Guidelines for resident training in veterinary clinical pathology. IV: Laboratory quality management-Teaching domains, competencies, and suggested learning outcomes

BACKGROUND

The 2019 ASVCP Education Committee Forum for Discussion, presented at the annual ASVCP/ACVP meeting, identified a need to develop recommendations for teaching laboratory quality management principles in veterinary clinical pathology residency training programs.

OBJECTIVES

To present a competency-based framework for teaching laboratory quality management principles in veterinary clinical pathology residency training programs, including entrustable professional activities (EPAs), domains of competence, individual competencies, and learning outcomes.

METHODS

A joint subcommittee of the ASVCP Quality Assurance and Laboratory Standards (QALS) and Education Committees executed this project. A draft guideline version was reviewed by the ASVCP membership and shared with selected ACVP committees in early 2022, and a final version was voted upon by the full QALS and Education Committees in late 2022.

RESULTS

Eleven domains of competence with relevant individual competencies were identified. In addition, suggested learning outcomes and resource lists were developed. Domains and individual competencies were mapped to six EPAs.

CONCLUSIONS

This guideline presents a framework for teaching principles of laboratory quality management in veterinary clinical pathology residency training programs and was designed to be comprehensive yet practical. Guidance on pedagogical terms and possible routes of implementation are included. Recommendations herein aim to improve and support resident training but may require gradual implementation, as programs phase in necessary expertise and resources. Future directions include the development of learning milestones and assessments and consideration of how recommendations intersect with the American College of Veterinary Pathologists training program accreditation and certifying examination.

Preferences of clinical pathologists for probability-modifying terms describing cytologic sample evaluations: A survey study

BACKGROUND

A recent study identified 7 probability ranges used by clinical pathologists and associated qualitative terms used in cytology reports. Clinicians and clinical pathologists agreed that limiting the number of terms could help enhance communication between clinical pathologists and clinicians. However, the preferred terms for each range remain undetermined.

OBJECTIVE

We sought to determine a single term for each probability range that could be adopted by the global veterinary clinical pathology community.

METHOD

Clinical pathologists responded to a survey invitation distributed via the specialty listserv. Clinical pathologists were asked to rank previously identified terms for each probability range from "most preferred" to "least preferred." An alternative term could be proposed if they preferred a term not included in the question. The preferences were summed by rank. Where first choice ranks were within 20% of each other, the 1st and 2nd choices were added. The term with the highest counts was chosen to represent the probability range.

RESULTS

The highest-ranking terms corresponding to the probability ranges of 0%-20%, 20%-50%, 50%-65%, 65%-75%, 75%-85%, 85%-95%, and 95%-100% were "no evidence for," "cannot rule out," "possible," "suspicious for," "most likely," "most consistent with," and no modifier, respectively.

CONCLUSIONS

We have sampled clinical pathologists across the globe to rank terms in cytology reports associated with previously identified probability ranges to identify single qualitative terms for which there was the most agreement between clinicians and clinical pathologists. Our study provides the foundation for standardizing and limiting probability-modifying terms to improve communication with clinicians.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.

Pathology in Practice

In collaboration with the American College of Veterinary Pathologists.