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Advanced Practice for Biomedical Scientists in
Histopathology
Sarah MayDeputy Chief Executive
Institute of Biomedical Science
Institute Qualification StructureAdvanced Specialist Diploma
Diploma of Diploma of
expert practice extended practice
Higher Specialist Diploma
MScSpecialist Diploma
Graduation + Registration
Certificate of extended practice
Certificate of biomedical practice
Eligibility Criteria
• Institute Fellow
• Minimum 5 years post registration
experience
• Working in a CPA registered laboratory
with Institute training approval
• Appropriate trainer or mentor
Cellular Pathology Exams• Histological dissection (categories B&C)
• Immunocytochemistry
• Ultrastructural Pathology
• Ophthalmic pathology
• Non-gynaecological cytology
• Cervical cytology
• Breast and G.I dissection (D & E)
Advanced, Expert & Extended Practice Qualifications
Cumulative Results - May 2008Qualification
First exam
Total exams to date
Total candidates
Total successful
Overall pass rate
ASD cervical cytology
2001 33 232 83 35.8
DEP Non- gynae cyto
2004 4 30 14 48
DEP Histo disection
2005 3 21 19 90
DEP Immunocyt
2006 2 5 4 80
DEP Ultra struc path
2008 0 3 ? ?
Concerns about preparation forextended and advanced diplomas
• Choice of trainer/mentor
• Workload for trainer mentor
• Departmental support and
opportunity to train/learn
• Lack of specialist courses
Responsibilities• Trainer
– structures and provides training
– assesses knowledge and competence
– verifies competence and completion
of training
• Mentor
– Provides professional support and
guidance
Purpose of the Portfolio
• Evidence highly specialised skills and
knowledge beyond the HSD/masters level
– experiential learning
• Provide a framework and support for a
programme of self-directed learning
• Indicate readiness to enter the final
examination
Portfolio compilation• Presented as a hard copy file
• Index or contents page
– sections identified and labelled
• Introduction
– brief description of training experience
• Evidence should be current, relevant and
accompanied by a written commentary
– indicate relevance of evidence to aims and learning
outcomes stated in study guide or syllabus
Minimum requirements • Case log
• Case reviews
• Case studies
• Formative assessments
• Audits
• Tutorials and training sessions
• General overview
All must reflect the level of the qualification
Case Log• Record of range of cases encountered
• Indication of workload
• Indication of specimen/sample
repertoire
• No minimum number stated but
should be sufficient to demonstrate
competence has been achieved
Case/specimen reviews• Undertaken with trainer
• Evidence level, scope and
complexity of practice
• Demonstrate understanding of the
implications of investigations for
diagnosis and management
• Part of continuing audit
Case studies• Approximately 500 – 1000 words
• Pre-analytical phase – presenting
symptoms, medical history
• Analytical – how specimen handled, tests
performed, differential diagnoses, previous
results
• Post analytical – Possible outcomes,
prognosis, any follow up treatment
Ongoing assessments• A record of systematic periodic
review of candidate performance
• Should demonstrate how
candidate knowledge and skills
have developed
• Should include evidence of
reflection on practice
Audits• Includes adverse incident/error log
• Horizontal and vertical audits
• Specific audits
• Demonstrate critical evaluation,
reflection on practice and impact on
patient care
• Reflect level of the qualification and
experience of the individual
Tutorials and training sessions • Questionnaires / written assessments
• Lectures and seminars
• Case/specimen reviews
• Presentations
• Pictures and printouts
• Journal clubs and local meetings
• Short courses
Additional information• Training plan or schedule
• Standard Operating Procedures
• Departmental staff structure indicating
role of the candidate within the
department
• Demonstration of skills development
• Reflective learning records
Final Assessment• Portfolio
– 2 assessors, 1 BMS and 1 pathologist
– Pass or refer result
• Written examination
– Paper 1
•2 hours, short answers
– Paper 2
•2 hours, case studies OR optional mods
Portfolio Assessment– General overview
– Workplace based assessment
– Case review
– Audit
– Evidence of reflective learning
– Case log
– Case studies
– Training logbook
Case Log1. The log must reflect a variety of cases in
order to assess candidates’ scope of professional practice
2. The log is clearly laid out and accessible
3. The mix of cases is in accordance with the modules or subjects in which the candidate claims experience
Formative assessments
• It is clear from the evidence presented that systematic and periodic review of the candidate’s performance throughout the training period has been undertaken
• It is evident from the details presented how the candidate’s practice has evolved over the course of the training period ( e.g. inclusion of assessments of competence)
Conclusions• Understanding of the process still developing
• Biggest problems encountered by most
experienced practitioners
• Standardisation of the examination system
being undertaken
• Further qualification development based on
demonstrated need
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