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Farzaneh T, Wang B, Clark N, Eade-Viele C, Kelner J, Rodgers J, Sempa G, Detweiler N, Kasmarek T, Lee T, Zhao X, Monuki ES, Rezk SA. Crucial role for pathology residents in laboratory self-inspection, a single Institute's experience. Pract Lab Med 2019; 16:e00123. [PMID: 31193900 PMCID: PMC6543089 DOI: 10.1016/j.plabm.2019.e00123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 04/22/2019] [Accepted: 05/14/2019] [Indexed: 11/03/2022] Open
Abstract
Background Training in patient safety, quality, and management is a key component of Graduate Medical Education (GME) training in all specialties. However, residency programs, especially Pathology programs, often find it challenging to create strong learning opportunities in these areas. Objectives Focused quality assurance (QA) projects are one approach to teach and engage trainees in these key areas. Residents have been historically involved in different QA projects in our department but mainly in small secondary roles. Leading a large QA project that can enhance residents’ management skills and improve clinical operations in our laboratory was the main objective of our project. Description A new process for laboratory self-inspection led by residents was implemented that simulates the exact process of a formal outside College of American Pathologists (CAP) inspection. We aim to prove that resident-led QA activities not only have profound educational benefit but can also result in significant performance and operational improvement. Results For this paper, we focus on the Histology laboratory since the ramifications from the self-inspection process during a three year period were profound leading to change in management, workflow changes, and notable improvement in staff morale. Conclusion The self-inspection process exposed the residents to operational issues and corrective actions that provided them the opportunity to take a more active role in laboratory management and helped prepare them for post-graduation challenges. It also helped the department identify and rectify many operational issues, confirmed by the enumeration of CAP deficiencies and significant improvement of staff morale.
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Affiliation(s)
- Ted Farzaneh
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Beverly Wang
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Nancy Clark
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Carol Eade-Viele
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Joyce Kelner
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Jennifer Rodgers
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Geoffrey Sempa
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Neil Detweiler
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Tara Kasmarek
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Thomas Lee
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Xiaohui Zhao
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Edwin S Monuki
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
| | - Sherif A Rezk
- Department of Pathology & Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USA
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