EPAs for Laboratory Medicine Rotations (PGY1) (Hematopathology/Biochemistry/Microbiology)

D-  1 Participating in basic specimen handling Key Features:

This EPA includes the use of the basic knowledge covered in the orientation to the laboratory in order to:

1. Match requisition and container and/or specimen
2. Systematically verify the adequacy of patient and clinical information (requisition adequacy and completeness such as documentation of ischemic time) to initiate laboratory evaluation of a specimen
3. Assess and prepare selected simple surgical specimens which are defined as single organ, routine indications and/or routine surgical specimens (e.g. appendix, gallbladder, simple hysterectomy for fibroids/uterine prolapse, colon for diverticulosis, ischemic small bowel etc.) for fixation
4. Select and recognize the appropriate fixative type (formalin, alcohol) and assess whether the quantity and size of the specimen container is appropriate
5. Match slides, blocks, and requisition

6.The ofthis EPA is divided into two and ofknowledge.

7. knowledgewill of a oral or awrittenmultiple-quiz, and the supervisingon to thetopic of handling

 

Relevant Milestones:

Part A: Specimen handling

1ME 1.3 Applyknowledgeof biochemistry

1. ME 1.3 Apply knowledge of principles of cell biology, immunology, genetics, and pathogenic mechanisms, and the changes that occur in disease states

3ME 1.3 Applybasicknowledgeof gross and oftissues

4ME 2.2 of adequacy applyto cytopathologyspecimens

5ME 3.3 theof the timingofaor therapy

 

 

6ME 5.2 Applysafepractices in the autopsysuite, to minimize risk

1. COM 4.1 Organize information in appropriate sections within an electronic or written medical record

8COL2.1 to requests in a timelymanner

1. L 1.2 Demonstrate knowledge of laboratory safety initiatives
2. L 1.4 Describe the data available from health information systems to optimize patient care

11P 1.1 punctuality

1. P 1.1 Complete assigned responsibilities

 

Assessment: use Elantra, confirmation with PIN

 

 

D-2 Summarizing relevant clinical information for clinicopathologic correlation

Key Features:

1. This EPA focuses on extracting clinical information, including clinical history, relevant laboratory and imaging results from a number of different sources (including electronic), interpreting this information in light of the clinical question, and providing a summary.

 

Relevant Milestones:

1ME 1.3 Applyknowledgeof biochemistry

1. ME 1.3 Apply knowledge of principles of cell biology, immunology, genetics, and pathogenic mechanisms, and the changes that occur in disease states

3ME 2.2 a history

1. COM 2.3 Seek and integrate relevant information from other sources
2. ME 2.2 Interpret history and relevant investigations in light of the clinical question

6ME 2.2 organize information succinct to supervisor

7HA1.1 a for or related tothe of Pathology

 

Assessment: use Elantra, confirmation with PIN

 

 

D- 3 Demonstrating basic skills in microscopy

Key Features:

1. This EPA focuses on using a microscope correctly and troubleshooting its principal problems
2. This includes:
   • Setting up the microscope (turning it on, adjusting the focus), using a polarizer and micrometer, understanding ergonomic setup