TRAINING  OF CYTOTECHNOLOGISTS IN EUROPE

A DATABASE PREPARED BY

THE  EUROPEAN ADVISORY COMMITTEE ON CYTOLOGY FOR THE EUROCYTOLOGY WEBSITE PROJECT

                               

 

Tasks of the EACC

 

To obtain information from each EFCS member country by means of a questionnaire to prepare a database of the status of cytology training and to identify needs of cytology training.  

 

Method

Twenty six cytotechnologists  from  22 countries were  identified  and invited  to participate in the study.  Contact was by e mail and the contacts were asked to complete the  questionnaire below.

Once the questionnaires had been returned the results were analysed and collated

 

Questionnaire

 

 

 

1.1 What is the approximate number of fully trained Cytotechnologists in your country?

 

1.2 The number according to competence level:

 

A. Basic level (cannot report negative or  

     unsatisfactory specimens)

 

B. Intermediate level (can report negative and  unsatisfactory specimens, can undertake  rescreening and offer a differential diagnosis  on abnormal specimens)

 

C. Advanced level (can report normal and

    abnormal specimens)

 

1.3 What is the approximate number of persons  training to be Cytotechnologists (trainees) each year?

 

 

 

 

 

 

Please elaborate on your requirements:

2.1 What is the basic educational standard required for the entry into cytology training in  your country?

(eg. technician, medical technologist or other)

 

 

 

2.2. At which academic level is this education given?

(eg. high school, college, university or other)

 

2.3. Is the training given as part of a general programme of laboratory technology or as a separate course / education?

 

 

2.3.1. If formal training courses are offered what is the duration? Please figure 60 credit

points pr. year

 

 

2.3.2. Which subjects are included in the curriculum?

(Please specify)

 

 

 

 

 

 

 

2.4. Is the training given by instructors at the workplace? (Other; please specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.1. Is the cytology training programme accredited by an academic institution? (university, college or other; please specify)

 

 

3.2. Is the training programme recognized nationally, regionally or locally?

 

 

3.3. Are the students who complete the training programme awarded a diploma, degree or certificate of competence of some kind?

 

 

 

 

 

4.1. What kind of arrangements/strategies for continuing education in cytology exist in your country?

 

 

4.2.What is the approximate number of Cytotechnologists who take the exam of the International Academy of Cytology (IAC) or the QUATE Aptitude Test?

 

4.3. Would the Eurocytology Website electronic platform be a useful learning tool in your country?

 

 

 

 

Thank you!

 

Please return the questionnaire to Dorthe Ejersbo as soon as possible.

 

Dorthe Ejersbo

EACC Secretary

Department of Clincal Pathology

Winslřwparken 15

DK-5000 Odense C

Denmark

 

E-mail: dorthe.ejersbo@ouh.fyns-amt.dk

Tel: +45 65 41 18 29

 

 

 

 

 

 

 

 

 

 

 

 

Austria

Italy

Croatia

Denmark

Ireland

Hungary

Norway

NL

Belgium

2.3.2. Which subjects are included in the curriculum?

 

2)

 

?

 

?

1)

2)

3)

4)

Slovenia

Sweden

The Baltics

Turkey

Finland

Slovakia

UK

Poland

France

9)

7)

8)

 

1)

?

5)

6)

4)

 

Austria

Italy

Croatia

Denmark

Ireland

Hungary

Norway

NL

Belgium

2.4. Is the training given by instructors at the workplace?

 

yes

 

yes

yes

Some do

combinations

yes

partly

         yes

 

Slovenia

Sweden

The Baltics

Turkey

Finland

Slovakia

UK

Poland

France

Canadian lecturer in CT and instructors

Both university lecturers and instructors

yes

yes

yes

partly

 

During the course

 

combinations

 

1)      Hungary and Finland: anatomy, gen.pathology, microbiology, gen.cytomorhology, cervical/FNA cytology, organization of lab., basics of informatics, methodology (incl. staining, clerical work, storing etc) special techniques (immunocytochemistry, molecular methods), basics of quality control.

 

2)      Norway and Austria: Gyn., respiratory -, urine system, serous effusions

 

3)      The Netherlands: Gynecology (cervical smears) and non-gynaecology (a.o. lung, serous effusions, urine, FNA cytology from thyroid, salivary glands, lymph nodes etc.) FNA only on high laboratory level.

 

4)      Flemish post graduate training course and France: theoretical and practical training in gyne. and non-gyne. cytopathology, staining processing, special techniques, immunocytochemistry etc.

 

5)      UK: 1) Cytology screeners – high school education and the in-house two year training programme in gynaecological cytology.

                     2) Biomedical Scientists – degree level entry (BSc in Biomedical Sciences) and then specialist training in both gynae and

                          diagnostic cytology in-house

6)      Poland: general anatomy, histology and cytology, organ and tissue oriented cytology

 

7)   Sweden: Biology of disease, gynaecological cytology, diagnostic cytology of the respiratory tract, urinary tract, serous fluids and advanced

      methods in cytology and 10 point project.

8)      The Baltic states: anatomy, physiology, microbiology, haematology, clinical chemistry, coaguolagy, basic of informatics, organization of lab,  

      foreign language, general cytology (normal and Cytopathology, organ and tissue oriented cytology), histology

 

9)      Slovenia: Principles of cytology, basic introduction to pathology, anatomy, physiology, histology, cytology of the female genital tract,

             preparation techniques in cytology, QA/QC, practical screening (2 000 smears in 6 months)

 

 2)            Ireland: We use UK training schools for updates. An update is usually 3-5 days.

              Attendance at an external update every 2-3 years is recommended. We have an annual

               scientific conference which usually includes a half day workshop, and we participate

                in EQA.

3)             Norway: Annual course (Norwegian Association of Clinical Cytology), regional

                   courses, continuing educational courses    (gyn.cytology) administred by the

                  University College of Trondheim.

4)             The Netherlands: Local: on the hospital laboratories. Regional: for cervical cytology:

              yearly in most of the regions. National: every     year 2 times 1 day and almost yearly a

                1 or 2 day course on a special topic.

5)             Belgium: Continuing education is assured by the BSCC who organizes two meetings a

           year. CT’s are also invited to participate in     slide seminar sessions.

6)             The Baltic states: continuing educational courses, training at the work place, seminars,

         CAP PAP Assurance Programme

7)             Slovakia: workshops, slide seminars, teaching places, teaching courses, innovation courses, lectures on Slovak Days of Cytology

8)             UK: Professional bodies organise CPD schemes.

 

 

 

 

 Summary of findings

 

The questionnaire was circulated initially to the named contacts in 23 countries .The first time there were responsed from 14 countries. The questionnaire and responses was  circulated again to all contacts in 23 countries for comment. This encouraged three more countries to reply . Thus  17 countries responded in all .

The accuracy of the responses is limited by the competency of the individual respondents in the English language and the wide diversity of training and education in cytotechnology in Europe .

 

The database shows that the number of cytotechnologists in training exceeds 4000. The level of training varies considerably between the different countries from high school level to BSc or MSc level. Eleven countries report that they have cytotechnologists rworking on the advanced  level C (can report normal and abnormal smears .) This probably reflects the difference in reporting practice in the individual laboratories /countries more than the actual level of eduction or training. The respondents seem to have access to the internet and would see the Eurcytology website as a useful learning tool.

 

Professor Reidun Mecsei  (Norway)

Chairman, European Advisory Committee for Cytology   September 30, 2006

 

Ms Dorthe Ejersbo (Denmark)

Secretary, European Advisory Committee for Cytology   September 30, 2006