This document proposes implementing a career ladder for clinical laboratory employees at a university hospital to improve employee retention, motivation, and recruitment. The proposed ladder would have several levels with clear requirements for advancement involving certification, education, and taking on additional responsibilities. Benefits of the ladder include improved collaboration, knowledge sharing to prevent expertise gaps, and reduced training costs. Implementing the ladder would require developing job descriptions for each level, performance review criteria, appropriate financial rewards, and an evaluation process to monitor the ladder over time.