Advising Clinicians on Laboratory Test Selection and Result Interpretation with a Diagnostic Management Team


The test menu in the clinical laboratory has enlarged dramatically in size and cost in recent years. Because of this, physicians require advice of many test results. The diagnostic management team or DMT, in multiple areas of diagnostic pathology, is the clinical unit headed by an expert laboratory director that provides advice on test selection and interprets test results in the clinical context of the patient. This presentation will describe the organization and activities of the DMT and, importantly, the clinical and financial benefits of the work performed by the team.

Originally presented on November 30, 2012, in Salt Lake City, Utah.

Lecture Presenter

Michael Laposata, MD, PhD

Michael Laposata, MD, PhD

Edward and Nancy Fody Professor
Vanderbilt University School of Medicine
Executive Vice Chair of Pathology, Microbiology, and Immunology
Vanderbilt University School of Medicine
Professor of Medicine
Vanderbilt University School of Medicine
Pathologist-in-Chief, Vanderbilt University Hospital
Vanderbilt University Hospital

Dr. Michael Laposata is the Edward and Nancy Fody Professor of Pathology and Medicine at Vanderbilt University School of Medicine. He is the Pathologist-in-Chief at Vanderbilt University Hospital and Director of Clinical Laboratories. He received his M.D. and Ph.D. from Johns Hopkins University School of Medicine and completed a postdoctoral research fellowship and residency in Laboratory Medicine (Clinical Pathology) at Washington University School of Medicine in St. Louis. He took his first faculty position at the University of Pennsylvania School of Medicine in Philadelphia in 1985, where he was an Assistant Professor and Director of the hospital's coagulation laboratory. In 1989, he became Director of Clinical Laboratories at the Massachusetts General Hospital and was appointed to faculty in pathology at Harvard Medical School, where he became a tenured full Professor of Pathology.


After this presentation, participants will be able to:

  • Describe what a diagnostic management team is and what it does.
  • List the diagnostic management teams implemented to date and the clinical and financial impact of their efforts.
  • Describe the logistics of the diagnostic management teams and the roles of the participants.

Sponsored by:

University of Utah School of Medicine, and ARUP Laboratories