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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
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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

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• Medical Biopathology
• Specialties
• Subspecialties
• Methods

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Medical Biopathology

• Specialties
• Polyvalent Medical Biopathology
• Hematology Immunology Chemistry
  Microbiology
• Sub-Specialties

Clinical Chemistry Special Chemistry Toxicology
Endocrinology Immuno- chemistry Patho-
biochemistry
Virology Bacteriology Mycology Parasitology
Clinical Immunology Laboratory Immunology
Immunology of Infectious Diseases
Clinical Hematology Laboratory
hematology Transfusion- Medicine Immuno-
hematology Hemostaseology
Methods Molecular-Genetics (Genomics and
Proteomics) Molecular-Pathology
(PCR) Nuclear Medicine (RIA, EIA)
Flow-cytometry TDM (GC-MS)
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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
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What is basic knowledge in all specialties of
Medical Biopathologyor 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

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Training in Laboratory Medicine
Generalist
Specialist
?
?
Monospeciality
Specialists competence
Clinische Chemistry Microbiology Immunhematology
Specialist for Medical Laboratory Medicine
Basics-Training (Common trunk) Medical
Laboratory Diagnostics
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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
Polyvalent 3 years Hematology Chemistry
1 year Immunology 1 year Microbiology 1 year
Immunology Laboratory 3 years Immunology
Clinical 3 years
Chemistry 3 years including Toxicology etc
Microbiology 3 years including Virology Bacterio
logy Mycology Parasitology
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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
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• clinical Hematology Immunology clinical
• Laboratory Laboratory
• Transfusion Medicine
• Chemistry Microbiology
• Virology
• Bacteriology
• Parasitology
• Polyvalent
• (Molecular Pathology)

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• 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,

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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
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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
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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 ?)
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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
Polyvalent 3 years Hematology Chemistry
1 year Immunology 1 year Microbiology 1 year
Immunology Laboratory 3 years Immunology
Clinical 3 years
Chemistry 3 years including Toxicology etc
Microbiology 3 years including Virology Bacterio
logy Mycology Parasitology
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• 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 ?

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• 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
• ?

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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
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(No Transcript)
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• 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