Department of Pathology, Division of Hematopathology, University of Pittsburgh School of Medicine, Pittsburgh, PA.
American Board of Pathology, Tampa, FL.
Am J Clin Pathol. 2019 Oct 7;152(5):625-637. doi: 10.1093/ajcp/aqz084.
Hematopathology (HP) is a rapidly changing field with insufficient data to provide guidance to program directors (PDs), the Accreditation Council for Graduate Medical Education, or the American Board of Pathology.
Two surveys were performed-one for HP PDs and one, given twice, for HP diplomates doing Maintenance of Certification/Continuing Certification reporting in 2017 to 2018.
Bone marrow (BM), lymph node (LN), and flow cytometry interpretations and peripheral blood/fluid reviews are performed by more than 80% of hematopathologists and are the areas with the greatest amount of training. A smaller proportion of hematopathologists is involved in other HP-related activities. Most PDs believed fellows should perform BM procedures. Interpretation of 400 or more LNs and 500 BMs was PDs' median expectations for fellows. PDs and HP diplomates considered coagulation and benign RBC disorders overemphasized on the certification examination.
These results highlight how varied the practice of HP is and can provide guidance to HP PDs, those responsible for assessing HP programs, and the American Board of Pathology.
血液病理学（HP）是一个快速变化的领域，缺乏足够的数据为项目主任（PDs）、研究生医学教育认证委员会或美国病理学委员会提供指导。
进行了两项调查，一项是针对 HP PDs 的，另一项是针对 2017 年至 2018 年期间进行认证/持续认证报告的 HP 专科医生的，该调查进行了两次。
骨髓（BM）、淋巴结（LN）和流式细胞术解释以及外周血/液检查由超过 80%的血液病理学家进行，是培训最多的领域。较少比例的血液病理学家参与其他与 HP 相关的活动。大多数 PDs 认为学员应该进行 BM 操作。PDs 和 HP 专科医生认为，对 400 个或更多 LN 和 500 个 BM 的解释是学员的中位数期望。PDs 和 HP 专科医生认为，在认证考试中过度强调了凝血和良性 RBC 疾病。
这些结果突出了 HP 实践的多样性，并可为 HP PDs、负责评估 HP 计划的人员以及美国病理学委员会提供指导。
