Review Article| Volume 27, ISSUE 2, P343-358, June 2007

Resident Training in Clinical Chemistry

      Practicing clinical chemists responded to an anonymous, open-ended questionnaire designed to define the state of clinical chemistry education in pathology training programs in the United States. Survey respondents identified many ideas for educational improvements and offered criticism regarding aspects of clinical chemistry education that are not working particularly well. Many of these findings are generalizable to other subspecialties of clinical pathology. It is hoped that this analysis will allow readers to compare their programs with national trends and identify new ways of improving clinical chemistry training at their institutions.
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      1. Stedman's medical dictionary.
        28th edition. Lippincott Williams & Wilkins, Philadelphia2006
        • Buttner J.
        Clinical chemistry as scientific discipline: historical perspectives.
        Clin Chim Acta. 1994; 232: 1-9
        • Lundberg G.D.
        Evolving concepts of the role of pathology and their respective dilemmas.
        Arch Pathol Lab Med. 1986; 110: 269-274
        • Beeler M.F.
        Residency training in clinical chemistry: a review of behavioral objectives.
        Am J Clin Pathol. 1972; 58: 140-144
        • Wilding P.
        The changing role of the clinical laboratory scientist: coming out of the basement.
        Clin Chem. 1995; 41: 1211-1214
        • Tetrault G.A.
        • Gruemer H.D.
        Clinical chemistry education in the United States.
        Clin Chim Acta. 1994; 232: 53-61
      2. American Society for Clinical Pathology. 2006 resident council fellowship & job market survey. Available at: Accessed January 6, 2007.

      3. American Board of Pathology. Requirements for primary and subspecialty certification. Available at: Accessed November 12, 2006.

      4. ACGME. Program requirements for graduate medical education in anatomic pathology and clinical pathology. Available at: Accessed January 6, 2007.

        • Barrett 2nd, D.A.
        Learning objectives in resident training. Objectives in clinical chemistry.
        Am J Clin Pathol. 1976; 65: 1026-1029
        • Elin R.J.
        A program for residency training in clinical pathology.
        Am J Clin Pathol. 1979; 71: 457-464
        • Spitzer E.D.
        • Pierce G.F.
        • McDonald J.M.
        A laboratory medicine residency training program that includes clinical consultation and research.
        Arch Pathol Lab Med. 1990; 114: 360-362
        • Wong E.T.
        • Umehara M.K.
        • Sterling R.E.
        A program of training in chemical pathology for residents in pathology.
        Am J Clin Pathol. 1982; 77: 196-203
        • Henry J.B.
        Clinical diagnosis and management by laboratory methods.
        20th edition. W.B. Saunders Company, Philadelphia2001
        • Burtis C.A.
        • Ashwood E.R.
        Tietz fundamentals of clinical chemistry.
        5th edition. W.B. Saunders, Philadelphia2001
      5. Clarke W. Dufour D.R. Contemporary practice in clinical chemistry. AACC Press, Washington, DC2006
        • Christenson R.H.
        • Gregory L.C.
        • Johnson L.
        • et al.
        Appleton & Lange's outline review clinical chemistry.
        McGraw-Hill Medical, New York2001
        • Smith B.R.
        • Wells A.
        • Alexander C.B.
        • et al.
        Curriculum content and evaluation of resident competency in clinical pathology (laboratory medicine): a proposal.
        Clin Chem. 2006; 52: 917-949
        • Graylyn Conference Report
        Recommendations for reform of clinical pathology residency training. Conjoint task force of clinical pathology residency training writing committee.
        Am J Clin Pathol. 1995; 103: 127-129
        • Burke M.D.
        • Nuzzo J.M.
        • Prichard R.W.
        ASCP Colorado Springs Conference IV: Clinical pathology residency. Curriculum reform.
        Am J Clin Pathol. 1993; 100: S7-S14
        • Beastall G.
        • Kenny D.
        • Laitinen P.
        • et al.
        A guide to defining the competence required of a consultant in clinical chemistry and laboratory medicine.
        Clin Chem Lab Med. 2005; 43: 654-659
        • Zerah S.
        • McMurray J.
        • Bousquet B.
        • et al.
        EC4 European syllabus for post-graduate training in clinical chemistry and laboratory medicine: version 3-2005.
        Clin Chem Lab Med. 2006; 44: 110-120
        • Hobbs G.A.
        • Jortani S.A.
        • Valdes Jr., R.
        Implementation of a successful on-call system in clinical chemistry.
        Am J Clin Pathol. 1997; 108: 556-563
        • Brugnara C.
        • Fenton T.
        • Winkelman J.W.
        Management training for pathology residents. I. Results of a national survey.
        Am J Clin Pathol. 1994; 101: 559-563
        • Weiss R.L.
        A clinical laboratory management elective for pathology residents.
        Arch Pathol Lab Med. 1992; 116: 108-110
        • Winkelman J.W.
        • Brugnara C.
        Management training for pathology residents. II. Experience with a focused curriculum.
        Am J Clin Pathol. 1994; 101: 564-568
        • Hale J.H.
        • Coles F.B.
        Education in laboratory management for pathology residents.
        Am J Clin Pathol. 1987; 87: 402-404
        • Hollensead S.C.
        • Lockwood W.B.
        • Elin R.J.
        Errors in pathology and laboratory medicine: consequences and prevention.
        J Surg Oncol. 2004; 88: 161-181
      6. McKenna BJ, Culver-Edgar L. Pathology resident education in laboratory administration and clinical chemistry is less effective than other areas of pathology, as measured by the ASCP Resident In-Service Examination (RISE). Paper presented at the Institute for Quality in Laboratory Medicine: Recognizing Excellence in Practice. Atlanta (GA), Poster # 35, April 28–30, 2005.

        • McDonald J.M.
        • Smith J.A.
        Value-added laboratory medicine in an era of managed care.
        Clin Chem. 1995; 41: 1256-1262