Competency information

Details

Interpret laboratory data in the light of clinical details on patients with common disorders where transplantation is the therapy of choice, including at least 2 of the following;

  • Autoimmune disorders
  • Immunodeficiency disorders
  • Renal disorders
  • Other solid organ disorders
  • Haematological malignancies
  • Disease associations
  • Drug hypersensitivity

Considerations

  • Organisation and components of the immune system.
  • Ranges and values needed for interpretation of results.
  • Cellular components (lymphocytes; granulocytes; monocytes/macrophages).
  • Humoral components (autoantibodies, the range of autoantibodies and the role they play in autoimmune disease; immunoglobulins and the importance of their levels and their absence; complement and the importance of their levels and their absence).
  • Central molecules of the immune system (major histocompatibility molecules, classes I ⅈ Cluster of Differentiation (CD) molecules/cell surface markers; receptor molecules; recognition molecules; adhesion molecules; effector molecules).
  • Antigen presentation.
  • Innate immune response (endothelial cells; neutrophils; macrophages; natural killer cells; complement).
  • Adaptive immune response (antigen processing; dendritic cells; T cell responses; B cell responses; primary and secondary responses; vaccination/immunisation).
  • The adaptive immune system routine assays which can be usefully examined in an H&I laboratory.
  • Outcome of immune responses (immunity/immunological memory; direct and indirect functions of antibodies).
  • Major assays performed in an H&I laboratory.

Relevant learning outcomes

# Outcome
# 1 Outcome Interpret routine requests for common H&I investigations in the correct clinical context and process the specimens that accompany those requests.
# 4 Outcome Report the results of commonly performed H&I investigations.
# 5 Outcome Apply the principles of internal quality control and external quality assessment and draw appropriate conclusions about assay performance.