MT Internship Training Program October 2023

DR.
JOSE FABELLA MEMORIAL HOSPITAL

DEPARTMENT OF PATHOLOGY AND
LABORATORIES
MEDICAL TECHNOLOGY
INTERNSHIP TRAINING PROGRAM
TABLE OF CONTENTS
DR. JOSE FABELLA MEMORIAL HOSPITAL’S MISSION, VISION & CORE VALUES 3
MISSION 3
VISION 3
CORE VALUES (P.R.A.I.S.E.) 3
INTRODUCTION 4
MEDICAL TECHNOLOGY INTERNSHIP TRAINING PROGRAM 5

PREFACE 5
OBJECTIVES 5
THE TRAINING PROGRAM 5
NATURE OF ROTATION 6
GRADING SYSTEM 6
TRAINING SCHEDULE 7
AFFILIATION FEE 8
JOB FUNCTION OF MEDICAL TECHNOLOGY INTERNS 12
TRAINING RULES AND REGULATIONS FOR MEDICAL TECHNOLOGY INTERNS 19
GENERAL RULES (ONLINE ETIQUETTE) 19
DUTY, TARDINESS AND ABSENCES 20
BREAKAGES 21
POLICY ON ATTENDANCE, ABSENCES, MAKE-UPS AND GRADES 22
DESCRIPTION OF ROTATION AND DIFFERENT SKILLS ACQUIRED FROM THE

DIFFERENT SECTIONS 23
HEMATOLOGY 23
CLINICAL CHEMISTRY 24
CLINICAL MICROSCOPY AND PARASITOLOGY 25
MICROBIOLOGY 26
BLOOD BANK UNIT 28
IMMUNOLOGY & SEROLOGY 29
HISTOPATHOLOGY AND CYTOLOGY UNIT 30
SCHEDULE OF TOPICS FOR THE LECTURE, DISCUSSION, RECITATION,

DEMONSTRATION CONDUCTED BY THE SUPERVISOR OF EACH SECTION 31
CLINICAL PATHOLOGY: 31
HEMATOLOGY: 32
CLINICAL MICROSCOPY AND MICROBIOLOGY: 34
CLINICAL CHEMISTRY: 36
BLOOD BANK AND SEROLOGY: 37
ANATOMIC PATHOLOGY: 38
DR. JOSE FABELLA MEMORIAL HOSPITAL’S
MISSION, VISION & CORE VALUES
MISSION
The Dr. Jose Fabella Memorial Hospital ensures optimum health for women and
newborn.
VISION
The Dr. Jose Fabella Memorial Hospital is the Center of Excellence in health
for women and newborn.
CORE VALUES (P.R.A.I.S.E.)
Professionalism & competence

Adhering to best standards in dealing with patients & peers.
Respect
Treating patients with dignified compassion.
Accountability
Accepting responsibility for one’s own action.
Integrity
Standing for what is ethical and moral.
Sincerity
Dedicating oneself to public service.
Excellence
Committing to the highest quality of service through continuous improvement.
INTRODUCTION
The Dr. Jose Fabella Memorial Hospital is a recognized institution with its programs and
services accessible to even the most marginalized Filipino family. Historically, it was the first
maternity hospital and Midwifery School in the country, and the first hospital to cater to
prisoners (being housed in the Old Bilibid Prison Complex).
More than the hospital structure however, the trainings, services, methods, and activities
introduced by Dr. Jose Fabella and his team of physicians, formed the building blocks of
practices still carried out today. Minute details such as taking blood pressure, weighing, and
measuring of infants, pelvimetry, dental care, urinalysis, frequent prenatal visits, nutrition,
breastfeeding, well-baby clinics and home visits were all known back in the day as modern
trends in Maternity and Child Hygiene Work (Diaz, 1952).
It is no wonder that its founder, the first Secretary of Health, Dr. Jose Fabella came to be
known as the Father of Social Work (Diaz, 1952) in the country. From his time when
quackery, superstitions, and unhealthy practices due to ignorance were widespread, the
hospital is now a key player in progressively shaping women and children’s healthcare
delivery system. From his vision to reduce the high rate of infant and maternal mortality of
his time, the institution now looks at a new millennium with a bolder vision to firmly
establish itself as the nation’s Center of Excellence in health for women and newborn. The
social responsiveness of DJFMH, then and now, is innate in the institution, inscribed to its
human resources and reflected in the footprints of its course in history.
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Medical Technology Internship Training Program
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MEDICAL TECHNOLOGY INTERNSHIP

TRAINING PROGRAM
PREFACE
The Board of Trustees and the Management of Dr. Jose Fabella Memorial Hospital (the
“DJFMH”) are proud to introduce the Medical Technology Internship Training Program
which is open to all Medical Technology students (“Med Tech Interns”) from any colleges or
universities.
OBJECTIVES
General Objectives
1. DJFMH shall provide quality medical technology internship training program to all
Medical Technology Interns.
2. The Interns, at the end of each rotation, shall develop awareness, familiarity and
insight on laboratory procedures and principles including techniques and
methodologies.
Specific Objectives
1. DJFMH shall provide an alternative academic environment through online and limited
face to face learning following the four-day clinical laboratory duty (12 hour-duty;
day shift between 6 AM to 8 PM) and ten-day quarantine schedule during which the
interns shall engage on synchronous/asynchronous virtual internship activities that
will encourage and promote learning, reasoning, and sound judgment in the
profession.
2. DJFMH shall instill a desire for purposeful direction, respect for others, love for
learning and pride in the chosen profession.
Prepared by: Reviewed by:

Anna Lissa V. Magcaling, RMT Grace V. Vergara, RMT
Internship Coordinator Chief Medical Technologist
Noted by: Approved by:
Rhoderick M. Cruz , MD Esmeraldo T. Ilem, MD
Chairperson Medical Center Chief II
Department of Pathology and Laboratories
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THE TRAINING PROGRAM
Each Intern will undergo and experience a work-like laboratory environment in the different
units of the Department of Pathology and Laboratories such as:
1. Clinical Chemistry
2. Clinical Microscopy
3. Microbiology
4. Hematology
5. Blood Banking/Blood Donation
6. Histopathologic Technique & Cytology
7. Immunology & Serology
8. Phlebotomy
9. Molecular Biology
10. Laboratory Management
NATURE OF ROTATION
Each Intern will get ample time to have a first-hand experience with various laboratory
sections through robust rotation system.
1. Each Intern shall observe the prescribed number of days he/she has to stay in one unit
to enable him/her to learn, understand, and interpret laboratory procedures and
techniques.
2. Each Intern shall receive a thorough orientation by the Section Supervisors

throughout his/her rotation.

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3. Visual presentations will be shown to all Interns to strengthen their appreciation and
understanding of the Department of Pathology and Laboratories.
4. Interns will receive lectures/demonstrations in each rotation.
5. Interns will be immersed in learning activities that will encourage them to complete as
part of the grading system.
6. Interns will receive a shifting examination at the end of each rotation as part of their
internship program and grading system.
GRADING SYSTEM
Interns are graded based on the following:
1. Attendance 20%
a. During synchronous meetings/sessions
b. Submission of activities and exams
2. Online/Limited face to face learning activities 50%
a. Must be submitted on time
3. Shifting Examinations 30%
a. Given after the rotation in each unit

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TRAINING SCHEDULE
Summary of Section Rotations with Number of Hours for First Term, AY 2023-2024
Required number of hours Number of Hours

Laboratory Section (CMO 13 s. 2017) (First Term)
Clinical Chemistry 300 150
Clinical Microscopy & 200 100
Parasitology
Microbiology 250 125
Hematology 300 150
Blood Banking 200 100
Histopathologic Technique & 100 50
Cytology
Immunology & Serology 220 110
Laboratory Management
(Collection, Handling,
Transport and receiving of
specimens, Quality assurance,
Safety, and Waste 40 20
management)
Phlebotomy 54 27
Molecular Biology & Diagnostics 0 50
TOTAL 1664 882
The internship training is recommended to consist of face-to-face learning following the four-
day clinical laboratory duty (12 hour-duty; day shift between 6 AM to 8 PM) and ten-day
quarantine schedule during which the interns shall engage on synchronous/ asynchronous
virtual internship activities. This is to ensure that the interns acquire the essential skills in the
different laboratory procedures in the attainment of the intended learning outcomes. The
Clinical Instructor shall also monitor the interns during the ten-day quarantine period, on a
daily basis to see that the intern does not exhibit any sign or symptom of COVID-19. In case
the intern will exhibit signs and symptoms of COVID-19, clearance for returning to school
shall use a symptoms-based screening method and assessment of an attending/school
physician. (JMC No.2021-001)

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The Clinical Instructor shall submit the accomplished monitoring form to the accredited
clinical laboratory training coordinator prior to the intern’s return to duty. (JMC No.2021-
001)
The accredited clinical laboratories shall be required to implement the following:
● Conduct training on their institutional biohazard, risk and safety policies including
donning and doffing of Personal Protective Equipment (PPE) for the interns and
clinical instructors
● Conduct orientation on Infection Prevention and Control
● Require health declaration and medical check-up at least three (3) days prior to the
start of the internship training
● Implement proper IATF COVID-19 protocols
● Restructure the set-up of the different sections in the clinical laboratory such that only
a limited number of interns/monitors are assigned per room at a given time with strict
observance of the 1.5 meters physical distance
AFFILIATION FEE
An affiliation fee of not more than six hundred pesos (Php 600) per intern per month and no
other fees shall be collected unless a new policy/guideline shall be issued by the Commission.
This fee is applicable to both public and private training institutions.
The affiliation fee shall be disbursed by the HEI to the accredited affiliate training laboratory.
The affiliation fee should be distributed as follows:
a. Hospital 50%
b. Laboratory staff involved in the training program 50%
Internship competencies/course outcomes to be achieved in the clinical laboratory

internship training courses as specified in CMO 13, s.2017:

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1. Clinical Chemistry
● Perform Clinical Chemistry procedures using manual and automated

techniques: routine chemistry, lipid, protein, cardiac, liver, kidney profiles
2. Clinical Microscopy and Parasitology
● Perform Clinical Microscopy and Parasitology procedures, routine urinalysis,

routine fecalysis, CSF cell count, semen analysis, pleural fluid cell count
● Correctly identify parasites of medical importance, parasitic ova, cysts and

trophozoites
3. Microbiology
● Prepare culture media, perform culture & sensitivity tests, Gram staining and
acid-fast staining
● Identify bacteria, perform KOH test and correctly read KOH smears
4. Hematology
● Perform manual and automated CBC
● Recognize abnormal blood cells
● Perform PT & PTT
● Operate Hematology Analyzer
● Recognize hematologic critical values
5. Blood Banking
● Perform ABO typing, RH typing, Crossmatching, Direct and Indirect Coomb’s

Test

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6. Histopathologic Techniques and Cytology
● Perform tissue processing, mounting, staining, labelling, tissue/smear

preparation using histopathologic and cytologic specimens
7. Immunology and Serology
● Perform antigen-antibody reactions using normal and pathologic blood

samples
● Correctly report results of serologic and immunologic reactions
8. Laboratory Management/Reception
● Demonstrate proper collection, handling, transport and receiving of laboratory

specimens as well as proper waste management, safety and disposal
● Perform quality assurance
● Communication skills, management skills in the laboratory
● Demonstrate skills in planning, organizing, directing, and controlling, quality

improvement and staffing activities
9. Blood Donation
● Demonstrate proper collection and processing of blood into components from

potential blood donors
● Communication skills in screening of blood donors
10. Molecular Biology
● Learn the basic principles of Molecular Biology and Diagnostics, pre-

analytical, analytical, and post analytical considerations in specimen testing
through video presentations.

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Schedule of Medical Technology Interns
1. There will be interns assigned at Dr. Jose Fabella Memorial Hospital (DJFMH) for
five (5) months:
1.1. Clinical Pathology
1.1.1 Clinical Chemistry
1.1.2 Clinical Microscopy
1.1.3 Microbiology
1.1.4 Hematology
1.1.5 Blood Banking
1.1.6 Immunology & Serology
1.1.7 Histopathologic Technique & Cytology
1.1.8 Phlebotomy
1.1.9 Laboratory Management
1.1.10 Molecular Biology
2. Interns’ schedule shall be as follows:
2.1. Dates of rotations:
2.1.1 First semester: May 1 to September 30, 2023
2.1.2 Second Semester: October 1, 2023 to February 28, 2024
2.2. Mondays through Fridays: 8:00 am to 12:00 noon
1:00 pm to 5:00 pm
2.3. Saturdays: 8:00 am to 12:00 noon
2.4. No duty on Sundays, Holidays, or when the university or college so requires
them to be in school.
2.5. No night duty.
3. Functions of Supervisors in the Training of Medical Technology Interns

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3.1. Orient all Medical Technology interns regarding their role in the Department
of Pathology and Laboratories in coordination with the clinical instructors of
the university or college.
3.2. Conduct the internship orientation in every rotation, which covers the
following:
3.2.1 Brief background about DJFMH, its mandate relative to Universal
Health Care, and the functions and roles of the Department of
Pathology and Laboratory Services.
3.2.2 Networking of laboratory services.
3.2.3 Infection Prevention and Control.
3.2.4 Differences between public and private sectors’ laboratory services.
3.2.5 Inter-department workflow.
3.2.6 Exit interview at the end of rotation (last week of rotation) to be
conducted by the Professional Education and Training Office
(PETRO).
3.3. Monitor interns’ individual attendance, behavior, and performance in practical
application of knowledge gained from theoretical knowledge.
3.4. Guide interns in reading and application of theoretical knowledge gained from
school to actual practice, i.e., training in microscopic structures (differential
count, clinical microscopy, and microbiology).
3.5. Give quizzes and compute hospital grades.
4. Functions of University/College Clinical Instructors
4.1. Submit a certified list of Medical Technology interns for the internship
training in accordance with the Official QMS-controlled workflow.
4.2. Determine the unit assignment and the rotation of interns specifying the
inclusive dates, locations, and duration of trainings.
4.3. Ensure that all interns shall sign the internship waiver form prior to their
deployment to DJFMH.
4.4. Give periodical quizzes and computes grades.

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4.5. Assist the Training Officer and the Chief Medical Technologist in
implementing the internship program.
4.6.

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JOB FUNCTION OF MEDICAL TECHNOLOGY INTERNS
Section of Clinical Microscopy
● Receptionist
Assists the medical technology staff in the following:

1. Receiving of specimen from the laboratory clerk
2. Matching of specimen and corresponding laboratory request
3. Checking for congruency of data on the laboratory request with the patient’s specimen
4. Assigning of lab number of specimens on the request and logs in the master list.
5. Performing physical examination of specimens and notes the result at the back of
request
● Performer

1. Receiving specimen from the receptionist
2. Transferring of specimen to centrifuge tube and labels accordingly
3. Performing of chemical examination and notes at the back of request
4. Centrifuging of processed specimen
5. Decanting of specimen to be examined by the medical technology staff
6. Preparing of stool suspension to be examined by the medical technology staff
● Clinical Microscopist
Performing microscopic examination of specimens which will be checked by the

medical technology staff.

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NOTE: All tests performed by the Medical Technology Interns are under the strict
supervision of Medical Technology Staff on duty.

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Section of Hematology
● Receptionist

1. Receiving of specimens
2. Matching of specimen against the corresponding laboratory request
3. Checking if the patient has any previous record of hematology tests
4. Endorsing patient’s specimen and request to the medical technology staff for logging
in the master list
● Staining
Assist the medical technology staff in the following:

1. Staining of blood smears prepared by the medical technology staff
2. Endorsing of the stained smear to the medical technology staff for differential
counting
● Hematology Microscopist
Performing the differential count of specimens which will be checked by the clinical
supervisor
NOTE:
All tests performed by the Medical Technology Interns are under the strict supervision of
Medical Technology Staff on duty.

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Section of Blood Bank and Transfusion Services
● Interviewer
Assists the medical staff in the following:

1. Advising the would-be donors to log in
2. Checking the donor’s recent valid photo identification card
3. Advising the donor to fill up donor form
4. Taking the donor’s weight, pulse rate, blood pressure and body temperature
5. Interviewing the donor for his medical history
6. Referring the donor to a medical technology staff for blood extraction
● Hemoglobin/RPR/ Blood typing

1. Receiving of the specimen and the donor’s form from medical technology staff
2. Assisting the medical technology staff in performing hemoglobin determination
3. Loading the specimens into centrifuge for serological testing
4. Assisting the medical technology staff in the performance of RPR and malarial smear
5. Assisting the medical technology staff in blood typing
● Processor

1. Checking of label in blood bags
2. Weighing of blood bags to be processed
3. Preparing of blood for components

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NOTE: All tests performed by the Medical Technology Interns are under the strict
supervision of Medical Technology Staff on duty.

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Section of Clinical Chemistry

1. Accepting the laboratory requests
2. Logging of the results
3. Loading of the specimens into the centrifuge
4. Assisting in the manual methods
5. Preparing the quality control graphs
6. Assisting in the instrumentation
NOTE:

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Section of Molecular Biology

1. Loading of specimens into the centrifuge
2. Observing all examinations done in automated analyzers and manual procedures
3. Assisting in the specimen collection for molecular testing
NOTE:

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Section of Microbiology

1. Checking and encoding of request and specimen into the master list
2. Doing gram’s stain, AFB stain, and KOH stain under the strict supervision of medical
technology staff
3. Performing biochemical test, coagulase and catalase test and reading results after the
specified time
4. Loading the cultured bottles into VITEK 2 machine; pulling out both negative and
positive bottles and, if positive, subculturing of specimen
5. Doing the susceptibility testing (streaking, dispensing)
6. Logging and filing of laboratory results
7. Preparing materials for autoclaving
NOTE:

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Section of Histopathology

1. Receiving and recording of specimens
2. Arrange specimen in grossing area
3. Assist in grossing specimen
4. Assist in loading specimens to machine
5. Assisting in embedding and trimming of paraffin blocks
6. Staining tissue sections and smears using H&E and PAP stain
7. Preparing and replacing the reagents used in staining procedure
8. Mounting of histopathology and cytology slides
9. Assisting in the labeling of histopathology and cytology slides
10. Arranging the files and recording of the paraffin blocks and histopathology slides
11. Assisting the Pathology Residents in gross examination of both histopathology and
autopsy specimens
12. Assisting the medical staff during loading of specimens.
NOTE:

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TRAINING RULES AND REGULATIONS FOR MEDICAL TECHNOLOGY

INTERNS
1. Medical Technology Interns must report on time for duty in the prescribed complete
uniform.
2. The laboratory shall always be kept clean and tidy. All personal and valuable
belongings of the Medical Technology Interns shall be properly kept in the area
provided for them.
3. Broken, lost equipment and supplies belonging to the DJFMH due to the misuse or
negligence by a Medical Technology Intern shall be replaced.
4. No Medical Technology Intern shall leave the laboratory without the permission of
the supervisor.
5. Medical Technology Interns are not allowed to eat outside DJFMH’s premises during
lunch break.
6. Insubordination, vandalism, forgery, negligence, gambling, and drinking alcohol are
not allowed at any time in the DJFMH or its premises.
7. Use of electrical gadgets, such as mobile phones and tablets, is prohibited during the
tour of duty, except in case of emergency and other unavoidable circumstances.
8. Taking of photos is prohibited as per DJFMH Memorandum No. ______________.
9. Telephones and computers are strictly for laboratory personnel use only.
10. Medical Technology Interns are not allowed to entertain visitors inside the laboratory
or along the corridors of the DJFMH.
11. Loitering in sections other than the place of assignment of the Medical Technology
Intern is not allowed.
12. Order and discipline must be observed at all times in the laboratory.

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GENERAL RULES (ONLINE ETIQUETTE)
General Rules of Conduct

1. Interns are expected to always behave as professionals.
2. Interns are expected to attend all synchronous meetings (through online platform) as
these are part of their attendance.
3. Interns are expected to be on time during synchronous meetings/sessions.
4. Interns are expected to participate during synchronous activities or recitations and are
expected to respond to Intern Monitor’s questions.
5. Interns are expected to take extra care of their cameras and microphones during the
synchronous meetings/sessions to avoid unnecessary distractions.
6. While DJFMH respects the privacy of each Intern, we nevertheless encourage each
Intern to be ready (by tidying himself/herself and the surroundings) to open his/her
camera as maybe required during synchronous meetings/sessions.
7. Interns are bound by the Code of Ethics of Medical Technologists.
DUTY, TARDINESS AND ABSENCES

1. Duty
a) Punctuality is expected from Medical Technology Interns at all times.
b) Medical Technology Interns shall report for duty at least fifteen (15)
minutes before the start of the duty.
c) “Out-of-post” Interns but still within the DJFMH premises shall be
given an additional two-hour make-up duty; “Out-of-post” Interns and
are found to be outside DJFMH premises shall be given three (3) days
make-up duty.
d) Each Medical Technology Intern shall render thirty-two (32) hours of
duty per week or one thousand six hundred sixty-four (1,664) hours in
a year.

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2. Tardiness
a) Tardiness is the failure of the Medical Technology Intern to report for
duty at the scheduled start time or the official time required by
DJFMH.
b) A Medical Technology Intern coming late to duty shall receive the
following sanctions:
1.) Three (3) consecutive tardiness – one (1) day unexcused
absence.
2.) Accumulated sixty (60) minutes – one (1) day make-up duty.
3.) Habitual tardiness – conference with the Clinical Instructor,
parents, or guardian and/or suspension of the Medical
Technology Intern.
3. Absences
a) Absences incurred during internship shall be given the following
sanctions:
1.) For every excused absence – one (1) day make-up duty.
2.) For every unexcused absence – three (3) days make-up duty.
3.) For accumulated absences exceeding twenty percent (20%) of
the total number of internship hours:
● Per section: Repeat section rotation
● Per hospital rotation: Repeat internship
b) Excused absences
The following are considered EXCUSED absences:

1.) Death of immediate member of the family.
2.) Absences due to ill health or other emergency reasons which
are subject to evaluation and approval by the Training Officer.

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Absence due to sickness with medical certificate as certified by

the university, college or school physician may be considered
upon approval by the Training Officer.
3.) Inclement weather, transportation strikes, pandemic, and
incidents involving national security and natural calamities.
4. No make-up duty shall be required if the university, college or school is
pulling out an intern officially. A written letter of pull-out addressed to the
Chief of the Laboratory shall be issued by the university, college or school,
and shall be given to DJFMH at least three (3) days prior to pull-out.
5. Medical Technology Interns shall not be excused when they attend to / follow
up requirements that were incurred in the previous academic years or
semesters.
6. No project, gift or cash shall be accepted from a Medical Technology Intern as
completion of the make-up duty. DJFMH discourages such practices.
7. DJFMH shall allow the Medical Technology Interns to have their make-up
duties due to tardiness/absences/demerits at least two (2) months prior to the
end of their rotation.
8. Medical Technology Intern may file a “Leave of Absence” due to unavoidable
circumstances or emergencies at least three (3) days prior to the start of
internship.
BREAKAGES
After appropriate and thorough investigation with due process done, any Medical
Technology Intern proven to be negligent shall be responsible in settling the full
amount of the replacement or repair of the damaged equipment/instrument only after
having eliminated the possibility that the damage has been caused by wear and tear.

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POLICY ON ATTENDANCE, ABSENCES, MAKE-UPS AND GRADES
1. Daily prompt attendance is expected from all Medical Technology Interns.

1.1. Exchange of duties shall not be allowed.
2. Interns who are thirty (30) minutes late are allowed to continue their duty, but such
shall be considered in their accumulated tardiness.
3. A medical certificate from the attending physician is required for absences due to
illness.
3.1. Interns who will be absent due to illness one day before or during shifting
examination day must present a medical certificate.
3.2. No other reason aside from illness will be considered valid.
4. Interns with absences incurred for more than a week may continue with the internship
training.
4.1. Necessary make-ups will be required and are computed as one (1) absent is
equivalent to three (3) days make-up.
5. Interns with absences incurred for more than a week/section, which are not due to
illness, will automatically be dropped from the internship training.
6. Interns are not allowed to take up summer classes during their shift at DJFMH.
7. Make-up duties for all absences shall be allowed only at the end of the academic year.
8. Absences incurred due to illness (with medical certificate) will have an equivalent
make-up duty to the number of absences acquired.
9. Absences incurred for any other reason aside from illness will receive a mark of
incomplete (“INC”) at the end of the shift.
10. Average grades between 70-75% shall receive a passing mark (“Passed”) with a final
grade of 75%.
11. Final grades between 65-69% shall require make-up duties for one month at DJFMH.
12. Grades below 65% shall repeat the internship at the DJFMH laboratory or at the
laboratory designated by the university/college.

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DESCRIPTION OF ROTATION AND

DIFFERENT SKILLS ACQUIRED FROM THE
DIFFERENT SECTIONS
HEMATOLOGY
Period: 2 weeks
Objective:
To impart thorough knowledge and rationale of the technical procedures performed in the
section.
Brief description of the program:
Medical technology interns are given different assignments regarding Hematology

procedures on a rotation basis. They are taught the precautions and proper handling of
specimens and are guided on how to operate instruments and equipment such as microscopes,
hematology analyzers, and others.
Methods of training:
1. Orientation and familiarization of the technical procedures performed, including
instrumentation.
2. Direct supervision on staining procedures, cell counting, and others.
Skills to be learned:
1. Proper collection of blood and necessary precautions.
2. Hematocrit and hemoglobin determination (manual method).
3. Clotting time (Lee & White Method), bleeding time (Duke’s and Ivy method), and
clot retraction time.
4. White blood cell count & Red blood cell count (manual and automated)

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5. ESR determination.
6. Preparation of blood smears, Wright Giemsa stain.
7. Malarial smear.
8. Platelets and reticulocyte count.
9. Osmotic Fragility Test.
10. Peripheral blood smears
CLINICAL CHEMISTRY
Period: 2 weeks
Objective:
To impart the methodology of the procedures on the quantitative analysis of the chemical
composition of blood and other body fluids and the interpretation/ significance of the results
thereof.
The interns are taught the principles of the procedures and instruments used. They are to
familiarize themselves with the different chemistry analyzers and the preparation of reagents,
working solutions, and control solutions.
1. Orientation on how to operate instruments and equipment based on the manual
instructions.
2. Actual performance of laboratory procedures under the direct supervision of staff.
3. Skills to be learned: Standard operating procedures, guidelines and working
instructions of the section.
4. Proper collection of specimens with the corresponding precautionary measures.
5. Solving technical problems that may arise in the procedures by pinpointing each cause
among various factors.

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6. Methodology of liver and kidney function tests, electrolyte, enzymes, Lipid profile,
cardiac profile, and other body fluids.
7. Quality control management

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CLINICAL MICROSCOPY AND PARASITOLOGY
Period: 2 weeks
Objective:
To be able to put into practice the proper knowledge on urinalysis and fecalysis by
performing routine and special techniques including microscopic study and concentration
tests.
Familiarization of the proper use of the microscope and procedures done in the examination
of urine and stool, including special tests for the determination of occult blood, semen
analysis, pregnancy test, cell count, and differential count of other body fluids.
1. Orientation on the proper use of instrument and common procedures of urine
examinations.
2. Observation on the performance of special tests, sperm analysis, and cell count of
body fluids.
3. Application of the principles of the test procedures taught.
1. Identification of urinary sediments and parasitic ova
2. Analysis of calculi
3. Qualitative and quantitative analysis of urine and stool
4. Proper waste disposal
5. Pregnancy test and sperm analysis
6. Cell count of body fluids (CSF, pleural, ascitic, etc.)
7. Concentration technique of parasitic ova

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8. Occult Blood Test

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MICROBIOLOGY
Period: 2 weeks
Objectives:
To be able to teach the Medical Technology interns the different methods and procedures of
identifying microorganisms through smears, cultures and microscopic reading. To allow
interns to perform sensitivity testing, media preparation and water analysis.

1. Orientation on the different laboratory safety, universal precautions and specimen
handling.
2. Preparation of smears, staining procedure and microscopic reading for identification
of bacterial and fungal microorganisms.
3. Perform culture on different specimens and select the proper media to be used.
4. Isolate and identify the different predominant microorganisms through the different
media and biochemical reactions.
5. Perform antibiotic sensitivity testing.
6. Observe how to process specimens are processed for MTB culture and how
susceptibility testing is done.
7. Preparation of basic media that are routinely being used and how to operate the
autoclave machine.
8. Processing of water for bacteriological analysis.
1. Orientation:
The interns are briefed on the proper use of the biosafety cabinet, laboratory safety,
and standard operating procedures being observed in the section.

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2. Observation:
Interns are allowed to observe only on some procedures where strict universal
precautions are being followed such as MTB culture.
3. Supervised performance:
After observation, interns are gradually allowed to perform different procedures under
the supervision of the section supervisor.
1. Proper specimen handling.
2. Good smear and staining techniques.
3. Correct and proper use of microscope, incubator, and VITEK 2 machine, autoclave
and weighing scales.
4. Inoculation and streaking of different specimens.
5. Plate reading, sensitivity testing and biochemical analysis.
6. Media preparation and autoclaving.
7. Proper water analysis.

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BLOOD BANK UNIT
Period: 1 month and 1 week
Objective:
To enable the interns to learn, understand, perform, and interpret blood bank procedures and
techniques.
Brief description of the program and methods of training:

1. Orientation of interns on the routine and special procedures in blood bank including
quality control and proper waste management.
2. Familiarization with the mechanics and operations of equipment
3. Familiarization with blood donation procedures
4. Interns are allowed to work under the direct supervision of the staff
1. Mechanics and operation of Blood Bank.
2. Blood storage and component preparation.
3. Blood donor collection, processing, and screening.
4. ABO RH blood grouping techniques.
5. Compatibility test.
6. Blood storage and component preparation.
7. Interpretation and recording of results.
8. Proper record keeping in blood donation (qualified and disqualified donors; Rh
negative volunteer donors, etc.)
9. Quality control measures and proper waste management.

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IMMUNOLOGY & SEROLOGY
Period: 2 weeks
Objective:
To enable the interns to learn, understand, perform, and interpret serologic and coagulation
procedures and techniques.
Brief description of the program and methods of training:

1. Orientation of interns on the routine and special procedures done in the section.
2. Familiarization with the mechanics and operations of equipment.
3. Observation on how to process routine and highly specialized procedures.
1. Latex and rapid tests like Chlamydia, Dengue NS1 Antigen, Dengue duo, Rheumatoid
factor (Rf), Rapid plasma regain (RPR) and VDRL
2. Operation of equipment for HBV, HIV, HCV, malaria and tumors
3. Manual procedure using ELISA and Immunofluorescence method
4. Quality control management

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HISTOPATHOLOGY AND CYTOLOGY UNIT
Period: 1 month and 1 week
Objectives:
1. To provide in-depth training on the various procedures being conducted in the
department.
2. To provide a clear understanding of the fundamental principles and theories in
Medical Technology that is being applied in Anatomic Pathology.
3. To provide opportunities for laboratory, hospital exposure and involvement in actual
practice.
4. To develop the skills in scientific methods, processes and instrumentation that is
being applied in Anatomic Pathology.
The medical technology interns are taught the proper way of processing tissue and body fluid
specimen and assist in preparing microscopic slides for evaluation by the pathologist.
Methods of Training:
1. Orientation in proper use of microtome embedding machine, tissue processor, and
other equipment
2. Supervised performance
1. Embedding and trimming of paraffin blocks.
2. Staining of tissue sections and smears by H&E and PAP stain method.
3. Preparation and replacement of reagents used in staining procedure.
4. Use of the correct fixing agent/solution in particular specimens.
5. Preparation and replacement of reagents used in staining procedures.

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6. Mounting of histopathology and cytology slides.

7. Gross examination of both histopathology and autopsy specimens.
8. Preparation of cell blocks and cytology smears.
9. Frozen section and paraffin method of tissue preparation.
10. Proper use of microtome and cryostat.
11. Correct preparation of paraffin sections.

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SCHEDULE OF TOPICS FOR THE LECTURE,

DISCUSSION, RECITATION,
DEMONSTRATION CONDUCTED BY THE
SUPERVISOR OF EACH SECTION
CLINICAL PATHOLOGY:
3-4 PM Daily Monday – Friday
DAYS SUBJECT NUMBER OF MEETINGS

Mondays Hematology 14 hours
Wednesdays Clinical Chemistry 10 hours
Thursdays Blood Banking 6 hours
Serology 9 hours
Fridays Microbiology 4 hours
Clinical Microscopy 11 hours
TOTAL NUMBER OF HOURS IN 6 MONTHS 54 hours

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HEMATOLOGY:
1. Specimen collection
a. Quality Assurance
b. General Requirements
1.) Patient identification
2.) Proper labeling
3.) Approaching the patient
2. Types of Specimen Collected
a. Blood
Method of collection
1.) Venipuncture
2.) Arterial Puncture
3.) Capillary or Peripheral Puncture
3. Examination
4. Patient preparation prior to Phlebotomy
a. Routine Chemistry
b. Special Chemistry
5. Additives and Anticoagulants
a. Purpose
b. Color Coding
c. Sequential use of different tubes
6. Examination
7. Complete Blood Count
a.Hemoglobin

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1.) Methods and Principles

2.) Computation and Normal Range
b. Hematocrit
1.) Methods, Principles and Normal Range
8. Examination
White Blood Cell Count
a. Methods and Principles
b. Computation and Normal Range
9. Differential Count
a. Purpose
b. Stains
10. Examination
11. Clotting Time, Bleeding Time, Platelet and ESR
a. Methods, Principles and Normal Ranges
12. Malaria
a. Mode of Transmission
b. Method of Determination
c. Speciation
13. Examination

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CLINICAL MICROSCOPY AND MICROBIOLOGY:
Types of Specimen Collected

1. Urine
a. Type of Specimen Sampling
b. Collection techniques
c. Container
d. Preservation
2. Stool
a. Stool sampling
b. Container
c. Preservation
3. CSF and other body fluids
a. Proper collection and examination
4. Examination
5. Seminal Fluid
a. Patient preparation
b. Specimen Collection and examination
6. Urinalysis
a. Formation of urine
b. Definition and purpose
7. Parts of routine urinalysis
a. Physical properties
b. Chemical tests
c. Microscopic examination of urine sediment

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8. Examination
a. Fecalysis
9. Gross examination
a. Microscopic examination
10. Chemical examination
a. Occult blood
1.) Significance
2.) Preparation of patient
3.) Methods and principles
11. Specimen for Microbiology
a. Transport media
b. Proper collection
12. AFB
a. Method and principles
b. Purpose and procedures
13. Grams stain
a. Method and principles
b. Purpose and procedures
14. Examination

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CLINICAL CHEMISTRY:
1. Specimen and Patient Preparation
2. Examination
3. Quality Control
4. Examination
a. Instrumentation
5. Existing equipment
a. Description
b. Methods and principles
c. Different analysis performed
6. G6PDmachine
a. Description
b. Methods and principles
c. Different analysis performed
7. Examination
8. Cardiac Panel
9. Spectrophotometer
10. Examination

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BLOOD BANK AND SEROLOGY:

1. ABO and Rh Typing
2. Crossmatching and Problems Encountered
3. Examination
4. Donor Selection and Phlebotomy
5. Blood Component Processing and Preservation
6. Examination
7. Flow cytometry
8. ELISA
9. Examination
10. Indirect Immunofluorescence & Double diffusion
11. Electrophoresis
12. Protein
13. Hemoglobin
14. Examination
15. Hepatitis Profile
16. Tumor Markers
17. Examination

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ANATOMIC PATHOLOGY:
3-4 PM
DAYS SUBJECT NUMBER OF MEETINGS

Wednesdays & Fridays Histopathology 8 hours
TOTAL NUMBER OF HOURS IN 5 MONTHS 8 hours
Histopathology
1. Basic principles
a. Tissue processing
b. Staining
c. Microtomy
2. Different equipment used in histopathology
3. Examination
4. Basic principle
a. Immunohistochemical staining
5. Examination
6. Basic medical terminologies used in histopathology
7. Basic tests/procedures being performed in histopathology
8. Examination


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DR.

JOSE FABELLA MEMORIAL HOSPITAL

MEDICAL TECHNOLOGY INTERNSHIP TRAINING PROGRAM 5

DESCRIPTION OF ROTATION AND DIFFERENT SKILLS ACQUIRED FROM THE

SCHEDULE OF TOPICS FOR THE LECTURE, DISCUSSION, RECITATION,

CORE VALUES (P.R.A.I.S.E.)

Professionalism & competence

MEDICAL TECHNOLOGY INTERNSHIP

Prepared by: Reviewed by:

THE TRAINING PROGRAM

5. Blood Banking/Blood Donation

6. Histopathologic Technique & Cytology

7. Immunology & Serology

10. Laboratory Management

2. Each Intern shall receive a thorough orientation by the Section Supervisors

Prepared by: Reviewed by:

4. Interns will receive lectures/demonstrations in each rotation.

Interns are graded based on the following:

a. During synchronous meetings/sessions

b. Submission of activities and exams

2. Online/Limited face to face learning activities 50%

a. Must be submitted on time

3. Shifting Examinations 30%

a. Given after the rotation in each unit

Prepared by: Reviewed by:

Required number of hours Number of Hours

Prepared by: Reviewed by:

The accredited clinical laboratories shall be required to implement the following:

● Conduct orientation on Infection Prevention and Control

● Implement proper IATF COVID-19 protocols

Internship competencies/course outcomes to be achieved in the clinical laboratory

Prepared by: Reviewed by:

● Perform Clinical Chemistry procedures using manual and automated

● Perform Clinical Microscopy and Parasitology procedures, routine urinalysis,

● Correctly identify parasites of medical importance, parasitic ova, cysts and

● Perform manual and automated CBC

● Recognize abnormal blood cells

● Perform PT & PTT

● Operate Hematology Analyzer

● Recognize hematologic critical values

● Perform ABO typing, RH typing, Crossmatching, Direct and Indirect Coomb’s

Prepared by: Reviewed by:

6. Histopathologic Techniques and Cytology

● Perform tissue processing, mounting, staining, labelling, tissue/smear

● Perform antigen-antibody reactions using normal and pathologic blood

● Correctly report results of serologic and immunologic reactions

● Demonstrate proper collection, handling, transport and receiving of laboratory

● Perform quality assurance

● Communication skills, management skills in the laboratory

● Demonstrate skills in planning, organizing, directing, and controlling, quality

● Demonstrate proper collection and processing of blood into components from

● Communication skills in screening of blood donors

10. Molecular Biology

● Learn the basic principles of Molecular Biology and Diagnostics, pre-

Prepared by: Reviewed by:

Schedule of Medical Technology Interns

Prepared by: Reviewed by:

Prepared by: Reviewed by:

Prepared by: Reviewed by: