The purpose of this article is to review the medical laboratory career ladder. Every health profession has a career ladder which involves education and experience. During the past few decades, workers were in abundance and entry into health occupations was primarily accomplished through education. Presently, there is a shortage of health care workers during an age of increasing health care needs. Therefore, the time has come to reassess the other avenue of career development, namely experience. Barriers to certification by experience have developed through eligibility requirements established by certifying agencies attempting to ensure public safety during a period of rapid advances in health care knowledge, procedures, skills, and technology. Recommendations for improvement are made.



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