Table 13.
Example Summative Assessment for Hematopathology Entrustable Professional Activity (EPA) 1: Guide Selection of Diagnostic Tests and Triage and Allocate Specimens for Ancillary Studies.
| 1. Based on formative assessments, please rate the level of entrustment you suggest for this EPA |
| a. May observe only |
| b. May perform under direct in person supervision |
| c. May perform with indirect/occasional supervision |
| d. May perform independently with post hoc review |
| e. May perform independently and may supervise others |
| Based on formative evaluations and entrustment level for this EPA, assess level of key related milestones. Suggested levels or ranges are adapted from 2020 draft ACGME milestones but have not been suggested or approved by ACGME. Final ACGME Milestone levels should be assigned by the Clinical Competency Committee based on multiple inputs and with reference to the up-to-date ACGME guidance. |
| 2. ACGME Milestone Patient Care 4: Specimen handling and triaging |
| Level 1: Describes specimen handling and processing requirements |
| Level 2: Designates specimen for indicated ancillary testing |
| Level 3: Prioritizes plentiful or limited specimen for indicated ancillary testing |
| Level 4: Independently prioritizes plentiful or limited specimen for ancillary testing |
| Level 5: Serves as a resource for specimen handling and triaging |
| 3. ACGME Milestone Systems-Based Practice 5: Utilization |
| Level 1: Identifies general hematopathology work practices and workflow |
| Level 2: Explains rationale for utilization patterns in own practice setting |
| Level 3: Identifies opportunities to optimize utilization of pathology resources |
| Level 4: Initiates efforts to optimize utilization |
| Level 5: Completes a utilization review and implements change |
| 4. ACGME Milestone Professionalism 2: Accountability and conscientiousness |
| Level 1: Responds promptly to instructions and prompts |
| Level 2: Takes ownership, timely and attentive to detail |
| Level 3: Recognized impediments and describes the impact on the team |
| Level 4: Anticipates and intervenes in impediments to team functioning |
| Level 5: Takes ownership of system outcomes and implements new strategies |
Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.