Cytopathology I (3 months minimum)

NOTE: These recommendations are modified with permission from those of the American Society of Cytopathology Taskforce on Residency Training in Cytopathology.

Skill Level I : Learning of those skills necessary to move from novice to advanced beginner; from basic acquaintance with cytopathology to readiness to commence independent learning of cytopathology.

  • Be able to verify that cytopathology requisitions are completed correctly.
  • Demonstrate familiarity with the methods of collection, cytopreparatory processing, and turn around times for common cytopathology specimens, in order to be able to answer clinicians’ questions concerning expected results from the cytopathology laboratory.
  • Demonstrate knowledge of the current Bethesda System terminology for reporting on gynecologic cytopathology specimens, and of the principles and application of Human Papilloma Virus probe analysis.
  • Demonstrate knowledge of the elements of adequacy and the current laboratory reporting system (such as negative, inflammatory/reactive, atypical/suspicious, neoplastic or malignant) for fine needle aspiration (FNA) biopsy and exfoliative non-gynecologic cytopathology specimens from the various commonly sampled body sites.
  • Demonstrate knowledge of the cytopathologic features of normal, reactive, infectious, dysplastic and neoplastic conditions as seen in common cytopathology specimens.
  • Demonstrate knowledge of how common cytopathology specimens are screened.
  • Demonstrate knowledge of how to evaluate common cytopathology specimens comprehensively.

 Recommended Readings (current editions or their equivalent):

  1. Atkinson B (Ed): Atlas of Diagnostic Cytopathology, WB Saunders, Philadelphia, 2nd Edition, 2003.
  2. DeMay RM: Practical Principles of Cytopathology, ASCP Press, Chicago, 1999.
  3. McKee GT: Cytopathology, Mosby-Wolfe, London, 1997.
  4. Ramzy I (Ed): Clinical Cytopathology & Aspiration Biopsy: Fundamental Principles & Practice, 2nd Edition, Appleton & Lange, Norwalk, CT, 2000.

Cytopathology II (Advanced, part of the recommended minimum 3 months of cytopathology)

NOTE: These recommendations are modified with permission from those of the American Society of Cytopathology Taskforce on Residency Training in Cytopathology.

Skill Level II : Learning of those skills necessary to move from advanced beginner to competent practitioner; from independent learning of cytopathology to readiness to commence safe practice of cytopathology.

  • Demonstrate knowledge of the application of ancillary techniques including image analysis, immunocytochemistry, flow cytometry, cytogenetics, electron microscopy, and molecular studies (FISH; PCR).
  • Demonstrate knowledge of how to rapidly evaluate common FNA biopsy specimens, including determination of specimen adequacy and the need for ancillary techniques, and the appropriate collection of materials for such techniques.
  • Demonstrate knowledge of the content of training materials on correct performance of FNA biopsies.
  • Demonstrate working familiarity with the instruments and materials needed to perform FNA biopsies.
  • Demonstrate correct performance of FNA, including preparation of smears and collection of diagnostic materials with proper handling for ancillary techniques, on appropriate specimens at the surgical pathology gross cutting area.
  • Demonstrate competency under supervision of staff cytopathologists in the performance of clinical superficial FNA biopsy, appropriately taking history, correctly obtaining informed consent, competently examining the lesion to be biopsied, preparing the patient and biopsy instruments, physically procuring the specimen, and preparing and staining the smears, with preliminary interpretation of the smears and appropriate after-care of the patient.
  • Demonstrate knowledge of how clearly, concisely, and completely to compose a cytopathology report for specimens from various commonly sampled body sites based upon the final diagnostic findings, and of how appropriately to recommend clinical follow-up.
  • Demonstrate familiarity with the principles of automated screening for gynecologic cytopathology specimens.
  • Demonstrate knowledge of how to perform quality assurance for both gynecologic and non-gynecologic cytopathology specimens, including quality assurance correlation of common FNA biopsy specimens with surgical pathology specimens.
  • Demonstrate knowledge of how to apply concepts of quality control, quality improvement, risk management, and of regulatory compliance including correct coding as these pertain to the practice of cytopathology.

Recommended Readings (current editions or their equivalent):

  1. Atkinson B (Ed): Atlas of Diagnostic Cytopathology, WB Saunders, Philadelphia, 2nd Edition, 2003.
  2. DeMay RM: Practical Principles of Cytopathology, ASCP Press, Chicago, 1999.
  3. McKee GT: Cytopathology, Mosby-Wolfe, London, 1997.
  4. Ramzy I (Ed): Clinical Cytopathology & Aspiration Biopsy: Fundamental Principles & Practice, 2nd Edition, Appleton & Lange, Norwalk, CT, 2000.

COMPETENCIES IN ANATOMIC PATHOLOGY

 ADASP recommends that each of these competencies be assessed using a scale as follows: novice, advanced beginner, competent, proficient, or expert.

 

CYTOPATHOLOGY

Competencies objectives modified with permission from those of the American Society of Cytopathology Taskforce on Residency Training in Cytopathology.

  • Demonstrate knowledge of the interpretation of cytopathology specimens from the various commonly sampled body sites, by examining cases prior to signout and being prepared appropriately to communicate diagnostic opinions, differential diagnoses, and/or follow-up recommendations
  • Demonstrate capability in the performance of superficial FNA biopsies in a clinical setting, with appropriate patient care and diagnostic outcomes
  • Demonstrate ability to assist at the performance of deep FNA biopsies in settings such as radiology and endoscopy, with appropriate determination of specimen adequacy and the need for ancillary techniques, and collection of supplementary diagnostic materials for such techniques
  • Demonstrate knowledge of continuous quality assurance and regulatory compliance methodologies as they apply to the cytopathology laboratory, for example, the Clinical Laboratory Improvement Amendments of 1988

Approved May 27, 2003