Specialist Biomedical ScientistCellular Pathology

Specialist Portfolio (Specialist Diploma)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 completedGeneric section now removed

Portfolios issued between 1st February and 31st 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 DiplomaEvidence for Specialist DiplomaOne lever arch file

Filed in order of standardIndexed appropriately

Employer must put together a training programme for completion of the portfolioEnables trainee to receive appropriate supportEnsures 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 AchievementEvidence of AchievementThree 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 AchievementEvidence 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 Case Study Example of EvidenceExample of Evidence

NecrosisBone marrow Tumour (malignancy)

Metastatic prostate cancer in the humerusMetastatic prostate cancer in the humerus

Things required:

•Further fixation•Decalcification•Block selection

Normal Bone

(Potential) Mitotic Figure

Apoptotic Cell

Mucin

Further Tests for Case StudyFurther Tests for Case StudyPAS ± Diastase: shows mucin (allows for

differential diagnosis of adenocarcinoma)Alcian Blue: shows mucins in

adenocarcinomaImmunocytochemistry panel

CK-MNF-117: useful to identify carcinomasp63: distinguishes between squamous cell

carcinoma (positive) and adenocarcinoma (negative)

PSA: prostate specific antigen (positive)

Standards Met in Case StudyStandards Met in Case Study7.1a: Fixation7.1b: Tissue selection7.1c: Decalcification7.1e: Microtomy7.2b: Haematoxylin and eosin staining7.2c: Pathological tissues7.2d: Inflammation, fibrosis and malignancy7.2i: Carbohydrates and mucins: be able to demonstrate a

range of carbohydrates in tissue sections7.4b: 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 workEnsures 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 OfficersAdvice for Training Officers

Advice for colleaguesAdvice for colleaguesMake time for discussionAllow them to pick your brainsAsk questions to make them think about the

procedures they are doingWHY??

Encourage and support them, especially when they feel overwhelmed!Remember you were a student once too!

Be patient!!!

Advice for StudentsAdvice for StudentsAsk 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 annotateGet 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/ sectionsIndex, index, index!DON’T PANIC!!!

Personal ReflectionsPersonal ReflectionsHard 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 abilitiesAllows a greater understanding of your workAllows you to improve your skillsBuilds better relationships with colleaguesOpens up new avenues for developing protocols and

proceduresGreat sense of achievement and pride once it is completed

Questions?Questions?