Effective Marketing Strategies for a Medical Laboratory Science Program ======================================================================= * Kendal Beazer * Kenton Cummins 1. Kendal Beazer(#aff-1) 2. Kenton Cummins(#aff-2) 1. Weber State University 2. Weber State University 1. **Address for Correspondence: Kendal Beazer**
, Weber State University, kendalbeazer{at}weber.edu ## ABSTRACT The medical field is in dire need of more qualified medical laboratory scientists (MLSs) and medical laboratory technicians (MLTs). Medical laboratory educational programs are diminishing, and medical staff in hospitals are unaware of the unequivocal value trained lab scientists bring to the quality of their patients’ lab results. The national need for more qualified laboratory testing personnel is outpacing the supply. A survey to determine current marketing trends and methods was sent out to 469 program directors of MLS and/or MLT programs, with a 35% response rate. Responses were compared with proven marketing methods to give marketing suggestions relevant to the MLS field. This paper describes the research in how MLS programs currently market themselves. Explanations of marketing techniques are discussed with the intent to help simplify marketing efforts for a more effective marketing strategy. This study showed that medical and clinical laboratory educational programs nationwide should increase marketing and promote the MLS value to local communities. ABBREVIATIONS: * ASCLS - American Society for Clinical Laboratory Science * MLS - medical laboratory scientist * MLT - medical laboratory technician * NAACLS - National Accrediting Agency for Clinical Laboratory Science * SEO - search engine optimization INDEX TERMS: * medical laboratory science * marketing * medical laboratory technician * education * NAACLS ## INTRODUCTION The medical laboratory science profession is not producing enough graduates to keep pace with market demand. The American Society for Clinical Pathology recently published an article stating, “…the enrollment and graduation of medical laboratory professionals is not keeping up with the rapidly rising demand, as the profession is educating less than half of the number of laboratory professionals needed.”1 The Bureau of Labor Statistics has estimated the field of medical laboratory science will see an increased need of 11% in the profession from 2018–2028.2 An increase of this magnitude would result in 3648 additional medical laboratory scientists (MLSs)/medical laboratory technicians (MLTs) needed per year. When combined with attrition numbers, there is demand for roughly 12 000 new medical laboratory professionals per year.3 By current American Society for Clinical Laboratory Science (ASCLS) estimates, MLS educational programs are graduating around 5000 new technologists per year.3 Since 1990, the number of schools that train medical lab scientists has decreased by nearly 15%.4⇓-6 This shortage has been well documented, but little has been done to alleviate it. The reasons for the shortage have been explained by lack of clinical rotation seats, increased testing demands for the aging population, increases in retirement, noncompetitive pay, and demanding work schedules. However, the biggest factor may still be that the value of MLS as a profession is largely unknown and not marketed well. Physical locations of hospital laboratories are often secluded. The only physical interactions with patients and hospital staff are with phlebotomists who are not qualified to share testing recommendations or interpretation of results. Hence, it should come as no surprise that most people are unaware that this profession extends beyond specimen collection.7 Marketing can be simplified down to the 4 Ps: product, price, place, and promotion.8 Marketing efforts of programs were evaluated through these marketing principles, and targeted marketing methods are suggested. ## METHODS AND MATERIALS A thorough literature search was performed using Google Scholar to find the marketing methods used in the educational industry to enhance laboratory science education. The search was limited to articles within the last 10 years regarding MLS and MLT educational programs. A marketing assessment survey discussing current market trends and marketing methods (see Figure 1) was sent to 469 program directors of National Accrediting Agency for Clinical Laboratory Science (NAACLS)-accredited programs. The survey was anonymous to encourage participation. The marketing assessment survey was built using Qualtrics, an online survey tool, and was sent via emails obtained on the NAACLS website. The survey received 163 responses, equating to 35% participation. The research performed was exempt by the Institutional Review Board committee. ![Figure 1.](http://hwmaint.clsjournal.ascls.org/https://clsjournal.ascls.org/content/ascls/33/2/14/F1.medium.gif) [Figure 1.](http://hwmaint.clsjournal.ascls.org/content/33/2/14/F1) Figure 1. Survey questions sent to NAACLS-accredited MLS and MLT program directors. Data was analyzed using the Qualtrics program to understand 3 categories: the perceived demand of MLT and MLS positions in hospitals, program student capacity, and current marketing methods. The results of the survey were compared with proven marketing methods and how they are utilized by medical laboratory educational programs. ## RESULTS Survey results with regard to program demographics showed that nearly one-half (47%) are MLS programs only, and the other half (48%) are only MLT. Five percent (5%) responded to awarding both MLT and MLS degrees. The majority of responding programs (79%) are university-based, and the remaining (21%) are hospital-based programs. The vast majority (77%) responded to graduating between 5–20 students per year, whereas few (19%) graduate >20 students per year. Figure 2 shows the percentage of responses from program directors when asked to what level their program engages in marketing. Nearly 29% said they actively market their programs, and 51% replied to occasionally marketing their program. The remaining 19% have simply discussed marketing or have not done anything to market their programs. When asked if their program had a marketing plan, almost half (49%) indicated they did, whereas more than half (51%) of programs did not. ![Figure 2.](http://hwmaint.clsjournal.ascls.org/https://clsjournal.ascls.org/content/ascls/33/2/14/F2.medium.gif) [Figure 2.](http://hwmaint.clsjournal.ascls.org/content/33/2/14/F2) Figure 2. Percentage of responses from program directors when asked about marketing their program. When asked if there is a shortage of laboratory personnel in their respective regions and the perceived effect of marketing methods could have on matriculation numbers, most (98%) said they see a shortage of qualified medical laboratory personnel in their region, and most (91%) believe that a structured marketing plan could help them increase matriculation numbers (Figure 3A and 3B). For those who indicated that they market their program, the results were mixed. A little under half of respondents (48%) felt that their marketing had increased matriculation numbers, whereas more than half (52%) felt that their marketing efforts did not make any difference. ![Figure 3.](http://hwmaint.clsjournal.ascls.org/https://clsjournal.ascls.org/content/ascls/33/2/14/F3.medium.gif) [Figure 3.](http://hwmaint.clsjournal.ascls.org/content/33/2/14/F3) Figure 3. Percentage of MLS program directors that have seen a shortage of laboratory personnel, if they believe marketing could help and whether marketing will be a priority in the coming year. Thirty-six percent (36%) felt marketing was a priority for them this year (Figure 3C). Most (63%) said that they were either unsure or are not making marketing a priority this year. Hesitancy and uncertainty proved to be a reason that programs do not execute marketing, and many (68%) said that they need more support or guidance when it comes to developing a marketing plan and executing it. Figures 4 and 5 show the various marketing efforts used by programs. A majority (79%) of programs have a website. Over half (51%) of programs indicated they use social media. Of those that have social media accounts, 69% engage or update these accounts more than once a month. Facebook was the most popular platform utilized at 96%. Second to Facebook was Instagram at 20% utilization. ![Figure 4.](http://hwmaint.clsjournal.ascls.org/https://clsjournal.ascls.org/content/ascls/33/2/14/F4.medium.gif) [Figure 4.](http://hwmaint.clsjournal.ascls.org/content/33/2/14/F4) Figure 4. Percentage of programs using select marketing methods. ![Figure 5.](http://hwmaint.clsjournal.ascls.org/https://clsjournal.ascls.org/content/ascls/33/2/14/F5.medium.gif) [Figure 5.](http://hwmaint.clsjournal.ascls.org/content/33/2/14/F5) Figure 5. Percentage of MLS/MLT programs that have social media accounts. Excluded from this graph are Snapchat and Pinterest, which accounted for less than 2% of responses. ## DISCUSSION The goal of this paper is to provide marketing tools for laboratory science programs and enhance awareness of strategies for building effective marketing plans, to increase market presence, to enhance public awareness of the profession, and to ultimately increase student matriculation numbers to fill the void in the workforce. Defining the target market or potential customers helps fine-tune the entire marketing process and channels resources into effective areas.8 For example, target market individuals could be in high schools, on social media platforms, in hospitals, in laboratories, and on college campuses. In fact, marketing on campus can be very effective. A recent study showed that more than 50 percent of students who have enrolled in college are undecided about their major, and an estimated 75 percent of students will change their major.9 With targeted marketing in mind, survey responses were compared against the 4 Ps of marketing, with product and promotion being the primary focus. ### Product The product is the education and certifications the student receives. Each attribute of the product mentioned below can be used in promotion materials and other mediums. For example, successful certification pass rates, graduation rates, and flexibility of the program can all be used as marketable points in mailed media, social media, and on-campus marketing. There are several factors to consider about the product: * • **Graduation Rates.** Posting graduation rates increases students’ understanding of the path (and the difficulty thereof) to successfully graduating. Factors decreasing graduation rates include heavy course loads, unnecessary class requirements, and excessive prerequisites and generals, which can deter students from pursuing the MLS profession. * • **Accreditation.** The quality of the product is directly tied to proper accreditation. Posting updated accreditation may help increase student interest and matriculation. * • **Board of Certification Pass Rates.** If the program’s first-time pass rates are consistently below the national average, then these programs may have a product problem. Identifying the areas that are lacking in the product and increasing time and resources into improving them can improve the interest in your program. * • **Flexibility.** Rigid schedules, such as established laboratory and lecture times, are barriers for many students.10 There are flexible options for students to earn a great education. Programs must evolve to meet the challenging needs of individuals who want to pursue a career in medical laboratory science. Although there is not a perfect solution for every program, this may be an opportunity to think outside the box. Examples may include intermittent online or virtual laboratories, flipped classrooms, online lectures, shortened clinical rotations, blocked classes, open labs, etc. * • **Branding.** Creating a program brand, story, mission, or logo helps with immediate association and often creates a positive emotional response to a product.11,12 ### Price Understandably, tuition costs can be non-negotiable for university and hospital-based programs. However, individuals seeking degrees are no longer restrained to their state borders, nor do they need to move to benefit from lower tuition rates at other universities. Programs should compare their tuition rates against other programs and promote scholarship opportunities to entice student applications. ### Place Education does not have to be from a brick-and-mortar school. Distance educational models can deliver didactic material to students in rural areas where MLS shortages are apparent and recruiting qualified employees is difficult. Therefore, distance-learning models may help increase student matriculation and ease the shortage in the profession. ### Promotion Promoting the product is crucial for MLS growth. However, 71% indicated that they are not actively marketing their programs even though almost all (98%) of the program directors responded to seeing a shortage of laboratory personnel in their areas. Only 33% of programs stated marketing was a priority for them this year (see Figure 3C). The survey also asked respondents to place in order their greatest barriers to marketing. The majority (80%) responded *not enough time* as their primary or secondary reason. The next most common answer was *marketing is too expensive*. These 2 responses indicate that promotion in this field needs to be a simplified, inexpensive, and strategic endeavor. For many university-based and hospital-based programs, advertising services are available. Seeking out graphic designers, marketing departments, and web support teams on campus can help aid in the development of a targeted marketing plan. Occasionally, business or marketing departments on campus look for capstone projects for advanced students, translating into a mutually beneficial marketing project. Here are a few proven and relatively inexpensive marketing methods to immediately increase student awareness. Ensure each marketing step can be measured based on effectiveness. * • **Engage in the Community.** A large portion of the target market exists in the immediate community, so engaging in the community can be one of the most productive marketing efforts. Many programs are exploring this option. Word of mouth and high school recruiting were the 2 most preferred marketing methods (see Figure 4). Attending university and college events, science events, conferences, and high schools and/or creating events regarding lab science increase awareness of the laboratory sciences as a profession and pose it as an option for potential students. ASCLS urges MLS programs to become engaged and associated with STEM to enhance awareness and increase scholarship opportunities.1 Organizing a travel kit with microscopes, blood smears, and parasites often amazes prospective students and arouses interests. Many student leaders and club members require leadership and volunteer hours. Students may be given the responsibility for organizing events and presenting at various venues. In appropriate courses, instructors can create class assignments or provide extra credit for students who are involved in community engagement surrounding the MLS profession. This not only acts as a recruiting campaign on behalf of the program but also fosters an MLS marketing culture within current students and alumni. Using students in this capacity saves time for faculty and staff, alleviating one of the largest barriers to marketing. Measuring methods can include asking applying students how they discovered the program (ie, [www.mlsuniversity.edu/mls/community](http://www.mlsuniversity.edu/mls/community)) to calculate the effectiveness of this method. * • **Advising.** The gatekeepers and influencers on campus are academic advisors. Advisors and students may not be aware of MLS as a career. Sell the profession to advisors so they can accurately promote it to the students. Take time to leave promotional items (ie, brochures, pamphlets, flyers, graduation paths, employment rates) with advisors and clearly explain the numerous opportunities the laboratory profession has to offer. Make it easier for them to distinguish your program over another to give your department a competitive advantage. These approaches may enhance the prospect of increased student applications. Effectiveness of this approach can be determined with a unique, trackable website on the brochures that are directly tied with advising to measure online traffic (ie, [www.mlsuniversity.edu/mls/advising](http://www.mlsuniversity.edu/mls/advising)). The application form may include a question that asks if the student found out about the profession through his/her advisor. * • **Targeted Mail Media.** Sending recruitment materials out through the mail seems like an antiquated concept, but it is still a great way to get information out to targeted populations. Contact laboratories in the region with promotional swag. Magnets, stress balls, mouse pads, stickers, and pens always find a home in the clinical lab. These items may also include a unique website to measure the effectiveness of mailed media (ie, [www.mlsuniversity.edu/mls/contact](http://www.mlsuniversity.edu/mls/contact)). * • **Website.** Almost every promotional move is done to direct the student to the website. Every program needs to have a website, yet 20% of programs indicated they do not have one. This is the current model for effective online marketing. Search engine optimization (SEO) can be a valuable process to make sure that the program is among the top in keyword searches. Keywords are used to attract online traffic in search engines. Keyword tools, such as Keywords Everywhere, can be downloaded to reveal top key phrases, level of competition of keywords, and their cost per click for optimal SEO results. SEO can be a powerful tool to increase the likelihood of visibility on the first page of a search engine. However, be mindful that paying per click can be expensive (see Figure 6). A call to action should be included on the website for potential students in the form of “Learn More” or “Apply Now.” Upon website visitation, emails should also be collected for future promotions. * • **Social Media.** Program directors indicated only 40 percent of programs have a social media page, and less than half update it once a month (see Figure 5). Facebook, Instagram, Snapchat, and Twitter are all platforms to engage the laboratory profession. Social media is a simple and inexpensive way to market to prospective students and can give incredible data to clicks, views, likes, and shared pages. Some social media platforms also give advice on which target market may have an increased likelihood of success. Creative topics and discussions surrounding lab science can target high school students, undecided freshmen, preprofessional students, and lab employees looking for advancement. However, social media can be time consuming to manage, especially if there is a lack of strategy. Measurement of campaign success is built into the platform, and data can be generated to inform the department whether their marketing goals are being met.13 * • **Traditional Advertising.** This is the first method that comes to mind for many people when marketing is mentioned. Static advertising, such as billboards, magazine ads, bus benches, and other forms, can be an effective way to advertise to local populations. This type of advertising increases brand awareness. However, static advertising can be expensive, and the return on investment can be difficult to measure. If a program uses traditional advertising, keep the target market in mind. Try to incorporate trackable data and understand that this marketing is more for exposure than driving traffic. Targeted static media could include ads in campus newspapers, posters, and professional journals. These forms of media may produce lower yield for dollars spent. ![Figure 6.](http://hwmaint.clsjournal.ascls.org/https://clsjournal.ascls.org/content/ascls/33/2/14/F6.medium.gif) [Figure 6.](http://hwmaint.clsjournal.ascls.org/content/33/2/14/F6) Figure 6. An example of an individual typing in “mls programs” into the Google search engine, using the extension Keywords Everywhere. ## CONCLUSION The results of the survey sent to program directors revealed marketing is not being done to the scale needed. Many hold to the belief marketing yields little benefit. Others indicated they do not have time to market. Marketing can be time consuming. However, an effective, properly executed, targeted marketing campaign increases awareness and eventually brings more students to a lab science program. This will aid in the continual production of qualified laboratory personnel, filling the gap in the workforce. There is not one answer to effective marketing. Many programs have limitations in staff, money, and time other programs may not have. The important message is to start. Some methods will work, and some will not. Focus on the Product and Promotion of the 4 Ps. There are prospective students who are unaware of the laboratory profession. It is the responsibility of the educational programs to expand their marketing efforts to reach these students. Shortages cannot be addressed until awareness of the MLS profession is enhanced. Weber State’s MLS Department plans to release the marketing methods that have been successful and those that were not for their program. ## ACKNOWLEDGMENTS We appreciate the talents of Amy Hajdas, graphic designer. * Received November 14, 2019. * Revision received February 21, 2020. * Accepted February 22, 2020. American Society for Clinical Laboratory Science ## References 1. 1.Addressing the clinical laboratory workforce shortage. The American Society for Clinical Laboratory Science. Accessed August 2, 2018. [https://www.ascls.org/position-papers/321-laboratory-workforce/440-addressing-the-clinical-laboratory-workforce-shortage](https://www.ascls.org/position-papers/321-laboratory-workforce/440-addressing-the-clinical-laboratory-workforce-shortage). 2. 2.Medical and clinical laboratory technologists and technicians. U.S. Bureau of Labor Statistics. Accessed June 1, 2018. 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