Figure 2.

A survey was sent to hematopathology fellowship program directors and associate program directors through the Society for Hematopathology mailing list. A, Responses to the questions “Please rate your ability to identify learner competency issues within the first quarter of the academic year.” (black bars; n = 17) and “Please rate your program’s effectiveness at intervention/remediation for learners with identified challenges.” (white bars, n = 18). Answer options for the first question were “excellent,” “good,” “fair,” “poor,” and “no mechanism exists”; zero respondents chose “poor” and “no mechanism exists.” Answer options for the second question were “very effective,” “somewhat effective,” “somewhat ineffective,” “very ineffective,” and “challenges are not properly identified”; zero respondents chose “very ineffective” and “challenges are not properly identified.” B, Responses to the question “What graduated responsibilities (ie, entrustment decisions) do you have for your fellows? Please check all that apply.” N = 17. Options: full survey text in quotation marks, followed by abbreviated figure text in parentheses “independent call coverage” (call coverage); “independent triage of specimens for workup of a clinical disorder” (triage specimens); (Continued) “independent utilization of paraffin-embedded tissue (IHC, FISH, molecular, etc” (FFPE ancillary); “independent intraoperative consultation with surgical pathology” (frozen sections); “independent presentation at multidisciplinary conferences” (conferences); “independent clinical consultation regarding test selection/ordering” (test consult); “independent clinical consultation regarding test interpretation” (interpretative). C, Responses to the question: “What formal processes for transferring graduated responsibility do you use in your program (ie, the fellow may not independently take on the responsibility until it has been documented or discussed formally)? Please check all that apply.” (N = 17). Answer options were: “faculty evaluations,” “CCC assessment,” “certificate,” “we don’t have a formal process, responsibilities are assumed at a defined time point” (shortened to “time point” in bar graph), “we don’t have a formal process, it’s up to the individual attendings working with the fellow on services” (shortened to “attending-dependent” in bar graph), and “we don’t provide graduated responsibilities.” CCC indicates Clinical Competency Committee; FFPE, formalin-fixed paraffin-embedded; FISH, fluorescence in situ hybridization; IHC, immunohistochemistry.