TST Workshop FAQ
Is TST Certification required by the State of Michigan?
Michigan Occupational Safety and Health Administration (MIOSHA) has requirementsfor 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 Events page 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.
How much does the TST Workshop cost?
TST Workshops are generally free of cost, however we leave the option to charge participants up to our instructors. Workshops with a fee will say “w/ FEE” in the event title of the Workshop, as well as the event description. Money collected at a Workshop goes towards supplies for the didactic and practicum portions of the Workshop.
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.
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.
Please see “How to Become a Master Regional Trainer” on our website for more information.
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:
For questions regarding TB, or Workshop educational material, please contact:
Helen McGuirk 517-284-4957
To contact your instructor, please visit the Instructor Directory on our website to find their contact information.
New Changes to TST Candidate Guidelines FAQ
What are the new changes to the TST Candidate Guidelines?
The new changes include: 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 are, please see question #12 of this document and 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?
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:Graduate from an accredited medical assisting program. 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) Accrediting Bureau of Health Education Schools (ABHES) On the job experience or clinical practicum hours in an educational setting. Offers continuing education credits. 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.