Presentation UEMS from Section Meeting Lisbon:

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Presentation UEMS from Section Meeting Lisbon:

  1. 1. 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
  2. 2. 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
  3. 3. Medical Biopathology Specialties Subspecialties Methods
  4. 4. Medical Biopathology Specialties Polyvalent Medical Biopathology Hematology Immunology Chemistry Microbiology Sub-Specialties Clinical Hematology Laboratory hematology Transfusion- Medicine Immuno- hematology Hemostaseology Clinical Immunology Laboratory Immunology Immunology of Infectious Diseases Clinical Chemistry Special Chemistry Toxicology Endocrinology Immuno- chemistry Patho- biochemistry Virology Bacteriology Mycology Parasitology Methods Molecular-Genetics (Genomics and Proteomics) Molecular-Pathology (PCR) Nuclear Medicine (RIA, EIA) Flow-cytometry TDM (GC-MS)
  5. 5. 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
  6. 6. 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
  7. 7. Generalist Specialist Monospeciality Specialist for Medical Laboratory Medicine Clinische Chemistry Microbiology Immunhematology Specialist‘s competence   Training in Laboratory Medicine Basics-Training (Common trunk) Medical Laboratory Diagnostics
  8. 8. 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 including Toxicology etc Microbiology 3 years including Virology Bacteriology Mycology Parasitology Polyvalent 3 years Hematology +Chemistry 1 year Immunology 1 year Microbiology 1 year
  9. 9. 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
  10. 10. clinical Hematology Immunology clinical Laboratory Laboratory Transfusion Medicine Chemistry Microbiology Virology Bacteriology Parasitology Polyvalent (Molecular Pathology)
  11. 11. 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.
  12. 12. 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
  13. 13. 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
  14. 14. 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 ?)
  15. 15. 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 including Toxicology etc Microbiology 3 years including Virology Bacteriology Mycology Parasitology Polyvalent 3 years Hematology +Chemistry 1 year Immunology 1 year Microbiology 1 year
  16. 16. 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 ?
  17. 17. Question to the section: are we prepared to structure a basic training in medical Biopathology to recognize specialty 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 ?
  18. 18. 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“
  19. 19. Foundation of Specialty Societies Germany UK Intl Microbiology 1906 1945 Hematology 1908 1992 Clinical Chemistry 1964 1952 Immunology 1967 1945 Medical Biopathology 1954 1936 1947 Clinical Pathology -Laboratory Medicine Pathology

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