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					                                                                                     Chemistry rotation
The chemistry resident rotation is a three month rotation comprised of three separate one month time periods. The goal of
these rotations is to provide a comprehensive overview of subjects relating to clinical laboratory pathology and practice. This
will provide a basis for residents to be successful on the CP section of the board exam, as well as develop into clinicians who
are able to evaluate, provide clinical consultation to others, promote laboratory improvement, and assist in the
implementation of new laboratory testing. The Clinical Chemistry rotation is designed to provide training and competency in
various aspects of the field, including understanding the pathophysiology of various disease states and the diagnostic utility
of tests used to evaluate these disease states. An additional focus is to provide the opportunity for residents to become
acquainted with the research process and scientific presentation of research. This rotation encompasses the chemistry,
immunology, toxicology, pediatric, and point of care laboratories at UAMS.

                                                                                                                              Competency Required                             Level Aquired
Objectives:                                                                                                               MK PC Prof PBL IP/CS                  SBP      PGY-1 PGY-2 PGY-3 PGY-4
Develop a diagnosis or differential diagnosis for specimens referred to the service                                       a      a  a    a    a                  a        a
Gather essential and accurate information from the medical record and health care providers                               a      a  a    a    a                  a        a
Create informed reports and consultations based on up-to-date scientific evidence and clinical judgment.                  a      a       a    a                  a        a
Be able to sign out SPEP and IFEs for immunology (2 weeks of signouts)                                                    a      a       a                                a
Understand anion gaps and the role in the laboratory for calculating anion gaps                                           a      a       a                                a
Understand hemoglobinopathies and be able to read HPLC hemoglobin profiles                                                               a                                a
Support the laboratory staff in producing timely accurate results                                                         a              a                       a        a
Understand Pre-Analytical Variation Common Laboratory Interferences, and Specimen processing.                             a         a         a                  a        a
Understand Quality Control and Statistical Analysis of Laboratory Results                                                 a         a                            a        a
Understand CAP Proficiency Testing and CAP Regulation and method evaluation                                               a              a                       a        a
Understand Instrumentation (including FPOL, fluorescence, spectroscopy, nephlometry/turbidimitry chromatography, and mass spec.)                                          a
Understand Liver and Pancreatic function (Hepatic enzymes, Liver function tests and Pancreatic enzymes)                   a              a                                a
Understand Cardiac Enzymes                                                                                                a         a    a                       a        a
Understand Serum Protein Electrophoresis and Major Serum Proteins                                                         a                                               a
Understand Renal Function Tests                                                                                           a                                               a
Understand Toxicology, Therapeutic Drug Management, Pharmacogenomics
                                                                                                                          a                                                a
and Trace Elements
Understand Renal Function                                                                                                 a                                                       a
Understand Lipids and Carbohydrates                                                                                       a                                                       a
Understand Endocrinology (Thyroid, Adrenal, Pituitary)                                                                    a                                                       a
Understand Markers of Viral Disease                                                                                       a                                                       a
Understand Bone Markers/ Vitamin D                                                                                        a                                                       a
Understand Vitamins/Iron/Porphyrins                                                                                       a                                                       a
Understand Hemoglobinopathies                                                                                             a                                                       a
Understand Tumor Markers                                                                                                  a                                                       a
Understand Laboratory Tests in Pregnancy (including Maternal Serum Screening and Fetal Lung Maturity                      a                                                           a
Understand Disorders/Inborn Errors of Metabolism (Biochemical Genetics)                                                   a                                                           a
Board review and quantative test evaluation                                                                               a         a    a    a                  a                          a
Perform Mock CAP inspection                                                                                               a         a    a    a                  a                          a
Resarch project and professional presentation                                                                             a         a    a    a                                             a
Take Chemistry Call                                                                                                       a         a    a    a                            a
Help laboratory staff with method evaluation and client concerns                                                          a         a    a    a                            a

Evaluation tools:                                                                                                                 Competency Key:
Direct observation and feedback                                                                                                   MK: medical knowledge
Faculty evaluation                                                                                                                PC: patient care
360° evaluation                                                                                                                   Prof: professionalism
RISE examination                                                                                                                  PBL: practice-based learning and improvement
                                                                                                                                  IP/CS: interpersonal and communication skills
                                                                                                                                  SBP: systems-based practice

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