3) and by two of the authors of the ACLPS curriculum (4).
The ACLPS proposal (1) provides one approach to making the evaluation more useful to the resident, whereas Luning Prak et al.
We applaud the ACLPS members who developed this as well as those who wish to use it as a starting point for discussions of how to continually improve residents' experiences in laboratory medicine.
Howe, PhD (Yale); Curtis Parvin, PhD (Washington University); Ellinor Peerschke, PhD (Weill Cornell School of Medicine); Henry Rinder, MD (Yale); Steven Spitalnik, MD (Columbia University); Ronald Weiss, MD (University of Utah); and Mark Wener, MD (University of Washington), along with the assistance of many other members of ACLPS, some of whom are noted below.
The Executive Council of ACLPS, who also reviewed the document and supported this effort, in addition to those included above, consisted of Fred Apple, David Bruns, Tony Butch, Brad Cookson, William Roberts, David Sacks, Eric Spitzer, and Ana Stankovic.
12] Nonstandard abbreviations: CP, clinical pathology; CAP, College of American Pathologists; ACLPS, Academy of Clinical Laboratory Physicians and Scientists; ACGME, Accreditation Council for Graduate Medical Education; AP, anatomic pathology; QC, quality control; CLSI, Clinical Laboratory Standards Institute (formerly NCCLS); JCAHO, Joint Commission on Accreditation of Healthcare Organizations; CK, creatine kinase; BNP, B-type natriuretic peptide; T4, thyroxine; T3, triiodothyronine; PTH, parathyroid hormone; CSF, cerebrospinal fluid; POCT, point-of-care testing; WBC, white blood cell; RBC, red blood cell; AFB, acid-fast bacilli; FISH, fluorescence in situ hybridization; HIPAA, Health Insurance Portability and Accountability Act; and IRB, institutional review board.
One can argue whether clinical pathologists are "clinicians, first and foremost" as promoted by the ACLPS proposal.
Requirements for the CP curriculum, as outlined in the ACLPS proposal, are context dependent.
Achieving the knowledge and skill sets outlined in the ACLPS proposal during a CP or AP/CP residency seems overly ambitious and unattainable for many existing programs.
As most of these areas of competency have been described in the ACLPS proposal, we will focus on 2 that we think are most worthy of further comment.
There are few examples in the ACLPS proposal that actually require hands-on competency for clinical pathologists.