随着以患者为中心的治疗计划逐渐依赖于临床整合,血液病理学研究金教育变得越来越复杂,形态学,免疫表型,分子,和细胞遗传学变量。这种复杂性与及时的血液病理学护理和患者管理的需求竞争。实验室,和社会资源。研究生医学教育里程碑认证委员会为血液病理学培训提供指导文件,但是研究员和他们的教育者需要一个简单的框架,允许对独立的血液病理学实践的增长进行评估和反馈。可委托的专业活动提供了一个这样的框架,在这里,我们提供建议的血液病理学研究金委托专业活动的基础上审查相关的指南和文献,利用改进的迷你德尔菲方法进行多轮专家和利益相关者的输入。开发了十项核心委托专业活动,这些活动被认为对血液病理学毕业生至关重要,并提供了技能和知识声明。示例场景,以及相应的研究生医学教育里程碑认证委员会。这些委托专业活动在程序设计中的应用,同伴评价,并讨论了有关监督水平的决定,同时考虑了实施的好处和障碍。这些委托的专业活动可用于血液病理学研究金主任和教师为研究员提供及时的建设性反馈,确定委托决策,向临床能力委员会提供详细数据以支持里程碑评估,并深入了解研究金培训的潜在改进领域。研究员将受益于明确的独立血液病理学实践路线图,并提供具体及时的反馈。
Hematopathology fellowship education has grown in complexity as patient-centered treatment plans have come to depend on integration of clinical, morphologic, immunophenotypic, molecular, and cytogenetic variables. This complexity is in competition with the need for timely
hematopathology care with stewardship of patient, laboratory, and societal resources. Accreditation Council for Graduate Medical Education Milestones provide a guidance document for hematopathology training, but fellows and their educators are in need of a simple framework that allows assessment and feedback of growth toward independent hematopathology practice. Entrustable professional activities provide one such framework, and herein, we provide proposed Hematopathology Fellowship Entrustable Professional Activities based on review of pertinent
guidelines and literature, with multiple rounds of expert and stakeholder input utilizing a modified mini-Delphi approach. Ten core entrustable professional activities deemed essential for graduating
hematopathology fellows were developed together with skills and knowledge statements, example scenarios, and corresponding Accreditation Council for Graduate Medical Education Milestones. Application of these entrustable professional activities in program design, fellow evaluation, and decisions regarding level of supervision is discussed with consideration of benefits and barriers to implementation. These entrustable professional activities may be used by
hematopathology fellowship directors and faculty to provide fellows with timely constructive feedback, determine entrustment decisions, provide the Clinical Competency Committee with granular data to support Milestone evaluations, and provide insight into areas of potential improvement in fellowship training. Fellows will benefit from a clear roadmap to independent hematopathology practice with concrete and timely feedback.