Quality Assurance Testing Program

The American Society of Dermatopathology Quality Assurance Testing Program Diagnostic Quality Assurance Online Laboratory Proficiency Immunofluorescence Proficiency (Indirect) Sponsored by The American Society of Dermatopathology 111 Deer Lake Road, Suite 100 Deerfield, Illinois 60015 U.S.A. This activity has been approved for AMA PRA Category 1 credit. 2009 2009 Diagnostic Quality Assurance Program Online Exam! Registration and exam available online at www.adsp.org in August, 2009. Description This program is concerned with the quality of diagnoses made by the dermatopathologist. Participants will review the 20 cases and choose the multiple choice answer that best represents their diagnosis. Upon submission of the completed exam, participants will receive immediate results including the correct case answer with discussion and references. A CME certificate will be issued to those who satisfactorily complete this program and submit a course evaluation. Scores are kept confidential. Exam Availability The diagnostic quality assurance exam will be administered online only beginning in August, 2009. Check the ASDP Web site (www.asdp.org) – click on the CME Programs tab to register for the exam. The online diagnostic quality assurance exams are available for credit for a two-year period after publication and provide immediate results and confirmation of credit earned. Specific termination dates will be posted with each exam. Accredition Information The American Society of Dermatopathology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American Society of Dermatopathology designates each diagnostic quality assurance exam for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Upon completion of this program, participants should be able to: • Describe the power of routine H&E in identifying key diagnostic histopathologic features as they relate to both inflammatory and neoplastic conditions. • Confirm the significance of special stains and immunohistochemistry in complementing H&E findings in dermatopathology. • Understand proper application of immunohistochemical techniques as they relate to dermatopathology in regards to their advantages and drawbacks. • Appreciate the nuances, discern the subtleties and comprehend the caveats of entities commonly encountered in dermatopathology. • Appreciate uncommon presentations of common entities and common presentations of uncommon entities. Who should participate in the diagnostic quality assurance program? Dermatopathologists Dermatologists Pathologists Fellows in Dermatopathology Training Programs Residents in Dermatology or Pathology 2009 Immunofluorescence Proficiency Testing Program (Indirect Testing Only) Registration Deadlines: Spring Program: April 29, 2009 Fall Program: October 6, 2009 No refunds after testing materials are sent. Eligibility Testing is open to laboratory directors. Description This program is concerned with the quality of indirect immunofluorescence tesing of sera for detection of circulating IgG anti-basement membrane zone and anti-intercellular (cell surface) antibodies. The participating physician receives five serum samples and is requested to process these to determine the presence of and titer of circulating antibodies using an indirect immunofluorescence technique with monkey esophagus as a substrate and other substrates if desired. The participant records the results including pattern and the titer. Each participant will return the recorded results to Beutner Labs, Inc. The results of all laboratories in the same testing event will be number coded, compiled and summarized for quality review. Beutner Labs, Inc. provides this service in cooperation with the Department of Microbiology an Immunology of the University at Buffalo, School of Medicine and Biomedical Sciences, SUNY. Following completion of tests of specimens from Beutner Labs, Inc. participants receive number coded summaries of the results of all participants. A certificate is issued to each laboratory participating in the program. 2009 Laboratory Proficiency Program Registration Deadline: July 23, 2009 No refunds after testing materials are sent. Eligibility Testing is open to laboratory directors. Description The dermatopathology laboratory director receives tissue specimens, which he/she must process in his/her laboratory according to specific techniques. The microscopic slides are then sent to the Director of the Lab Proficiency Program. The Director assesses the technical quality of the work performed and informs the laboratory director of deficiencies. A certificate is issued to the laboratory if the work is satisfactory. REGISTER ONLINE TODAY! All participants must register every year. Program participation is not automatic. 2009 ASDP QA Program Registration Please Complete (Type or print clearly. This information will be printed on your certificate of completion) Given Name (First) Laboratory/Institution Address City ZIP/Postal Code Phone E-mail State/Province Country Fax Surname (Last) Credentials Registration Fee (check category) Choose the Program(s) • Diagnostic Quality Assurance Online Registration Only www.asdp.org Registration and exam available beginning in August ASDP members will receive e-mail notification when registration opens ASDP Member (includes pending members) . . . . . . . . . . . .$150 Nonmember . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$250 K Laboratory Proficiency (testing materials will be sent in November) ASDP Member (includes pending members) . . . . . . . . . . . .$150 Nonmember . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$250 Registration Deadline: July 23, 2009 K Online Exam and Registration Only $ _______ $ _______ Immunofluorescence Proficiency Testing (indirect only) (no refunds after testing materials are sent) ___Spring Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$150 Registration Deadline: April 29, 2009 ___Fall Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $150 Registration Deadline: October 6, 2009 $ _______ $ _______ TOTAL REGISTRATION FEE ENCLOSED $ _________________ Payment K Check (make payable to American Society of Dermatopathology) ASDP Taxpayer ID# 95-6197518 K American Express K MasterCard K VISA Card No. Name on Credit Card Signature Exp. Date Billing address if different from registration address Address City State ZIP/Postal Code Country Caution: If you submit your registration form more than once, it may result in a duplicate charge on your credit card. Please send your registration using only one method of payment. Faxed registration forms that do not contain credit card information do not qualify as a paid registration. After your registration form is processed, you will receive a confirmation letter. It is your responsibility to verify that the testing programs listed on your confirmation letter are the programs for which you registered. Please keep a copy of this form for your records NO REFUNDS after testing materials are sent. Register online at www.asdp.org. Or mail or fax to: The American Society of Dermatopathology 36446 Treasury Center • Chicago, Illinois 60694-6400 USA Fax: +1-847-480-9282 Questions? For general information about membership, registration and payment, contact: The American Society of Dermatopathology E-mail: info@asdp.org Phone: +1-847-400-5820 Fax: +1-847-480-9282 Please notify the appropriate laboratory below if you have questions relating to slides/specimens or the content of the program. For Diagnostic Quality Assurance or Laboratory Proficiency Program information, contact: Drazen M. Jukic, MD, PhD UPMC Shadyside Wg02 14 5230 Centre Ave. Pittsburgh, PA 15232 Phone: +1-412-623-2337 Fax: +1-412-623-3417 E-mail: jukicdm@upmc.edu For Immunofluorescence Proficiency Testing Program information, contact: Richard W. Plunkett, PhD Beutner Labs, Inc. Buffalo, NY 14215 Phone: +1-716-838-0549 Fax: +1-716-838-0798 E-mail: rwp@buffalo.edu Online registration is available for all three testing programs. For secure and fast online registration, visit the ASDP Web site at www.asdp.org The American Society of Dermatopathology 111 Deer Lake Road, Suite 100 Deerfield, IL 60015 U.S.A. Register online at www.asdp.org