UEMS SECTION OF MEDICAL BIOPATHOLOGY CORE TRAINING PROGRAMME AND TRAINING … · 2014-05-09 · 1...

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UEMS SECTION OF MEDICAL BIOPATHOLOGY CORE TRAINING PROGRAMME AND TRAINING RECORD FOR MEDICAL MICROBIOLOGY

(INCLUDES BACTERIOLOGY, VIROLOGY, MYCOLOGY AND PARASITOLOGY). INTRODUCTION GENERAL AIM to produce trained medical microbiologists to provide specialist opinion in their clinical discipline and who

should have developed the appropriate management skills to lead a department, if required. The trained

medical microbiologist should be competent to:

1. Give advice as a physician on the diagnosis, treatment and prevention of microbial diseases.

2. provide a scientific basis for laboratory diagnosis; to set protocols and to maintain standards within the laboratory.

3. undertake the management responsibilities required from the director of a medical microbiology laboratory.

4. take charge of infection control in hospitals

5. propose hospital policies on the control of antibiotic usage and on the prevention of hospital acquired infection

6. collaborate with national surveillance organisations and public health authoroties and to provide services for these organisations

7. participate in the training programs for medical microbiologists, infection control doctors and other experts in the field of microbial diseases.

8. undertake research and development in the specialty of microbiological biopathology

OBJECTIVES Over a minimum 5 year period the trainee should acquire or develop:

a) Specialised factual knowledge of the natural history of those diseases upon which the chosen discipline is based.

b) Interpretative skills so that a clinically useful opinion can be derived from laboratory data. Emphasis should be made on the importance of clinical training and multidisiplinary care together with clinical and pathological conferences.

c) Technical knowledge, gained from close acquaintance with laboratory technology, so that methodology appropriate to a clinical problem can be chosen, and so that quality control and quality assurance procedures can be implemented.

d) Research and development experience Original thought and critical assessment of published work are important to allow the trainee to contribute in a team, and individually, to the development of the service.

e) The life-long habits of reading, literature-searches, consultation with colleagues attendance at scientific meetings, and the presentation of scientific work as part of continuing medical education (CME).

f) Data management skills to evaluate information derived from the population served and from the technical procedures applied in the laboratory. These skills should include familiarity with IT and the use of spreadsheets, databases and statistical packages etc.

g) Management and communication skills. The trainee must gain experience, under supervision, in planning departmental policies and develop the leadership skills necessary to implement them.

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f) Familiarity with all aspects of health and safety requirements for laboratories.

SUPERVISION AND REVIEW OF PROGRESS IN TRAINING Trainees are required to keep a training record detailing their training experience. This will be inspected on a regular basis by their Educational Supervisor i.e. the consultant in charge of training. Trainees will be regularly informed of their progress and, in addition, trainees must be encouraged and given every opportunity to discuss any deficiencies in the training programme. The Educational Supervisor should discuss the trainee's progress with each consultant (trainer) with whom a trainee spends a period of one month or more. Trainees should agree a training programme with their supervisor soon after appointment.

The trainee should have supportive appraisal twice a year:

a) an informal meeting involving the Educational Supervisor and trainee, should be held every six months and the record of training should be signed by the Educational Supervisor;

b) an assessment by a panel approved by the Postgraduate Dean and/or a national board or committee for the registration of medical specialists on completion of each year's training or similar. Any reports or appraisals prepared during the year should be available to the trainee.

Educational Supervisors would be expected to have substantial experience in the specialty, to have demonstrated an interest in training, to have appropriate teaching resources, to be involved in appropriate regional training committees, to be involved in annual reviews and to liaise closely with the national board or committee for the registration of medical specialists.

MANAGERIAL TOPICS WHICH ARE PART OF CORE TRAINING 1. Management

Aspects of management - strategic planning, preparation of a business plan, contracting processes, service level agreements, departmental and directorate budgeting etc. - should be part of training. The trainees should be encouraged to attend appropriate management courses in which the programme will be sustained by professional managers. Trainees may, as "colleagues", be permitted to sit in on departmental, directorate and other local committee meetings as observers. The aims and objectives of this should be to provide them with some experience of committee procedures, aspects of confidentiality, decision making at a local level and the importance of maintaining good inter-personal relationships.

2. Health and Safety

Irrespective of discipline, each trainee should, from the start, become fully familiar with all aspects of Health and Safety in the laboratory and should be made aware of the legal obligations and the role of the Health and Safety Executive or equivalent national body requirements which have to be met to obtain and retain full laboratory accreditation.

3. IT and Communication Skills

The trainee should, from the start, become familiar with fundamental aspects of computing within the laboratory - databases, spread sheets, internet etc. - and how these are used on a day to day basis.

4. Audit and Quality Assessment

All trainees must, from the start, become familiar with audit procedures and should participate in regular clinical audit. Trainees should gain understanding of quality control and quality assurance. At the end of formal training they should have a full understanding in these two areas; they should have an understanding of external quality assessment and the processing of data by these schemes.

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CORE TRAINING PROGRAMMES: This document sets out a curriculum for medical microbiologists which cover the scientific base of medical microbiology, as well as applied aspects, including related fields such as infectious diseases and communicable diseases control. Some element of medical microbiology training is common to the training of consultants in communicable diseases control and of infectious diseases physicians. AIMS OF TRAINING The core training programme aims to provide the trainee with both the theoretical foundation and the practical, technical, clinical and managerial skills necessary for the independent specialist practice of medical microbiology in a clinical environment and for the advancement of the subject. Although some information relating to the appropriate clinical experience is listed in section 11, it must be appreciated that laboratory work and clinical experience must be closely integrated, therefore laboratory associated clinical duties are an essential component of the training programme. SUPERVISION Programmes based on this curriculum should be appropriate to the needs and previous experience of the trainee and should set out educational objectives against which the trainees' progress can be assessed. The trainee should have an educational supervisor at each site of any rotation. The training programme should identify how specific areas of training not covered by the departments involved will be obtained (eg secondment for experience in virology, communicable diseases/epidemiology, public health microbiology) together with any courses deemed necessary.

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A CORE TRAINING PROGRAMME: MEDICAL MICROBIOLOGY 1. Scientific basis of medical microbiology

Trainees should have an understanding of the principles of the following, together with how they may be applied to clinical and research problems:

a) microbial structure, physiology and genetics;

b) microbial taxonomy, classification and typing methods;

c) host defence mechanisms, the immune system and immunity to infection;

d) microbial pathogenicity;

e) epidemiology of infectious diseases - their surveillance and control;

f) antimicrobial agents, their mode of action and mechanisms of microbial resistance.

2. Laboratory safety

Prior to any "hands on" experience of laboratory work, the trainee should be instructed in basic safety requirements including correct laboratory dress and laboratory hygiene. Instruction should also be given on the immediate handling and disposal of specimens and contaminated articles (eg inoculating loops, pipettes) at the laboratory bench, the dangers of aerosols and the procedure for dealing with spillages.

At the end of formal training, the microbiologist should be familiar with:

a) local procedures for the safe transport of specimens or cultures and also with national and international postal and packaging regulations for such material;

b) current requirements and recommendations of the National Advisory Committee on safety in microbiological laboratories.

c) the principles and operation of microbiological safety cabinets containment level III facilities and the procedures for their safe use, decontamination and monitoring of air flow.

3. Sterilisation and Disinfection

At the end of formal training, the microbiologist should understand the principles and uses of sterilisation and disinfection procedures for the preparation of media and instruments and for microbiological waste disposal. Trainees should be familiar with methods of monitoring and be capable of formulating a policy on the use of sterilisation and disinfection in the laboratory, hospital or community.

4. Handling of specimens

At the end of formal training, the microbiologist should:

a) be aware, for each specimen type, of the optimal methods for collection, transport (including transport media), storage, reception, identification and documentation, including the requirements for high-risk specimens.

The trainee should develop a sense of the continuity of identification of specimens from collection, through culture and further testing to the issuing of a final report. He or she needs to be aware of critical points in processing where this continuity may fail and be able to minimise the risk of this.

b) be able to assess degrees of urgency for the processing of specimens, including the provision for an out of hours service and the communication of preliminary results as applicable;

c) be able to decide upon further testing or processing of a specimen as appropriate;

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d) be aware of existing reference facilities and their appropriate use.

5. Microscopy


a) understand the principles of light, darkground, phase contract, fluorescent and electron microscopy and be able to set up a light microscope with dark ground and phase contrast facilities;

b) be able to perform routine staining techniques including fluorescent dyes;

c) be familiar with the appearance of stained preparations and be able to recognise artefacts and their possible origin.

6. Culture methods


a) have a basic understanding of the diversity of microbial metabolism;

b) be aware of the wide range of selective, enrichment and inhibitory media available for general and specialised use and be able to choose relevant media in common use or in medical and environmental laboratories;

c) be familiar with physical growth requirements of micro-organisms including atmosphere and optimal temperature and have an appreciation of the growth kinetics of both solid phase and broth cultures. It is important in this context to know those micro-organisms and clinical situations in which detectable growth may require prolonged incubations;

d) be familiar with the preparation of media in common use and have an understanding of internal quality control of such preparations;

e) be able to process all common specimens, recognise potential pathogens from a mixture of colonies on culture plates, separate such colonies in order to achieve the pure growth necessary for further work.

7. Further processing of cultures


a) be able to perform tests leading to the identification of all common pathogens including the use of commercially produced kits (eg. kits for enzyme assays) and rapid diagnostic kits, ELIZA, latex agglutination;

b) understand the principles of identification media and be able to use them appropriately;

c) understand the principles behind multipoint identification technology.

8. Antimicrobial investigations


a) be aware of available reference facilities for further identification including serotyping and all other typing schemes both phenotypic and genotypic;

b) be able to test the antibiotic sensitivities of an isolate using the common techniques of disc testing and break points and to be aware of the principles behind multipoint sensitivity technology;

c) be able to perform and interpret MIC and MBC tests as appropriate;

d) be able to perform antimicrobial assays using biological and automated techniques;

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e) have an understanding of antimicrobial assays and their relationship to the therapeutic and toxic effects on a patient and be able to advise on dosage regimens accordingly.

9. Emerging technologies


a) be aware of all major new technologies available in medical microbiology based on DNA techniques (eg PCR) and monoclonal antibodies;

b) be aware of automated, rapid techniques available to medical microbiology;

c) be able to evaluate critically the need for emerging techniques within the laboratory including cost effectiveness and effects on staffing levels and working practices.

10. Data handling


a) have a basic understanding of information technology and in particular, computerised data handling. He or she should have an appreciation of the advantages and disadvantages of such systems and a basic understanding of the need for data protection;

b) be aware of available technologies for data broadcasting.

11. Clinical experience


a) have gained experience of liaison with clinical colleagues through regular ward visits and participation in collaborative clinical activities. In particular, a close relationship with high dependency units (eg ICU, NICU) and specialist units (eg haematology, paediatrics, transplantation etc.) where available;

b) have gained experience of liaison with general practitioners;

c) have participated in on-call rotas (including weekends) with consultant cover;

d) have participated in postgraduate educational meetings such as Grand Rounds and lunchtime case presentations;

e) be able to provide informed advice on vaccination and immunisation with all products normally available in the EU.

12. Infection control in hospital and community


a) have had first hand experience of local infection control problems, including, outbreaks of infection and their management;

b) be familiar with the workings of infection control meetings including local and regional infection control committees;

c) be aware of those areas of hospital and community health that require infection control policies;

d) have worked closely with the infection control nurse both in day to day duties and in the education of those involved with infection control issues;

e) have participated in visits to clinical and non-clinical areas to advise on infection control. These should include kitchen inspections especially those conducted by environmental health officers.

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Relationships should be developed with key personnel in the central sterilisation unit, pharmacy and laundry;

f) have an understanding of the principles of patient isolation and their application;

g) be familiar with any national documents relevant to infection control. Also a knowledge of any existing working party recommendations (eg MRSA, Shigella, Clostridium difficile);

h) gained some experience of public health microbiology with secondment if necessary to a Public Health Laboratory;

i) have had some experience of communicable disease control in the community working Environmental Health Officers.

j) become familar with the physical and chemical agents used in hospital infection control.

13 Antimicrobial usage

At the end of formal training, a microbiologist should have knowledge of:

a) empiric, directed and prophylactic antimicrobial use.

b) the means of prevention of emergence of resistance

c) surveillance of antibiotic resistance

14. Virology


a) basic diagnostic and screening virology methodology;

b) interpretation of results, both for clinical and infection control purposes;

c) virology policies in relation to health care workers, pregnancy, transplantation and immunisation;

d) when to refer to or request specialist virological expertise.

A period of six months to one year in total should be spent in a specialised virology laboratory during training.

15 Mycology


a) basic diagnostic mycology methodology;


c) special problems associated with the immunocompromised host

16 Parasitology


a) basic diagnostic parasitology methodology;


c) special problems associated with the immunocompromised host

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17. Quality control


a) have an understanding of quality control and quality assurance;

b) have had experience of the regular processing of specimens, distributed by an organisation for external quality control.

c) have an understanding of the existing external quality control schemes and the processing of data by these schemes.

18. Audit


a) have an understanding of the principles of audit;

b) have participated in microbiological audit both in house and in the microbiological audit of clinical specialties. The trainee should have also participated in clinical audit led by other specialties.

19. Accreditation

At the end of formal training, the microbiologist should have knowledge of the requirements of any existing laboratory accreditation schemes and the process whereby accreditation is conferred.

20. Management

At the end of formal training, the microbiologist should have achieved a basic knowledge of important aspects of laboratory management including budget control,personnel management and administration. Attendance at local or national management courses should be strongly encouraged.

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If there is insufficient space in any section, please continue on the blank page overleaf.

TRAINING RECORD &

TRAINING PROGRAMME

Medical Microbiology

Name……………………………………..

GMC No………………………………….

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Table of Contents Scope of this manual .......................................................................................................... Training programme - a description.................................................................................... Introduction .................................................................................................................... Aims of training.............................................................................................................. Training supervision ...................................................................................................... Training locations........................................................................................................... General structure of training.......................................................................................... Qualifications of the trainee at the end of training......................................................... Training record .................................................................................................................... Trainee details ............................................................................................................... Base laboratories........................................................................................................... Customized training programme................................................................................... Periods of training in laboratories or units outside base laboratory .............................. Record of In-training Assessment Interviews................................................................ Courses and meetings attended ................................................................................... Qualifications obtained during Microbiology training..................................................... Detailed subject coverage ............................................................................................. Instructions for completion of numbered sections ................................................... Health and safety at work ........................................................................................ Clinical experience ................................................................................................... Infection control in hospital and the community....................................................... Sterilization and disinfection..................................................................................... Specimen procurement and handling...................................................................... Specimen microscopy.............................................................................................. Culture methods....................................................................................................... Further processing of cultures ................................................................................. Susceptibility testing and antimicrobial assays........................................................ Laboratory techniques in virology for microbiology trainees ................................... Environmental microbiology for microbiology trainees ............................................ Parasitology for microbiology trainees..................................................................... Mycology for microbiology trainees ......................................................................... Epidemiology and statistics...................................................................................... Data handling ........................................................................................................... Quality Assurance.................................................................................................... Emerging technologies ............................................................................................ Research and development..................................................................................... Teaching and training............................................................................................... Laboratory management and legislation ................................................................. Additional topics .......................................................................................................

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Scope of this manualthis manual This manual is designed to provide a record of the training received by junior medical microbiologists during the whole of their period of training. It is intended to assist the trainee and his/her designated supervisor in considering the whole range of skills required of a newly appointed consultant medical microbiologist in a district general hospital or in a teaching hospital. Consideration is also given to training in communicable disease control and in environmental, food and water microbiology. In view of the diverse nature of the subject, the list of techniques and points covered is not necessarily comprehensive, but is designed to provide a framework for fuller discussion of each topic. The first section outlines the aims of the training, starting on page (1), the resources required and a suggested general structure of training. However, the suggested structure may be amended to suit local circumstances after approval of any significant changes are agreed by the Postgraduate Dean and/or any official board or committee on the registration of medical specialists. The background and qualifications of the trainee at the commencement of training in Microbiology should be recorded. An individual programme should be constructed for each trainee planned around the past experience, aptitudes and aspirations of the trainee. It should be designed after discussion between the trainee, the designated trainer and the Postgraduate Dean and/or any official board or committee on the registration of medical specialists. This programme is intended to outline the structure of the training and should be planned and reviewed at least annually. Instructions for completing the training record can be found on page B18, followed by the training record. The assessments of "Stage reached" are NOT intended to be used to grade the trainee, but to provide a guide to the completion of any outstanding topics. The completion of the training record should be complemented with Individual Performance Reviews (IPR) where appraisal of progress can be undertaken and where the trainee's opinions of the training being received should be considered.

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Training programme - a description- a description 1 Introduction This document sets out a curriculum for trainee medical microbiologists. 1.2 The general outline is complemented by a training record in which specific items are listed in some detail. 2 Aims of training training 2.1The aims of training should be to develop the knowledge, skills and attitudes required of medical microbiologists and to give wide experience of the practice of medical microbiology. The curriculum should centre on training in the following areas (the eight main tasks of the microbiologist as defined by the Microbiology Commission in Helsinki in 1996) to ensure competence to: a) Give advice as a physician on the diagnosis, treatment and prevention of microbial diseases. b) Provide a scientific basis for laboratory diagnosis; to set protocols and to maintain standards

within the laboratory. c) Undertake the management responsibilities required from the director of a medical microbiology

laboratory. d) Take charge of infection controls in hospitals. e) Propose hospital policies on the control of antibiotic usage and on the prevention of hospital

acquired infection. f) Collaborate with national surveillance organisations and public health authorities and to provide

laboratory services for these organisations. g) Participate in the training programmes for medical microbiologist, infection control practitioners

and other experts in the field of microbial diseases. h) Undertake research and development in the specialty of microbiological biopathology.

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2.2The precise composition of an individual's training programme should be structured around the past experience and aspirations of each trainee. The programme should be designed, and continually reviewed, by discussion between the trainee, the trainer and, at regular intervals, the Postgraduate Dean and/or any official board or committee on the registration of medical specialists. 2.3Each trainee will have to successfully acquire skills in each of the following categories: 2.3.1specialized factual knowledge of the natural history of infection and its clinical presentation; 2.3.2technical ability, to enable the trainee to select appropriate methodology and laboratory instrumentation based on practical skills and experience derived from close acquaintance with laboratory technology acquired during training, which includes quality control procedures and quality assurance; 2.3.3data management skills, including the statistical evaluation of data referring to the populations of patients served and the technical procedures applied in the laboratory as well as familiarity with the application of information technology within the laboratory and familiarity with the use of spreadsheets, databases and statistical packages; 2.3.4management and communication skills, including experience, under supervision, in formulating departmental policies and applying the leadership and team-work skills necessary to implement them, report writing and report presentation, costing procedures, preparing budgets and acquaintance with contracting procedures; 2.3.5research and development experience, as this is important for developing skills in independent and team-driven problem solving and in the critical assessment of published work; 2.3.6presentation skills, both oral and written; 2.3.7knowledge of health and safety at work requirements for laboratories including control of substances hazardous to health regulations; 2.3.8continuing study, leading to continuing medical education (CME) beyond the training post stage. This will enhance the acquisition of life-long habits of reading, literature searches, consultation with colleagues, attendance at scientific meetings, and the presentation of scientific work as part of continuing professional development (CPD). 3Training supervision 3.1Every trainee must have a designated trainer of Consultant status at the trainee's base laboratory who will be personally responsible for the trainee's day-to-day training and who will be accountable to the Postgraduate Dean and/or any official board or committee on the registration of medical specialists. 3.2When referred to another location for training, a Consultant, or Scientist of equivalent status, should be identified as being responsible for training for the duration of the attachment. 3.3Before agreeing to become a trainer, a Consultant must be able and prepared to set aside sufficient time to undertake this demanding duty. Each trainee should anticipate a

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weekly, regular, formal one hour tutorial session as a minimum. Furthermore, in addition, there should be training in benchwork and in clinical liaison/ward rounds by the trainer/another consultant or qualified SpR* (delegation of certain duties to a senior SpR does not abrogate trainer's responsibility) as well as frequent open access on an ad hoc basis. 3.4All trainees must have Consultant cover (preferably on-site) at all times. 3.5For more junior trainees, the trainer must be responsible for identifying publishable projects suited to the trainee's experience and interests, for arranging resources, and for overseeing the project up to publication. 3.6The progress of training should be reviewed with the trainer, and where relevant the laboratory head, and separately with the Postgraduate Dean and/or any official board or committee on the registration of medical specialists on at least an annual basis, or more frequently if requested. This review should be undertaken on a formal basis, with clear agreed goals and achievement reviews. 4Training locations 4.1Before a laboratory can be designated as a training site, the suitability of the site must be carefully considered. 4.2Each post and laboratory must have appropriate recognition. 4.3Each laboratory should ideally have the full appropriate accreditation. 4.4There should be sufficient non-training grade staff in a laboratory to carry out the routine clinical work. While trainees will often undertake routine work, they must not be relied upon for the running of the laboratory as this will interfere with the training programme. 4.5In addition to the suitability of the laboratory, consideration must be given to the scope of clinical material available. In laboratories attached to hospitals with a relatively small range of clinical services, rotation to laboratories at other hospitals will be necessary. 4.6Ideally, trainees should be based in laboratories specializing in training which will have more than one trainee. This will facilitate the suggested training structure outlined in section 0, below. In this situation, trainees can discuss cases and issues in medical microbiology with others who are also actively studying for examinations (or who have recently been doing so). This process is also of value to the more senior trainees who themselves begin to learn how to become effective trainers. 4.7Resources which must be available before a trainee is allocated to a laboratory: Reasonable quiet office space with a telephone line from where confidential clinical conversations can be carried out; sole use of a desk; filing cabinet and shelf space;

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ready access to computing facilities (at least one computer between every two trainees) with appropriate software (e.g. wp; spreadsheet; epi-info; reference manager) and connected printer; internet access; a range of suitable up-to-date reference texts within the laboratory, e.g. Principles and Practice of Infectious Disease (Mandel et al), The Use of Antibiotics (Kucers et al), Principles and Practice of Clinical Virology (Zuckerman et al), Manson's Tropical Diseases (Manson-Bahr et al). 5General structure of trainingof training 5.1The structure of training needs to be flexible to allow for individual trainee and service requirements. A suggested training structure follows which may be used as a guideline to best practice. It is not intended to be prescriptive. If an alternative training schedule is already in place, this may be followed, subject to approval by the Postgraduate Dean and/or any official board or committee on the registration of medical specialists. 5.2A significant part of training should be performed on an apprenticeship basis, with the trainee shadowing the trainer, another consultant or a qualified SpR in service laboratory and clinical duties (referred to as service work). 5.3Adequate time should be allowed for non-service benchwork, private study, attending courses and research (referred to as elective work). 5.4The proportion of service to elective work should vary between 1:1 and 1:2. It is essential that time for elective work should be allocated in blocks of sufficient length to allow the trainee to make maximum use of the elective time. The elective period should not be used exclusively for annual leave or for covering colleagues' planned annual/study leave. A suitable arrangement could entail a rotation (say every three months) of 'first on-call' for clinical duties between three trainees on one site, allowing the other two a clear six months for elective work in every nine months. 6Qualifications of the trainee at the end of training Required of the trainee: 6.1- Gaining knowledge and experience - At the end of training the trainee should have gained experience in the following areas:

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a. possess theoretical and practical knowledge , skillfulness and experience in bacteriology, virology, parasitology, mycology and serology, so that he/she is capable of independently arranging the content and organisation of a microbiological study for the benefit of patient care resulting in clinical consultation and a hospital epidemiological study;

The trainee should among other things: b. be able to assess relevant scientific literature and to apply (adjust) it for use in diagnostical scientific research; c. have sufficient theoretical and practical knowledge of molecular biology and immunology, to be able to assess (adjust) the developments and to use these for medical microbiological diagnostic scientific research; d. make sure that he/she possesses sufficient knowledge of management methods, so that these can be used for organisation, management and personal policy of a medical microbiological laboratory; e. orientate themselves to function in the field of prevention and the fight against infectious diseases; f. acquire sufficient knowledge to be able to execute or give guidance in hospital hygiene and hospital epidemiology programmes. 6.2-Cursory education – The trainee should through work placements and/or participating in courses have obtained insight in the parasitology, mycology, immunology, statistic/epidemiology, management and public health. 6.3 -Educational duties – The trainee should have given information and fulfilled educational tasks to medical students, co-assistants, trainee - nurses and paramedical staff. 6.4-Participating in discussions and meetings- The trainee should gain experience through regular attendance of clinical and pathological conferences.

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Training record Log bookbook:

Trainee details,

personal development plans,

and achievements

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Instructions for completion of numbered sectionsInstructions for completion of numbered sectionsfor completion of numbered sectionscompletion of numbered sectionscompletion of numbered sections Appropriate sections of the logbook should be completed at intervals no less frequently than monthly. Where only part of a section has been covered at a session, the "Comments" column should be used to indicate the subject matter discussed. A number of spare sheets have been included at the end to allow trainees and trainers the opportunity to include further topics as desired. It must be emphasized that the "Stage reached" columns should be used to record the depth to which the topic has been discussed. It is NOT intended to grade the level of knowledge of the trainee but to provide a useful checklist of any uncompleted topics at each stage of the trainee's training period. The "Stage reached" section is divided into four columns, numbered 1 to 4. Once a topic has been discussed, the appropriate box should be completed by the trainer with his initial and date. Topics covered at outside lectures, such as at an MSc course, may be entered individually for each topic at the appropriate stage. These numbers refer to the following stages: 1 A subject has been discussed at a basic level. It would be expected that the

trainee would need help and supervision most of the time in performing task/dealing with subject

2 The theory behind a subject has been discussed at a level sufficient to enable the trainee to troubleshoot the procedure or to enable him to cope with performing the task/dealing with subject under close supervision

3 The subject has been discussed comprehensively, such that the trainee should be able to cope with performing the task/dealing with subject with limited supervision

4 The subject has been discussed comprehensively and the trainee has a knowledge of the associated literature and should be competent to perform the procedure/deal with subject independently

Following the core topics, several blank lines are allowed for the completion by the trainee and the trainer for any other topics as desired. For some topics it would be inappropriate to complete the "Stage reached" column for each entry at any particular level. In such cases, the appropriate comments line can be used. Similarly, for other topics (e.g. management) it may be felt inappropriate to broach the subjects until stages 3 or 4. As an example, extracts from a Training record of a hypothetical trainee who commenced training on 01.01.90 is given on the following page.

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E.F.

Has

par

ticip

ated

in o

n-ca

ll ro

tas

(with

con

sulta

nt c

over

)

30/6

/93

C.D

. 15

/11/

95 G

.H.

Has

par

ticip

ated

in p

ostg

radu

ate

educ

atio

nal m

eetin

gs

-

12/9

/90

C.D

. 14

/4/9

2 C

.D.

17/1

0/93

E.F

.

Is a

ble

to p

rovi

de in

form

ed a

dvic

e on

vac

cina

tion

and

imm

uniz

atio

n w

ith a

ll pr

oduc

ts n

orm

ally

ava

ilabl

e in

the

EC

- -

30/6

/93

C.D

. 15

/11/

95 G

.H.

Urin

ary

tract

infe

ctio

n -

2/4/

90 A

.B.

3/8/

92 A

.B.

12/1

1/94

E.F

.

Endo

card

itis

- 7/

12/9

0 A.

B.

25/2

/93

E.F.

11

/10/

94 G

.H.

C

omm

unity

acq

uire

d pn

eum

onia

-

9/4/

90 A

.B.

2/2/

92 M

Sc

10/1

0/92

MSc

Hos

pita

l acq

uire

d pn

eum

onia

-

1/9/

90 A

.B.

14/3

/92

MSc

3/

7/92

MSc

Vira

l hae

mor

rhag

ic fe

ver

- -

12/1

2/92

A.B

. 17

/5/9

4 E.

F.

En

tries

in it

alic

scr

ipt a

re in

tend

ed to

indi

cate

han

dwrit

ten

entri

es

2

1 H

ealth

and

saf

ety

at w

ork

safe

ty a

t wor

k

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Rec

eive

d lo

cal l

abor

ator

y sa

fety

not

es

Acqu

aint

ed w

ith lo

cal f

ire s

afet

y ru

les

Acqu

aint

ed w

ith lo

cal a

ccid

ent r

epor

ting

polic

y

Acqu

aint

ed w

ith w

orki

ng o

f Saf

ety

Com

mitt

ee

Acqu

aint

ed w

ith S

afet

y re

gula

tions

Acqu

aint

ed w

ith C

ateg

oriz

atio

n of

Pat

hoge

ns

Fam

iliar w

ith in

dica

tions

for u

se a

nd c

orre

ct o

pera

tion

of C

lass

1,

2 a

nd 3

saf

ety

cabi

nets

Fam

iliar w

ith re

gula

tions

rela

ting

to C

ateg

ory

III la

bora

tory

Fam

iliar w

ith in

tern

atio

nal a

nd n

atio

nal p

osta

l reg

ulat

ions

3

2 C

linic

al e

xper

ienc

e

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Has

gai

ned

expe

rienc

e of

liai

son

with

clin

ical

col

leag

ues

thro

ugh

regu

lar w

ard

visi

ts, i

n pa

rticu

lar w

ith s

taff

on h

igh

depe

nden

cy u

nits

(e.g

. IC

U)

Und

erst

ands

the

man

agem

ent o

f inf

ectio

n in

var

ious

org

an

syst

ems

and

patie

nt ty

pes

Has

gai

ned

expe

rienc

e of

dea

ling

with

clin

ical

pro

blem

s in

sp

ecia

list c

linic

al a

reas

:

Paed

iatri

cs in

clud

ing

ICU

O

bste

trics

O

rthop

aedi

cs

Se

xual

ly tr

ansm

itted

dis

ease

s, in

clud

ing

AID

S

O

rgan

tran

spla

ntat

ion

H

aem

atol

ogy

(pro

foun

d ne

utro

peni

a)

Has

gai

ned

expe

rienc

e of

liai

son

with

gen

eral

pra

ctiti

oner

s,

parti

cula

rly b

y pr

ovid

ing

tele

phon

e ad

vice

whe

n re

ques

ted

Has

par

ticip

ated

in o

n-ca

ll ro

tas

(with

con

sulta

nt c

over

)

Has

par

ticip

ated

in p

ostg

radu

ate

educ

atio

nal m

eetin

gs

Has

par

ticip

ate

in th

e m

ultid

isci

plin

ary

appr

oach

of p

atie

ntca

re

4

3 In

fect

ion

cont

rol i

n ho

spita

l and

the

com

mun

ityin

hos

pita

l and

the

com

mun

ity

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Has

had

firs

t han

d ex

perie

nce

of lo

cal i

nfec

tion

cont

rol

prob

lem

s in

clud

ing

outb

reak

s of

infe

ctio

n an

d th

eir

man

agem

ent

Und

erst

ands

the

poss

ible

impl

icat

ions

on

bed

man

agem

ent o

f us

e of

sid

e ro

oms

and

war

d cl

osur

es

Is fa

milia

r with

the

wor

king

s of

infe

ctio

n co

ntro

l mee

tings

in

clud

ing

loca

l and

dis

trict

infe

ctio

n co

ntro

l com

mitt

ees

Is a

war

e of

thos

e ar

eas

of h

ospi

tal a

nd c

omm

unity

hea

lth th

at

requ

ire in

fect

ion

cont

rol p

olic

ies

Has

wor

ked

clos

ely

with

the

infe

ctio

n co

ntro

l nur

se b

oth

in d

ay

to d

ay d

utie

s an

d in

the

educ

atio

n of

oth

ers

on in

fect

ion

cont

rol

issu

es

Has

par

ticip

ated

in v

isits

to c

linic

al a

nd n

on-c

linic

al a

reas

to

advi

se o

n in

fect

ion

cont

rol,

incl

udin

g ki

tche

n in

spec

tions

co

nduc

ted

by e

nviro

nmen

tal h

ealth

offi

cers

Has

an

unde

rsta

ndin

g of

the

prin

cipl

es o

f pat

ient

isol

atio

n an

d th

e hi

erar

chy

of is

olat

ion

Is fa

milia

r with

any

doc

umen

ts re

leva

nt to

infe

ctio

n co

ntro

l suc

h as

repo

rts o

f Com

mitt

ees

of E

nqui

ry a

nd w

ith a

ny e

xist

ing

wor

king

par

ty re

com

men

datio

ns

Has

som

e un

ders

tand

ing

of h

ospi

tal d

esig

n an

d en

gine

erin

g pr

oble

ms

Und

erst

ands

the

indi

catio

ns fo

r mon

itorin

g th

eatre

air

supp

lies

Is a

ble

to p

rovi

de in

form

ed a

dvic

e on

vac

cina

tion

and

imm

uniz

atio

n w

ith a

ll pr

oduc

ts n

orm

ally

ava

ilabl

e in

the

EC

5

4 St

eriliz

atio

n an

d di

sinf

ectio

ndis

infe

ctio

n To

pic

Stag

e re

ache

d (w

hen

appl

icab

le) -

Tr

aine

r's in

itial

s an

d da

te

Com

men

ts

1

2 3

4

Und

erst

ands

prin

cipl

es o

f ste

riliz

atio

n us

ing

moi

st h

eat

Und

erst

ands

prin

cipl

es o

f ste

riliz

atio

n us

ing

dry

heat

Und

erst

ands

prin

cipl

es o

f ste

riliz

atio

n us

ing

othe

r met

hods

Und

erst

ands

prin

cipl

es o

f dis

infe

ctio

n us

ing

vario

us c

hem

ical

s in

labo

rato

ry s

ettin

g

Und

erst

ands

prin

cipl

es o

f dis

infe

ctio

n us

ing

vario

us c

hem

ical

s in

hos

pita

l war

d se

tting

Und

erst

ands

prin

cipl

es o

f dis

infe

ctio

n us

ing

vario

us c

hem

ical

s in

spe

cial

hos

pita

l set

tings

(e.g

. end

osco

py u

nits

)

Und

erst

ands

prin

cipl

es o

f dis

infe

ctio

n us

ing

vario

us c

hem

ical

s in

gen

eral

pra

ctic

e se

tting

Und

erst

ands

the

func

tions

and

man

agem

ent o

f Cen

tral

Ster

ilisat

ion

Uni

t

6

5 Sp

ecim

en p

rocu

rem

ent a

nd h

andl

inga

nd h

andl

ing

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

For e

ach

spec

imen

type

, is

awar

e of

opt

imal

met

hods

of

colle

ctio

n, tr

ansp

orta

tion

(incl

udin

g tra

nspo

rt m

edia

), st

orag

e,

rece

ptio

n, id

entif

icat

ion

and

docu

men

tatio

n

Is a

ble

to a

sses

s de

gree

s of

urg

ency

for t

he p

roce

ssin

g of

sp

ecim

ens,

incl

udin

g th

e pr

ovis

ion

of o

ut-o

f-hou

rs s

ervi

ce a

nd

the

com

mun

icat

ion

of p

relim

inar

y re

sults

as

appl

icab

le

Is a

ble

to d

ecid

e up

on fu

rther

test

ing

or p

roce

ssin

g of

a

spec

imen

as

appr

opria

te

Is a

war

e of

exi

stin

g re

fere

nce

faci

litie

s an

d th

eir a

ppro

pria

te u

se

7

6 La

bora

tory

tech

niqu

es in

mic

robi

olog

y: S

peci

men

mic

rosc

opy

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Und

erst

ands

the

prin

cipl

es o

f lig

ht, d

arkg

roun

d, p

hase

con

trast

, flu

ores

cent

and

ele

ctro

n m

icro

scop

y, a

nd is

abl

e to

set

up

a lig

ht m

icro

scop

e w

ith d

ark

grou

nd a

nd p

hase

con

trast

faci

litie

s

Is a

ble

to p

erfo

rm ro

utin

e st

aini

ng te

chni

ques

incl

udin

g us

ing

fluor

esce

nt d

yes

Is fa

milia

r with

the

appe

aran

ce o

f sta

ined

pre

para

tions

and

is

able

to re

cogn

ize

artif

acts

and

thei

r pos

sibl

e or

igin

8

7 La

bora

tory

tech

niqu

es in

mic

robi

olog

y: C

ultu

re m

etho

ds

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Has

a b

asic

und

erst

andi

ng o

f the

div

ersi

ty o

f mic

robi

al

met

abol

ism

Is a

war

e of

the

wid

e ra

nge

of s

elec

tive,

enr

ichm

ent a

nd

inhi

bito

ry m

edia

ava

ilabl

e fo

r gen

eral

and

spe

cial

ized

use

and

is

able

to c

hose

rele

vant

med

ia in

com

mon

use

or i

n m

edic

al a

nd

envi

ronm

enta

l lab

orat

orie

s

Is fa

milia

r with

phy

sica

l gro

wth

requ

irem

ents

of m

icro

-or

gani

sms

incl

udin

g op

timal

tem

pera

ture

and

has

an

appr

ecia

tion

of th

e gr

owth

kin

etic

s of

bot

h so

lid p

hase

and

bro

th

cultu

res

Is fa

milia

r with

the

prep

arat

ion

of m

edia

in c

omm

on u

se a

nd

has

an u

nder

stan

ding

of i

nter

nal q

ualit

y co

ntro

l of s

uch

prep

arat

ions

Is a

ble

to p

roce

ss a

ll co

mm

on s

peci

men

s, to

reco

gniz

e po

tent

ial p

atho

gens

from

mix

ture

of c

olon

ies

on c

ultu

re p

late

s,

and

to s

epar

ate

such

col

onie

s in

ord

er to

ach

ieve

the

pure

gr

owth

nec

essa

ry fo

r fur

ther

wor

k

9

8 La

bora

tory

tech

niqu

es in

mic

robi

olog

y: F

urth

er p

roce

ssin

g of

cul

ture

sof c

ultu

res

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Is a

ble

to p

erfo

rm te

sts

lead

ing

to th

e id

entif

icat

ion

of a

ll co

mm

on p

atho

gens

, inc

ludi

ng th

e us

e of

com

mer

cial

ly

prod

uced

kits

[ide

ntifi

catio

n of

eac

h ge

nus/

spec

ies

may

be

liste

d se

para

tely

, bel

ow. T

his

may

be

parti

cula

rly u

sefu

l for

m

ore

unus

ual o

rgan

ism

s]

Und

erst

ands

the

prin

cipl

es o

f ide

ntifi

catio

n m

edia

and

is a

ble

to

use

them

app

ropr

iate

ly

Und

erst

ands

the

prin

cipl

es b

ehin

d m

ultip

oint

iden

tific

atio

n te

chno

logy

Is a

war

e of

f ava

ilabl

e re

fere

nce

faci

litie

s fo

r fin

er id

entif

icat

ion

incl

udin

g se

roty

ping

and

oth

er p

heno

typi

c an

d ge

noty

pic

typi

ng

met

hods

10

9 La

bora

tory

tech

niqu

es in

mic

robi

olog

y: S

usce

ptib

ility

test

ing

and

antim

icro

bial

ass

aysa

nd a

ntim

icro

bial

ass

ays

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner’s

initi

als

and

date

C

omm

ents

1

2 3

4

Is a

ble

to te

st th

e an

tibio

tic s

usce

ptib

ilitie

s of

an

isol

ate

usin

g th

e co

mm

on te

chni

ques

of d

isc

test

ing

and

brea

kpoi

nts

and

unde

rsta

nds

of th

e pr

inci

ples

beh

ind

mul

tipoi

nt s

usce

ptib

ility

test

ing

tech

nolo

gy

Is a

ble

to p

erfo

rm a

nd in

terp

ret M

IC a

nd M

BC te

sts

as

appr

opria

te

Is a

ble

to p

erfo

rm fu

ll an

d ha

lf ch

eque

rboa

rd ti

tratio

ns

Is a

ble

to c

arry

out

ser

um c

idal

leve

ls

Is a

ble

to p

erfo

rm a

ntim

icro

bial

ass

ays

usin

g bi

olog

ical

and

au

tom

ated

tech

niqu

es

Has

an

unde

rsta

ndin

g of

ant

imic

robi

al a

ssay

s an

d th

eir

rela

tions

hip

to th

e th

erap

eutic

and

toxi

c ef

fect

s on

a p

atie

nt a

nd

be a

ble

to a

dvis

e on

dos

age

regi

men

s ac

cord

ingl

y

11

10

Labo

rato

ry te

chni

ques

in v

irolo

gy fo

r mic

robi

olog

y tra

inee

sin

viro

logy

for m

icro

biol

ogy

train

ees

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Und

erst

ands

prin

cipl

es o

f com

mon

ser

olog

ical

test

ing

met

hods

, in

clud

ing

com

plem

ent f

ixat

ion

test

, enz

yme

linke

d im

mun

osor

bent

ass

ay, s

ingl

e ra

dial

hae

mol

ysis

, par

ticle

ag

glut

inat

ion,

imm

unob

lot a

ssay

Und

erst

ands

the

prin

cipl

es b

ehin

d vi

rus

isol

atio

n us

ing

cell

cultu

re, i

nclu

ding

pre

para

tion

and

prop

agat

ion

of c

ell l

ines

, ch

oice

of c

ell l

ine,

inoc

ulat

ion

of c

linic

al s

peci

men

s, re

cogn

ition

of

cyt

opat

hic

effe

cts,

use

of n

eutra

lizat

ion

and

othe

r co

nfirm

ator

y te

sts

Is a

war

e of

the

prin

cipl

es o

f ele

ctro

n m

icro

scop

y, in

clud

ing

dire

ct d

etec

tion,

con

cent

ratio

n m

etho

ds a

nd m

ore

spec

ializ

ed

uses

and

the

indi

catio

ns fo

r its

use

Und

erst

ands

prin

cipl

es b

ehin

d an

tigen

/DN

A/R

NA

dete

ctio

n us

ing

e.g.

imm

unof

luor

esce

nce,

PC

R, E

LISA

12

11

Envi

ronm

enta

l mic

robi

olog

y fo

r mic

robi

olog

y tra

inee

sfor

mic

robi

olog

y tra

inee

s To

pic

Stag

e re

ache

d (w

hen

appl

icab

le) -

Tr

aine

r's in

itial

s an

d da

te

Com

men

ts

1

2 3

4

Is a

war

e of

the

exis

tenc

e of

sta

tuto

ry re

quire

men

ts fo

r cer

tain

fo

od, w

ater

or m

ilk ty

pes

Is a

war

e of

the

exis

tenc

e of

sta

tuto

ry s

tand

ards

for b

acte

rial

and

vira

l cou

nts

in b

athi

ng w

ater

s

Is a

ble

to e

xam

ine

com

mon

type

s of

food

, wat

er a

nd m

ilk fo

r to

tal c

ount

s, s

peci

fic o

rgan

ism

det

ectio

n an

d sp

ecia

l tes

ts

Is a

war

e of

ava

ilabl

e te

chno

logi

es fo

r the

det

ectio

n of

C

rypt

ospo

ridiu

m s

p. a

nd v

iruse

s fro

m fo

od o

r wat

er s

ampl

es

Und

erst

ands

the

prin

cipl

es b

ehin

d in

terp

reta

tion

of re

sults

on

diffe

rent

food

type

s an

d ca

n ad

vise

env

ironm

enta

l hea

lth

offic

ers

and

othe

rs a

ccor

ding

ly

Is a

war

e of

met

hods

for d

etec

tion

of L

egio

nella

sp.

13

12

Para

sito

logy

for m

icro

biol

ogy

train

eesm

icro

biol

ogy

train

ees

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Is a

ble

to e

xam

ine

appr

opria

te s

ampl

es in

clud

ing

faec

es, u

rine

and

bloo

d fo

r par

asite

s an

d w

hen

to re

fer s

peci

men

s to

sp

ecia

list l

abor

ator

ies

for f

urth

er e

xam

inat

ion

Is a

war

e of

the

rang

e of

ser

olog

ical

inve

stig

atio

ns a

nd w

here

th

ey a

re p

erfo

rmed

Has

gai

ned

expe

rienc

e in

the

clin

ical

man

agem

ent o

f pat

ient

s w

ith p

aras

ite in

fect

ion

Is fa

milia

r with

the

man

agem

ent o

f ect

opar

asite

infe

ctio

n,

incl

udin

g sc

abie

s

14

13

Myc

olog

y fo

r mic

robi

olog

y tra

inee

smic

robi

olog

y tra

inee

s To

pic

Stag

e re

ache

d (w

hen

appl

icab

le) -

Tr

aine

r's in

itial

s an

d da

te

Com

men

ts

1

2 3

4

Is a

ble

to e

xam

ine

appr

opria

te s

ampl

es fo

r fun

gi a

nd k

now

s w

hen

to re

fer s

peci

men

s to

spe

cial

ist l

abor

ator

ies

for f

urth

er

iden

tific

atio

n an

d su

scep

tibilit

y

Is a

war

e of

the

rang

e of

ser

olog

ical

inve

stig

atio

ns a

nd w

here

th

ey a

re p

erfo

rmed

Has

gai

ned

expe

rienc

e in

the

clin

ical

man

agem

ent o

f pat

ient

s w

ith fu

ngal

infe

ctio

n

15

14

Epid

emio

logy

and

sta

tistic

ssta

tistic

s To

pic

Stag

e re

ache

d (w

hen

appl

icab

le) -

Tr

aine

r's in

itial

s an

d da

te

Com

men

ts

1

2 3

4

Und

erst

ands

the

vario

us m

etho

ds o

f col

lect

ing

data

abo

ut

com

mun

icab

le d

isea

ses,

and

the

limita

tions

of s

uch

data

Und

erst

ands

the

prin

cipl

es o

f cas

e co

ntro

l and

coh

ort s

tudi

es

Is a

ble

to c

onst

ruct

bas

ic d

ata

colle

ctio

n qu

estio

nnai

res

usin

g ap

prop

riate

sof

twar

e pa

ckag

es, e

.g. e

pi-in

fo

Und

erst

ands

the

role

of t

he lo

cal p

ublic

hea

lth la

bora

tory

Has

take

n pa

rt in

the

man

agem

ent o

f com

mun

ity o

utbr

eaks

of

infe

ctio

n, e

.g. f

ood

pois

onin

g am

ong

gues

ts fo

llow

ing

a fu

nctio

n

Und

erst

ands

the

impo

rtanc

e of

sta

tistic

s in

the

plan

ning

and

ex

ecut

ion

of s

tudi

es a

nd k

now

s w

hen

to s

eek

expe

rt as

sist

ance

fo

rm a

sta

tistic

ian

Is a

war

e of

the

stat

istic

al p

robl

ems

enco

unte

red

in c

linic

al tr

ials

, an

d of

the

type

s of

sta

tistic

al e

rrors

Can

sel

ect a

nd p

erfo

rm a

ppro

pria

te b

asic

sta

tistic

al a

naly

ses,

in

clud

ing

t-tes

t, ch

i-squ

are

test

, reg

ress

ion

and

corre

latio

n

16

15

Dat

a ha

ndlin

g To

pic

Stag

e re

ache

d (w

hen

appl

icab

le) -

Tr

aine

r's in

itial

s an

d da

te

Com

men

ts

1

2 3

4

Has

a b

asic

und

erst

andi

ng o

f inf

orm

atio

n te

chno

logy

and

, in

parti

cula

r, co

mpu

teriz

ed la

bora

tory

dat

a ha

ndlin

g

Is fa

milia

r with

sta

ndar

d w

ord

proc

esso

r, sp

read

shee

t, re

latio

nal

data

base

, sta

tistic

s an

d ep

idem

iolo

gy s

oftw

are

pack

ages

Is fa

milia

r with

the

basi

c m

etho

ds fo

r ele

ctro

nic

data

tran

sfer

w

ith lo

cal a

nd re

mot

e co

mpu

ter s

yste

ms

Is fa

milia

r with

the

requ

irem

ents

of d

ata

prot

ectio

n

Is a

war

e of

ava

ilabl

e te

chno

logi

es fo

r dat

a br

oadc

astin

g

Und

erst

ands

the

impo

rtanc

e of

a s

tand

ardi

zed

codi

ng s

yste

m

17

16

Qua

lity

Assu

ranc

e To

pic

Stag

e re

ache

d (w

hen

appl

icab

le) -

Tr

aine

r's in

itial

s an

d da

te

Com

men

ts

1

2 3

4

Und

erst

ands

the

diffe

renc

e be

twee

n qu

ality

con

trol a

nd q

ualit

y as

sura

nce

Has

exp

erie

nce

of q

ualit

y co

ntro

l usi

ng a

vaila

ble

sche

mes

Und

erst

ands

the

nece

ssity

for,

and

has

take

n pa

rt in

, clin

ical

au

dit,

both

inte

rnal

ly w

ithin

the

labo

rato

ry a

nd in

the

clin

ical

se

tting

in a

ssoc

iatio

n w

ith c

linic

al c

olle

ague

s

Und

erst

ands

the

proc

edur

es o

f lab

orat

ory

accr

edita

tion

18

17

Emer

ging

tech

nolo

gies

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Is a

war

e of

all

maj

or n

ew te

chno

logi

es a

vaila

ble

to m

edic

al

mic

robi

olog

y (e

.g. m

onoc

lona

l ant

ibod

ies

and

poly

mer

ase

chai

n re

actio

n)

Is a

war

e of

all

avai

labl

e au

tom

ated

, rap

id te

chni

ques

ava

ilabl

e to

med

ical

mic

robi

olog

y

Is a

ble

to c

ritic

ally

eva

luat

e th

e ne

ed fo

r em

ergi

ng te

chni

ques

w

ithin

the

labo

rato

ry, i

nclu

ding

cos

t effe

ctiv

enes

s an

d ef

fect

s on

st

affin

g le

vels

and

wor

king

pra

ctic

es

Awar

enes

s of

use

of n

ear-p

atie

nt te

sts

19

18

Res

earc

h an

d de

velo

pmen

tdev

elop

men

t To

pic

Stag

e re

ache

d (w

hen

appl

icab

le) -

Tr

aine

r's in

itial

s an

d da

te

Com

men

ts

1

2 3

4

Has

und

erta

ken

rese

arch

pro

ject

s ap

prop

riate

to g

rade

and

tra

inin

g st

age

Has

sub

mitt

ed p

aper

(s) f

or p

ublic

atio

n in

pee

r rev

iew

jour

nals

Is a

war

e of

sou

rces

of f

undi

ng fo

r res

earc

h pr

ojec

ts a

nd

unde

rsta

nds

the

proc

esse

s in

volv

ed in

obt

aini

ng g

rant

s fo

r re

sear

ch a

ctiv

ities

Can

eva

luat

e cr

itica

lly th

e pu

blis

hed

wor

k of

oth

ers

20

19

Teac

hing

and

trai

ning

train

ing

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Has

had

exp

erie

nce

of te

achi

ng u

nder

grad

uate

med

ical

st

uden

ts in

tuto

rials

gro

ups

and,

if p

ossi

ble,

form

al le

ctur

es

Has

had

exp

erie

nce

of te

achi

ng d

octo

rs fr

om o

ther

spe

cial

ities

(w

hen

suita

bly

seni

or )

Has

had

exp

erie

nce

of te

achi

ng n

urse

s (u

sual

ly o

n in

fect

ion

cont

rol t

opic

s)

Has

had

exp

erie

nce

of tr

aini

ng ju

nior

and

Sci

entif

ic s

taff

Whe

n ap

prop

riate

ly s

enio

r, ha

s ha

d ex

perie

nce

of tr

aini

ng

juni

or m

edic

ally

qua

lifie

d m

icro

biol

ogis

ts a

nd v

irolo

gist

s

21

20

Labo

rato

ry m

anag

emen

t and

legi

slat

iona

nd le

gisl

atio

n To

pic

Stag

e re

ache

d (w

hen

appl

icab

le) -

Tr

aine

r's in

itial

s an

d da

te

Com

men

ts

1

2 3

4

Und

erst

ands

the

nece

ssity

for,

and

has

acqu

ired

the

inte

r-pe

rson

al s

kills

nec

essa

ry to

dea

l with

oth

er m

embe

rs o

f sta

ff bo

th in

the

labo

rato

ry a

nd o

utsi

de

Has

regu

larly

atte

nded

dep

artm

enta

l man

agem

ent m

eetin

gs

and

has

been

giv

en d

eleg

ated

resp

onsi

bilit

y

Has

regu

larly

atte

nded

div

isio

nal m

anag

emen

t mee

tings

and

ha

s be

en g

iven

del

egat

ed re

spon

sibi

lity

Has

regu

larly

atte

nded

regi

onal

con

sulta

nt m

icro

biol

ogis

ts'

mee

tings

and

has

bee

n gi

ven

dele

gate

d re

spon

sibi

lity

Has

regu

larly

atte

nded

hos

pita

l inf

ectio

n co

ntro

l com

mitt

ee

mee

tings

and

has

bee

n gi

ven

dele

gate

d re

spon

sibi

lity

Has

regu

larly

atte

nded

dru

gs a

nd th

erap

eutic

s co

mm

ittee

m

eetin

gs (w

hen

antim

icro

bial

/ant

ivira

l age

nts

are

disc

usse

d)

and

has

been

giv

en d

eleg

ated

resp

onsi

bilit

y

Und

erst

ands

the

finan

cing

of a

labo

rato

ry a

nd h

ow to

allo

cate

re

sour

ces

with

in th

e la

bora

tory

Und

erst

ands

the

prin

cipl

es o

f per

sonn

el re

crui

tmen

t and

se

lect

ion

and

has

join

ed a

ppoi

ntm

ents

com

mitt

ees

Has

a c

lear

und

erst

andi

ng o

f ind

ivid

ual p

erfo

rman

ce re

view

and

ha

s ga

ined

som

e ex

perie

nce

in it

s ap

plic

atio

n

Has

atte

nded

a s

uita

ble

man

agem

ent c

ours

e

Und

erst

ands

the

nece

ssity

for a

nd th

e w

orki

ngs

of th

e N

atio

nal

Con

tinui

ng M

edic

al E

duca

tion

sche

me

Is a

war

e of

the

dutie

s of

con

fiden

tialit

y of

per

sona

l med

ical

in

form

atio

n

Any

othe

r rel

evan

t leg

al re

quire

men

ts

22

21

Addi

tiona

l top

ics

Topi

c St

age

reac

hed

(whe

n ap

plic

able

) -

Trai

ner's

initi

als

and

date

C

omm

ents

1

2 3

4

Has

bas

ic k

now

ledg

e of

the

imm

unol

ogic

al re

spon

se to

in

fect

ion

and

labo

rato

ry m

etho

ds to

stu

dy im

mun

ity

Has

exp

erie

nce

in m

olec

ular

bio

logy

tech

nolo

gy

UEMS SECTION OF MEDICAL BIOPATHOLOGY CORE TRAINING PROGRAMME AND TRAINING … · 2014-05-09 · 1...

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Transcript of UEMS SECTION OF MEDICAL BIOPATHOLOGY CORE TRAINING PROGRAMME AND TRAINING … · 2014-05-09 · 1...