New Application: Hematology
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. Is the support of
the program in this area satisfactory at all program sites? [PR II.C.1.]
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Resources
1. Describe the office space, meeting rooms, and laboratory space available to support patient carerelated teaching, educational, and research activities, and clinical service work. [PR II.D.1.]
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2. Describe the types of hematology patient care materials available for clinical teaching, and the
method for indexing such materials as to permit retrieval of archived records in a timely manner.
[PR II.D.2.a)]
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3. Provide the following data for each participating site for the most recent 12-month period available.
[PR II.D.2.b); II.D.2.b).(1)]
Number of beds
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General laboratory
(total workload)
Number of tests
CBCs reviewed
performed in hematology
Lymph nodes (number
program as part of the
of cases)
pathology department
Coagulation (number
of cases)
Number of bone marrows, aspirates, and
biopsies
Number of lymph node biopsies
PT
PTT
Number of
coagulation
Platelet function
studies
Factor assays
Miscellaneous
Number of
Red cell disorders (Hgb, elec.
special
Enzymes, etc.)
Hematology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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studies in
Flow cytometry cases
Immunochemistry
Molecular (DNA) assays
Cytogenetic Studies
Miscellaneous
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Total
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Percentage of
Adult
all clinical
material
Pediatric
(approximate)
4. Indicate the equipment available for fellow education at each site. [PR II.D.3.a)]
# of multi-headed microscopes
# of individual fellow microscopes
Do fellows have individual work stations? (Yes or
No)
Site #1
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item.
Site #2
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Site #3
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FELLOWS 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
2. Describe the planned interaction of these other learners with the program fellows. [PR III.B.2.]
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EDUCATIONAL PROGRAM
Patient Care
Indicate the settings and activities in which fellows will demonstrate competence in the following. Also
indicate the method(s) that will be used to assess competence.
Hematology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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Competency Area
Performing procedures, including
bone marrow aspiration/biopsy
[PR IV.A.2.a).(2).(a)]
Diagnostic competence,
including:
[PR IV.A.2.a).(2).(b)]
Analyzing laboratory results,
including automated
hematology analyzers,
coagulation testing,
cytogenetics, flow cytometry,
immunohistochemistry, and
molecular studies, including
Fluorescence In Situ
Hybridization (FISH) and
Polymerase Chain Reaction
(PCR)
[PR IV.A.2.a).(2).(b).(i)]
Interpreting lymph nodes and
related tissue pathology
[PR IV.A.2.a).(2).(b).(ii)]
Interpreting bone marrow
aspirates and biopsy
specimens
[PR IV.A.2.a).(2).(b).(iii)]
Settings/Activities
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Assessment Method(s)
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Medical Knowledge
Indicate the activities (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which
fellows will demonstrate expertise in their knowledge in each of the following areas. Also indicate the
method(s) that will be used to assess expertise.
Area of Expertise
Bone marrow pathology, lymph
node pathology, peripheral blood
and body fluid examination, red
cell disorders,
hemoglobinopathies, and
coagulation
[PR IV.A.2.b).(1).(a)]
Methods of correlating data from
clinical pathology, cytological,
and histopathologic assessments
of hematologic disease
[PR IV.A.2.b).(1).(b)]
Pathogenesis, including clinical
correlation and prognostic
significance, of hematologic
disease
[PR IV.A.2.b).(1).(c)]
Settings/Activities
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Assessment Method(s)
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Hematology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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Area of Expertise
Specimen collection and
preparation for routine
hematologic testing
[PR IV.A.2.b).(1).(d)]
Techniques, including flow
cytometry, molecular techniques,
and automated hematology
procedures
[PR IV.A.2.b).(1).(e)]
The operation and management
of hematology and relevant
specialty laboratories, including
quality control procedures, assay
development, quality
improvement activities, and
laboratory regulations
[PR IV.A.2.b).(2)]
Settings/Activities
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Assessment Method(s)
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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)
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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
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3. Briefly describe how fellows will receive and incorporate formative evaluation feedback into daily
practice. (If a specific tool is used to evaluate these skills, have it available for review by the site
visitor.) [PR IV.A.2.c).(3)] (Limit response to 400 words)
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4. Briefly describe one learning activity in which fellows will demonstrate competence in using
information technology to optimize learning and improve patient care. [PR IV.A.2.c).(4)] (Limit
response to 400 words)
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Hematology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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Interpersonal and Communication Skills
1. Briefly describe one learning activity in which residents 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)
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2. Briefly describe one learning activity in which fellows demonstrate competence in providing
appropriate and effective consultations to other physicians and health professionals, both intra- and
inter-departmentally, including providing medical advice on the diagnosis and management of
hematologic disorders. [PR IV.A.2.d).(1); IV.A.2.d).(1).(a)] (Limit response to 400 words)
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3. Briefly describe one learning activity in which fellows demonstrate competence in effective verbal
and written communication. [PR IV.A.2.d).(2)] (Limit response to 400 words)
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4. Briefly describe how fellows will be provided with opportunities to maintain comprehensive, timely,
and legible medical records, if applicable. [PR IV.A.2.d).(3)] (Limit response to 400 words)
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Professionalism
Briefly describe the learning activity(ies), other than lecture, by which fellows demonstrate a
commitment to carrying out professional responsibilities and an adherence to ethical principles. [PR
IV.A.2.e)] (Limit response to 400 words)
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Systems-based Practice
1. Describe the learning activity(ies) through which fellows demonstrate an awareness of and
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)
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2. Describe an activity that fulfills the requirement for experiential learning in identifying system errors
and implementing potential systems solutions. [PR IV.A.2.f).(1)] (Limit response to 400 words)
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Curriculum Organization and Fellow Experiences
1. List the planned conference schedule for fellows. Add additional rows as necessary. [PR IV.A.3.a)]
Hematology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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Name of Conference
Frequency
Responsible
Department
Required?
(Yes/No)
Attendance
Taken?
(Yes/No)
2. Describe fellow participation in these conferences. How much responsibility will they have for their
preparation and presentation? [PR IV.A.3.a).(1)]
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3. Briefly describe how the fellow will work in interprofessional teams. [PR VI.F.1.]
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Hematology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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