TST Workshop FAQ



General TST Workshop FAQs

Is TST Certification required by the State of Michigan? Michigan Occupational Safety and Health Administration (MIOSHA) has requirements for staff training and competency for evaluating occupational exposure to tuberculosis (TB). Our TST Workshop was designed to meet these competencies and trainings, thus, we strongly recommend our workshop as the standard for assuring staff are trained and competent to place and read the TST appropriately. Please see “Why Should I Become Certified in TST?” on our website for more information.

Who provides TST Certification? The TST Workshop contents and Certification are provided by the State of Michigan, Department of Health and Human Services, Tuberculosis Control Unit. Michigan Public Health Institute (MPHI) works with the TB Control Unit to organize and implement TST Workshops in the state.

What are the qualifications to become TST certified? Candidates for the TST Workshop are healthcare professionals who have experience with injections, universal precautions, sterile technique, and are responsible for assessing the risk of TB in their facility. Healthcare credentials that can be certified for TST include MD, DO, DDS, PharmBS, RPh, NP, PA, RN, BSN, MSN, LPN, EMT, EMP-P, RMA, and CMA. Please see “TST Candidate Guidelines” on our website for more information.

How can I find available Workshops? From the main page of our website, www.TSTMichigan.com, navigate to the Calendar of Eventspage to view available Workshops. You can also go there by selecting “Find a Workshop,” found in the middle of the page. You can search by county, date and whether the Workshop is public or private. All workshops are listed on the website, so if you don’t see one listed in your county, you may need to travel outside of your county to attend one.

How do I register for a TST Workshop? First, find the Workshop you would like to attend using the Calendar of Events. Then select the event details, and “Register.” You will be prompted to create a new profile before you can register for the Workshop.

What is the difference between “Open to Public” and “Private” Workshops? “Open to Public” Workshops are available for anyone who qualifies to register for the TST Workshop. “Private” Workshops are by invitation only from the Instructor or facility representative. This may come in the form of an email, a facility publication, or a flyer.

Does the TST Workshop offer continuing education credits? Yes! The TST Certification Workshop offers nursing contact hours and Medical Assistant Category CG Continuing education units. All criteria must be met to be eligible. Please see “Continuing Education Information” on our website for more information.

How long does TST Certification last? TST Certification expires 24 months from the date of the course. You will receive automated notices at 90, 60 and 30 days prior to expiration notifying you of your need to take a Workshop.

Can I teach a TST Workshop? Yes, you can become a TST Instructor! TST Instructor candidates must be either an RN, LPN, NP, PA, MD, or DO and have experience in Tuberculosis Control. TST Instructor candidates must also meet the following criteria to become approved to attend the Train the Trainer (TTT) Workshop:

  • Be knowledgeable in all aspects of TB including history, epidemiology, transmission, pathogenesis, diagnosis, treatment, and prevention.
  • Have experience administering, reading and interpreting TB skin tests.
  • Be certified to Read & Administer TB Skin tests for a period of at least 12 months in the previous 6 years.
  • Hold a current TST certification. Please see “How to Become an Instructor” on our website for more information.  

What is a Master Regional Trainer (MRT) and how can I become one? MRTs are the “governing board” of the TST Workshop, and provide recommendations about the Workshop to the TB Control Unit. They convene monthly via conference call to discuss waiver applications, changes in TST Candidate Guidelines, and updates to content in the TST Workshop. MRTs also help with special projects, such as updating the CDC TST video. Please see “How to Become a Master Regional Trainer” on our website for more information. If you are interested in becoming an MRT, you must first meet the following qualifications:

  • Meet all requirements to be and remain a TST Instructor.
  • Be a current and active TST Instructor that is responsible for training others in both TST Certification and TTT Workshops.
  • Have taught TST Workshops for a minimum of 24 months prior to becoming a MRT.

What are the TST Candidate Guidelines? The TST Candidate Guidelines are the rules and regulations we use to guide our decision making process in the development of the TST Workshop. They have been written and are updated annually by our Master Regional Trainers (see question #11 in this document for more information about MRTs). Please see “TST Candidate Guidelines” on our website for more information.

Who can I contact if I have questions? For questions regarding the Online Portal, registering for a workshop, or your certification and continuing education credit status, please email Kathryn Wilton, This email address is being protected from spambots. You need JavaScript enabled to view it..

For questions regarding TB, or Workshop educational material, please contact Helen McGuirk, 517-284-4957, This email address is being protected from spambots. You need JavaScript enabled to view it..

To contact your instructor, please visit the Instructor Directory on our website to find their contact information.


New Fee Effective November 2, 2017

What is the fee? We will offer two fee levels: an individual fee of $45 per person, or an institutional fee of $40 per person if at least 16 people from the same agency are certified within one year. The institutional fee can be paid annually based on the estimated number of employees the agency plans to enroll in the TST workshop. For more information about our institutional fee option, please contact MPHI at This email address is being protected from spambots. You need JavaScript enabled to view it..

How will this fee be used?This fee will offset the costs of providing continuing education and maintaining our electronic management system for the thousands of people who are TST-certified each year.

Why are you starting to charge? For years, we have kept the cost minimal for our participants; however, we have recently learned that CDC will award our program substantially less money in 2018 than in prior years, and this reduction in funding will persist for the foreseeable future.

When do we start paying certification fees? Certification fees will apply to all Workshops effective November 1, 2017.

How can I pay the registration fee? The fee will be payable using VISA or MasterCard, at the time of workshop registration. In order not to burden our volunteer instructors, cash, checks, or other forms of payment will not be accepted at the workshops.

How often do I need to pay this fee? Every time you certify and recertify (every 24 months).

What is your cancellation and refund policy? No cancellations or refunds will be accepted. Request for cancellations and no-shows for any reason, including inclement weather conditions and weather related emergencies, are subject to the full certification fee. Refunds will not be given at any time. Substitutions are welcome.

What about institutions who require TST training? For organizations where TST trainings are mandatory, we will be offering an institutional fee of $40 per person if at least 16 people from the same agency are certified within one year. The institutional fee can be paid annually based on the estimated number of employees the agency plans to enroll in the TST workshop. For more information about our institutional fee option, please contact MPHI at This email address is being protected from spambots. You need JavaScript enabled to view it..

I am an instructor; do I have to pay a fee? Those instructors who Fast Track do NOT need to pay a TST certification fee. For more information about how to Fast Track as an instructor, please see the Instructor Recertification page on our websitewww.tstmichigan.com.

I am an instructor; what if I already charge a fee for the workshop? Some instructors chose to charge a fee to help cover the costs of materials, time, travel, etc. You can continue to charge these fees when our state fee goes into effect. It is the responsibility of the instructor to charge and collect his or her own fees, just as it is the responsibility of MPHI to charge and collect the $45/$40 fees.

What if I do not want to pay a fee? Please see the first question in this FAQ sheet, titled “Is TST certification required by the state of Michigan?” We understand a registration fee may be burdensome to some institutions. Agencies are fully entitled to develop and provide their own TST trainings, but the content must be separate and distinct from the MDHHS materials. The materials in the MDHHS TST Workshop, including the PowerPoint, video, and pre-/post-tests, cannot be used as part of an agency’s own TST training. In addition, instructors cannot continue to use MDHHS materials or the online portal without offering CEs to their participants, in an effort to avoid the fee.

Changes for MAs and the TST Workshop (2016)

What are the new changes to the TST Candidate Guidelines for MAs? Medical Assistants (MAs) will need to prove certification (CMA) or registration (RMA) status before they attend a TST Workshop and receive TST certification. MAs will no longer be considered for waivers. We will no longer have “read-only” certification. For more information about what TST Candidate Guidelines, please see the “TST Candidate Guidelines” section on our website.

What do the new changes mean for me? If you are a Medical Assistant, you will need to prove certification or registration from an accredited institution in order to receive your TST certification. If you are an MA and cannot prove CMA/RMA status, you will not be approved for a waiver to attend a TST Workshop and thus will not be TST certified.

I am a Medical Assistant, how do I prove my certification or registration? Immediately after you register for a TST Workshop, please scan and email a copy of your CMA or RMA credential to This email address is being protected from spambots. You need JavaScript enabled to view it.. Please indicate the workshop ID#, date, and instructor. If you are unable to email a copy, please fax it to 517-969-5177.

Why did you make these changes? We are attempting to become more compliant with MIOSHA regulations, which state the following procedure for inspections that may be included in a TB investigation: “A professional licensed health care provider [PLHCP] shall perform TB skin tests, medical surveillance, and post-exposure follow-up medical evaluations.” Medical assistants are not licensed by the state of Michigan, and are therefore not included in MIOSHA’s category of PLHCP. Through certification, CMAs and RMAs are considered professional health care providers and are thus qualified through MIOSHA standards to administer and read TSTs. Please see question #1 in this document for more information about MIOSHA regulations.

I am an MA and I would like to become certified or registered, where do you recommend I get this? The State of Michigan does not recommend a specific organization to obtain MA certification. There are many organizations that offer MA certifications, some of which are more reputable than others. When we receive proof of certification from an MA we look for a few specific qualifications that the certifying organization requires before the certification or registration is given. These qualifications include graduating from an accredited medical assistant program, on the job experience, clinical practicum hours in an educational setting, and offering continuing education credits. Programs and institutions should be accredited by a regional or national accreditation agency approved by the US Department of Education or the Council for Higher Education Accreditation. These two websites can be used to search for an accredited medical assistant program: Commission on Accreditation of Allied Health Education Programs (CAAHEP) and Accrediting Bureau of Health Education Schools (ABHES). If the organization where you got your MA certification does not require any of the above qualifications, we cannot guarantee that you will be approved to take the TST Workshop.