(re)certification in pathology a reality or an illusion...
TRANSCRIPT
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(Re)certification in pathology – a reality or an illusionPostgraduate Education in Poland
Andrzej Marszałek
Nice, 2019/09/11
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conflict of interests: NONE
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ESPFeb, 2017
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ESPFeb, 2017
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regulations (basic documents)
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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)
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part I (basic module)
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knowledge (149) items:[general level]
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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
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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)
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#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]
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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
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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
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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
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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
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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
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part II (advanced module)
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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)
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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
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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
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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
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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
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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
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(national) board exam
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……..
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(Re)certification in pathology – a reality or an illusion
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(Re)certification in pathology – a reality or an illusion
vs
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thank you