Review Article| Volume 27, ISSUE 2, P269-281, June 2007

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Assessing Resident Competency in Laboratory Medicine

      Validation of the competence of laboratory medicine (LM) residents for independent practice and to sit for the examination in clinical pathology rests with the program director. Assessing knowledge and basic skills were the primary measure of residents until 2000. The Accreditation Council of Graduate Medical Education and the ABMS launched the Outcome Project in 2000 as a response to the public. A shift in emphasis from “process” to a more “utcomes driven” assessment came with the Outcome Project. As of July 2006, the training of LM residents must incorporate the six competencies of the Outcome Project within each resident experience (rotation). In this article, comparison of historic and current methods of assessing residents is noted. Current and future outcomes and the pivotal role of consultation in LM are noted.
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        • Alexander C.B.
        Pathology graduate medical education (overview from 1926 to 2005).
        Hum Pathol. 2006; 37: 923-928
        • Epstein R.M.
        • Hundert E.M.
        Defining and assessing professional competence.
        JAMA. 2002; 287: 226-235
        • Burke M.D.
        • Bailey D.N.
        • Bennett B.D.
        • et al.
        Graylyn Conference Report.
        Am J Clin Pathol. 1995; 103: 127-129
        • Smith B.R.
        • Wells A.
        • Alexander C.B.
        • et al.
        • (for the Academy of Clinical Laboratory Physicians and Scientists)
        Curriculum, content, and evaluation of resident competency in clinical pathology (laboratory medicine): a proposal.
        Hum Pathol. 2006; 37: 934-968
        • Leach D.C.
        Competence is a habit.
        JAMA. 2002; 287: 243-244
      1. Joyce B. Facilitator's manual: practical implementation of the competencies-ACGME April 2006. Available at: Accessed January 17, 2007.

      2. Outcome Project Timeline. Available at: Accessed January 17, 2007.

        • Alexander C.B.
        • McDonald J.M.
        Cost-based (part A) pathology physician services: origin, current spectrum, and future.
        Clin Lab Med. 1999; 19: 783-796
        • Folberg R.
        • Antonioli D.A.
        • Alexander C.B.
        Competency-based residency training in pathology: challenges and opportunities.
        Hum Pathol. 2002; 33: 3-6
        • Keynes J.M.
        The general theory of employment, interest, and money (Preface).
        MacMillan Cambridge University Press, Cambridge1936
        • Drucker P.F.
        The daily Drucker.
        Harper Collins, New York2004