New Application: Chemical Pathology Review Committee for Pathology ACGME 515 North State Street, Suite 2000, Chicago, Illinois 60654 312.755.5000 www.acgme.org PROGRAM PERSONNEL AND RESOURCES Other Program Personnel Briefly describe the program coordinator and qualified laboratory technical personnel that will provide support for the clinical, teaching, educational, and research activities of the fellowship. [PR II.C.1.] (Limit response to 400 words) Click here to enter text. Resources 1. Describe the office space, meeting rooms, and laboratory space available to support patient carerelated teaching, educational, research activities, and clinical service work. [PR II.D.1.] Click here to enter text. 2. Will the laboratories be equipped to perform all tests required for the education of fellows? [PR II.D.3.] .........................................................................................................................( ) YES ( ) NO If “NO”, explain. Click here to enter text. 3. Provide the following information for each major laboratory section that will participate in the program. Duplicate table as necessary. [PR II.D.2. and II.D.3.] Laboratory Name Site # Laboratory Director and Degree Person responsible for chemical pathology education and degree List the 25 most common Description of Procedure determinations (panels should be listed as one 1. procedure) performed in 2. the laboratory during a 3. recent 12-month period: 4. 5. 6. 7. 8. 9. 10. 11. 12. Chemical Pathology ©2015 Accreditation Council for Graduate Medical Education (ACGME) Annual # of Procedures Updated 4/2015 Page 1 of 5 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. What 10 determinations are most often sent from this laboratory to outside laboratories? Description of Procedure 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Annual # of Procedures Briefly describe the role of this laboratory in the chemical pathology program, and the fellows’ role in the integration of this data in the care of patients. FELLOW APPOINTMENTS 1. Provide the following information for other educational programs (e.g., other GME programs from this and other sites, residency/fellowship programs for medical technologists, masters and doctoral programs, or post-doctoral programs for clinical scientists) that use program facilities for educational experiences in pathology. Add additional rows as necessary. [PR III.B.2.] Name of Site and Type of Program Length of rotation (in weeks) Maximum number of Maximum number of learners present at the learners per year same time Chemical Pathology ©2015 Accreditation Council for Graduate Medical Education (ACGME) Updated 4/2015 Page 2 of 5 Name of Site and Type of Program Length of rotation (in weeks) Maximum number of Maximum number of learners present at the learners per year same time 2. Describe the planned interaction of these other learners with the program fellows. [PR III.B.2.] Click here to enter text. EDUCATIONAL PROGRAM Patient Care Indicate the settings and activities in which residents will demonstrate competence in the evaluation and management of the following areas of patient care. Also indicate the method(s) that will be used to assess competence. Competency Area Advising clinicians on the selection, instrumentation and methodology, and interpretation of clinical chemistry tests (as they apply to all body systems), including tests sent to a reference laboratory facility. These must include: [PR IV.A.2.a).(1).(a)] Acid-base balance Autoimmune disease markers Electrolytes, enzymes, and other proteins Function tests Hormones Infectious disease markers, including hepatitis testing Lipids Metabolites associated with metabolic diseases Therapeutic drug monitoring Toxicology Tumor markers Settings/Activities Click here to enter text. 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[PR IV.A.2.b).(1)] Chemical Pathology ©2015 Accreditation Council for Graduate Medical Education (ACGME) Updated 4/2015 Page 3 of 5 Click here to enter text. Practice-based Learning and Improvement 1. Briefly describe one planned quality improvement activity or project that will allow fellows to demonstrate an ability to analyze, improve, and change practice or patient care. Describe planning, implementation, evaluation, and provisions of faculty member support and supervision that will guide this process. [PR IV.A.2.c).(1)] (Limit response to 400 words) Click here to enter text. 2. Briefly describe one example of a learning activity in which fellows engage to develop the skills needed to locate, appraise, and assimilate evidence from scientific studies and apply it to their patients' health problems. [PR IV.A.2.c).(2)] (Limit response to 400 words) The description should include: Locating information Appraising information Assimilating evidence information (from scientific studies) Applying information to patient care Click here to enter text. 3. Indicate the activities (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which fellows will demonstrate competence in managing and directing a clinical chemistry laboratory, including adhering to safety, federal, and state regulations, evaluating and selecting new equipment, selecting and developing new clinical chemistry tests, selecting and using appropriate statistical tests, using quality assurance procedures, and using informatics. [PR IV.A.2.c).(3).(a)-(f)] (Limit response to 400 words) Click here to enter text. Interpersonal and Communication Skills 1. Briefly describe one learning activity in which fellows demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals. [PR IV.A.2.d)] (Limit response to 400 words) Click here to enter text. 2. Indicate the activities (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which fellows will demonstrate competence in providing appropriate and effective consultations to other physicians and health professionals, both intra- and inter-departmentally. [PR IV.A.2.d).(1)] (Limit response to 400 words) Click here to enter text. Professionalism Briefly describe one learning activity in which fellows will demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. [PR IV.A.2.e)] (Limit response to Chemical Pathology ©2015 Accreditation Council for Graduate Medical Education (ACGME) Updated 4/2015 Page 4 of 5 400 words) Click here to enter text. Systems-based Practice Describe the learning activity(ies) through which residents demonstrate an awareness of an responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. [PR IV.A.2.f)] (Limit response to 400 words) Click here to enter text. Curriculum Organization and Fellow Experiences 1. Describe the clinical experience for fellows in all aspects of chemical pathology. Outline the educational activities specific to chemical pathology, review of the medical literature in the subspecialty area, and use of study sets of unusual cases. [PR IV.A.3.a)] Click here to enter text. 2. List the planned conference schedule for fellows. Add additional rows as necessary. [PR IV.A.3.b)] Name of Conference Frequency Responsible Department Required? (Yes/No) Attendance Taken? (Yes/No) 3. Describe fellow participation in these conferences. How much responsibility will they have for their preparation and presentation? [PR IV.A.3.b).(1)] Click here to enter text. Chemical Pathology ©2015 Accreditation Council for Graduate Medical Education (ACGME) Updated 4/2015 Page 5 of 5