PODCAST

Inside the Lab

American Society for Clinical Pathology

ASCP's podcast for all things laboratory--if it's happening inside the lab, we're talking about it.

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S2Ep17: Anatomy of a Cyberattack
S2Ep17: Anatomy of a Cyberattack
In October 2020, the University of Vermont Medical (UVM) Center fell victim to a cyberattack, and the leadership team intentionally shut down their system to prevent patient information from escaping the network. UVM Health was offline for 25 days. On this episode of Inside the Lab, our hosts, Ms. Kelly Swails and Mr. Mark Moen, are joined by Dr. Toby Cornish, MD, PhD, Associate Professor and Vice Chair of Pathology Informatics at the University of Colorado and Associate Editor for Informatics for AJCP; Dr. Andrew Goodwin, MD, FCAP, Medical Director for the Hemostasis and Thrombosis Laboratory and Vice Chair for Quality and Clinical Affairs; Dr. Christi Wojewoda, MD, FCAP, Clinical Microbiology Laboratory Director and Vice Chair for Education in the Department of Pathology and Laboratory Medicine; and Dr. Anne Stowman, MD, Dermatopathologist and Director of Surgical Pathology Operations, to discuss the ransomware attack.  Our panelists explain when they realized there was a significant issue with their system and what radical workflow changes they initiated to deal with being offline for 25 days. They describe the challenges particular to different departments at UVM and what their teams did to overcome them. Listen in to learn what YOU can do to prepare for a potential ransomware attack in your lab. Topics Covered · When UVM realized there was a significant problem with their system and the leadership team’s initial response · Why the cyberattack only affected UVM’s primary medical center and not its entire health network · The radical workflow changes UVM labs instituted during downtime and the support they received from other departments· What the UVM labs did to reduce the volume of specimens coming into the lab · The challenge UVM pathologists and laboratory professionals faced in delivering test results manually · How the experience in the clinical lab differed from that of the anatomic pathology department· The particular challenges faced in the microbiology and transfusion medicine labs at UVM during downtime· What alternative technologies the UVM labs leveraged to continue operating during downtime· Advice to pathologists and lab professionals on preparing for a cyberattackConnect with ASCPASCPASCP on Twitter Connect with Dr. CornishDr. Cornish on Twitter Dr. Cornish on LinkedIn Connect with Dr. GoodwinDr. Goodwin at the University of Vermont  Connect with Dr. Wojewoda Dr. Wojewoda on Twitter Dr. Wojewoda on LinkedInConnect with Dr. Stowman Dr. Stowman on LinkedIn Connect with Ms. Swails & Mr. MoenMs. Swails on Twitter Mr. Moen on LinkedInResources Inside the Lab in the ASCP Store
1w ago
44 mins
S2Ep16: Lab Week Through the Years
National Medical Laboratory Professionals Week—often known as Lab Week—is a fun time to be a pathologist or laboratory professional and celebrate our role on the medical team. But Lab Week can be more than just potluck dinners and lab-themed games. It’s an opportunity to learn from our colleagues, lift each other up and let our communities know what we do for patients.  So, how has Lab Week changed through the years? And how can we make the most of Lab Week moving forward?  On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Ms. Kelly Swails are joined by Ms. Stephanie Whitehead, MPH, MBA, CLS(ASCP)CM, Executive Director of Pathology and Laboratory Services at University Health in San Antonio, Texas, and Dr. Rodney Rohde, PhD, SM(ASCP)CM, SVCM, MBCM, Clinical Lab Science Program Chair at Texas State University in San Marcos, Texas, to discuss the evolution of Lab Week.   Ms. Whitehead and Dr. Rohde explain what Lab Week looked like early on in their careers and how it's celebrated in their respective workplaces today. They describe how they maintained the spirit of Lab Week during the pandemic, sharing some of the virtual activities they designed to adapt to the circumstances and celebrate safely. Listen in for insight on leveraging Lab Week as an opportunity to strengthen relationships among laboratory professionals, engage in continuing education and advocate for the profession in our communities.  Topics Covered  What Lab Week looked like early on in Ms. Whitehead and Dr. Rohde’s careers and how the celebration has evolved over time Ms. Whitehead's efforts to incorporate elements of professional development and make Lab Week more inclusive Dr. Rohde's insight on leveraging Lab Week as an opportunity to advocate for the profession How Ms. Whitehead and Dr. Rohde’s departments maintained the spirit of Lab Week during the pandemic and what they did to adapt and celebrate safely Examples of the innovative activities Ms. Whitehead and Dr. Rohde are doing for Lab Week this year, i.e.: virtual games, 'gross lunch' and Lab Olympics Why it's crucial to recognize laboratory professionals during Lab Week and throughout the year  Connect with ASCP  ASCP ASCP on Facebook  ASCP on Instagram ASCP on Twitter   Connect with Ms. Whitehead  Ms. Whitehead on LinkedIn   Connect with Dr. Rohde Dr. Rohde at Texas State  Dr. Rohde on LinkedIn  Connect with Dr. Mulder & Ms. Swails Dr. Mulder on Twitter  Ms. Swails on Twitter  Resources   ASCP Photo & Video Contest ASCP Ambassador Programs ASCP Workforce Steering Committee Inside the Lab in the ASCP Store
Apr 26 2022
48 mins
S2Ep15: Life Hacks for Clinical Pathology
One important challenge that ASCP is taking on is the notion of visibility of the laboratory.  What do successful clinical pathology lab directors do to bring the laboratory ‘out of the basement’ and advocate for the profession with colleagues, hospital leadership and the public at large? And what skills do they lean on to manage their labs successfully and achieve a healthy work-life balance? On this episode of Inside the Lab, our hosts Dr. Dan Milner and Ms. Kelly Swails are joined by Dr. Sarah Riley, PhD, DABCC, FACB, Clinical Chemist, Toxicologist, and Director of the Forensic Toxicology Laboratory at the Saint Louis University School of Medicine, Dr. Ramy Arnaout, MD, PhD, Clinical Microbiologist, Clinical Informaticist, Computational Immunologist, and Associate Director of Clinical Microbiology Laboratories at Beth Israel Deaconess Medical Center, and Dr. Nicole Pecora, MD, PhD, Medical Microbiologist and Associate Director of Clinical Microbiology at Brigham and Women's Hospital, who share their life hacks for clinical pathology. Our panelists discuss what we can do to increase the visibility of the CP laboratory. They address the informatics and business skills that aren’t emphasized enough in clinical pathology training and explain how they engage with colleagues to manage their respective labs successfully. Listen in forinsight on setting boundaries based on what’s really important to you to achieve work-life balance. Topics Covered · How to increase the visibility of the clinical pathology lab with colleagues, hospital administrators and the general public· Our panelists’ thoughts on diagnostic management teams and the benefits to the clinical team of going on rounds  · Why networking is essential to becoming a ‘member of the community’ as clinical pathologists· How forming communities of practice and developing an elevator speech can help us get a ‘seat at the table’· Why every clinical pathologist needs to be an ambassador for the profession and how to advocate for CP with hospital leadership· The informatics and business skills that aren’t emphasized enough in clinical pathology training· Insight on achieving work-life balance by separating your personal and professional lifeConnect with ASCPASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. RileyDr. Riley at Saint Louis University Dr. Riley on Twitter Connect with Dr. ArnaoutDr. Arnaout at Beth Israel Deaconess Medical Center Dr. Arnaout on LinkedIn Connect with Dr. PecoraDr. Pecora at Brigham and Women's HospitalDr. Pecora on LinkedIn Connect with Dr. Milner & Ms. SwailsDr. Milner on Twitter Ms. Swails on Twitter Resources Inside the Lab in the ASCP Store
Mar 29 2022
47 mins
S2Ep14: Empowering Women in the Laboratory Workforce
ASCP was the first medical professional organization to elect a woman as president when Dr. Emma Moss earned the title in 1955. And while women continue to make strides in the field of pathology and laboratory medicine, there is still much to be done. So, what can we do to promote gender equality in the laboratory workforce? How can we create more opportunities for women to ascend from the bench to positions of leadership? On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Ms. Kelly Swails are joined by Dr. Kimberly Sanford, MD, MASCP, MT(ASCP), Medical Director of Transfusion Medicine and Director of Undergraduate Medical Education in the Department of Pathology at Virginia Commonwealth University, Dr. Nidia Messias, MD, Renal Pathologist and Associate Professor of Pathology and Immunology at Washington University School of Medicine in St. Louis, and Ms. Tiffany Channer, MPH, MLS(ASCP)CM, Assistant Administrative Laboratory Director and Quality Manager at a local community hospital in Westchester County, New York, to discuss the contributions of women in pathology and laboratory medicine. Our panelists describe some of the myths surrounding women in pathology and laboratory medicine and explain how to improve work conditions for women in the lab. They share what inspired them to enter the field and how the landscape of laboratory medicine has changed for women and other minority groups since they entered the workforce. Listen in for advice for women entering the field today and learn about the role mentorship plays in helping women rise through the ranks in pathology and laboratory medicine. Topics Covered· Notable contributions women like Dr. Renee Habib, Dr. Sophie Spitz, and Dr. Vivian Pinn have made to the field of pathology and laboratory medicine· Why women need both mentorship and sponsorship to rise through the ranks of the laboratory· Myths surrounding women in pathology and laboratory medicine· How to improve working conditions for women in the laboratory and promote women’s empowerment in field of pathology and lab medicine· Our panelists’ hopes for the next 100 years in pathology and laboratory medicine · Advice to women entering the field of pathology and laboratory medicine today Connect with ASCPASCPASCP on FacebookASCP on InstagramASCP on TwitterConnect with Dr. SanfordDr. Sanford on TwitterDr. Sanford at VCUConnect with Dr. MessiasDr. Messias on TwitterDr. Messias at Washington University  Connect with Ms. ChannerMs. Channer on LinkedIn Connect with Dr. Mulder & Ms. SwailsDr. Mulder on Twitter Ms. Swails on Twitter Resources Dr. Emma Sadler MossInside the Lab in the ASCP Store
Mar 15 2022
54 mins
S2Ep13: Promoting DEI in Laboratory Medicine
In the 100 years since ASCP was founded, our mission has always centered on taking care of patients. As long as there are disparities in the healthcare system, we cannot fully realize that ambition. So, what is ASCP’s vision around diversity, equity and inclusion (DE&I)? What steps can we take to promote DE&I in the field of pathology and laboratory medicine? On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Ms. Kelly Swails are joined by Dr. Melissa Upton, MD, FASCP, Emeritus Professor of Pathology at the University of Washington in Seattle and Chair of the ASCP Diversity, Equity and Inclusion Committee, Ms. Tanya Norwood, MBA, MS, Chief Officer for Marketing and Membership and Chief Officer for Diversity, Equity and Inclusion at ASCP, and Mr. Mohamed Abdelmonem, MBA-HCM, CLS, H(ASCP)CMBBCM,  MLSiCM, SBBiCM, Clinical Laboratory Supervisor of Transfusion Services at Stanford University School of Medicine and member of ASCP’s Diversity, Equity and Inclusion Committee, to discuss ASCP’s vision around diversity, equity and inclusion. Our panelists explain why DE&I is so important in pathology and laboratory medicine. They walk us through the four pillars of ASCP’s DE&I strategy and offer examples of the most effective workplace inclusion initiatives at their respective institutions. Listen in for insight on the DE&I tools available to ASCP members and learn how you can promote diversity, equity and inclusion in your laboratory and community. Topics Covered · Why diversity, equity, and inclusion are important in pathology and laboratory medicine in general and at ASCP in particular· ASCP’s strategic vision around diversity, equity, and inclusion· The four  pillars of ASCP’s DE&I strategy (awareness, mentorship, education, and partnerships)·  How ASCP’s internal DE&I strategy for staff involves the discovery of where we are today and the change we want to see tomorrow·  Examples of effective workplace inclusion initiatives·  How to overcome intrinsic bias in the interview process·  Tools available to help ASCP members promote diversity, equity, and inclusion in their workplaces and communities Connect with ASCPASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. UptonDr. Upton at the University of WashingtonDr. Upton on TwitterConnect with Ms. NorwoodMs. Norwood on LinkedIn Diversity, Equity & Inclusion at ASCP Connect with Mr. AbdelmonemMr. Abdelmonem on LinkedIn Mr. Abdelmonem on ResearchGate Connect with Dr. Mulder & Ms. SwailsDr. Mulder on Twitter Ms. Swails on Twitter ResourcesASCP’s Diversity, Equity and Inclusion Initiative Inside the Lab in the ASCP Store
Mar 8 2022
54 mins
Special Episode: HER2 Testing in Breast Cancer: Improving IHC PerformanceSpecial Episode: The Science of HER2-low Breast Cancer and Implications for the Pathology TeamSpecial Episode: Ki67 as a Prognostic and Predictive Biomarker in HR-Positive/HER2-Negative Early Breast CancerS2Ep12: Lifehacks for Anatomic Pathology
Life hacks are tricks or shortcuts that make life easier and more efficient, like storing the roll of garbage bags at the bottom of your trash bin so the next bag is right there when you take out the trash.In the world of anatomic pathology, tissue and organ samples run through multiple processes to render a diagnosis, it’s especially important that to stay organized and efficient. So, what life hacks can pathologists and medical laboratory scientists leverage to make our life in the anatomic pathology lab easier? What can  be more productive and precise? On this episode of Inside the Lab, our hosts Dr. Dan Milner and Ms. Kelly Swails are joined by Dr. Sarah Garner, PhD, MS, PA(ASCP), Director of the Pathologists’ Assistant Program at Tulane University, Ms. Michelle Bell, HT(ASCP)CM, Applications Manager at Milestone Medical and 20-year veteran of laboratory management, and Dr. Jerad Gardner, MD, Dermatopathologist and Bone/Soft Tissue Pathologist at Geisinger Medical Labs, to share their best life hacks for anatomic pathology. Our panelists discuss their most effective workflow strategies, and describe how they optimize their time at the microscope to produce accurate results. They weigh in on the best ways to manage people and walk us through their top hacks for ensuring positive, active communication with clinical partners and colleagues. Listen in for best time management hacks and learn how they set priorities in their personal and professional lives. Topics Covered · Top technical and workflow hacks for anatomic pathology· Maintaining order in the absence of a barcoding system· Developing  a culture of appreciation in the anatomic pathology lab· Why time management is a challenge in the anatomic pathology lab· Strategies for optimizing time at the microscope and producing valuable results· Best practices for ensuring positive, active communication with clinical partners and colleagues inside and outside your institution· How our panelists navigate impromptu testing requests from clinicians· Dr. Garner, Ms. Bell, and Dr. Gardner’s advice on achieving work-life balance Connect with ASCPASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. GarnerDr. Garner on Twitter Dr. Garner at Tulane Connect with Ms. BellMilestone Medical Ms. Bell on LinkedIn  Connect with Dr. GardnerDr. Gardner on Twitter Dr. Gardner at GeisingerConnect with Dr. Milner & Ms. SwailsDr. Milner on Twitter Ms. Swails on Twitter Resources  Daniel Pink’s WHEN on Inside the Lab S2EP11 Inside the Lab in the ASCP Store
Feb 15 2022
46 mins
S2Ep11: WHEN: The Scientific Secrets of Perfect Timing
Do you do your best work in the morning? Or does your energy peak at night?  What if you could schedule your day around your circadian rhythms so the task type and timing align? How might laboratory professionals leverage these hidden patterns of the day to maximize efficiency and make better decisions? On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Dr. Dan Milner are joined by Dr. Rina Kansal, MD, former Medical Director of Diagnostic Molecular Pathology at Penn State Health and Associate Medical Director at the Blood Center of Wisconsin, Ms. Jeannie Guglielmo, MS, MAT, MLS(ASCP)CM, Chair of Clinical Laboratory Sciences and Clinical Associate Professor in the School of Health Professions at Stony Brook University, and Ms. Stacey Robinson, MS. MLS(ASCP)SH, SCYM, who serves as the supervisor of the Clinical Microscopy section in her medical center's laboratory to discuss Daniel Pink’s book, WHEN: The Scientific Secrets of Perfect Timing. Our panelists share what surprised them about the invisible power of timing and offer insight into what larks, owls, and third birds can do to perform through their trough periods. They review Pink’s five principles of breaks, exploring how microbreaks make our work more productive. Listen in for insight on using biorhythms to assign shifts in the lab and get their advice on making good decisions when the timing is not optimal.  Topics Covered · Maximizing efficiency by understanding our circadian rhythms· What surprised our panelists regarding the invisible power of timing and how much language shapes our behavior· The five guiding principles of breaks· What larks, owls, and third birds can do to perform through their tough periods· The potential connection between introversion vs. extroversion and larks vs. owls· How our panelists’ experiences align with Pink’s workflow model for group projects· How our panelists use their team’s biorhythms to schedule projects and assign shifts in the labConnect with ASCPASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. Kansal Dr. Kansal on ResearchGateConnect with Ms. GuglielmoMs. Guglielmo on LinkedIn Ms. Guglielmo at Stony Brook   Connect with Ms. Robinson Ms. Robinson on LinkedIn Connect with Dr. Mulder & Dr. MilnerDr. Mulder on Twitter Dr. Milner on Twitter  Resources WHEN: The Scientific Secrets of Perfect Timing by Daniel H. PinkASCP Leadership Institute Inside the Lab in the ASCP Store
Feb 1 2022
53 mins
S2Ep10: Wellness Initiatives That Work
Organizational wellness is getting more attention , due in no small part to the increased stress brought on by a global pandemic.  But why do we only seem to think about wellness when we feel unwell? What does wellness look like for pathologists and laboratory professionals? And what responsibility do institutions and individuals have in making wellness a priority? On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Ms. Kelly Swails are joined by Dr. Alae Kawam, MD, Pathology Resident and soon-to-be Surgical Pathology Fellow at Northwell University, Dr. Katrina Krogh, MD, Surgical Pathologist specializing in Gastrointestinal and Liver Pathology in private practice in Los Angeles, and Dr. Farres Obeidin, MD, Assistant Professor and Clinical Attending at Northwestern University and Bone and Soft Tissue Pathologist at Northwestern Memorial Hospital, to discuss organizational wellness. Our panelists describe the physical, spiritual, social, and emotional aspects of wellness, exploring how the term means different things to different people. They explain what initiatives institutions are using to combat rising rates of physician burnout and why they’ve fallen short, reflecting on how wellness policy informs institutional culture and vice versa. Listen in for insight on how wellness impacts the quality of work we do in the lab and learn how to advocate for your individual wellness at work.  Topics Covered · Defining ‘wellness’ in general and what it means to the laboratory workforce· The physical, spiritual, social, and emotional aspects of wellness· How wellness policy informs institutional culture and vice versa· Sources of burnout in the laboratory and what institutions might do to help mitigate the stress that cause them · The initiatives institutions are using to combat rising rates of physician burnout (and why they’ve fallen short)· Why it’s crucial for leaders to support laboratory and other medical professionals when we reach our limits· How our wellness impacts the quality of work we do in the lab· How pathologists and lab professionals can advocate for our wellness in the workplace when it’s so individualized· How diversity, equity, and inclusion influences wellness at work· Our panelists’ insight on the benefit of a four-day workweek and other alternate scheduling models  Connect with ASCPASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. Kawam Dr. Kawam on LinkedIn Connect with Dr. KroghDr. Krogh on TwitterDr. Krogh on LinkedInConnect with Dr. ObeidinDr. Obeidin on Twitter Connect with Dr. Mulder & Ms. SwailsDr. Mulder on Twitter Ms. Swails on Twitter  Resources Burnout: The Secret to Unlocking the Stress Cycle by Emily Nagoski, PhD, and Amelia Nagoski, DMAInside the Lab in the ASCP Store
Jan 18 2022
53 mins
S2Ep9: Voices from the ASCP 2021 Annual Meeting
What would ASCP members like to see happen in the next five to ten years that would most impact our lives and work as laboratory professionals?  And what can ASCP do as an organization to elevate laboratory medicine as a profession and address the greatest challenges we face?  On this episode of Inside the Lab, Dr. Dan Milner sits down with attendees of the ASCP 2021 Annual Meeting to explore what ASCP can do to advocate for higher wages and increase the visibility of medical lab professionals.  They share what they love about working in the medical laboratory, describing the vital role we play in delivering patient care.  Listen in for ASCP member insight on burnout among lab professionals during the pandemic and learn what we can do to stay healthy, positive and empowered to pursue a balanced life. Topics Covered  - What ASCP members would like to see happen in the next 5 to 10 years that would most impact the lives and work of laboratory professionals- What ASCP can do to foster interprofessional relationships and communication among laboratory professionals - ASCP’s advocacy programs and initiatives to address issues of workforce vacancies and wages - How ASCP might increase the visibility of medical laboratory professionals - What ASCP members love about working in the medical laboratory- How more than 70% of medical decisions are based on data generated by lab professionals- How the pandemic exacerbated challenges around burnout and personal wellness among laboratory professionals - What lab professionals can do to stay healthy, positive and in control of a balanced life - What more ASCP could do to combat disinformation regarding COVID-19  Connect with ASCP  ASCPASCP on Facebook ASCP on Instagram ASCP on Twitter   Connect with Dr. Milner  Dr. Milner on Twitter  ResourcesASCP’s Wage and Vacancy SurveyASCP Career and Pathology Ambassadors Society of Black Pathologists ASCP Advocacy Center ASCP ePolicy News ASCP Foundation ASCP COVID-19 Resources Inside the Lab in the ASCP Store
Dec 14 2021
23 mins
S2Ep8: The Intersection of Wellness and Diversity, Equity & Inclusion
Wellness is multidimensional. In addition to our physical health, wellness encompasses our mental, social, emotional and even financial wellbeing. It’s no surprise that there’s a connection between the diversity, equity and inclusion efforts in an organization and the wellbeing of the laboratory professionals who work or train there. Programs that address the unique needs of every employee are integral in creating an equitable, inclusive workplace.  On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Ms. Kelly Swails are joined by Mrs. Dana Baker, MBA, MS, MLS(ASCP)CM, Assistant Professor in the Department of Clinical Laboratory Sciences at the University of Kansas Medical Center and advocate for diversity, equity and inclusion in healthcare and medical education, Dr. Melissa Upton, MD, FASCP, Emeritus Professor of Pathology at the University of Washington and Chair of the ASCP Diversity, Equity and Inclusion Committee, and Dr. Darryl Elzie, PsyD, MHA, MT(ASCP), CQA(ASQ), Laboratory Quality Coordinator at Sentara Healthcare and Founding Member of the Sentara Norfolk General Hospital Executive DEI Council, to discuss the relationship between wellness and diversity, equity and inclusion efforts within an organization. Our panelists explain why wellness is an essential part of any program intended to improve diversity, equity, and inclusion and how lack of access to wellness services impacts marginalized communities. They explore how the definition of wellness varies by culture and community and share best practices for developing wellness programs that address these issues. Listen in for insight on leveraging data to sell DEI to the C-suite and learn what training programs and workplaces can do to encourage and support wellness and equity in the lab. Topics Covered ·  Why wellness is an essential part of any program intended to improve diversity, equity, and inclusion·  How healthcare disparities and lack of access to wellness services impact marginalized communities·  Best practices for developing wellness programs in our workplaces and communities·  How to create safe spaces dedicated to addressing issues of personal wellness, diversity, equity, and inclusion in laboratory medicine·  How we might leverage data to sell diversity, equity, and inclusion to the C-suite·  What professional societies like ASCP can do to help members build healthy working lives Connect with ASCP ASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Mrs. BakerMrs. Baker on Twitter  Connect with Dr. UptonDr. Upton on TwitterConnect with Dr. ElzieDr. Elzie on LinkedInConnect with Dr. Mulder & Ms. SwailsDr. Mulder on TwitterMs. Swails on Twitter ResourcesASCP 2021 Annual MeetingASCP Diversity, Equity and Inclusion Opportunities Inside the Lab in the ASCP Store
Nov 30 2021
57 mins
S2Ep7:Erasing Institutional Bias (Leadership Institute Book Club)
Every human has bias, as do the organizations we build. Despite commitments to diversity and inclusion, institutional bias lives on in every industry.  How does institutional bias show up in the field of pathology and laboratory medicine? And what can we do to affect change? On this episode of Inside the Lab, Dr. Dan Milner and Ms. Kelly Swails are joined by Ms. Tywauna Wilson, MBA, MLS(ASCP)CM, System Technical Director of Chemistry for CompuNet Clinical Laboratories and Founder of Trendy Elite Coaching and Consulting, Dr. Von Samedi, MD, PhD, Associate Professor in the Department of Pathology at the University of Colorado Anschutz Medical Campus, and Dr. Mohamed Abdelmonem, DHA, MBA-HCM, MS, CLS, MLS(ASCP)SBB, Blood Bank and Transfusion Service Supervisor at Stanford Health Care, to discuss the book Erasing Institutional Bias: How to Create Systemic Change for Organizational Inclusion by Tiffany Jana and Ashley Diaz Mejias.  Our panelists share what they realized about recruiting, hiring, and advancement bias in their organizations (and the role they play in sustaining it) from reading the book. They explore how occupational bias presents in the field of pathology and laboratory medicine and what we can do to advocate for ourselves. Listen in for insight on recruiting allies without being perceived as a troublemaker and find out how you can take steps to erase institutional bias—whether or not you’re in a leadership role.  Topics Covered · An overview of the themes in Erasing Institutional Bias around how bias gets embedded in workplace cultures and what we can do to eliminate it · What our panelists realized about recruiting, hiring and advancement bias in their organizations from reading the book (and the role they play in sustaining it)· How occupational bias shows up in the field of pathology and laboratory medicine· How laboratory professionals and pathologists can work toward erasing institutional bias in our organizations· Conducting a holistic review of residency applications and adopting a blind hiring process· How realistic it is for us to succeed in erasing institutional bias without being in a leadership role Connect with ASCP ASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Ms. Wilson Ms. Wilson on TwitterMs. Wilson on LinkedInConnect with Dr. Samedi Dr. Samedi on TwitterDr. Samedi on LinkedInConnect with Dr. Abdelmonem Dr. Abdelmonem on ResearchGate Connect with Dr. Milner & Ms. Swails  Dr. Milner on TwitterMs. Swails on Twitter Resources Erasing Institutional Bias: How to Create Systemic Change for Organizational InclusionInside the Lab in the ASCP Store
Nov 16 2021
46 mins
S2E6: Antimicrobial Resistance--the Next Global Pandemic?
The World Health Organization cites antimicrobial resistance, or AMR, as one of the top 10 global public health threats facing humanity. And according to the Centers for Disease Control and Prevention, at least 2.8 million people in the U.S. contract an antibiotic-resistant infection every year—and more than 35,000 die. What do laboratory professionals need to know about the emerging data around antimicrobial resistance? And what can we do in the lab to support infection prevention and control? On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Ms. Kelly Swails are joined by Dr. Patricia Simner, PhD, D(ABMM), Associate Professor of Pathology at the Johns Hopkins University School of Medicine and Director of the Medical Bacteriology and Infectious Disease Sequencing Laboratories at Johns Hopkins Hospital, Dr. Romney Humphries, PhD, D(ABMM), M(ASCP), Medical Director of Microbiology and Director of Infectious Disease Laboratories at Vanderbilt University Medical Center, and Dr. Lynn Bry, MD, PhD, Medical Director of Clinical Microbiology and Molecular Pathology at Brigham and Women’s Hospital and Director of the Massachusetts Host-Microbiome Center at Harvard Medical School, to discuss antimicrobial resistance. Our panelists discuss the current fears surrounding emerging antibiotic resistance in the U.S. and explain how AMR is changing the way we practice medicine. They explore what lab professionals can do to navigate the workflow challenges in microbiology caused by antimicrobial resistance and describe the most worrisome resistance signatures in the emerging data. Listen in for insight on how to participate in efforts to combat emerging resistance and prepare your lab for an encounter with multidrug-resistant organisms. Topics Covered  · The biggest challenges around antimicrobial resistance facing the human population today · Current fears surrounding emerging antimicrobial resistance in the U.S.· What laboratory professionals can do to navigate the workflow challenges in microbiology caused by AMR· How labs can participate in regional, national, and global efforts to combat emerging resistance· Hope for combating antimicrobial resistance Connect with ASCP ASCPASCP on Twitter Connect with Dr. SimnerDr. Simner on TwitterDr. Simner at Johns Hopkins Connect with Dr. HumphiesDr. Humphries on TwitterDr. Humphries at Vanderbilt Connect with Dr. Bry Dr. Bry on TwitterDr. Bry at Brigham and Women’s Hospital Connect with Dr. Mulder & Ms. Swails Dr. Mulder on TwitterMs. Swails on Twitter Resources CDC Info on Antibiotic ResistanceWHO Fact Sheet on Antimicrobial ResistanceInside the Lab in the ASCP Store
Nov 2 2021
48 mins
S2Ep5: Consolidation and Total Laboratory Automation
In general, consolidating several microbiology labs into one and automating our processes facilitates innovation and efficiency and creates a safer patient environment. But consolidation and total laboratory automation (TLA) also come with challenges. So, what do pathologists and laboratory professionals need to think about as we transition to centralized labs and implement TLA systems? On this episode of Inside the Lab, our hosts Dr. Dan Milner and Ms. Kelly Swails are joined by Dr. Sarah Buss, PhD, D(ABMM), Microbiology Director for Northern Light Laboratory and Instructor for the Medical Laboratory Science Program at the University of Maine, Dr. Karissa Culbreath, PhD, Medical Director of Infectious Diseases at Tricore Reference Laboratories and Associate Professor of Pathology at the University of New Mexico Health Sciences Center, Dr. Mark Fisher, PhD, Medical Director of the Bacteriology, Antimicrobials, Parasitology and Infectious Disease Rapid Testing Laboratories at ARUP and Assistant Professor of Pathology at the University of Utah School of Medicine, and Dr. Erin McElvania, PhD, Director of Clinical Microbiology at NorthShore University Health System and Clinical Assistant Professor of Pathology at the University of Chicago Pritzker School of Medicine, to discuss consolidation and total laboratory automation in the microbiology lab.  Our panelists share the pros and cons of consolidation efforts in terms of patient safety and laboratory quality, explaining what they do to promote clinician interaction when the microbiology lab is centralized. They describe three popular TLA systems and weigh in on the personnel changes and contingency planning required when bringing automation to the microbiology lab. Listen in for insight on the benefits of decentralizing technology in consolidated systems and learn what innovative features are likely to be added to TLA platforms moving forward. Topics Covered ·  What the term consolidation refers to in the laboratory and some examples of how multiple hospitals or health systems can be served by a single lab·  The pros and cons of consolidation efforts in microbiology in terms of patient safety and laboratory quality·  The factors that determine what tests remain at smaller community hospital labs ·  How potential cost savings inform the decision to execute on consolidation·  The importance of contingency planning in automated labsConnect with ASCPASCPASCP on Twitter Connect with Dr. BussDr. Buss at Northern Light HealthDr. Buss on LinkedIn Connect with Dr. Culbreath Dr. Culbreath on TwitterConnect with Dr. FisherDr. Fisher at ARUPConnect with Dr. McElvania Dr. McElvania on TwitterConnect with Dr. Milner & Ms. SwailsDr. Milner on TwitterMs. Swails on Twitter Resources Inside the Lab in the ASCP Store
Oct 12 2021
53 mins
S2Ep4: The Carbon Footprint of Clinical Laboratories
The principal tenet of medicine is to “first, do no harm.” And yet, the U.S. healthcare sector is responsible for 8.5% to 10% of global greenhouse gas emissions. What can we do in the clinical laboratory to deliver care with a smaller carbon footprint? On this episode of Inside the Lab, our hosts Dr. Dan Milner and Ms. Kelly Swails are joined by Dr. Ilyssa Gordon, MD, PhD, Associate Professor of Pathology and Medical Director for Sustainability at the Cleveland Clinic, Dr. Cassandra Thiel, PhD, Assistant Professor in the Departments of Population Health and Ophthalmology at NYU Langone Health, and Mr. James Connelly, CEO of My Green Lab, to discuss the carbon footprint of laboratories. Our panelists describe the healthcare sector’s impact on climate, and share what goes into conducting a life-cycle assessment and what it tells us about the environmental impact of a product or service. They explain how we can leverage the ACT label to promote sustainability in lab product manufacturing and explore how a shift in the supply chain compares to reducing consumption in an individual lab. Listen in for insight on applying the principles of reduce, reuse, and recycle to the clinical lab and find out how you can help minimize the carbon footprint of your lab. Topics Covered  · How the healthcare sector is responsible for as much as 10% of carbon emissions· What inspired a study around the carbon footprint of GI biopsies and the response they’ve gotten to their work· What goes into performing a life-cycle assessment and what it tells us about the environmental impact of a product or service· Leveraging the ACT label to choose sustainable products and ultimately influence lab product markets· Applying the principles of reduce, reuse, and recycle to the clinical lab· Why focusing on a shift in the supply chain makes a bigger impact than reducing consumption in an individual labConnect with ASCPASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. GordonDr. Gordon on LinkedInDr. Gordon at the Cleveland Clinic Connect with Dr. Thiel Dr. Thiel on TwitterDr. Thiel at NYUConnect with Mr. ConnellyMr. Connelly on LinkedInMy Green Lab Connect with Dr. Milner & Ms. SwailsDr. Milner on TwitterMs. Swails on Twitter Resources‘Life Cycle Greenhouse Gas Emissions of Gastrointestinal Biopsies in a Surgical Pathology Laboratory’ in the American Journal of Clinical Pathology‘A Different Kind of Laboratory Stewardship’ in the American Journal of Clinical PathologyInside the Lab in the ASCP Store
Sep 21 2021
45 mins
S2E3: Workforce Policy
The clinical laboratory workforce is crucial to the U.S. healthcare system, providing critical information in the diagnosis, treatment, and management of disease. And yet, the number of laboratory professionals continues to shrink. What can we do to reverse this trend? On this episode of Inside the Lab, Dr. Lotte Mulder and guest host Ms. Edna Garcia, Director of Scientific Engagement and Research at ASCP’s Institute for Science, Technology and Policy in Washington, DC, are joined by Ms. Susan Skillman, MS, Senior Deputy Director of the University of Washington Center for Health Workforce Studies, and Ms. Allyson Flores, MLS(ASCP)CM, Manager of Flow Cytometry and Hematopathology at Children’s National Hospital in Washington, DC, to discuss workforce policy. Our panelists describe ASCP’s ongoing research around wage and vacancy, including the most recent Clinical Laboratory Workforce report produced in conjunction with the University of Washington’s Center for Health Workforce Studies. They explain the most critical challenges facing our workforce today, exploring how to increase the visibility of careers in the lab, improve recruitment and retention, and promote diversity and inclusion in the field of laboratory medicine. Listen in for insight on how the pandemic is likely to shape the future of the profession and learn how you can help implement the innovative strategies proposed in the ASCP-UW CHWS report. Topics Covered  · ASCP’s ongoing research around wage and vacancy in the clinical laboratory profession· ASCP’s partnership with the UW Center for Health Workforce Studies on the most recent Clinical Laboratory Workforce Report · Critical challenges currently facing the clinical laboratory workforce· Why diversity is essential to the future of the profession and what we can do to recruit a more diverse clinical laboratory workforce· What attracted our panelists to laboratory medicine and how we might leverage those aspects of the career to address recruitment· Opportunities for institutions to communicate with local medical laboratory science programs around what trainees need to know· What the report teaches us about professional development opportunities and wage progression that might inform our practices moving forward Connect with ASCP ASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Ms. Skillman Ms. Skillman on TwitterMs. Skillman at UW CHWS Connect with Ms. Flores Ms. Flores on TwitterMs. Flores on LinkedIn Connect with Dr. Mulder & Ms. Garcia Dr. Mulder on TwitterMs. Garcia on LinkedIn Resources ASCP’s Clinical Laboratory Workforce ReportInside the Lab in the ASCP Store
Sep 14 2021
47 mins
S2Ep2: The Next Pandemic
Although the COVID-19 pandemic is far from over, it’s never too early to start planning for the next global health crisis. What have we learned as pathologists and laboratory professionals over the last 18 months? And how can we apply these key learnings to prepare for the next pandemic? On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Ms. Kelly Swails are joined by Dr. Omai Garner, PhD, Associate Clinical Professor and Director of Clinical Microbiology in the UCLA Health System, Dr. Karen Kaul, MD, PhD, Chair of the Department of Pathology and Laboratory Medicine at North Shore Research Institute and Clinical Professor of Pathology at the University of Chicago Pritzker School of Medicine, and Dr. Keith Jerome, MD, PhD, Head of the University of Washington Virology Laboratory and Professor at Fred Hutchinson Cancer Resource Center, to discuss the next pandemic. Our panelists share the lessons they’ve learned through the COVID-19 pandemic, describing the characteristics of their labs that proved beneficial and how the visibility of laboratory medicine shifted since the onset of the pandemic. They explore what tests or assays they might need to prepare for the next pandemic and offer insight on what we can do to ensure that labs have access to those resources. Listen in for Dr. Garner, Dr. Kaul, and Dr. Jerome’s take on what aspects of medical care improved as a result of the COVID response and learn why it’s crucial to remember that we’re still in the midst of the current crisis. Topics Covered  · The biggest lessons learned throughout the COVID pandemic· What the panelists would do differently in their own labs if they could do it over again· How public health officials and private health systems can work together to provide rapid and seamless lab testing in the future· What we can do to ensure that labs have access to the resources they need for the next pandemic· The increased understanding of the value of pathology and laboratory medicine in institutions and among the general public through COVID· What aspects of medical care improved as a result of the COVID response· The role the lab plays in the dissemination of reliable information and what we can do to improve· Why it’s crucial to remember that we’re still in the midst of the current pandemicConnect with ASCP ASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. GarnerDr. Garner at TwitterDr. Garner at UCLA Health Connect with Dr. KaulDr. Kaul on TwitterDr. Kaul at North Shore Connect with Dr. JeromeDr. Jerome on LinkedInDr. Jerome at the University of Washington Connect with Dr. Mulder & Ms. SwailsDr. Mulder on TwitterMs. Swails on Twitter ResourcesInside the Lab in the ASCP Store
Aug 31 2021
49 mins
S2Ep1: Personnel Management
Pathology administrators are tasked with the recruitment, retention, and management of laboratory staff. But how do you attract personnel for hard-to-fill positions? And how do you help young pathologists and laboratory professionals advance their careers and become the next generation of leaders?  On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Ms. Kelly Swails are joined by Ms. Kelley Suskie, MHSA, FACMPE, Administrator for the Department of Internal Medicine at the University of Arkansas for Medical Science, Mr. John Baci, MBA, C-PM, Executive Director of Anatomic Pathology at Boston Children’s Hospital, and Mr. Martin Lawlor, Director of Finance and Administration for the Department of Pathology at Michigan Medicine, to discuss personnel management. Our panelists explain what administrators can do to prepare for the retirement cliff facing pathology, challenging laboratory professionals to mentor the next generation of leaders. They explore how personnel management differs in an academic versus clinical setting and offer strategies for networking in the pathology administration community. Listen in as our panelists share their most challenging personnel management experiences and get their advice on confronting bad behavior early on and holding people accountable for their actions as pathology administrators. Topics Covered  ·  Suggestions for recruiting and retaining personnel for hard-to-fill positions· Creating succession plans for the laboratory professionals ·  Preparing for the retirement cliff the pathology field is facing and developing the next generation of leaders· Why it’s better to help top performers advance and move on rather than hold them back· How to reconcile making yourself invaluable in the lab with empowering your team· How personnel management differs in an academic vs. clinical setting· Strategies for connecting with others in the community of academic pathology administration· The importance of both internal and external networking in the personnel management space· Challenging personnel management experiences· Developing the courage to confront bad behavior early on and hold people accountable for their actions· Our panelists’ advice around mentoring aspiring pathology administrators Connect with ASCP ASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Ms. SuskieMs. Suskie on LinkedInMs. Suskie on Twitter Connect with Mr. Baci Mr. Baci at Boston Children’s HospitalMr. Baci on LinkedIn Connect with Mr. Lawlor Mr. Lawlor at Michigan Medicine Connect with Dr. Mulder & Ms. Swails Dr. Mulder on TwitterMs. Swails on Twitter Resources Inside the Lab in the ASCP Store
Aug 17 2021
50 mins