The Physician, Friend or Foe? Education of Physicians in Laboratory Medicine

  • Oren Zinder


The persuit of medicine, and its never-ending goal of providing the best possible medical attention for the patient, has today reached a level of sophistication which requires the physician to possess a great deal of understanding in a wide variety of techniques and disciplines. One of these are the laboratory medicine specialties which are utilized in the general care of the patient and are not only associated with a medical specialty. While X-ray and other forms of imaging, as well as other fields are accepted by the physician as bona fide medical specialties from which guidance and consultation are sought, laboratory medicine and its very complex and sophisticated analytical methods are not, in general, accepted as an expert medical field. In many cases the physician considers the laboratory as a service dedicated to provide the clinical ward with numbers which are to be interpreted and applied to the provision of medical treatment for the patient by the physician himself.


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  1. 1.
    C.G. Fraser, O. Zinder, N. de Cediel, C.J. Porter, M.K. Schwartz and H.G.J. Worth, Guidelines for teaching of clinical chemistry to medical students, J. Clin. Chem. Clin. Biochem. 23: 697 (1985).PubMedGoogle Scholar
  2. 2.
    M. Zweig, Evaluating the clinical efficacy of laboratory tests, Am. J. Clin. Pathol. 79: 78 (1983).PubMedGoogle Scholar
  3. 3.
    D. Connelly and B. Steele, Laboratory utilization. Problems and solutions, Arch. Pathol. Lab. Med. 104: 59 (1980).PubMedGoogle Scholar
  4. 4.
    R.M. Grossman, A review of physician cost-containment strategies for laboratory testing, Med. Care 21: 783 (1983).PubMedCrossRefGoogle Scholar
  5. 5.
    F.G.R. Fowkes, R. Hall, J.H. Jones et al., Trial of strategies for reducing the use of laboratory tests, Br. Med. J. 292: 883 (1986).CrossRefGoogle Scholar
  6. 6.
    P.M.G. Broughton and F.P. Woodford, Benefits of costing in the clinical laboratory, J. Clin. Pathol. 26: 1026 (1983).Google Scholar
  7. 7.
    C.G. Fraser and F.P. Woodford, Strategies to modify test-requesting patterns of clinicians, Ann. Clin. Biochem. 24: 223 (1987).PubMedGoogle Scholar
  8. 8.
    R.S. Galen and S.R. Gambino, “Beyond Normality: The Predictive Value and Efficiency of Medical Diagnosis”, John Wiley and Sons, New York (1975).Google Scholar
  9. 9.
    H.E. Solberg, Establishment and use of reference values, in: “Textbook of Clinical Chemistry”, N. Tietz, ed., Saunders, Philadelphia (1986).Google Scholar
  10. 10.
    R. Grasbeck and T. Alstrom, Reference Values in Laboratory Medicine, John Wiley and Sons, Ltd. (1981).Google Scholar
  11. 11.
    A. Hesse, A. Classen, M. Knoll, F. Timmermann and W. Vahlensieck, Dependence of urine composition on the age and sex of healthy subjects, Clin. Chem. Acta 160: 79 (1986).CrossRefGoogle Scholar
  12. 12.
    P.M.G. Broughton, K. Holder and D. Ashby, Long-term trends in biochemical data obtained from two population surveys, Ann. Clin. Biochem. 23: 474 (1986).PubMedGoogle Scholar
  13. 13.
    T.D. Geary, Your laboratory reference ranges and national reference calibrators, Clin. Biochem. Rev. 7: 59 (1986).Google Scholar
  14. 14.
    P.E. Griner et al., Use of laboratory tests in a teaching hospital: long-term trends, Ann. Intern. Med. 90: 243 (1979).PubMedGoogle Scholar
  15. 15.
    D. Connelly and B. Steele, Laboratory utilization: Problems and solutions, Arch. Pathol. Lab. Med. 104: 59 (1980).PubMedGoogle Scholar
  16. 16.
    C.G. Fraser, “interpretation of Clinical Chemistry Laboratory Data”, Oxford Press, Blackwell Scientific Publications (1986).Google Scholar
  17. 17.
    J.O. Westgard and G.G. Klee, Quality assurance, in: “Textbook of Clinical Chemistry”, N. Tietz, ed., Saunders, Philadelphia (1986).Google Scholar
  18. 18.
    J. Büttner, R. Borth, P.M.G. Broughton et al., International Federation of Clinical Chemistry approved recommendations on quality control in clinical chemistry, IV Internal quality control, J. Clin. Chem.Biochem. 21: 877 (1983).Google Scholar
  19. 19.
    P.C.J. Ward, C.A. Horwitz and M.D. Burke, Teaching proper laboratory use to medical students and physicians, in: “Clinician and Chemist”, D.S. Young, J.M. Hicks, H. Nipper and D. Uddin, eds., Association for Clinical Chemistry, Washington, D.C. (1979).Google Scholar
  20. 20.
    O. Zinder, Laboratory-clinician interaction and the interpretation of test results, in: “Clinical Biochemistry Nearer the Patient”, V. Marks and K.G.M. Alberti, eds., Churchill Livingstone, Edinburgh (1985).Google Scholar
  21. 21.
    C.G. Fraser, N. de Cediel, C.J. Porter, M.K. Schwartz, H.G.J. Worth and 0. Zinder, Guidelines for clinical chemists for effective communication of clinical chemistry laboratory data, J. Clin. Chem. Clin. Biochem. 23: 891 (1985).PubMedGoogle Scholar
  22. 22.
    E.L. Burns, D.J. Hanson, I. Schoen, R.N. Barnett, T. Minckler and S. Winter, Communication of laboratory data to the clinician, Am. J. Clin. Pathol. 61: 900 (1975).Google Scholar
  23. 23..
    G.D. Lundberg, Laboratory request forms that guide and teach, J. Am. Med. Assoc. 249: 3075 (1983).CrossRefGoogle Scholar
  24. 24.
    J.M. Eisenberg, An educational program to modify laboratory use by house staff, J. Med. Educ. 52: 578 (1977).PubMedGoogle Scholar
  25. 25.
    B.S. Bull, W.C. Levy, J.C. Westengard et al., Ranking of laboratory tests by consensus analysis, Lancet ii: 377 (1986).Google Scholar
  26. 26.
    K.I. Marton, V. Tul and H.C. Sox, Modifying test-ordering behavior in the outpatient medical clinic. A controlled trial of two educational interventions, Arch. Intern. Med. 145: 816 (1985).PubMedCrossRefGoogle Scholar
  27. 27.
    C.J. Porter and D.H. Curnow, A scheme for a two-year post-graduate course in clinical chemistry, Clin. Chim. Acta 131: 351F (1983).Google Scholar

Copyright information

© Plenum Press, New York 1988

Authors and Affiliations

  • Oren Zinder
    • 1
  1. 1.Department of Clinical BiochemistryRambam Medical CenterHaifaIsrael

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