Difference between revisions of "Level 4 equivalent of 2014"

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===Most surgical pathology===
===Most surgical pathology===
L4E units for surgical pathology adapted from CAP-ACP:<ref>URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf]. Accessed on: 17 October 2017.</ref>
L4E definition adapted from CAP-ACP:<ref name=capacp2014>URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf]. Accessed on: 17 October 2017.</ref>
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====All other cases====
====All other surgical pathology cases====
L4E definition adapted from CAP-ACP:<ref name=capacp2014/>
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===Cytopathology===
===Cytopathology===
L4E definition adapted from CAP-ACP:<ref name=capacp2014/>
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==Details of the original L4E system==
==Details of the original L4E system==

Revision as of 13:42, 17 October 2017

Level 4 equivalent, abbreviated L4E, is a workload measurement system endorsed by the Canadian Association of pathologists.[1]

The development is described in a paper by Maung.[2] It has since been revised and is comprehensive with regard to academic practice and community practice.[3]

Revised L4E of 2014

Most surgical pathology

L4E definition adapted from CAP-ACP:[4]

Code L4E units Description Details
L1 0.15 gross only specimens itemized in the "specimen list and codes"
L2 0.333 confirmation of normal must include histology
L3 0.5 small biopsies includes most skin, cysts, GI tract specimens, small benign specimens
L4 1 biopsies - most internal organs detailed in rules 1, 2 and 3
L5 5 complex biopsies - includes medical and transplant biopsies, explant organs
L6 10 radical resections for malignancy detailed in rule 9

All other surgical pathology cases

L4E definition adapted from CAP-ACP:[4]

L4E units Description Details
L2/block non-radical and benign resections, non-biopsy/non-L6 cases detailed by rule 4, e.g. 10 blocks = 10 x L2; 10 x L2 = 3.33 L4Es

Cytopathology

L4E definition adapted from CAP-ACP:[4]

Code L4E units Description Details
C1 1 simple (exfoliative) cytology pap test, urine, sputum, fluids (peritoneal, pleural)
C2 2 complex cytology FNAs, brushes, washes

Details of the original L4E system

Surgical pathology

L4E units for surgical pathology adapted from Maung:[1]

Description L4E units
Surgical - level 1 0.15
Surgical - level 2 0.33
Surgical - level 3 0.5
Surgical - level 4 1.0
Surgical - level 5 5.0
Surgical - level 6 15.0

Modifiers to the base scores (above) - based on Maung:[1]

Description L4E units
Additional stains & IHC
>=4 for case 		+1.0
Immunofluorescence +0.5
Intraoperative consultation 3
Each additional
intraoperative consultation 		2

Total workload

Recommended mean workload per pathologist adapted from Maung:[1]

Practise type Annual L4E units
(mean & standard deviation)
Rural 5,589 (5,393-5,784)
Independent 6,316 (6,095-6,537)
Specialized 7,043 (6,797-7,290)

See also

References

  1. ↑ 1.0 1.1 1.2 1.3 Maung, R. (2010). "Canadian Association of Pathologists guidelines for measurement of workload". Canadian Journal of Pathology 2 (1): 8-19.
  2. ↑ Maung, RT. (Jan 2005). "What is the best indicator to determine anatomic pathology workload? Canadian experience.". Am J Clin Pathol 123 (1): 45-55. PMID 15762279.
  3. ↑ URL: https://www.cap-acp.org/wkload.php. Accessed on: 14 July 2017.
  4. ↑ 4.0 4.1 4.2 URL: https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf. Accessed on: 17 October 2017.
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