To become Med Lab Tech, you need an Associate of Applied Science Degree Program in Medical Laboratory Technician. There are online MLT programs or depending on where you live, there are community college that offer MLT program. I am a MLT and I work in a hospital setting. Most hospital prefer Medical Technologist over Med Lab Tech. Where I work, MLTs and MTs have the same workload and the only difference is salary. MT gets about $3 more than MLT. Yes, instrumentation has come more automated but you need techs do to Blood Bank, review slides and do maintenance.