Cytopathology

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.]
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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.]
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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
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Total #
% Superficial/palpable
lesions
% Deep, non-palpable
lesions
Total #
Total cytopathology
FNA
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Cytopathology
©2017 Accreditation Council for Graduate Medical Education (ACGME)
Updated 04/2017
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Surgical pathology
Site #1
Site #2
Site #3
Total
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# 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
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Site #2
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Site #3
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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
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Frequency
Cytopathology
©2017 Accreditation Council for Graduate Medical Education (ACGME)
Quality
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Updated 04/2017
Page 2 of 8
How frequently are your
slides updated?
Frequency
Site #1
Others
(Specify)
Quality
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Frequency
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Frequency
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List other significant teaching materials and describe the opportunities fellows will have to review
slide sets of cytologic changes.
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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
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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
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
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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 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
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techniques, and prognostic
factors for disease processes
commonly sampled by cytologic
methods
[PR IV.A.2.b).(1)]
Cervical cancer screening,
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cervical cancer screening followup guidelines, and laboratory
regulations related to
Cytopathology
©2017 Accreditation Council for Graduate Medical Education (ACGME)
Assessment Method(s)
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Updated 04/2017
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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)
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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 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)
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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)
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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)
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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)
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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)
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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
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Assessment Method(s)
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a) If applicable, describe other fellow learning activities related to Systems-Based Practice (Limit
response to 400 words).
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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)]
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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
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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
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☐No
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☐No
☐Yes
☐No
☐Yes
☐No
☐Yes
☐No
Attendance
Taken?
(Yes/No)
☐Yes
☐No
☐Yes
☐No
☐Yes
☐No
☐Yes
☐No
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☐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)]
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5. Will fellows participate in laboratory inspections? [PR IV.A.3.c)] .................................. ☐ YES ☐ NO
If “NO,” explain.
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6. Briefly describe how the fellow will work in interprofessional teams. [PR VI.E.2]
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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