Table 4.

Hematopathology Entrustable Professional Activity 3: Complete Workup and Diagnostic Reporting of a Simple Hematolymphoid Diagnosis.

Skills

Ordering appropriate initial and, if indicated, next round ancillary studies based on clinical setting and differential diagnosis. Integrating ancillary studies including immunohistochemistry, flow cytometry immunophenotyping, cytogenetics, fluorescence in situ hybridization, targeted molecular studies

Providing a preliminary report to the patient-facing team

Writing succinct and complete final report including any indicated synoptic reporting

Knowledge areas

Acute leukemias, classic myeloproliferative neoplasms, B-cell lymphomas, involving bone marrow aspirate and core, lymph node, extranodal tissue, peripheral blood, and body fluids

Indications for and interpretation of immunohistochemistry, flow cytometry immunophenotyping, cytogenetics, fluorescence in situ hybridization, and targeted molecular studies

Example scenarios

Order and interpret lymphoma staging studies with appropriate flow cytometry immunophenotyping, immunohistochemistry, and fluorescence in situ hybridization studies as indicated. Initial diagnosis of small B-cell lymphomas. Work up large B-cell lymphoma and classic Hodgkin lymphoma

Provide verbal and/or written preliminary reports to colleagues and to the patient-facing team, including discussion of level of uncertainty and significance of pending studies

ACGME Hematopathology Milestones version 2.0

Patient Care 1 and 2 (levels 1-3): Interdisciplinary consultation, reporting

Medical Knowledge 4, 5, and 6 (levels 1-3): Morphologic interpretation and diagnosis, selection of molecular and cytogenetics testing and interpretation of reports, clinical reasoning in hematopathology and hematology

Systems-Based Practice 3 and 5: Physician role in health care system, utilization (levels 1-3)

Practice-Based Learning and Improvement 1 and 2: Evidence-based practice and scholarship (levels 1-2), 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 2 and 3: Interprofessional and team communication, communication within health care systems

Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.