New Graduate Program Proposal Master of Science in Clinical Molecular Genetics School of Clinical Sciences: Clinical Laboratory Sciences Programs Rationale The Clinical Laboratory Sciences (CLS) programs propose to offer a graduate program leading to a Master of Science Degree in Clinical Molecular Genetics. There has been profound growth in the molecular diagnostics market in healthcare. Molecular tests are utilized with increasing frequency in areas of medicine including genetic disorders, infectious diseases, detection and monitoring of cancer, pharmacogenomics, and identity testing. The future of healthcare will rely on genomic medicine for diagnosis, prognosis, monitoring the course of disease, and selecting optimal treatment strategies. Diagnostic molecular scientists require specialized training and the demand for these professionals is great. NMU is one of eight universities nationwide that offers an accredited program in Diagnostic Molecular Science at the baccalaureate level. The accredited program by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS), coupled with the fact that Molecular Diagnostics is the fastest growing area of the clinical laboratory, provides the framework and opportunity to expand our program to the Master’s level. The proposed MS program will be offered through online coursework with an on-campus laboratory experience. There will be two tracks. The professional, project-based, track will appeal to working professionals. Molecular assay development and validation projects can be completed at their place of employment under the tutelage of NMU faculty. A research, thesis-based, track will be appropriate for those seeking research positions in industry including pharmaceuticals, biotechnology, government, and academe. The MS degree program will be highly desirable to Biology and CLS BS graduates as it will provide professional growth opportunities in health care and related industries. The program will bring increased national visibility to NMU which will likely result in enrollment increases at both undergraduate and graduate levels. Description of Curriculum The Master of Science degree program in Clinical Molecular Genetics will provide coursework and training in molecular-based clinical diagnostics. Graduates will perform and interpret molecular diagnostic testing and explain the clinical utility to health care professionals. Coursework for the Clinical Molecular Genetics program will be offered online allowing working professionals’ flexibility in scheduling. A one week experience in the Molecular Diagnostics laboratory on campus will be included. Students will have the option of choosing the professional project-based track which involves method verification and validation, or a clinical research track with the completion of a thesis. Program Goal: The Master’s degree in Clinical Molecular Genetics will prepare graduates for professional roles as practitioners, researchers, and educators in clinical molecular diagnostics. 1 School Mission Statement: The mission of the School of Clinical Sciences is to educate future clinicians. We seek to engage students in innovative, problem-based learning, preparing them to serve the regional and global community with skill and compassion. The proposed program is in congruence with the mission statement by providing a graduate curriculum that is relevant to current healthcare trends. The School fosters innovative ways to provide instruction as exemplified by the online nature of the proposed program. Program Objectives: Graduates of the program will Select, interpret, and implement molecular-based clinical assays Communicate the appropriate clinical use and significance of molecular-based tests to other health care professionals and the public Establish and validate novel molecular methods for clinical use Interpret, implement, and comply with laws, regulations and accrediting standards of governmental and non-governmental agencies Apply principles of management to biomedical laboratories Job Opportunities for Graduates Job opportunities for graduates are found nationwide in healthcare including hospitals and public health departments, reference laboratories, state and federal law enforcement agencies, biotechnology industries, pharmaceutical companies, research institutions and academe. The US Bureau of Labor Statistics data identify a 13% increase in the need for clinical laboratory scientists between 2010 and 2020. The specific data regarding personnel trained in Clinical Molecular Genetics is not cited as this is a relatively new and emerging diagnostic field. The rapid growth in Molecular Diagnostic testing is exemplified by the number of molecular genetic tests currently available at Mayo Clinic (NMU affiliate in the accredited Diagnostic Molecular Science BS program). The Mayo Clinic website (www.mayomedicallaboratories.com/test-catalog) currently lists 422 types of molecularbased clinical assays available with the menu of diagnostic test growing each month (Mayo Clinic Communique). The large menu of diagnostic tests coupled with the lack of qualified graduates exponentially increases the need for trained personnel according to the American Society for Clinical Pathology. Reports from laboratories performing clinical molecular testing indicate that it is difficult to find personnel to fill current position. Job postings for graduates trained in Molecular Genetics can be found on websites for the following organizations: Association for Molecular Pathology, Association of Genetic Technologists, American Society for Clinical Pathology, American Society for Microbiology, and American Society for Hematology. The results of the 2012 Advance Laboratory salary survey for laboratory professionals offered insight to professional opportunities in clinical molecular genetics. The average salary of those that specialize in Molecular Diagnostics/Genetics was $80,760. The Pacific region (AK, HI, CA, OR, WA) offers the highest salaries, followed by the Middle Atlantic (NJ, PA, NY) and New England (VT, NH, CT, MA, RI, ME). 2 Related Programs at NMU The CLS programs offer a BS program with a concentration in Diagnostic Genetics: Diagnostic Molecular Science. This NAACLS accredited program continues to have excellent outcomes for the BS graduate. The proposed master’s program will provide the opportunity to earn the Master’s degree in the rapidly expanding field of Clinical Molecular Genetics. Comparison to Other Universities Several universities in the region offer MS degree programs in Cell and Molecular Biology that prepare students for research careers. These programs are offered as traditional, on- campus programs that typically include a thesis. The proposed program is unique in its focus on the clinical application of Molecular Genetics. The online program will appeal to both working professionals as well as traditional students interested in earning a Master’s degree. The employment opportunities in a variety of venues will be highly valued. The MS degree will also give students unique training for those pursuing doctoral degrees. Accreditation The proposed degree program will not be subject to professional accreditation standards. Graduates of the program will be eligible for national certification in Molecular Biology from the American Society for Clinical Pathology with six months of experience in a clinical molecular genetics laboratory. Graduate Bulletin Listing The Master of Science in Clinical Molecular Genetics is offered to those interested in professional opportunities in clinical molecular diagnostics for healthcare, biotechnology, pharmaceuticals, forensics, research and academe. Students complete online graduate courses and one week in a molecular diagnostic lab experience on campus. Students will perform research or a method verification and validation which will culminate in a Thesis or Project, respectively. The Thesis or Project will be presented as a seminar at the conclusion of the program. Students will take the following courses. CLS 520 Principles of Clinical Molecular Genetics 3 credits CLS 526 Clinical Molecular Diagnostic Techniques 4 credits CLS 536 Clinical Genetics 3 credits CLS 541 Clinical Applications of Genomic Medicine 3 credits CLS 543 Molecular Diagnostics in Identity Testing 2 credits CLS 544 Molecular Diagnosis of Infectious Disease 3 credits CLS 560 Biomedical Laboratory Operations 3 credits CLS 563 Research Design and Methods 3 credits CLS 570 Method Verification and Validation 4 credits 3 CLS 580 Project in Clinical Molecular Genetics 4 credits CLS 599 Thesis in Clinical Molecular Genetics 4 credits Total Credits: 32 Admission Requirements Applicants are required to comply with the regular admission requirements of the Office of Graduate Education and Research, which includes an undergraduate grade point average of 3.0. In addition, students must have a Bachelor’s degree in Clinical Laboratory Science or Biology. Transcripts of applicants will be evaluated on an individual basis. In cases where the undergraduate GPA is below 3.0, additional factors, including 2 years of clinical laboratory experience or performance in the last 60 hours of course work, may be weighted more heavily in the assessment for admissions. Applicants should have coursework in genetics, hematology, microbiology, immunology, molecular biology, chemistry, and statistics. Laboratory experience is required. This requirement can be met by documenting one year of clinical laboratory experience or 16 credits of courses accompanied by a lab. Students may be admitted with deficient backgrounds if coursework is met in a defined period of time. Applicants are required to comply with the regular admission requirements of the Office of Graduate Education and Research. In addition: 1. Applicants must submit three letters of recommendation from instructors or professional references. Letters should address the applicant’s academic and professional abilities and preparation for graduate study. 2. A statement of intent must be included which describes the applicant’s laboratory skills and experiences, and reasons for pursuing graduate education. Graduation Requirements Students must complete all courses listed and a Project or Thesis. New Course Descriptions All courses in the program are new. The description for each new course, course number, name, credit hours, prerequisites, rationale, grading, outline, goals and student outcomes are provided on pages 7 – 26. Projected Enrollment We anticipate enrollment in year one would be 10 students with 20 students in year two. Enrollment in each subsequent year is projected at 15 – 20 per year for a total enrollment of 30 – 40 per academic year. 4 Costs Staff All of the courses in the program are new and will be offered online. Compensation for online course development for initial offering would be as additional assignments. Provost Lang has approved an enhancement position for the CLS programs with a national search currently underway. It is expected that the new faculty position will teach courses in the graduate program according to background and experience. Current faculty, Dr. Mary Stunkard, Dr. Linda Riipi and Assistant Professor Catherine Bammert, have qualifications to develop and teach courses in the proposed graduate program. Current faculty with the addition of the enhancement position are adequate for the initial offering of the graduate program. Two courses for a total of six credits will be offered in the Summer semester. Costs associated with summer staffing will be in accordance with the guidelines in the Agreement. Equipment Equipment that will be needed to accommodate ten students in year one of the program are detailed below. This is in addition to the equipment currently available in the CLS Molecular Diagnostics Laboratory (Appendix A). Roche Light Cycler 2 $25000 LightCycler Centrifuge $3,500 Inverted Microscope $15,000 ELP “Mini-Sub” Chamber (10) $3176 ELP “Wide-Sub” Chamber (10) $4024 Nucleic Acid Workstation (2) $8000 Micropipettes (set of 24 of 4 volumes) $11,050 Microtome $10,000 Supplies Yearly supplies for the on campus experience in the Molecular Diagnostics Laboratory are estimated to be $4500. An additional $750 (per student) will be needed for consumables for students choosing the on campus research and thesis track. Library Current library resources are adequate for this online program. 5 Space All courses will be online with the exception of CLS 526 which includes a one week experience in the Molecular Diagnostic Laboratory on campus. Current laboratory space can accommodate up to ten students. Staffing Plan The approved enhancement position for the CLS programs along with current faculty will be adequate to staff the courses for the proposed program in Year 1. In Year 2 of the program, additional adjunct faculty may be needed dependent on enrollment. The total additional credit hours of courses offered in Year 2 is 13 credits per semester. The summer course offerings will require additional summer salary. Equipment Current equipment that is available for the proposed program is described in Appendix A. Additional equipment needs are outlined above under ‘Costs’/’Equipment’. Library Usage Given that the courses in the proposed program are offered online, library usage will likely be through online resources. In addition to online journals and books, the Library Distance Education Services provide photocopying of print journal articles not available online. The Clinical Sciences library liaison, Mike Strahan, has been consulted regarding the library resources needed. Space The online program requires space for the one week laboratory experience in the CLS Molecular Laboratory which is adequate for ten students. This area may also be utilized by students choosing the research track. Occasionally there may be a working professional who is unable to complete the required scholarly project at their place of employment. We anticipate adequate space for these activities. Program Delivery Fall Year 1 CLS 520 Principles of Clinical Molecular Diagnostics – 3 cr CLS 536 Clinical Genetics – 3 cr Winter Year 1 CLS 541 Clinical Applications of Genomic Medicine – 3 cr CLS 544 Molecular Diagnosis of Infectious Disease – 3 cr Summer Year 1 CLS 526 Clinical Molecular Diagnostic Techniques – 4 cr CLS 543 Molecular Diagnostics in Identity Testing – 2 cr 6 Fall Year 2 CLS 563 Research Design and Methods – 3 cr CLS 570 Method Verification and Validation – 4 cr Winter Year 2 CLS 560 Biomedical Laboratory Operations – 3 cr CLS 580 Project in Clinical Molecular Genetics – 4 cr OR CLS 599 Thesis in Clinical Molecular Genetics – 4 cr The program will be offered with online courses with the exception of the one week campus laboratory experience in CLS 526. Students opting for the research track will conduct their research on campus while working professionals will likely complete the scholarly project at their place of employment. The table above provides the opportunity for program completion in two academic years with the required summer semester enrollment. The program also allows for part-time enrollment. Implementation Date The goal is to offer the program beginning in Fall 2014. 7 New Course Proposal Bulletin Description CLS 520 Principles of Clinical Molecular Diagnostics, 3 credits, online Concepts and principles of current molecular technologies will be examined with applications to clinical diagnostics. Prerequisites: Admission to MS program in Clinical Molecular Genetics Grading: Letter grade (A-F) Rationale: Course is a foundation course for subsequent courses in the degree program. This is a required course for both project and thesis tracks. Course Outline: Separation and Detection Techniques Gel and Capillary Electrophoresis Probe Hybridization Nucleic Acid Purification Probe Structure Nucleic Acid Amplification Polymerase Chain Reaction (PCR) PCR Variations (real-time, nested, multiplex, arrays, reverse transcriptase) Branched DNA Technology (bDNA) Sequence Based (NASBA) Transcription-Mediated Technology (TMA) Strand Displacement Amplification (SDA) Loop - Mediated Isothermal Amplification (LAMP) DNA Sequence Analysis Sanger Sequencing Next Generation Sequencing Automated Sequence Analyzer Melt Curves Analysis In-situ Hybridization 8 Restriction Fragment Length Polymorphism Multiplex Ligation-Dependent Probe Amplification (MLPA) Quality Assurance and Control Course Objectives: Compare and contrast major molecular technologies Discuss the theory for each molecular technology Apply the theories to the clinical assays used Describe quality control for molecular-based assays Diagnose clinical assay failures Evaluation Methodologies: Evaluations include online assignments that will be submitted individually or by group participation. Assignments may be given in a variety of formats such as short papers, case studies, and laboratory problems. Exams will be administered online consistent with the course objectives. Staffing: Course can be taught by current faculty with Molecular Biology (MB) certification by the American Society for Clinical Pathology (ASCP) or enhancement faculty position (approved). Equipment and Supplies: Online course so no equipment and supplies needed. Library Holdings: Current library resources are adequate. Costs: Faculty course load. Effects on Other Departments: No effects on other departments are anticipated. Implementation Date: Fall 2014 9 New Course Proposal CLS 526 Clinical Molecular Diagnostic Techniques, 4 credits, online and one week (40 hours) campus molecular laboratory The techniques course will provide students with clinical molecular decision making strategies required for diagnosis, prognosis and management of human disease. Prerequisites: CLS 520 Grading: Letter grade (A-F) Rationale: Under the direct supervision of experienced and certified molecular biology technologists, students will learn to perform procedures using analytical methodology in a clinical molecular laboratory. The course will link to the principles learned in CLS 520 to clinical molecular techniques. The course will utilize online tutorials prior to the campus laboratory experience to maximize learning. Course will be required in both project and thesis tracks. Course Outline: The course will provide participants with hands-on laboratory experience in performing molecular techniques such as DNA extraction, purification and quantification; preparing and viewing PCR products; interpreting DNA fingerprints via gel and capillary electrophoresis. Students will also perform advanced molecular methodologies such as cell culture techniques, melting curve analysis, Southern blot analysis, and fluorescent in-situ hybridization. Tutorial sessions will be completed prior to the campus laboratory experience to prepare students for intense hands-on training. Online topics will include: RNA isolation, analysis of expression, PCR, preparation of DNA, RNA and probes, cDNA synthesis (RT-PCR) and analysis, Southern, Western and Northern Blots, microarrays and gene chips, and Real-Time-PCR. Course Objectives: Upon completion of the course, students will be able to: Perform DNA and RNA extraction and purification methods on a variety of specimens, including blood, tissue cultures, and formalin-fixed, paraffin-embedded tissue. Quantify products mathematically and using the Nanodrop instrument. Demonstrate proper storage and retrieval of tissue cultures and extracted nucleic acids. Perform micro-dissection of formalin-fixed, paraffin-embedded tissue prior to performing DNA extraction and discuss the rationale for doing so. Utilize restriction enzymes to perform RFLP-PCR and analyze the DNA fingerprint following agarose gel ELP. Prepare and perform PCR reactions and explain ways to optimize the reaction. Perform Real-Time PCR using FRET probes and capillary electrophoresis. Perform melting curve analyses. Perform FISH and interpret fluorescent imaging Comply with the essential elements of a QA/QC program for the Molecular Lab and CAP/Joint Commission standards required for accreditation. 10 Evaluation Methodologies: Evaluations will include online assignments that may include short papers, case studies and laboratory problems. Laboratory evaluations assess accuracy, efficiency, problemsolving, and organization. Staffing: Course can be taught by current faculty with Molecular Biology certification or enhancement faculty position (approved). Equipment and Supplies: Equipment needed for the laboratory experience is outlined in the ‘Costs’ section of the proposal. Consumables for a laboratory of ten students would be approximately $4500 in total. Library Holdings: Current library resources are adequate. Costs: Faculty course load and consumable costs as indicated above. Effects on Other Departments: No effects on other departments are anticipated. Implementation Date: Summer 2015 11 New Course Proposal Bulletin Description CLS 536 Clinical Genetics, 3 credits, online Principles of human molecular genetics will be studied. The emphasis of the course will be on the molecular mechanisms operative in human disease. Prerequisites: Admission to MS program in Clinical Molecular Genetics or Doctor of Nursing Practice program. Grading: Letter grade (A-F) Rationale: The study of molecular genetics is important in the diagnosis, prognosis, and monitoring of treatment in human disease. This course will explore the fundamental concepts that are critical in understanding the genetic basis of inherited and acquired human disease. The course will be required for both project and thesis tracks. The CLS programs were asked by the Graduate Program Coordinator in the School of Nursing to develop a course to meet the requirements of the American Association of Colleges of Nursing (AACN) to achieve the curricular elements and competencies for the Doctor of Nursing Practice (DNP) degree program. The course will be required for all students in the DNP program. Course Outline: Principles of Molecular Genetics Clinical Cytogenetics Genetic Diversity in Individuals and Populations Genetic Disorders and Inheritance Molecular Basis of Genetic Disease Developmental Genetics Treatment of Genetic Diseases Pharmacogenomics Genetic Counseling and Risk Assessment Course Objectives: Develop knowledge in human genetics and genomics in order to integrate recent advances into health care delivery. This includes developing a detailed understanding of strategies to identify and evaluate treatment outcomes. (Essential I)* Develop skills to critically evaluate existing literature in the field of clinical genetics with the aim of translating research into practice for the improvement of health care practice. (Essential III)* Develop a greater understanding of the ethical issues related to human genetic testing and delivery of health care. (Essential V)* 12 Analyze genetic data in order to provide clinical prevention and health promotion strategies at the individual and population levels. (Essential VII)* *Objectives meet AACN foundational competencies for the DNP degree. Evaluation Methodologies: Evaluations include online assignments that will be submitted individually or by group participation. Assignments may be given in a variety of formats such as short papers and clinical case studies. Exams will be administered online consistent with the course objectives. Staffing: Course can be taught by current faculty with Medical Laboratory Science (MLS) or MB ASCP certification or enhancement faculty enhancement position (approved). Equipment and Supplies: Online course so no equipment or supplies needed. Library Holdings: Current library resources are adequate. Costs: Faculty course load Effects on Other Departments: The School of Nursing will incorporate this course in the Doctor of Nursing Practice curriculum. No effects on other departments are anticipated when this course is implemented. Implementation Date: Fall 2014 13 New Course Proposal Bulletin Description CLS 541 Clinical Applications of Genomic Medicine, 3 credits, online Course will cover clinical applications of molecular techniques used in diagnostic testing. Diseasespecific applications include molecular oncology and inherited genetic disorders. Prerequisites: CLS 520 Grading: Letter grade (A-F) Rationale: Clinical molecular testing is used in the diagnosis, prognosis, treatments and monitoring response to therapy. This course provides the link from principles and techniques of molecular diagnostics to the application in human disorders. The course will be required in both the project and thesis tracks. Course Outline: Oncology Leukemias Lymphomas Solid tumors Hereditary cancer syndromes Inherited Genetic Disorders Hemoglobinopathies Coagulopathies Trinucleotide repeat disorders Single gene disorders Epigenetic disorders Pharmacogenomics Herceptin Warfarin Plavix Course Objectives: Identify diagnostic aspects of molecular medicine 14 Describe the molecular basis and diagnosis of clinical disorders Discuss pertinent and innovative aspects of molecular technologies related to clinical applications Assess advanced methods employed for clinical molecular testing Appraise future considerations and issues based on clinical needs Evaluation Methodologies: Evaluations include online assignments that will be submitted individually or by group participation. Assignments may be given in a variety of formats such as short papers, case studies, and laboratory problems. Exams will be administered online consistent with the course objectives. Staffing: Course can be taught by faculty with MLS or MB ASCP certification or enhancement faculty position (approved). Equipment and Supplies: Online course so no equipment or supplies needed. Library Holdings: Current library resources are adequate. Costs: Faculty course load. Effects on Other Departments: No effects on other departments anticipated. Implementation Date: Winter 2015 15 New Course Proposal Bulletin Description CLS 543 Molecular Diagnostics in Identity Testing, 2 credits, online Course will cover applications of molecular testing in genomic medicine related to genetic identification. This will include paternity testing, identification of DNA in transplantation medicine, and analyzing crime scene evidence. Prerequisites: CLS 520 Grading: Letter grade (A-F) Rationale: A significant portion of molecular genetic testing is related to identity testing. This course covers those areas. Course will be required for both project and thesis tracks. Course Outline: Histocompatibility Genetic identity Parentage Specimen identification Forensic Engraftment and Transplantation Course Objectives: Discuss the significance of HLA Defend molecular techniques in paternity testing Analyze molecular techniques to identify specimens Apply appropriate molecular diagnostic techniques in forensic medicine Discuss the utility of molecular genetic testing in engraftment Evaluation Methodologies: Evaluations include online assignments that will be submitted individually or by group participation. Assignments may be given in a variety of formats such as short papers, case studies, and laboratory problems. Exams will be administered online consistent with the course objectives. Staffing: Course can be taught by current faculty with MLS or MB ASCP certification or enhancement faculty position (approved). Equipment and Supplies: Online course so no equipment and supplies needed. Library Holdings: Current library resources are adequate. 16 Costs: Faculty work load. Effects on Other Departments: No effects on other departments are anticipated. Implementation Date: Summer 2015 17 New Course Proposal Bulletin Description CLS 544 Molecular Diagnosis of Infectious Disease, 3 credits, online Course will cover molecular techniques utilized in the diagnosis and prognosis of infectious disease. Prerequisites: CLS 520 Grading: Letter grade (A-F) Rationale: Applications of molecular diagnostics in the detection of microbial pathogens are numerous and growing. Molecular methods are used for pathogen detection, identification and quantitation. Required course in both project and thesis tracks. Course Outline: Qualitative Analysis Methicillin resistant S. aureus Clostridium difficile Respiratory pathogens Urogenital Tract Pathogens Viral pathogens Fungi and Parasites Quantitative Analysis Viral load Genotypic Characterization Molecular epidemiology Viral typing Resistance testing Pharmacogenomics Carbemazepine Course Objectives: Discuss molecular-based assays as related to infectious disease testing Compare and contrast qualitative and quantitative molecular assays Assess advanced methods utilized for clinical molecular microbiology testing Evaluate new clinical molecular assays for infectious disease diagnosis 18 Justify the utility of molecular testing for prognosis and monitoring treatment of infectious disease Evaluation Methodologies: Evaluations include online assignments that will be submitted individually or by group participation. Assignments may be given in a variety of formats such as short papers, case studies, and laboratory problems. Exams will be administered online consistent with the course objectives. Staffing: Course can be taught by current faculty with MLS or MB ASCP certification or enhancement faculty position (approved). Equipment and Supplies: Online course so no equipment and supplies needed. Library Holdings: Current library resources are adequate. Costs: Faculty course load. Effects on Other Departments: No effects on other departments are anticipated. Implementation Date: Winter 2015 19 New Course Proposal Bulletin Description CLS 560 Biomedical Laboratory Operations, 3 credits, online Overview of management principles and how they apply to the biomedical laboratory. Financial management, personnel management, regulation and accreditation of the clinical laboratory will be addressed. Prerequisites: Admission to MS program in Clinical Molecular Genetics Grading: Letter grade (A-F) Rationale: Graduates of the MS program in Molecular Genetics will be eligible for positions that will require the ability to manage personnel and budgets; ensure quality assurance; assess regulatory and reimbursement issues; and comply with accreditation requirements. The course will cover issues critical to the oversight of a biomedical laboratory. Course will be required in both project and research tracks. Course Outline: Financial Planning Cost Containment Reimbursement Personnel Management and Leadership Laboratory Benchmarking Laboratory Informatics Regulatory Requirements Accreditation Requirements Course Objectives: Justify budget allocations in relation to resources Compare and contrast reimbursement models Defend laboratory test utilization Compare and contrast methods for effective communication Apply principles of management to the evaluation of information systems Discuss the reasons for undertaking benchmarking Discuss the impact of regulatory requirements in the diagnostic laboratory Comply with accreditation requirements Evaluation Methodologies: Evaluations include online assignments that will be submitted individually or by group participation. Assignments may be given in a variety of formats such as short papers and laboratory problems. Exams will be administered online consistent with course objectives. 20 Staffing: Course can be taught by current faculty with clinical management experience or enhancement faculty position (approved). Equipment and Supplies: Online course requires no supplies or equipment needed. Library Holdings: Current library resources are adequate. Costs: Faculty course load. Effects on Other Departments: No effects on other departments are anticipated. Implementation Date: Fall 2015 21 New Course Proposal Bulletin Description CLS 563 Research Design and Methods, 3 credits, online Overview of the research design and methods employed in clinical research. Students will learn to critically evaluate published scientific literature and identify theoretical and ethical considerations in research design. Prerequisites: Admission to the MS program in Clinical Molecular Genetics, completion of a statistics course. Grading: Letter grade (A-F) Rationale: Evidence-based health care ensures that clinical services are based on the best available scientific reasoning. Graduates of the program will be analyzing literature and data with clinical applications of molecular genetic testing. Course will be required in both project and research tracks. Course Outline: Research Design and Planning Biostatistics in Molecular Diagnostics Interpretation of Research Evidence Qualitative Research in Health Sciences Critical Evaluation of Published Research Communication of Health Science Research Ethical Considerations Influencing Research Design Clinical Trials and Evidence-Based Medicine Course Objectives: Compare quantitative and qualitative forms of research Justify statistical methods for data analysis Assess validity of professional literature Evaluate research findings Describe communication issues of research Demonstrate how evidence produced through research is applied to solving problems in health care Evaluation Methodologies: Evaluations include online assignments that will be submitted individually or by group participation. Assignments may be given in a variety of formats such as short papers or case studies designed to assess the ability to critically examine professional literature. Staffing: Course can be taught by current faculty with MLS or MB ASCP certification or enhancement faculty position (approved). 22 Equipment and Supplies: Online course with no equipment or supplies needed. Library Holdings: Current library resources are adequate. Costs: Faculty course load. Effects on Other Departments: No effects on other departments are anticipated. Implementation Date: Fall 2015 23 New Course Proposal Bulletin Description CLS 570 Method Verification and Validation in Molecular Diagnostics, 4 credits, online The process of method verification and validation is an integral component in the implementation of molecular-based clinical assays. Course will provide guidelines for the development and validation of new types of molecular diagnostic assays. Prerequisites: CLS 520 and CLS 526 Grading: Letter grade (A-F) Rationale: Introduction of new clinical assays require that performance characteristics are verified, US Food and Drug Administration (FDA) – approved or FDA – cleared test, or validated, if it is laboratory – developed (“home brew”) assay. This course will examine the process of test verification and validation for molecular diagnostic assays. Course will be required for both project and thesis tracks. Course Outline: Federal and State Regulations In vitro Diagnostics (IVDs) and Laboratory Developed Tests (LDTs) Performance Characteristics Clinical Validity and Utility CLSI Guidelines Test Implementation Quality Control and Assurance Proficiency Testing Course Objectives: Verify and validate high complexity clinical molecular diagnostic tests Monitor all aspects of test performance Develop standard operating procedures (SOPs) Evaluate protocols governed by SOPs Implement quality control and assurance processes Direct troubleshooting and implement process improvements Analyze molecular testing and data review Evaluate current relevant scientific literature and technologies 24 Evaluation Methodologies: Evaluation will be based on a written paper that describes the implementation of a new molecular assay into the diagnostic laboratory. The paper must include the required processes, diagnostic accuracy and clinical value, operating procedures, and quality assurance. Staffing: Course can be taught by current faculty with MLS or MB ASCP certification or enhancement faculty position (approved). Equipment and Supplies: Online course so no equipment or supplies needed. Library Holdings: Current library resources are adequate. Costs: Faculty course load. Effects on Other Departments: No effects on other departments are anticipated. Implementation Date: Winter 2016 25 New Course Proposal Bulletin Description CLS 580 Project in Molecular Genetics, 4 credits Student will complete a method verification and validation study that will incorporate the knowledge and analytical skills learned in the graduate program. The project culminates in a written manuscript suitable for submission to a peer-reviewed journal. Selection of a validation study must be approved by the faculty advisor who will supervise the project. Appropriate forms must be completed prior to enrollment. The student should consult with the School of Clinical Sciences and the College of Graduate Studies for specific requirements. Prerequisite: CLS 570 and consent of the advisor. Grading: S/U Rationale: The graduate program is designed to provide the student with the appropriate knowledge and skill set to select, validate and implement a new molecular-based clinical assay. The protocol developed is intended to be used by a clinical healthcare agency. This type of project is appropriate for the Clinical Molecular Genetics program because graduates working in clinical facilities will be expected to establish the clinical utility and validity of new molecular-based tests. Course will be required for those in the Project track. Course Outline: NA Course Objectives: NA Staffing: Current faculty with MLS or MB certification or enhancement faculty position (approved). Equipment and Supplies: Professionals that are currently employed will likely complete the project at their institutions at no cost to the program. If the student is not able to utilize the resources at their employment site the estimated consumable budget for the project is $750 per student. Library Holdings: Current library resources are adequate. Costs: Faculty course load. Effects on Other Departments: No effects on other departments are anticipated. Implementation Date: Winter 2016 26 New Course Proposal Bulletin Description CLS 599 Thesis in Clinical Molecular Genetics, 4 credits Student will develop a thesis with the help of a thesis committee. Appropriate thesis forms must be completed prior to enrollment. The thesis must be approved by the thesis committee and the College of Graduate Studies. The student should consult the department and the College of Graduate Studies for specific requirements. Prerequisites: Consent of the thesis committee. Grading: S/U Rationale: Knowledge and skills gained in the graduate program will be applied to research in molecular genetics. Course will be required for those in the Thesis track. Course Outline: NA Course Objectives: NA Staffing: Current faculty with MLS or MB ASCP certification or enhancement faculty position (approved). Equipment and Supplies: Students completing research will utilize supplies and equipment in the Clinical Molecular Diagnostics Laboratory. Professionals working in a clinical facility may arrange the use of equipment and supplies at that facility. Consumable cost per student is estimated at $750 per student. Library Holdings: Current library resources are adequate. Costs: Faculty supervision and supply cost as indicated above. Effects on Other Departments: No effects on other departments are anticipated. Implementation Date: Winter 2016 27 APPENDIX A CLS Molecular Diagnostics Lab Equipment List ( v083011) Air Cadet vacuum BioRad Molecular Imager * Gel Dock XR (gel documentation system; image capture, cutting gel) BioRad 16K Microcentrifuge BioRad MJ Mini Personal Thermal Cycler BioRad Smart Spec Plus Spectrophotometer BioRad Ultra Rocker BioRad 6l water bath Electrophoresis Equipment: BioRad Mini-Protean Tetra Cell 4-gel Vertical Electrophoresis System (quantity of 3); including BiroRad Power Pac (quantity of 3) BioRad Sub-cell-GT Agarose Gel Electorphoresis System Gibco BRL Sequencing Gel Electrophoresis System, Model S2 (quantity of 4); including BioRad 583 Gel Dryer (quantity of 4) and BIoRad Vacuum Pumps (quantity of 2) Eppendorf Research Pippettes (10ul, 100ul, 300ul, 1000ul and 10ml) Fisher Accumet pH Meter 2 sets of Eppendorfer Research plus pipettes (10, 20, 200 and 1000 ul) Fisher Low speed minicentrifuge with strip rotors 2 @ Fisher Vortex mixers with 48 hole microtube rack Grossing Microscope Haier Mini-refrigerator Metler Analytical Balance Metler Precision Balance Nanodrop 2000c spectrophotometer Precision Scientific Water Bath (dual wells) Sunrise Tecan Absorbance (and turbidimetry ) 96-well microplate reader & Megellan Software Package Sysbron / Thermolyne Nova II Stirrer 2 @ USA Scientific 24” Nucleic Acid Workstations 2 @ VWR Digital Heat Blocks with Block holders VWR mini incubating Shaker Thelco Double Water Bath Dell Desktop for Biorad Gel Imaging Station AO Microscope Sharp Carousel microwave VWR Clinic Centrifuge 120V VWR Block 2.0ML tube VWR Tip 100 ul lowbind ST VWR Tip 1000 ul lowbind ST Fisher Clean Room Tacky Mat 28