(re)certification in pathology a reality or an illusion...

(Re)certification in pathology – a reality or an illusionPostgraduate Education in Poland

Andrzej Marszałek

Nice, 2019/09/11

conflict of interests: NONE

ESPFeb, 2017

ESPFeb, 2017

regulations (basic documents)

The program was prepared by:prof. Radzisław Kordek, MD, PhD (National Pathology Consultant)prof. Andrzej Marszałek, MD, PhD (rep. of NCP)prof. Stanisław Sporny, MD, PhD (rep. of NCP)prof. Anna Nasierowska-Guttmejer, MD,PhD(rep. Polish Society of Pathologists)dr Andrzej Wojnar, MD (rep. The Polish Chamber of Physicians and Dentists)prof. Konrad Ptaszyński, MD, PhD (rep. Center of Postgraduate Medical Education)dr Zbigniew Węgrzyn, MD (rep. CPME)

part I (basic module)

knowledge (149) items:[general level]

Direct indication for molecular biology knowledge (149):[general level]

#4: biochemical background of molecular biology diagnostic methods

#5: basic indications for IHC, EM and MB in diagnostic pathology

#12: molecular basis of neoplasms development and progression

#131: epidemiology, classification and morphologic diagnosis of soft tissue tumors with use of IHC, EM, MB in differential diagnosis

… in many items: diagnosis & prognostic, predictive factors in tumors

Direct indication for cytology knowledge (149):[general level]

#45: diff. diagnosis of endemic goiter, thyroiditis and other non-neoplastic diseases (including evaluation of cytology material)

#46: diagnosis & diff. diagnosis of thyroid tumors (including evaluation of cytology material)

#74: primary and secondary liver tumors – diff. diagnosis (with special impact on cytology material)

#78: diagnosis of pancreatic cancer (with special impact on cytology material)

#95: prostatic cancer – epidemiology, diagnosis, diff. diagnosis, (including evaluation of cytology material)

#105: cytology of uterine cervix with special impact on pre-neoplastic lesions and cervical cancer

#121: breast cancer – epidemiology, diagnosis, diff. diagnosis, (including evaluation of cytology material);

#134: cytology of ascites, especially for diagnosis and diff. diagnosis neoplasm dissemination to abdominal cavity

Direct indication for cytology knowledge (149):[general level]

practical skills (7):

#1. autopsy

#2 report from autopsy

#3 material for forensic medicine

#4 basic surgical pathology (biopsies)

#5 interpretation of basic surgical pathology (biopsies)

#6 perform and evaluate of cytology material

#7 use of IHC, histochemistry, EM

obligatory courses (7):

#1: course „introduction to specialization in pathology” – basic level5 days (40 hours)certification: attendance + test

#2: course „oncologic histopathology” – basic level2 weeks (10 days; 80 hours)certification: attendance + test

#3: course „clinical cytology” – basic level5 days (40 hours)certification: attendance + test

#4: course: „gynecologic cytology”3 weeks (15 days; 120 hours)certification: attendance + test

obligatory courses (7):

#5: course „emergency medicine”

5 days (40 hours)

certification: attendance + theoretical test + practical exam

#6: course „public health”

8 days (64 hours)

certification: attendance + theoretical test

#7: course „medical law”

3 days (24 hours)

certification: attendance + theoretical test

basic internship: 117 weeks (585 working days)introduction to pathology: 2 weeks ( 10 working days)forensic medicine internship: 2 weeks ( 10 working days)

in total: 156 weeks and 3days (783 days)since Jan 1st, 2019 additional 6 days for self-studies per year

number (cases)1. autopsies 602. cytology 1500

(with 500 non-gynecological)3. FNA cytology 5004. histopathology 50005 intra-operative 100

in total 7160

certification of basic module (by mentor)

- theoretical test + practical (?) exam [discussion?] after each obligatory course

- practical (?) exam [discussion?] after each internship module

- theoretical knowledge + basic skills (after 12 months)

- autopsy performance and grossing (after 12 months)

- ongoing (current) evaluation

part II (advanced module)

direct indication for cytology knowledge (149):

#45: diff. diagnosis of endemic goiter, thyroiditis and other non-neoplastic diseases (including evaluation of cytology material)

#46: diagnosis & diff. diagnosis of thyroid tumors (including evaluation of cytology material)

#74: primary and secondary liver tumors – diff. diagnosis(with special impact on cytology material)

#78: diagnosis of pancreatic cancer (with special impact on cytology material)

direct indication for cytology knowledge (149):

#95: prostatic cancer – epidemiology, diagnosis, diff. diagnosis, (including evaluation of cytology material)

#105: cytology of uterine cervix with special impact on pre-neoplastic lesions and cervical cancer

#121: breast cancer – epidemiology, diagnosis, diff. diagnosis, (including evaluation of cytology material);

#134: cytology ascites, especially for diagnosis and diff. diagnosis neoplasm dissemination to abdominal cavity

professional competences (11):(be ready to:…)

#1 self-based macro- & microscopic diagnosis, evaluation of

molecular test results

#2 write professional opinions

#3 do pathology on its-own or in a team

#4 be a head of pathology lab/department

#5 be mentor for resident in pathology

#6 teach other medical professionals

#7 be a head of medical experiment in pathology

obligatory courses (5):

#1: course „neuropathology” – advanced level5 days (40 hours)certification: attendance + theoretical test + practical exam

#2: course „oncologic histopathology” – advanced level4 weeks (20 days; 160 hours)certification: attendance + theoretical test + practical exam

#3: course „clinical cytology” – advanced level5 days (40 hours)certification: attendance + theoretical test + practical exam

obligatory courses (5):

#4: course „hematopathology” 5 days (40 hours)certification: attendance + theoretical test + practical exam

#5: course „atest” (pathologic diagnosis with impact on biopsy material)4 weeks (20 days; 160 hours)certification: attendance + theoretical test + practical exam

basic internship: 71 weeks (355 working days) special interest/academic/institute internship: 2 weeks ( 10 working days)oncologic pathology internship: 4 weeks ( 20 working days)

in total: 104 weeks and 2days (522 days)since Jan 1st, 2019 additional 6 days for self-studies per year

number (cases)1. autopsies 402. cytology 1500

(with 500 non-gynecological)3. FNA cytology 5004. histopathology 50005 intra-operative 100

in total 7140

(national) board exam

……..

(Re)certification in pathology – a reality or an illusion

(Re)certification in pathology – a reality or an illusion

vs

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