Table 11.

Hematopathology Entrustable Professional Activity 10: Perform Bone Marrow Aspiration and Biopsy.

Skills

Provide informed consent, administer local anesthetic, identify correct needle placement, sterile technique, identify bone spicules, document procedure

Collect and triage material for flow immunophenotyping, cytogenetic studies, and other studies in appropriate media as clinically indicated

Knowledge areas

Components of informed consent, collection requirements for ancillary testing, anatomy/landmarks of the posterior superior iliac crest, appropriate postprocedural care

Example scenarios

Diagnostic bone marrow biopsy and aspirate in a patient with unexplained cytopenias, with material sent for cytogenetics and flow immunophenotyping

ACGME Hematopathology Milestones version 2.0

Patient Care 3 and 4: Bone marrow aspiration and biopsy, specimen handling and triaging

Medical Knowledge 6 (levels 1-3): Clinical reasoning in hematopathology and hematology

Practice-Based Learning and Improvement 2: Reflective practice and commitment to personal growth

Professionalism 1, 2, and 3: Professional behavior and ethical principles, accountability and conscientiousness, self-awareness and help-seeking

Interpersonal and Communication Skills 1, 2, and 3: Patient- and family-centered communication, interprofessional and team communication, communication within health care systems

Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.