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Difference between revisions of "Level 4 equivalent of 2014"
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'''Level 4 equivalent''', abbreviated '''L4E''', is a [[workload measurement system]] endorsed by the Canadian Association of [[pathologist]]s.<ref name=Can_J_Pathol_2010_2_8-19>{{Cite journal | last1 = Maung | first1 = R. | title = [http://andrewjohnpublishing.com/images/cjp%202-1.pdf Canadian Association of Pathologists guidelines for measurement of workload] | journal = Canadian Journal of Pathology | volume = 2 | issue = 1 | pages = 8-19 | month = | year = 2010 | doi = | PMID = }}</ref> | '''Level 4 equivalent of 2014''', abbreviated '''L4E (2014)''', is a [[workload measurement system]] endorsed by the Canadian Association of [[pathologist]]s.<ref name=Can_J_Pathol_2010_2_8-19>{{Cite journal | last1 = Maung | first1 = R. | title = [http://andrewjohnpublishing.com/images/cjp%202-1.pdf Canadian Association of Pathologists guidelines for measurement of workload] | journal = Canadian Journal of Pathology | volume = 2 | issue = 1 | pages = 8-19 | month = | year = 2010 | doi = | PMID = }}</ref> | ||
The development is described in a paper by Maung published in 2010.<ref name=pmid15762279>{{Cite journal | last1 = Maung | first1 = RT. | title = What is the best indicator to determine anatomic pathology workload? Canadian experience. | journal = Am J Clin Pathol | volume = 123 | issue = 1 | pages = 45-55 | month = Jan | year = 2005 | doi = | PMID = 15762279 }} | The development is described in a paper by Maung published in 2010.<ref name=pmid15762279>{{Cite journal | last1 = Maung | first1 = RT. | title = What is the best indicator to determine anatomic pathology workload? Canadian experience. | journal = Am J Clin Pathol | volume = 123 | issue = 1 | pages = 45-55 | month = Jan | year = 2005 | doi = | PMID = 15762279 }}</ref> | ||
The original system is covered in the article ''[[Level 4 equivalent of 2010]]''. The 2014 version (dealt with here) is superseded by the 2018 version which is dealt with in ''[[Level 4 equivalent of 2018]]''. | |||
==Revised L4E of 2014== | ==Revised L4E of 2014== | ||
One L4E unit is considered to be roughly equivalent to 10 minutes. | |||
===Most surgical pathology=== | ===Most surgical pathology=== | ||
As per L4E definition (2014) 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> | As per L4E definition (2014) adapted from CAP-ACP:<ref name=capacp2014>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2014. 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> | ||
{| class="wikitable sortable" | {| class="wikitable sortable" | ||
! Code | ! Code | ||
| Line 27: | Line 29: | ||
| 0.5 | | 0.5 | ||
| small/simple biopsies | | small/simple biopsies | ||
| includes most skin, cysts, GI tract specimens, small benign specimens | | includes most skin, cysts, GI tract specimens, small benign specimens - detailed in [[L4E rule 1-3 (2014)|rules 1, 2 and 3]] | ||
|- | |- | ||
| L4 | | L4 | ||
| 1 | | 1 | ||
| biopsies - most internal organs | | biopsies - most internal organs | ||
| detailed in rules 1, 2 and 3 | | detailed in [[L4E rule 1-3 (2014)|rules 1, 2 and 3]] | ||
|- | |- | ||
| L5 | | L5 | ||
| 5 | | 5 | ||
| complex biopsies | | complex biopsies | ||
| includes medical and transplant biopsies, explant organs | |||
|- | |- | ||
| L6 | | L6 | ||
| 10 | | 10 | ||
| radical resections for malignancy | | radical resections for malignancy | ||
| detailed in rule 9 | | detailed in [[L4E rule 9 (2014)|rule 9]] | ||
|- | |- | ||
|} | |} | ||
| Line 55: | Line 57: | ||
| L2/block | | L2/block | ||
| non-radical and benign resections, non-biopsy/non-L6 cases | | non-radical and benign resections, non-biopsy/non-L6 cases | ||
| 10 blocks = 10 x L2; 10 x L2 = 3.33 L4Es; details in rule 4 | | 10 blocks = 10 x L2; 10 x L2 = 3.33 L4Es; details in [[L4E rule 4 (2014)|rule 4]] | ||
|} | |} | ||
| Line 77: | Line 79: | ||
|- | |- | ||
|} | |} | ||
===Additional block/levels=== | |||
Deeper cuts and the submission of additional tissue are dealt with in [[L4E rule 6 (2014)|rule 6]]. | |||
===Special stains and IHC=== | |||
Special stains and immunostains are dealt with in [[L4E rule 7-8 (2014)|rule 7 and rule 8]]. | |||
===Adjustments for micro only and teaching=== | |||
The workload is adjusted if the gross is not done by the pathologist or teaching is done as part of the sign-out. | |||
Cases where the gross is not done by the pathologist are discounted 5%. Cases that include teaching are given a 30% premium. | |||
===Total workload=== | ===Total workload=== | ||
| Line 91: | Line 104: | ||
|} | |} | ||
‡ Defined by mean +/- 2 standard deviations. | ‡ Defined by mean +/- 2 standard deviations. | ||
If one presumes 210 working days, on the basis 6 weeks vacation + 2 week CME + 10 stat holidays, the daily mean workload is 36 L4E. | |||
==See also== | ==See also== | ||
*[[Workload measurement]]. | *[[Workload measurement]]. | ||
*[[Level 4 equivalent of 2010]]. | *[[Level 4 equivalent of 2010]]. | ||
*[[L4E rules of 2014]]. | |||
*[[L4E quizzes]]. | |||
==References== | ==References== | ||