Table 12.

Example Formative Assessment for Hematopathology Entrustable Professional Activity 1: Guide Selection of Diagnostic Tests and Triage and Allocate Specimens for Ancillary Studies.

Check off observed skills or knowledge
1. Orders necessary and sufficient ancillary workup for diagnosis and clinical management (immunohistochemistry, flow cytometry, cytogenetics, molecular)
a. Recognizes which cases need initial ancillary testing
b. Recognizes which cases need add-on ancillary testing
c. Suggests specific ancillary testing needed
d. Independently orders appropriate and specific testing
Comments (eg, What concrete steps can the fellow take to improve this skill?)____________
2. Guides stewardship of limited tissue
a. Recognizes when tissue or sample is limited
b. Suggests priority list of ancillary testing for limited samples
c. Independently orders the most critical testing for limited samples
Comments____________
3. Manages appropriate test utilization
a. Recognizes suboptimal test ordering or overutilization
b. Consults or intervenes in individual cases with guidance
c. Independently consults or intervenes in individual cases
d. Recognizes and generates solutions for patterns of suboptimal test utilization
Comments____________