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1. Patient Care

Skills and Knowledge
(a) Provide appropriate and effective consultation
(b) Render decisions based on data
(c) Render diagnostic interpretational considering clinical implications
(d) Provide advice about diagnostic interpretations
(e) Explain diagnostic tests or procedures
(f) Provide advice about influence of preanalytic variables
(g) Provide information about disease-screening methods
(h) Use information systems to improve clinical interpretations and transmit information

(a) Use information systems to obtain patient data and scientific information
(d) Answer questions from clinicians in a timely manner providing appropriate about diagnostic testing.
Note: patients are cleared by the chemistry resident before patient undergoes glucose tolerance testing (GTT) (testing starts 8 AM weekdays). If the GTT appears to be inappropriately ordered, the clinicians must be contacted immediately to determining whether or not the test should be canceled).
(d) Sign out (protein electrophoresis, immunofixation electrophoresis, hemoglobin HPLC) gathering pertinent patient information and rendering diagnostic interpretation.
(d) Review sendout tests for chemistry contacting the clinical staff where necessary. Present summary of one issue pertaining to send out tests at the monthly KCHC Directors’ meeting.

(1) daily observation
(2) presentation at Directors’ meeting (monthly)

2. Medical Knowledge

Activities Skills and Knowledge

(a) Recognize the relationship between disease pathogenesis and test analytes
(b) Understand the value of testing for the analyte in different clinical situations, including disease detection, prognostic assessment of disease, and monitoring of disease over time
(c) Interpret the results of tests for the analyte in the clinical situation mentioned above
(d) Understand the effects of methods on the reliability and clinical usefulness of measurements of the test analyte
(e) Become familiar with pathology literature

(a) Review didactic material and discuss learning objectives (total of 24 books)(weekly)
(b) Rotate in corresponding laboratory area (weekly)
(c) Attend chemistry conferences

(1) discussion of learning objectives (weekly)
(2) conference attendance and participation (weekly)


3. Interpersonal and Communication Skills

Skills and Knowledge
(a) Establish a network of relationships
(b) Maintain and strengthen relationships
(c) Communicate in clear, meaningful way
(d) Synthesize information
(e) Generate clear, concise, and scientifically valid reports
(f) Develop clear laboratory procedures and distribute appropriately
(g) Demonstrate teaching skills
(h) Accept constructive feedback
(i) Use effective electronic and telephone communication
(j) Resolve disputes quickly and fairly
(k) Recognize interdependencies and ensure commitments are met

(a) Give two (2) resident chemistry conferences
(b) Give two (2) inservices to chemistry and notify office of topic and dates (alternative: write article for laboratory newsletter
(c) Projects (see below)

(1) observation. (daily)
(2) presentations at Directors’ Meeting (monthly)
(3) performance on projects (end of rotation)
(4) performance in conferences and inservices (four sessions during rotation)
(5). interaction with staff (daily)

4. Practice-based learning and improvement

Skills and Knowledge

(a) Evaluate how services meet needs.
(b) Review scientific literature to identify improvements
(c) Use external benchmarks
(d) Assimilate regulatory and medical legal environment information and limit risks.
(e) Participate in quality assurance procedures

(1) laboratory project
(2) quality assurance project

(1) observation (daily)
(2) performance on projects (end of rotation)
(3) presentation of QC data (monthly)

5. Professionalism
Skills and Knowledge
(a) Demonstrate respect, compassion, and integrity
(b) Be prompt and well prepared for assignments
(c) Demonstrate knowledge of credentialing and competency assessment
(d) Demonstrate a commitment to ethical principles
(e) Acknowledge and correct medical errors
(f) Seek out and learn from others with diverse backgrounds, perspectives, insights

(1) observation (daily)
(2) input from staff (360 - degree evaluation) (end of rotation)

6. System-based Practice
Skills and Knowledge
(a) Use knowledge of system performance indicators to improve delivery effectiveness
(b) Demonstrate knowledge of regulations, billing, and compliance
(c) Apply participant and leadership principles to effect change
(d) Demonstrate knowledge of how costs and resource allocation are affected by types of medical practice or delivery systems
(e) Identify and address medical practice, delivery system, and patient safety deficiencies
(f) Evaluate utility of new technology or analytes; assess adoption feasibility
(g) Use evidence-based practice principles to improve pathology practice

(a) Perform one quality assurance project. Recommend, implement changes and write up report in suitable format.
(b) Assist in setting up one new laboratory procedure. Discuss findings including statistics.
(c) Perform laboratory inspections (Chemistry, safety portion of Laboratory General).
(d) Report on all KCHC QC problems (all disciplines) for the previous month at the KCHC Directors’ meeting

(1) write up of projects (end of rotation)
(2) oral presentation at Directors’ meeting (monthly)
(3) staff evaluation of inspections (twice during rotation)

Competency/goals and responsibilities
Revised 12/05;1/06;5/06