University of West Florida Program in Clinical Laboratory Sciences Self-Study REPORT
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University of West Florida Program in Clinical Laboratory Sciences Self-StuDY REPORT Submitted to National Accrediting Agency For Clinical Laboratory Sciences (NAACLS) October 27, 2006 Please Note Program Title Change Effective fall semester 2006, the name of the University of West Florida Medical Technology Program is changed to Program in Clinical Laboratory Sciences. NAACLS has been informed of this change in July 2006. These changes are reflected in UWF Catalog 2006-2007. Accordingly, throughout this self study the new title is used for the Program; and students and graduates of the Program are referred to as clinical laboratory science majors and clinical laboratory scientists respectively. Occasionally the name is abbreviated as CLS Program. Thank you. TABLE OF CONTENTS Page Sponsoring Institution -Program Fact Sheet ………………………………… 1 Brief Description and Organization of the Program ………………………… 2 Narrative & Documentation I. SPONSORSHIP Standard 1 ………………………………………………………………… 7 • Relationship Between the University and Clinical Affiliates 7 • List of Accreditors for the University and Clinical Affiliates 10 • Information for Clinical Affiliates 12 o Baptist Hospital o Bay Medical Center o Fort Walton Beach Medical Center o Sacred Heart Hospital o Shands at University of Florida o Shands at AGH o Shands at Jacksonville Standard 2 ………………………………………………………………. 13 • Description of the Sponsoring Institution Standard 3 ………………………………………………………………… 17 • Responsibilities of the University 17 • Catalog Description of the Program 19 • Diploma 21 Standard 3A …………………………………………………………………. 22 • Policies and Procedures to ensure that Assigned Activities in the Clinical Setting are Educational Standard 3B …………………………………………………………………. 23 • Communication with Clinical Affiliates 23 • Documentation of ongoing communication with Clinical Affiliates 24 i Page II. RESOURCES Standard 4 …………………………………………………………………… 48 • Description of Personnel Resources 48 • Number of Students Admitted per year 48 • Admission Dates 48 • Instructor to Student Ratios 48 Standard 5A ………………………………………………………………… 51 • Program Director Faculty Fact Sheet 51 • Program Director-Position Description 52 • Program Director – Curriculum Vitae 54 • Program Director –Faculty Appointment Standard 5B ………………………………………………………………… 69 • Advisory Committee Membership List 69 • Relationship of the Advisory Committee to the Program 73 • Responsibilities of the Advisory Committee 74 • Advisory Committee Meeting Minutes Standard 6 …………………………………………………………………… 80 • List of major didactic and clinical faculty Standard 6A ………………………………………………………………… 85 • Responsibilities of the Program Faculty Standard 6B ………………………………………………………………… 90 • Faculty Evaluation 90 • Faculty Fact Sheets for major Didactic Faculty 92 Standard 6C ………………………………………………………………… 111 • Ongoing Professional Development of Faculty 111 • Criteria and Standards for annual evaluation, tenure and promotion 117 • Sample Documentation of faculty professional Development 130 ii Page Standard 7 ………………………………………………………………….. 145 • Description of Financial Resources 145 • Institutionally Approved Budget 147 • Statement of Continued Financial Support 150 Standard 8A ……………………………………………………………… 152 • Program’s Academic and Clinical Facilities Standard 8B ……………………………………………………………… 156 • Capital Equipment and Supplies Used in Instruction Standard 8C ………………………………………………………………… 153 • Accessibility of Information Resources to Students 153 • List of Required Textbooks 161 • Representative Sample of Periodicals and References 163 Standard 8D ……………………………………………………………… 167 • Instructional Resources ( Description) (Practice specimens, stock cultures, case studies etc) Standard 8E …………………………………………………………… 175 • Student’s Access to Contemporary Computer Technology III. CURRICULUM Standard 9A ……………………………………………………………… 177 • Structured Curriculum Plan 177 • Academic Learning Compact 178 • Program Goals 180 • Entry Level Competencies • Sample Unit of Instruction 181 o Syllabus 181 o Behavioral Objectives o Lecture outlines, Student Learning Outcomes &Study Questions 184 o Behavioral Objectives ( Affective Domain) 238 o Samples of Power Point Presentations of Lectures/Labs 239 iii iv Page Standard 9B …………………………………………………………………… 292 • Course work required for completion of the program 292 • Description of each course in the Program 295 • Location of Instructional Areas in the Curriculum 319 1. Scientific Content/Prerequisites 2. Pre-analytical, analytical, and Post-analytical Components 3. Principles and Practices of Quality assurance /Quality improvement 4. Application of safety and governmental regulations 5. Principles of interpersonal and interdisciplinary communications 6. Principles and Applications of Ethics and Professionalism 7. Educational Techniques and Terminology 8. Knowledge of research design /practice 9. Concepts and Principles of Laboratory Operations Standard 9C …………………………………………………………………… 322 • Sequencing and Variety of Clinical Experiences 322 • Career Entry Level Competencies 327 • How Student Experiences at different clinical sites are comparable 328 • Brief Summary the types of tests performed in each area 330 • Learning experiences during other than normally scheduled hours 336 • Policies and procedures regarding service work 336 Standard 9D …………………………………………………………………… 339 • Criteria for Passing and Failing and Progression in the program 339 • Student’s Access to Criteria for Passing and Failing 340 • Evaluation Systems- Sample Unit of Instruction 341 • Affective Domain – Evaluation Form 363 • Frequency of Student Evaluations 365 • Professional Behavior- Evaluation Forms at Clinical Sites 367 IV. STUDENTS Standard 10 …………………………………………………………………… 376 • List of Publications 376 • Matrix to identify the items required in Standard 10 A-M 377 • Information packet/s mailed to Student Inquiries 378 • Academic Advisement –Degree Plan Work Sheet 387 v Page Standard 11 …………………………………………………………………… 389 • How Academic Standards and Essential Functions are provided to Prospective Students and Public 389 • University Admission Policies & Procedures 389 • Policies & Procedures for Selection of Students into the Clinical Year 390 • Sample Student Signature page 398 • Essential Functions 399 Standard 12 …………………………………………………………………… 417 • Rules and Regulations governing acceptable Conduct (Description) 417 • Policies Governing Acceptable Conduct (Documentation) 419 Standard 13 …………………………………………………………………… 439 • Maintenance of Student and Graduate Records (Description) 439 • Policies Governing Retention of Records (Documentation) 439 Standard 14 …………………………………………………………………… 441 • .Information and Access to Health Care ( Description) 441 • Safeguards for Health and Safety of Students and Faculty 441 • Availability of Emergency Medical Care 442 Standard 15 …………………………………………………………………… 446 • Student Guidance and Counseling 446 • Confidentiality and Impartiality in Dealing with Student problems 447 Standard 16 ………………………………………………………………… 448 • Distribution of Appeal Procedures 448 • Appeals Procedures and Due Process ( Documentation) 448 vi Page V. OPERATIONAL POLICIES Standard 17 ……………………………………………………………… 451 A. Announcement and Advertisement of the Program B. Non-Discrimination Statement – Students C. Non-Discrimination- Faculty D. Publication of Academic Credits and Costs E. Student Withdrawal and Tuition Refund F. More than one level of the Program G. Degree Awarded H. Process for Handling Student Complaints I. Availability of the Program Evaluation Information VI. PROGRAM EVALUATION Standard 18 ……………………………………………………………… 457 • Plan for Systematic Review 457 • Academic Learning Compact and Quality Enhancement Plan 459 • Sources and Frequency of Feed back 472 • Survey/Feedback Forms 473 Standard 19 ……………………………………………………………… 492 • Outcome Measures –External (Certification) Exams Results 492 • ALC/QEP – based Outcome Measures 499 • Indirect Measures of Program Performance - Results of Surveys of Students, Graduates and Employers 508 • Survey Responses from Advisory Committee Members 522 Standard 20 ……………………………………………………………… 525 • Review of Graduation and Placement Data 525 • Analysis and implementation of results (how they are used in Program Evaluation) 527 Standard 21 ……………………………………………………………… 531 • Reflection of Results of Program Evaluation in Curriculum and other Elements 531 • Example of a Significant Change Resulting From Program Evaluation 533 • Summary/ Self Assessment Statement 536 VII. Maintaining Accreditation ………………………………………… 538 vii Sponsoring Institution Program Fact Sheet Program Level: BS; MT /CLS (Medical Technology /Clinical Laboratory Sciences) Institution: University of West Florida Address: 11000 University Parkway City: Pensacola State, Zip Code: Florida, 32514 Agencies that accredit the institution (e.g., JCAHO for hospitals; regional academic associations for colleges; CAP, AABB, FDA, etc. for laboratories): Southern Association of Colleges and Schools (SACS) Administrative officer of the organizational unit in which the program is located: Name: Jane Halonen, PhD Title: Dean, College of Arts & Sciences Program Director: Name: Swarna Krothapalli Credentials: MS, MT (ASCP) Number of students per class: 20 Number of classes: 1 Clinical affiliates: INSTITUTION CITY/STATE ACCREDITED Baptist Hospital Pensacola, FL JCAHO, CAP, AABB Bay Medical Center Panama City, FL JCAHO, CAP, AABB Fort Walton Beach Medical Center Fort Walton Beach, FL JCAHO, CAP, AABB Shands at Univ of Florida Gainesville, FL JCAHO, CAP, AABB Shands at AGH Gainesville, FL JCAHO, CAP, AABB Shands Jacksonville Jacksonville,