European Union of Medical Specialists U.E.M.S. Union Europeenne des Medicines Specialistes

Section of Medical Biopathology (http://e.lios.se/uems)

Section Meeting

Lissabon May 5th to May 6th 2002

European Union of Medical Specialists U.E.M.S. Union Europeenne des Medicines Specialistes

Section of Medical Biopathology (http://e.lios.se/uems)

Common Trunk

Changing Specialty

Medical Biopathology

Specialties

Subspecialties

Methods

Medical BiopathologySpecialties

Polyvalent Medical Biopathology Hematology Immunology Chemistry Microbiology

Sub-Specialties

Clinical HematologyLaboratory hematologyTransfusion- MedicineImmuno- hematologyHemostaseology

Clinical Immunology Laboratory Immunology

Immunology of Infectious Diseases

Clinical Chemistry Special ChemistryToxicology Endocrinology

Immuno- chemistryPatho- biochemistry

Virology Bacteriology Mycology Parasitology

MethodsMolecular-Genetics (Genomics and Proteomics) Molecular-Pathology (PCR)Nuclear Medicine (RIA, EIA) Flow-cytometry TDM (GC-MS)

European Union of Medical Specialists U.E.M.S. Union Europeenne des Medicines Specialistes

Section of Medical Biopathology (http://e.lios.se/uems)

1. What should every trainee know before entering the laboratory

What is basic knowledge in all specialties of Medical Biopathology

or what should every trainee know before entering laboratory work

• Health and safety requirements • Hygiene and preventive medicine (incl. sterilization and desinfection)• Epidemiology

• Quality Control, surveys, audits and accreditation, CME, CPD

• Biomedical aspects of disease and basics of scientific evaluation • Basics of research and developement • Results, reports, terminology

• Analytical techniques, statistics• Technology, automation, logistics

• Information technology and communication skills• Management

• Ethics and laws

Generalist Specialist

Monospeciality

Specialist forMedical Laboratory Medicine

Clinische ChemistryMicrobiology

Immunhematology

Specialist‘s competence

Training in Laboratory Medicine

Basics-Training (Common trunk)

Medical Laboratory Diagnostics

Training in Medical Biopathology

Clinical practice / Internal Medicine 1 year

Basic Training 1 year

Hematology Laboratory 3 years

Hematology Clinical 3 years

Tranfusion Medicine 3 years

Immunology Laboratory 3 years

Immunology Clinical 3 years

Chemistry

3 years

includingToxicologyetc

Microbiology

3 years

includingVirologyBacteriologyMycologyParasitology

Polyvalent 3 years

Hematology +Chemistry 1 yearImmunology 1 yearMicrobiology 1 year

European Union of Medical Specialists U.E.M.S. Union Europeenne des Medicines Specialistes

Section of Medical Biopathology (http://e.lios.se/uems)

2. What should be requested by a specialist when changing from one to another specialty

in Medical Biopathology

clinical Hematology Immunology clinical

Laboratory Laboratory

Transfusion Medicine

Chemistry Microbiology Virology

Bacteriology

Parasitology

Polyvalent

(Molecular Pathology)

In case of monovalent to monovalent

An additional training of two years in the new specialty will (not) be acceptable

In case of monovalent to polyvalent or vice versa

Two additional years are based on the principle that in the training and practicing in polyvalent biopathology,the specialist has a broad basic training (common trunk)

The applicant should be able to show in which specific aspects of polyvalent or monovalent training accreditation has been obtained in order to decide if additional training will be needed or not

Recommended: to bring in some kind of condition that, in addition to the common trunk training, all aspect of the additional monovalent specialty have to be covered during the polyvalent training period and the additional two years of training and/or practice.

Haematology

minimum of 5 years training

at least 1 year

post graduate clinical experience

(Internal Medicine, Oncology, TM,

Pediatrics, Transplantation)

Clinical Haematology: 3 years additional training in clinical hematology + 1 year in Haematology Laboratory

Laboratory Haematology: 3 years in Haematology Laboratory + 1 year in Chemistry, Immunology or Microbiology

Transfusion Medicine:3 years in Transfusion Medicine and Blood Bank Services ans 1 year in clinical Haematology or other aereas of laboratory medicine

Chemistry

minimum of 5 years training

including 1 year

post graduate clinical practice

outside the Medical Biopathology Department.

Common Trunc:including Molecular Biology, Immunochemistry, Statistics,

Quality Assurance, IT, Management and commercial skills

Polyvalent MB

minimum of 5 years training

Including 1 year

clinical training and point of care

laboratory medicine

Initial Period of 2 years

with general training

followed by subsequent periods acquiring specialised knowledge

Immunology

minimum of 5 years training

clinical training should be an integral part of the training of a all medical biopathologists. All immunologists should have at least one year of clinical experience.

Clinical Immunology: 3 years with at least two years of laboratory immunology experience.

Laboratory Immunology: 4 years of laboratory practice and experience in other areas of laboratory medicine

Microbiology

minimum of 5 years training Including experience of

liasion with General Practitioner,

with clinical colleagues

through regular ward visits

and participation

in collaborative clinical activities

Hematology

2 y Immunology

2 y Chemistry

2 y Microbiology

1 y Chemistry, 1 y Microbiology

Immunology

Chemistry

Microbiology

Polyvalent

Immunology

2 y Hematology

2 y Chemistry

2 y Microbiology

1 y Chemistry, 1 y Microbiology

Hematology

Chemistry

Microbiology

Polyvalent

Chemistry

2 y Hematology

2 y Immunology

2 y Microbiology

1 y Hematology 1 y Microbiology

Hematology

Immunology

Microbiology

Polyvalent

Microbiology

2 y Hematology

2 y Immunology

2 y Chemistry

1 y Chemistry, 1 yr Hematology

Hematology

Immunology

Chemistry

Polyvalent

Polyvalent MB

2 y Hematology

2 y Immunology

2 y Chemistry

2 y Microbiology

Hematology

Immunology

Chemistry

Microbiology

(Clinical and laboratory hematology + TM ? , laboratory + clinical immunology ?)

Training in Medical Biopathology

Clinical practice / Internal Medicine 1 year

Basic Training 1 year

Hematology Laboratory 3 years

Hematology Clinical 3 years

Tranfusion Medicine 3 years

Immunology Laboratory 3 years

Immunology Clinical 3 years

Chemistry

3 years

includingToxicologyetc

Microbiology

3 years

includingVirologyBacteriologyMycologyParasitology

Polyvalent 3 years

Hematology +Chemistry 1 yearImmunology 1 yearMicrobiology 1 year

Which kind of additional training or practice should be requested

in addition to basic training ?

How to make sure that the additional training will cover

all aspects of monovalent / polyvalent training period ?

Should there be an examination (oral or written) or any other proof of expertise requested

to accept the additional training or practice ?

Question to the section:

are we prepared

to structurea basic training in medical Biopathology

to recognizespecialty training in and a switch to other specialties

are we willing to propose solutions to the Section

and

able to find consent within the UEMS Specialty Section

?

If the answer will be „Yes“let us go to work

If the answer will be „No“

let us decide to put these items

in the

„Too-hard-basket“

Foundation of Specialty Societies

Germany UK Intl

Microbiology 1906 1945

Hematology 1908 1992

Clinical Chemistry 1964 1952

Immunology 1967 1945

Medical Biopathology 1954 19361947

Clinical Pathology -Laboratory Medicine

Pathology