These guidelines suggest how clinical chemists may promote rational la
boratory use by critically evaluating the tests they offer. This maybe
done by documenting the clinical uses and limitations of tests in the
same way that properly written up method descriptions outline analyti
cal procedures in a particular laboratory. This information can then b
e promoted on result report forms, in discussion or through investigat
ional protocols or clinical guidelines. For these to be of value they
should be the result of clinical and laboratory input reflecting the l
ocal practice and facilities. They should be clearly written, easily a
ccessible to the users and updated whenever there is a change of metho
dology or clinical practice. Much can be achieved by applying common s
ense to common knowledge and laboratories of all sizes can prepare the
ir own material. However, national scientific societies and other prof
essional organisations can assist local endeavour by avoiding and diss
eminating educational material on test evaluation, selection and use.