Specialist Portfolio (Specialist Diploma) To be eligible for assessment, candidates must have minimum one year in IBMS membership since award of Certificate of Competence All modules must be completed Generic section now removed Portfolios issued between 1 st February and 31 st August 2011 do not need to complete generic section Evidence of Achievement section will have three standard requirements for evidence Time limit of 3 years introduced for completion of portfolio (with effect from September 2011) Discipline-specific external assessor will review the portfolio and establish confidence that the benchmark standard of specialist practice has been achieved.
Evidence for Specialist Diploma One lever arch file Filed in order of standard Indexed appropriately Employer must put together a training programme for completion of the portfolio Enables trainee to receive appropriate support Ensures training is based on current practice for in-house training and CPD Evidence of achievement signed internally to show completion of each standard On completion, portfolio should contain a completed and signed record of laboratory training in the designated speciality e.g. Cellular Pathology
Evidence of Achievement Three standard requirements: Observed by trainer to carry out specific function/ investigation (signature as evidence) Answered questions set by trainer (single piece of evidence to demonstrate this) Single piece of evidence chosen by the candidate (not the trainer) to reflect an aspect of the training Reflective log to describe training experiences and cross-reference to their chosen piece of evidence
Evidence of Achievement Audit trail results Annotated photographs Copies of QC logs Copies of EQA records Maintenance schedules Error logs Essays (e.g. CPD or from university) Quizzes Notes PowerPoint presentations Annotated kit inserts Annotated journal papers Training records (competency logs) Witness testimonies Assessment logs Reflective learning Case studies
Case Study Example of Evidence
NecrosisBone marrow Tumour (malignancy) Metastatic prostate cancer in the humerus Things required: Further fixation Decalcification Block selection
Normal Bone (Potential) Mitotic Figure Apoptotic Cell Mucin
Further Tests for Case Study PAS ± Diastase: shows mucin (allows for differential diagnosis of adenocarcinoma) Alcian Blue: shows mucins in adenocarcinoma Immunocytochemistry panel CK-MNF-117: useful to identify carcinomas p63: distinguishes between squamous cell carcinoma (positive) and adenocarcinoma (negative) PSA: prostate specific antigen (positive)
Standards Met in Case Study 7.1a: Fixation 7.1b: Tissue selection 7.1c: Decalcification 7.1e: Microtomy 7.2b: Haematoxylin and eosin staining 7.2c: Pathological tissues 7.2d: Inflammation, fibrosis and malignancy 7.2i: Carbohydrates and mucins: be able to demonstrate a range of carbohydrates in tissue sections 7.4b: Stain tissue sections using immuno-enzyme methods; know the value of panels in immunocytochemistry for the diagnosis of disease 7.6b: Demonstrate understanding of the use of cameras for macroscopic and microscopic imaging of cellular pathology specimens
Meet regularly with student to discuss/ review work Ensures portfolio progresses at a reasonable rate Sign things off as they are completed Perhaps introduce tutorial sessions for question/answer sessions Make notes on the student’s work e.g. have discussed this with… have you thought about… Encourage discussion Set small goals to achieve completion e.g. questions, case study, taking pictures etc Listen and support! Invest in your students: they will become your most valuable resource! Advice for Training Officers
Advice for colleagues Make time for discussion Allow them to pick your brains Ask questions to make them think about the procedures they are doing WHY?? Encourage and support them, especially when they feel overwhelmed! Remember you were a student once too! Be patient!!!
Advice for Students Ask questions Your colleagues are your most valuable resource for learning Reflect on what you are doing and why you are doing it Write down things you have learned and annotate Get competency logs completed as soon as you learn something new, or to show continuing competence after Registration Portfolio Consider identifying case studies to follow through the lab (covers multiple standards) Seek opportunities to visit other labs/ sections Index, index, index! DON’T PANIC!!!
Personal Reflections Hard work Completing competencies for the standards take time and energy (usually outside of work) Sometimes you have to repeat requests for help and support Can be frustrating Definitely worth it! Creates more confidence in your own abilities Allows a greater understanding of your work Allows you to improve your skills Builds better relationships with colleagues Opens up new avenues for developing protocols and procedures Great sense of achievement and pride once it is completed