Current organisation of clinical cytology in Croatia. 2010

Valerija Milicić-Juhas, and Branka Loncar, and Vesna Mahovlić, and Ika Kardum-Skelin, and Marija Pajtler
Department of Clinical Cytology, University Hospital Center Osijek, Osijek, Croatia. valerija.mj@gmail.com

Current cytological service in Croatia is organised in 46 cytological organisational units in 23 towns with total of 350 employees: 101 specialists of clinical cytology, 20 residents in clinical cytology, 141 cytotechnologists (cytoscreeners), 45 health technicians, and 25 administrators and 18 auxiliary personnel. In spite of employment of significant number of cytotechnologists in the last ten years, there is still an unacceptable ratio of number of cytologists and cytotechnologists (1:1.4) which is the result of unresolved education of cytotechnologists which should be permanent, complete and acknowledged. Education and scientific promotion of cytologists is continuous and today our profession has 31 masters of science and 9 doctors of science, one of which is the assistant professor, and four of them are associate or full professors at medical schools in Zagreb and Osijek. Croatian cytology, in average, is in its "best years", i.e. an average cytologist is 46-years-old and cytotechnologist is averagely 43-years-old, but "suffers" from personnel deficit. With regard to the type of activity, the most numerous are units dealing the entire diagnostic cytology (72%), 13% general cytology without gynaecological cytology, while 15% are engaged in one diagnostic field (gynaecological, pulmological or thyroid cytology). According to accessible data, total of 770996 cytological examinations were done in Croatia in 2008. The increasing application of additional methods (cytochemical, immunocytochemical, molecular, cytogenetics and computer-assisted image analysis) has become a trend in numerous cytological units. Exclusively morphological analysis of standard stained samples is performed in 37% of units, morphological and cytochemical staining methods are used in 17% of units, and additional immunocytochemical methods in 30% of units. According to the long tradition of cytology in Croatia, that has progressed thanks to the enthusiasm and great effort of our teachers, we believe that the following generations of cytologists will continue working on its improvement and will be able to concord the basic cytomorphology and sophisticated diagnostic procedures with other diagnostics, to stay the field of optimal results in the shortest time with the reasonable price.

UI MeSH Term Description Entries
D010338 Pathology, Clinical A subspecialty of pathology applied to the solution of clinical problems, especially the use of laboratory methods in clinical diagnosis. (Dorland, 28th ed.) Clinical Pathology
D010820 Physicians Individuals licensed to practice medicine. Physician
D004501 Education, Medical Use for general articles concerning medical education. Medical Education
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000078329 Workforce The number of people working or available for work or service. Human Resources,Labor Supply,Manpower,Staffing,Womanpower,Human Resource,Labor Supplies,Manpowers,Staffings,Supply, Labor,Womanpowers,Workforces
D013677 Medical Laboratory Science The specialty related to the performance of techniques in clinical pathology such as those in hematology, microbiology, and other general clinical laboratory applications. Medical Laboratory Technology,Technology, Medical Laboratory,Clinical Laboratory Science,Clinical Laboratory Sciences,Laboratory Science, Clinical,Laboratory Science, Medical,Laboratory Sciences, Clinical,Laboratory Sciences, Medical,Laboratory Technologies, Medical,Laboratory Technology, Medical,Medical Laboratory Sciences,Medical Laboratory Technologies,Science, Clinical Laboratory,Science, Medical Laboratory,Sciences, Clinical Laboratory,Sciences, Medical Laboratory,Technologies, Medical Laboratory
D017523 Croatia Created 7 April 1992 as a result of the division of Yugoslavia.

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