Table 7.

Hematopathology Entrustable Professional Activity 6: Interpret Hematology/Coagulation Tests and Provide Consultation.

Skills

Answer clinical questions regarding test selection (preanalytic) and patient results (postanalytic)

Provide interpretative report for hemoglobin analysis and other tests (eg, hypercoagulation panel)

Automated hematology analyzers, coagulation testing, red cell disorder testing, hemoglobin analyses

Knowledge areas

Algorithmic and/or panel testing approaches for evaluation of bleeding disorders and hypercoagulable states

Knowledge of congenital and acquired hemostatic disorders and their management

Categories of anticoagulant therapies, and the indications and laboratory methods of monitoring them

Clinical significance and methods of diagnosing common hemoglobinopathies and thalassemias

Example scenarios

Provide interpretation of hemoglobin electrophoresis analysis in the context of peripheral blood findings and clinical scenario

A diagnostic approach to the evaluation of hemolytic anemias, congenital or acquired. Work up von Willebrand disease, factor deficiencies, and inhibitors

Guide and interpret testing for lupus anticoagulant testing, protein C or S deficiency. Consult on management of heparin, direct thrombin inhibitors, anti-Xa inhibitors

ACGME Hematopathology Milestones version 2.0

Patient Care 1 and 2: Interdisciplinary consultation, reporting

Medical Knowledge 1, 2, and 6: Interpretation of hematology and coagulation testing, clinical reasoning in hematopathology and hematology

Systems Based Practice 3 and 5: Physician role in health care system, utilization

Practice-Based Learning and Improvement 1 and 2: Evidence-based practice and scholarship, 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.