History and Development of Medical Technologist: Beverly B. Cadiente, RMT
History and Development of Medical Technologist: Beverly B. Cadiente, RMT
OF MEDICAL TECHNOLOGIST
Beverly B. Cadiente, RMT
LEARNING OUTCOMES
Medical Technologist is a branch of the allied health professions that deals with the study
of various disciplines such as chemistry, microbiology, parasitology, blood banking,
hematology, clinical microscopy, histology and histopathology.
It’s practice can be traced back to the ancient times. Like that of the other allied health
professions, the history of laboratory science is rich, and the evolution of its practice in the
Philippines can be linked to the classical laboratory methods in Europe and to their
modern application during the American occupation.
HISTORICAL PERSPECTIVES
• Hippocrates analyzed urine to aid his diagnosis and wrote a book on uroscopy.
• Greeks were able to conclude if a patient was diabetic by observing if his/her urine
attracted ants.
• Chinese practiced immunization by inhaling powder made from smallpox scabs to
develop immunity to the disease.
HISTORICAL PERSPECTIVES
• Romans at the peak of their empire developed laboratory tools such as forceps, scalpels,
specula, and surgical needles.
• India, the practice of toxicology (agadatantra) was mentioned in the Ayurveda classics,
moreover the process of distillation, pharmacy and analysis and separation of minerals.
• Herodotus tagged the early Egyptians as the healthiest men next to the Libyans because
they maintained a notable public health systems
HISTORICAL PERSPECTIVES
• Rufus of Ephesus first described hematuria by correlating the presence of blood to the
physiological functions of the kidney.
• The formulation of Hipprocates’ humoral pathology (yellow bile, black bile, blood and
phlegm) led to the advancements in the field of diagnosis. It promoted the evaluation of
body fluids rather than making of assumptions based on physical symptoms.
MEDICAL LABORATORY PRACTICES
(16TH AND 18TH CENTURY)
Robert Hooke English Philosopher, Published the Micrographia which is featured illustrations of his observations using a
Architect and Polymath microscope
Marcello Malpighi Italian Microscopist Investigated the embryology of chicks and the histology and physiology of the glands and
viscera
Jean Baptiste van Helmont Belgian mystic Developed the gravimetric analysis of urine
Richard Lower English Physiologist Performed the first blood transfusion in animals
Francis Home Medical Doctor Developed the yeast test for sugar in diabetic urine
Matthew Dobson Medical Doctor Identified sugar in the blood and urine of diabetics
BEGINNING OF THE PRACTICE OF
MEDICAL TECHNOLOGY IN THE
PHILIPPINES (19TH CENTURY)
• Army surgeons established the Philippine Tropical Disease Board to study the disease
occurrence in the country (malaria and cholera)
• The army surgeons of the 26th Medical Infantry of the 6th US Army began training
Filipinos in the laboratory work which spanned 46 years from the time the Americans
occupied the country.
MEMBERS OF THE PHILIPPINES
TROPICAL DISEASE BOARD
NAME DURATION OF SERVICE
Lt. Jere Clayton 1898-1990
Lt. Richard Strong
Contract Surgeon Joseph Curry
Lt. Strong 1900-1902
Lt. William Calvert
Contract Surgeon Curry
Capt. Percy Ashburn March –December 1906
Lt. Charles Craig
Capt. James Phalen December 1906- July 1909
Lt. Henry Nicholas
Capt. Edwin Kilbourne July 1909- January 1910
• Pertinent Laws- the existing laws of the land mandate the professional practice of medical
technology.
• Labor Law (Omnibus Implementing Rules and Regulations)- a medical technology
professional is entitled to the benefits extended to him/her by an employee-employer
relationship.
HALLMARK OF MEDICAL TECHNOLOGY
PROFESSIONAL PRACTICES
• Criminal Law (embodied in the Revised Penal Code)- In case of a work grievance and
in times of abuse, a medical technology professional who commits an offense can never
be denied due process and equal protection.
• Civil Law of the Philippines- a medical technology professional is also protected by
this law because of the contracts and obligations attached to his/her medical technology
professional practice.
• Constitution of the Philippines-since a medical technology professional is a citizen
(whether natural born or naturalized) of the Philippines, he/she enjoys the Bill of Rights
as mandated in the Constitution of the Philippines.
PERTINENT LAWS THAT APPLY
TO MEDICAL TECHNOLOGISTS
Labor Law of the Philippines
• Rule II: Employment and Promotion
• Rule V: Private Employment Agencies
• Book III: Conditions of Employment
Revised Penal Code of the Philippines
• Book I: Title I- Felonies and Circumstances
• Title V: Civil Liability
• Title XIV: Criminal Negligence
PERTINENT LAWS THAT APPLY
TO MEDICAL TECHNOLOGISTS
Civil Code of the Philippines
• Book I: Persons
• Book IV: Obligations and Contracts
Constitution of the Philippines
• Article III: Bill of Rights
PROFESSIONAL ETHICS
• Students of the Bachelor of Science in Medical Technology should comply with the
CHED Memorandum Order states that a student should complete three years of
academic courses and internship. He/she should follow the rules and regulations of a
duly recognized institution offering this program
PROFESSIONAL ORGANIZATIONS
• After obtaining and registering his/her license, the medical technologist should apply
and register with any of the two professional organizations, namely Philippine
Association of Schools Medical Technology and Public Health (PASMETH) and the
Philippine Association of Medical Technologists (PAMET). He/she uphold the goals
and objectives of these professional organizations, observe their rules and regulations
and attend seminars, workshops and conventions.
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
• The Medical Technology Act of 2011 (Senate Bill 2722) is an act which regulates and
modernizes the practice of medical technology. It repealed Republic Acts 5527,6138
and 8982 and Presidential Decrees 498 and 1534:
The State recognizes the importance of the medical technology profession in nation-
building and development through the portals of health care, education and research.
Hence, it shall develop and nurture component, virtuous, productive, and well-rounded
medical technologists whose standard of practice and service shall be world- class.
The State shall promote, regulate and protect the professional practice of Medical
Technology in the Philippines and shall ensure its continued growth and development and
the maintenance of high international standards of practice (Section 2, SB 2722).
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
• Some provisions are mentioned under RA. 5527, except for the following:
As used in this Act, the following terms shall mean:
a. Accredited Medical Technology Training Laboratory- refers to a clinical laboratory
duly licensed by the Department of Health and accredited as a training laboratory by the
Commission on Higher Education upon recommended by the Technical Panel in Medical
Technology Education or its equivalent;
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
b. Accredited Professional Organization- refers to a national organization, recognized
and accredited by the Board, as approved by the Professional Regulation Commission,
under which all registered medical technologist whose names appear in the roster of
Medical Technologist of the Professional Regulation Commission automatically become
members;
c. Board- refers to the Board of Medical Technology of the Professional Regulation
Commission
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
d. Continuing Medical Technology Education (CMTE)- refers to the enhancement of
knowledge, professional competence and ethical values, in the practice of medical
technology through mandatory formal classes or training programs administered for
medical technologist;
e. Code of Professional Ethics- refers to a set of standards relating to the conduct,
integrity and moral duties of medical technologists as prescribed and promulgated by the
duly accredited professional organization of medical technologists, with the approval of
the Board;
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
f. Hearing Committee- refers to a body composed of two (2) Members of the Board and
one (1) legal officer. The Hearing Committee shall conduct administrative proceedings for
the suspension or revocation of a certificate of registration;
g. Medical Technology(Medical Laboratory Science)- refers to the healthcare profession
that performs laboratory investigations on the human body or on specimens taken from the
human body, the results of which provide information used by the physicians or other
medical practitioners in relation to health care, research, forensics and other related areas.
Medical Technology may also refer to laboratory investigations on animals in relation to
veterinary medicine and agricultural purposes;
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
h. Medical Technologist- refers to a holder of a Bachelor of Science Degree in Medical
Technology (Medical Laboratory Science) or Public Health who is duly registered with the
Professional Regulation Commission and is qualified to practice Medical Technology.
A person shall be deemed to be in the practice of Medical Technology within the meaning
of this act if such person renders any of the following services for a fee, salary,
compensation or reward paid or given directly or indirectly:
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
1. Examination of tissues, secretions and excretions of the human body and other body
fluids and other fluids through electronic, chemical, microscopic, microbiologic,
hematologic, serologic, immunologic, nuclear, cytogenetics or other laboratory
procedures and techniques, either manual or automated;
2. Blood banking procedures and techniques or other blood transfusion services;
3. Parasitologic, bacteriologic, mycologic, virologic or other microbiologic techniques;
4. Histopathologic or cytotechnologic techniques;
5. Drug testing in clinical laboratories;
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
6. Research involving human beings or animals requiring the use of or application of
Medical Technology (Medical Laboratory Science) knowledge and procedures;
7. Preparations and standardizations of reagents, standards, stains or others. Provided,
that such reagents, standards, stains or others are exclusively for the use of the
laboratory;
8. Clinical Laboratory quality control;
9. Phlebotomy, collection, processing or preservations of specimens;
10. Consultancy test upgrading, method selection, laboratory equipment planning and
troubleshooting where the application of knowledge in medical technology is required;
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
11. Teaching of professional subjects in Medical Technology
12. Introduction, demonstration, evaluation or improvement of clinical laboratory
procedures or techniques; and
13. Similar activities to the foregoing where the training, skill and experience of a medical
technologist are needed as may be determined under the rules and regulations to be
promulgated by the Professional Regulation Commission.
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
i. Medical Laboratory Technician- refers to a person certified and registered with the
Board as qualified to assist a medical technologist in the practice of Medical Technology
as defined under Republic Act No. 5527. The Board shall discontinue the registration of
medical laboratory technicians under Republic Act No. 5527 upon the effectivity of this
Act. Provided , that medical laboratory technicians registered under Republic Act No.
5527 shall maintain their status as registered medical laboratory technicians, Provided,
further, that a registered medical technologist occupying the position of a medical
laboratory technician shall be rendered an appropriate position and be reclassified as a
medical technologist.
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
j. Phlebotomist- refers to a holder of a Bachelor of Science Degree in Medical
Technology (Medical Laboratory Science) and who has passed an examination for
Phlebotomy given by the Board of Medical Technology of the Professional Regulation
Commission. Provided, that a registered medical technologist automatically qualifies as a
phlebotomist. A phlebotomist is qualified to perform blood specimen collection and to
follow proper procedures of identifications, preservations and transport of specimens
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
k. Recognized School of Medical Technology- refers to any school, college or university
which offers a program in Medical Technology (Medical Laboratory Science) approved by
the Commission on Higher Education upon the recommendation of the Technical Panel in
Medical Technology Education or its equivalent.
l. Technical Panel in Medical Technology Education- refers to the Technical Panel in
Medical Technology Education reconstituted or organized under the Office of Programs
and Standards of the Commission on Higher Education
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
• PROVISIONS.—
Without prejudice to the provisions of the Medical Act of 1959, as amended, relating to
the illegal practice of medicine, the following shall be punished by a fine of not less than
two thousand pesos (₱2,000.00) nor more than five thousand pesos (₱5,000.00), or
imprisonment for not less than six (6) months nor more than two (2) years, or both, in the
discretion of the court:
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
a) Any person who shall practice Medical Technology in the Philippines without being
registered or exempted from registration in accordance with the provisions of this Act;
b) Any Medical Technologist who shall knowingly make a fraudulent laboratory report;
c) Any person presenting or attempting to use as his own, the certificate of registration of
another;
d) Any person who shall give any false or fraudulent evidence of any kin to the Board or
any member thereof in obtaining a certificate of registration as a medical technologist;
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
e) Any person who shall impersonate any registrant;
f) Any person who shall attempt to use a revoked or suspended certificate of registration;
g) Any person who shall, in connection with his name or otherwise, assume, use or
advertise any title or description tending to convey the impression that he is a medical
technologist without holding a valid certificate of registration;
MODERNIZATION ACT OF MEDICAL
TECHNOLOGY(MEDICAL TECHNOLOGY ACT
OF 2011)
h) Any person or corporate body who shall allow a non-registered medical
technologist/medical laboratory technician under his employment to engage in the
practice of medical technology or recommend the appointment of anyone to the
position of a medical technologist/medical laboratory technician while knowing that
he is not registered as such;
i) Any person or corporate body who shall violate any provision of this Act or any rules
or regulations issued pursuant to this Act (Penal Provision in Section 32, SB 2722)
COMMENTARY ON THE MEDICAL
TECHNOLOGY ACT OF 2011
• Otherwise known as the Medical Technology Act of 1969
• Is an act requiring the registration of medical technologists who successfully passed the
Licensure Board Examination for Medical Technology
COMMENTARY ON THE MEDICAL
TECHNOLOGY ACT OF 2011
• Section 2- the definition of terms is based on the functions of the designated titles.
• Section 3,4,5,6- provide the composition of the Council of the Medical Technology
Education, including its compensation and traveling expenses, functions and minimum
required course.
• Section 7,8,9,10,11,12- discuss the composition of Medical Technology Board,
including the qualifications of the Board, functions of the Executive Officer of the Board
and removal of the Board.
COMMENTARY ON THE MEDICAL
TECHNOLOGY ACT OF 2011
• Section 13- the requirements for accreditation of a school of medical technology and
training.
• Section 14- contains the policy on inhibition in the practice of medical technology
• Section 15,16,17,18,19,20- require all graduates of the program of Bachelor of Science
in Medical Technology to take the Licensure Board Examination to qualify for
registration as a medical technologist. All the guidelines regarding the scope of coverage
of examination, manner of reporting, Board ratings, and the oath taking explained.
COMMENTARY ON THE MEDICAL
TECHNOLOGY ACT OF 2011
• Section 21,22,23- deal with the provisions on the issuance of certificate of registration,
fees and refusal to issue certificate of registration
• Section 24,25- the guidelines on how to make some investigative proceedings and
appeal
• Section 26,27,28,29,30,31,32- enumerate the provisions relative to the reinstatement,
reissuance, and replacement of certificate of registration, including the foreign
reciprocity penal provision and separability and effectivity clauses.
LEGAL ISSUES AND CONCERNS
The right to enjoy the privilege and prestige of being a medical technologist
A medical technologist enjoys privilege of doing all the laboratory examinations and the prestige of
being called a Clinical Scientist.
The privilege to perform all laboratory examinations requires expertise, experience and training ( a
medical technologist cannot undertake drug testing unless he/she has earned enough training and
experience, for medical technician cannot perform all of functions of MT)
LEGAL ISSUES AND CONCERNS