შარდის ანალიზის განყოფილება [L-15]

შარდის ანალიზის განყოფილება [L-15]

Urinalysis remains one of the most frequently requested diagnostic procedures in clinical laboratory medicine, yet inconsistencies in pre-analytical handling, interpretation criteria, and quality assurance protocols continue to compromise result reliability across healthcare systems globally — including in Georgia, where laboratory accreditation frameworks aligned with ISO 15189:2022 are actively being adopted. Errors at the urinalysis stage can result in missed diagnoses of urinary tract infections, chronic kidney disease, and metabolic disorders, conditions that collectively represent a substantial burden in the South Caucasus region. This course directly addresses the gap between routine practice and certified quality standards, equipping laboratory professionals with the competencies necessary to operate within accreditation-ready environments. The need for standardised urinalysis competency has been underscored by WHO’s Global Action Plan on Antimicrobial Resistance, given that inaccurate urine culture referral decisions contribute directly to inappropriate antibiotic prescribing.

The course content is grounded in current international frameworks, including ISO 15189:2022 requirements for medical laboratory quality and competence, Clinical and Laboratory Standards Institute (CLSI) guidelines for urinalysis (GP16-A3), and WHO recommendations on specimen management and result reporting. Instructional design follows a competency-based education model, integrating structured didactic content with case-based clinical scenarios drawn from primary care, nephrology, and infectious disease contexts. Assessment activities are aligned with the Miller’s Pyramid framework, ensuring participants progress from declarative knowledge to applied, decision-making-level competence.

By the end of this course, participants will be able to:

• Distinguish between physical, chemical, and microscopic components of a complete urinalysis and articulate the clinical significance of each parameter in relation to specific pathological conditions.
• Implement standardised pre-analytical procedures — including correct specimen collection, labelling, transport, and storage protocols — in accordance with ISO 15189:2022 and CLSI GP16-A3 requirements.
• Interpret dipstick and automated urinalysis results critically, recognising common interfering substances and technical artefacts that may lead to false-positive or false-negative findings.
• Apply internal quality control procedures and verify calibration performance for automated urine analysers, ensuring traceability to reference measurement procedures.
• Evaluate microscopic urine sediment findings systematically, differentiating clinically significant casts, crystals, and cellular elements from incidental or contamination-related findings.
• Demonstrate compliance with documentation, result-reporting, and critical-value notification requirements consistent with accreditation standards relevant to Georgian and regional laboratory practice.

Who Should Attend

This course is designed for medical laboratory specialists, laboratory technicians, and clinical biochemists working in hospital-based, polyclinic, or independent laboratory settings at any career stage — from recent graduates entering accredited environments to experienced practitioners preparing their facilities for ISO 15189 or Joint Commission International (JCI) accreditation review. It is equally relevant for quality managers and laboratory directors responsible for developing standard operating procedures and staff competency programmes. Nephrologists, general practitioners, and internists who directly supervise or interpret laboratory investigations will also benefit from the structured clinical reasoning content embedded throughout the course.

Course Structure

This course is delivered fully online through the GMJ Academy platform and requires an estimated 6 to 8 hours of self-directed study, comprising video lectures, interactive case scenarios, and a competency-based final assessment with a minimum passing threshold of 75%. Successful completion awards participants with a verified GMJ Academy certificate of achievement and qualifies for recognised continuing medical education credits applicable toward professional development requirements under Georgian Medical Council guidelines.