfied 74 Neutral Dissatisfied First Second Career Airmen Enlistment Enlistment (N=225) (N=159) (N=149) 2

3 Percent of AFSC 4T0X1 TAFMS Members Responding to Reenlistment Intentions Reenlistment Intentions Reenlist Separate Retire First Enlistment (N=159) Second Enlistment (N=149) Career Airmen (N=225) Reenlistment Factors TAFMS Groups First-Term Airmen N=101 Second- Term Airmen N=96 Career Airmen N=159 Reenlistment Factors Percent Members Degree of Responding Influence Job Security Pay and Allowances Medical or Dental Care for AD Member Retirement Benefits Retirement Benefits Job Security Pay and Allowances Medical or Dental Care for AD Member Promotion Opportunities Retirement Benefits Job Security Retirement Benefits Medical or Dental Care for Family Member Pay and Allowances Medical or Dental Care for AD Member Scale: 1 = slight influence, 2 = moderate influence, 3 = strong influence Factors highlighted in yellow are common across three TAFMS groups Separation Factors TAFMS Groups First-Term Airmen N=58 Second- Term Airmen N=53 Career Airmen N=26 Separation Factors Percent Members Responding Work Schedule Recognition of Efforts Unit Manning Leadership at Unit Level Esprit de Corps/Morale Degree of Influence Enlisted Evaluation System Additional Duties Recognition of Efforts Esprit de Corps/Morale Work Schedule Esprit de Corps/Morale Additional Duties Unit Manning Recognition of Efforts Civilian Job Opportunities Scale: 1 = slight influence, 2 = moderate influence, 3 = strong influence 3

4 Analysis AD 3-Skill Level Members Highest percentage of time spent performing general laboratory activities Top 20 tasks focus on Duty Areas K and J Top equipment used or operated are refrigerator, timer, centrifuge, microscope, and thermometers 75% - Nationally certified 91% - Do not possess a CCAF degree 3% - 41 hours or more per week performing non-afsc duties Percent Time Spent on Duties by AD CAFSC 4T0X1 Skill-Level Members 4T031 4T051 4T071 Duty Areas N=106 N=2 N=147 PERFORMING A. CLINICAL CHEMISTRY PROCEDURES B. PERFORMING SPECIAL CHEMISTRY PROCEDURES C. PERFORMING BLOOD DONOR AND TRANSFUSION SERVICES PROCEDURES D. PERFORMING HEMATOLOGICAL PROCEDURES E. PERFORMING COAGULATION PROCEDURES F. PERFORMING BACTERIOLOGICAL PROCEDURES G. PERFORMING MYCOLOGY PROCEDURES 1 1 * H. PERFORMING PARASITOLOGICAL PROCEDURES 1 1 * I. PERFORMING URINE TESTING PROCEDURES J. PERFORMING LABORATORY COMPUTER ACTIVITIES K. PERFORMING GENERAL LABORATORY ACTIVITIES L. PERFORMING RESEARCH, ENVIRONMENTAL, OR OCCUPATIONAL ANALYTICAL PROCEDURES * 1 1 M. PERFORMING LABORATORY ADMINISTRATIVE OR SUPPLY ACTIVITIES N. PERFORMING TRAINING ACTIVITIES O. PERFORMING MANAGEMENT AND SUPERVISORY ACTIVITIES * Indicates more than 0 but less than.5% Note: Columns may not add to 100% due to rounding Tasks Performed by Highest Percentage of AFSC 4T0X1 AD 3-Skill Level Members Tasks N = 106 K0304 Wear appropriate personal protective equipment 88 K0282 Operate centrifuges 87 J0254 Generate reports such as, workload reports, pending lists, or work documents 86 J0257 Input or update data using Composite Health Care System (CHCS) 85 K0277 Maintain professional standards with customers 83 K0283 Operate microscopes 83 K0287 Perform steps to adhere to Quality Control standards 82 K0294 Reference operating instructions (OIs) for test procedures 82 K0292 Prepare reagents, standards, or controls 78 K0303 Verify test results 78 K0284 Perform laboratory equipment maintenance 77 K0288 Perform steps to adhere to safety and chemical hygiene programs 77 K0295 Remove or dispose of hazardous or infectious waste 76 J0259 Retrieve medical laboratory test results 76 K02 Monitor equipment temperatures 76 K0296 Remove or dispose of Privacy Act material 75 J0260 Review laboratory requests 73 K0299 Store hazardous chemicals to include reagents, standards, controls, acids or carcinogens 73 K0273 Collect venous blood samples from inpatients and outpatients 72 K0301 Test patient controls 71 4

5 Top 20 Tasks with Highest Emphasis (TE) Ratings TASK RATING D0151 Perform blood cell differentials 5.59 F0202 Perform Gram stains 5.54 I0248 Perform microscopic urine sediment tests 5.53 K0304 Wear appropriate personal protective equipment 5.50 K0277 Maintain professional standards with customers 5.44 I0247 Perform macroscopic urine examinations 5.35 A0007 Operate automated chemistry analyzers 5.35 F0185 Examine stained specimens 5.33 K0273 Collect venous blood samples from inpatients and outpatients 5.33 I0246 Operate automated urine analyzers 5.27 K0294 Reference operating instructions (OIs) for test procedures 5.26 K0283 Operate microscopes 5.23 D0143 Evaluate RBC morphologies 5.22 I0250 Perform qualitative urine or blood HCG tests 5.20 H0244 Perform saline preparations (wet preps), such as on vaginal specimens 5.19 I0249 Perform qualitative or semi-quantitative urine chemistry procedures 5.19 C0105 Perform compatibility tests 5.18 F0213 Perform primary cultures on aerobic specimens 5.18 K0290 Prepare patients for blood culture collections 5.17 J0257 Input or update data using Composite Health Care System (CHCS) 5.16 High TE=4.50 or above/med=3.51 to 4.49/Low= Top 20 Tasks with Highest Task Learning Difficulty (TLD) Ratings TASK RATING C00 Deglycerolize red blood cells (RBCs) 5.20 C0095 Manufacture platelets 5.19 C0110 Perform exchange transfusion or total volume replacement tests 5.17 C0084 Investigate transfusion reactions 5.16 L0333 Perform radiological analyses on environmental samples 5.14 L0337 Perform urine prep for radiation analysis 5.14 L0322 Perform gas chromatography analyses 5.12 L0326 Perform liquid simulation cocktail preparations 5.11 L0332 Perform nucleic acid tests (NATs) 5.11 L0328 Perform mass spectrophotometer chromatography analyses 5.04 C0077 Collect apheresis units 5.02 C0093 Manufacture fresh frozen plasma (FFP) 4.98 C0094 Manufacture packed RBCs 4.98 L0331 Perform nuclear accident response team procedures 4.95 L0321 Perform flow cytometry analyses 4.95 L0305 Collect blood samples from laboratory animals 4.94 C0096 Manufacture recovered plasma 4.93 C0108 Perform elution tests 4.92 L0308 Develop technical protocols for research projects 4.92 L0311 Perform DNA antibody titers or screens 4.90 Sufficiently Difficult to Learn (SDif) = 3.01 and above Insufficiently Difficult to Learn (IDif) = 1.00 to 3.00 Potentially Under-Trained EXAMPLES Total 3 Sample 3-Lvl TE TLD ATI CRSE N=533 N=106 N=62 N=74 3 Lvl Task # STS Line Item/Task Statement Capillary - K0269 Collect capillary blood samples TKP-TK Collect specimens for newborn screenings to include K0272 phenylketonuria (PKU) TKP Venous - K0273 Collect venous blood samples from inpatients and outpatients TKP Newborn screening - Collect specimens for newborn screenings to include K0272 phenylketonuria (PKU) TKP Quantitative beta HCG - A0025 Perform human chorionic gonadotropin (HCG) beta subunit tests TKP-OJT B0071 Perform quantitative beta HCG tests TKP Prepare and process specimen for shipment - K0289 Prepare biological specimens for shipment TKP Operate automated chemistry analyzers - A0007 Operate automated chemistry analyzers TKP High TE-4.50 or above/med TE=3.51 to 4.49/Low TE= SDif= 3.01 or above/idif=1.00 to

6 Requirements Process STRT/U&TW Process Additional Resource Requirements STRT CRE DEVELOPED U&TW CRE APPROVED DEVELOP CTP CTP DEVELOPED BY TM APPROVED BY 59 TRG/CC CTP Processed thru Base & HQ AETC Manpower AFMOA Assets Available NO Force Development Panel Assets Available NO Course Will not be activated YES HQ AETC/SGU Validates YES HQ AETC/SGU Validates POM ACTION HQ AETC/A3T Certifies CTP HQ AETC/A3T Certifies CTP ITRO Process Determine consolidation feasibility Detailed Analysis Group (DAG) Complete curriculum analysis Identify consolidation options Determine manpower, facilities, cost Identify fair share Implementation Conduct curriculum reviews for lifecycle management Quick Look Group (QLG) Resource Requirements Analysis (RRA) 6

7 Synchronized Requirements Schedule Overall Process Develop America's Airmen Today... for Tomorrow OAR Data STRT CRE Determine Requirements Feedback AF Mission Needs Preliminary Resourcing CTP U&TW Conduct Development Aim High...Fly-Fight-Win Resources Career Development Course (CDC) Medical Laboratory 7

8 CDC Update Schoolhouse AFSC 4T031 Medical Laboratory 8

9 4T031 MEDICAL LABORATORY Updating CFETP for republishing. Changes will include: Updates to STS based on CR Entry requirements for MLTs Implementation of new course Phase I: October 2016 Phase II: March 2017 Phase II Curriculum development will begin soon A training development management plan will be developed during the Phase II symposium taking place in May 2016 Major updates to POI/LPII are needed Projected throughput numbers expected to increase; beginning process to open additional Phase II sites Production 4T031 - MEDICAL LABORATORY 2015 Production AFSC Title Entries Prog Act Fill Rate % Grads Prog Act Production Rate Act vs. Adj Elims Elim Rate Prog Act Washback Rate 4T0X1 Medical Laboratory Apprentice Phase I % % 6 4% 6.67% 4.44% 4T0X1 Medical Laboratory Apprentice Phase II % % 3 5% 3.06% 1.02% OPR: 382 TRS/TRR 4T0X1 - MEDICAL LABORATORY 9

10 Overall Process Develop America's Airmen Today... for Tomorrow OAR Data STRT CRE Determine Requirements Feedback AF Mission Needs Preliminary Resourcing CTP U&TW Conduct Development Aim High...Fly-Fight-Win Resources Air Force Medical Laboratory Program Co-located with Army/Navy Medical Laboratory Technician program at the Medical Education and Campus (METC), JBSA-Fort Sam Houston, Texas Accredited by National Accrediting Agency for Clinical Laboratory Sciences (10 years/2025) Phase I METC (3 classrooms/3 labs)and Phase II (12 sites) Credit hours Phase I and Phase II = 76 (CCAF) Phase II Sites 10

11 PHASE II Optimum/Maximum Levels Base Optimum Maximum Desired Andrews Eglin Keesler Lackland Langley Luke Nellis Offutt Scott Sheppard Travis Wright-Patterson Totals: Current as of Jan 16 Board of Certification (ASCP) DATES: BOC Annual First Time Pass Rates: July 2011 June % July 2012 June % July 2013 June % July 2014 June % July 2015 (current) Feb % Board of Certification (ASCP) CLASS/Phase II: Class First Time Pass Rate: %; 16/16 passed %; 10/14 passed %; 12/14 passed %; 9/16 passed %; 10/13 passed 11

12 Board of Certification (ASCP) Initiatives July 2011 Dec 2012: Medtrng.org online accounts Jan 2013 Present: Medialab.org online accounts (Converted in Jan 2013) Dec 2012 Present: Lab CE s Free exam simulator online Feb 2015 Present: Access to BOC Study Guide Consolidation Currently service medical laboratory programs are co-located: Air Force and Army/Navy in separate classrooms Consolidation Implementation Date: 1 October 2016 Current Air Force course: Phase I (704 hrs)/phase II (1440 hrs) Consolidated course: Phase I (1224 hrs)/phase II (835.5 hrs) Air Force maintain CCAF association and Army/Navy GWU Service Specific : Air Force /Army /Navy Program Director (consolidation) TBD Accreditation (consolidation: 1 versus 2) TBD Additional ITRO CR and RRA to review/approve improvements Overview Requirements Process STRT/U&TW Process ITRO Process Occupational Analysis CDCs Schoolhouse Update 12

13 Questions 13