New Application: Cytopathology Review Committee for Pathology ACGME 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.] 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. Provide the following data for each participating site for the most recent 12-month period available. [PR II.D.2.] Total GYN # of Cytology Non-GYN Accessions (specify categories) FNAs Outside Consultations Other cytopathology Total # with correlating biopsy % thin layer preparation % abnormal pap smears Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Total # % Superficial/palpable lesions % Deep, non-palpable lesions Total # Total cytopathology FNA Click here to enter text. Site #1 # # # Site #2 # # # Site #3 # # # Total # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # Cytopathology ©2017 Accreditation Council for Graduate Medical Education (ACGME) Updated 04/2017 Page 1 of 8 Surgical pathology Site #1 Site #2 Site #3 Total # # # # # # # # # # # # # # # # # # # # Click here to enter text. Click here to enter text. Click here to enter text. # of accessions # of OR consultations 3. Will the laboratories be equipped to perform all tests required for the education of fellows? [PR II.D.3.] .......................................................................................................................... ☐ YES ☐ NO 4. Indicate the equipment listed below that is available for fellow education at each participating site. [PR II.D.3.a)] # of multi-headed microscopes # of individual fellow microscopes # of data handling systems Square feet of cytopathology laboratory space Do fellows have individual work stations? (Yes or No) Site #1 # # # # Choose an item. Site #2 # # # # Choose an item. Site #3 # # # # Choose an item. 5. Indicate the total number of case study sets (with patient history, cytology slides, histology slides, if available, and diagnosis) for each type and the total number of other materials that are available to the program for fellow education. Use the following rating scale for quality of slides: 0=Unsatisfactory; 1=Satisfactory; 2=Excellent. [PR II.D.4.] Site #1 Exfoliative Cytology FNAs Female genital tract Urinary tract Respiratory tract Liver GI tract Kidney Lung Thyroid Breast Head and neck Male GU Lymph nodes Deep lesions Body cavity fluid Cerebrospinal fluid How frequently are your slides updated? Frequency Frequency Frequency Frequency Frequency Frequency Frequency Frequency Frequency Frequency Frequency Frequency Frequency Frequency Frequency Cytopathology ©2017 Accreditation Council for Graduate Medical Education (ACGME) Quality Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Updated 04/2017 Page 2 of 8 How frequently are your slides updated? Frequency Site #1 Others (Specify) Quality Choose an item. Click here to enter text. Click here to Frequency Choose an item. enter text. Click here to Frequency Choose an item. enter text. List other significant teaching materials and describe the opportunities fellows will have to review slide sets of cytologic changes. Click here to enter text. 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 Site name and program type Site name and program type Site name and program type Site name and program type Site name and program type Site name and program type Site name and program type Site name and program type Site name and program type Length of rotation (in weeks) Maximum number of learners per year Maximum number of learners present at the same time Length of rotation # # Length of rotation # # Length of rotation # # Length of rotation # # Length of rotation # # Length of rotation # # Length of rotation # # Length of rotation # # Length of rotation # # 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 Cytopathology ©2017 Accreditation Council for Graduate Medical Education (ACGME) Updated 04/2017 Page 3 of 8 Indicate the settings and activities in which fellows will demonstrate competence in the following areas of patient care. Also indicate the method(s) that will be used to assess competence. Competency Area Performance of specimen screening, specimen collection, and cytopreparation, including liquid-based preparation [PR IV.A.2.a).(2).(a)] Application of additional diagnostic adjuncts, including flow cytometric analysis, immunocytochemistry, and molecular testing [PR IV.A.2.a).(2).(b)] Performance of FNA procedures in a variety of organ sites [PR IV.A.2.a).(2).(c)] Obtaining cellular diagnostic material, defined as wellpreserved material that is ultimately diagnosed as malignant by cytologic sampling [PR IV.A.2.a).(2).(c).(i)] Immediate assessment of imageguided FNA specimens from a variety of organ sites as demonstrated by the degree of agreement between immediate evaluation and final diagnosis [PR IV.A.2.a).(2).(d)] Diagnostic proficiency [PR IV.A.2.a).(2).(e)] Settings/Activities Click here to enter text. Assessment Method(s) Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Medical Knowledge Indicate the activities (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which fellows will demonstrate knowledge in each of the following areas. Also indicate the method(s) that will be used to assess knowledge. Area of Knowledge Settings/Activities Pathogenesis, diagnostic Click here to enter text. techniques, and prognostic factors for disease processes commonly sampled by cytologic methods [PR IV.A.2.b).(1)] Cervical cancer screening, Click here to enter text. cervical cancer screening followup guidelines, and laboratory regulations related to Cytopathology ©2017 Accreditation Council for Graduate Medical Education (ACGME) Assessment Method(s) Click here to enter text. Click here to enter text. Updated 04/2017 Page 4 of 8 Area of Knowledge cytopathology tests [PR IV.A.2.b).(2)] Settings/Activities Assessment Method(s) 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. Briefly describe how fellows will demonstrate competence in laboratory management and use of quality assurance/improvement methods, including cytologic-histologic correlations. [PR IV.A.2.c).(3)] (Limit response to 400 words) Click here to enter text. 4. Briefly describe how fellows will demonstrate competence in using computers and laboratory information systems for cytopathology reporting, data management, and quality control/assurance. [PR IV.A.2.c).(4)] (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. Briefly describe one learning activity in which fellows develop competence in providing appropriate and effective consultations to other physicians and health professionals, both intra- and interdepartmentally. [PR IV.A.2.d).(1)] (Limit response to 400 words) Click here to enter text. Cytopathology ©2017 Accreditation Council for Graduate Medical Education (ACGME) Updated 04/2017 Page 5 of 8 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) Click here to enter text. Systems-based Practice Briefly 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, specifically how fellows will demonstrate the ability to: [PR IV.A.2.f)] (Limit response to 400 words) Competency Area Work effectively in a variety of health care delivery settings and systems relevant to pathology [PR IV.A.2.f).(1)] Incorporate cost considerations and risk-benefit analysis in patient and population-based care [PR IV.A.2.f).(2)] Participate in identifying system error and implementing systems solutions [PR IV.A.2.f).(3)] Advocate for quality patient care and optimal patent care systems [PR IV.A.2.f).(4)] Settings/Activities Click here to enter text. Assessment Method(s) Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. a) If applicable, describe other fellow learning activities related to Systems-Based Practice (Limit response to 400 words). Click here to enter text. Curriculum Organization and Fellow Experiences 1. Describe how fellows gain clinical experience that includes supervision of trainees and/or laboratory personnel, and graded responsibility, including independent diagnosis and decision-making. [PR IV.A.3.a).(1)] Click here to enter text. 2. Describe the clinical experience for fellows in all aspects of cytopathology. Outline the educational activities specific to cytopathology, review of the medical literature in the subspecialty area, and use of study sets of unusual cases. [PR IV.A.3.a).(2)] Cytopathology ©2017 Accreditation Council for Graduate Medical Education (ACGME) Updated 04/2017 Page 6 of 8 Click here to enter text. 3. List the planned conference schedule for fellows. Add additional rows as necessary. [PR IV.A.3.b)] Name of Conference Frequency Responsible Department Conference name Conference name Conference name Conference name Frequency Department Conference name Frequency Department Conference name Frequency Department Conference name Frequency Department Conference name Frequency Department Conference name Frequency Department Conference name Frequency Department Conference name Frequency Department Conference name Frequency Department Conference name Frequency Department Conference name Frequency Department Required? (Yes/No) ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No Attendance Taken? (Yes/No) ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No 4. 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. 5. Will fellows participate in laboratory inspections? [PR IV.A.3.c)] .................................. ☐ YES ☐ NO If “NO,” explain. Click here to enter text. 6. Briefly describe how the fellow will work in interprofessional teams. [PR VI.E.2] Click here to enter text. Cytopathology ©2017 Accreditation Council for Graduate Medical Education (ACGME) Updated 04/2017 Page 7 of 8 Cytopathology ©2017 Accreditation Council for Graduate Medical Education (ACGME) Updated 04/2017 Page 8 of 8
© Copyright 2026 Paperzz