Level 4 equivalent of 2018 - Revision history

Michael at 22:41, 19 May 2019

2019-05-19T22:41:45Z

← Older revision		Revision as of 22:41, 19 May 2019
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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''', 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>

	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 ~~system was revised in~~ 2014 ~~and 2018. It~~ is ~~comprehensive with regard to academic practice and community practice.<ref>URL:~~ [~~https://www.cap-acp.org/wkload.php https://www.cap-acp.org/wkload.php~~]. ~~Accessed on: 19 May 2019.</ref>~~		This article covers the 2018 revision of L4E. The original system is covered in the article ''[[Level 4 equivalent of 2010]]''. The 2014 version is covered in ''[[Level 4 equivalent of 2014]]''.

	~~This article covers the 2018 revision of L4E~~. The ~~original system~~ is ~~covered~~ in the ~~article ''[[Level 4 equivalent of 2010]]''~~. The ~~2014 version is covered~~ in ~~''[[Level 4 equivalent of~~ 2014~~]]''~~.		==Overview==
			It is comprehensive with regard to academic practice and community practice.<ref>URL: [https://www.cap-acp.org/wkload.php https://www.cap-acp.org/wkload.php]. Accessed on: 19 May 2019.</ref>

			==History==
			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 system was revised in 2014 and 2018.

	==~~Revised~~ L4E of 2018==		==L4E of 2018==
	One L4E unit is considered to be roughly equivalent to 10 minutes.		One L4E unit is considered to be roughly equivalent to 10 minutes.

Michael at 22:37, 19 May 2019

2019-05-19T22:37:44Z

← Older revision		Revision as of 22:37, 19 May 2019
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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''', 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>

	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 system was revised in 2014 and is comprehensive with regard to academic practice and community practice.<ref>URL: [https://www.cap-acp.org/wkload.php https://www.cap-acp.org/wkload.php]. Accessed on: ~~14 July 2017~~.</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 }}</ref> The system was revised in 2014 and 2018. It is comprehensive with regard to academic practice and community practice.<ref>URL: [https://www.cap-acp.org/wkload.php https://www.cap-acp.org/wkload.php]. Accessed on: 19 May 2019.</ref>

	This article covers the 2018 revision of L4E. The original system is covered in the article ''[[Level 4 equivalent of 2010]]''. The 2014 version is covered in ''[[Level 4 equivalent of 2014]]''.		This article covers the 2018 revision of L4E. The original system is covered in the article ''[[Level 4 equivalent of 2010]]''. The 2014 version is covered in ''[[Level 4 equivalent of 2014]]''.

Michael at 22:36, 19 May 2019

2019-05-19T22:36:21Z

← Older revision		Revision as of 22:36, 19 May 2019
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	~~#redirect~~ [[Level 4 equivalent]]		'''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>

			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 system was revised in 2014 and is comprehensive with regard to academic practice and community practice.<ref>URL: [https://www.cap-acp.org/wkload.php https://www.cap-acp.org/wkload.php]. Accessed on: 14 July 2017.</ref>

			This article covers the 2018 revision of L4E. The original system is covered in the article ''[[Level 4 equivalent of 2010]]''. The 2014 version is covered in ''[[Level 4 equivalent of 2014]]''.

			==Revised L4E of 2018==
			One L4E unit is considered to be roughly equivalent to 10 minutes.

			===Most surgical pathology===
			As per L4E definition (2018) adapted from CAP-ACP:<ref name=capacp2018>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2018. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf]. Accessed on: 19 May 2019.</ref>
			{\| class="wikitable sortable"
			! Code
			! L4E units
			! Description
			! Details
			\|-
			\| L1
			\| 0.125
			\| gross only specimens
			\| itemized in the "specimen list and codes"
			\|-
			\| L2
			\| 0.25
			\| confirmation of normal
			\| must include histology
			\|-
			\| L3
			\| 0.5
			\| small/simple biopsies
			\| includes most skin, cysts, GI tract specimens, small benign specimens - detailed in [[L4E rule 1-3 (2018)\|rules 1, 2 and 3]]
			\|-
			\| L4
			\| 1
			\| biopsies - most internal organs
			\| detailed in [[L4E rule 1-3 (2018)\|rules 1, 2 and 3]]
			\|-
			\| L5
			\| 5
			\| complex biopsies
			\| includes medical and transplant biopsies, explant organs
			\|-
			\| L6
			\| 10
			\| radical resections for malignancy
			\| detailed in [[L4E rule 9 (2018)\|rule 9]]
			\|}

			====All other surgical pathology cases====
			As per L4E definition (2018) adapted from CAP-ACP:<ref name=capacp2018/>
			{\| class="wikitable sortable"
			! L4E units
			! Description
			! Details
			\|-
			\| L2/block
			\| non-radical and benign resections, non-biopsy/non-L6 cases
			\| 12 blocks = 12 x L2; 10 x L2 = 3 L4Es; details in [[L4E rule 4 (2018)\|rule 4]]
			\|}

			===Cytopathology===
			As per L4E definition (2018) adapted from CAP-ACP:<ref name=capacp2018/>
			{\| class="wikitable sortable"
			! Code
			! L4E units
			! Description
			! Details
			\|-
			\| C1
			\| 1
			\| all cytology, ''except'' fine needle aspirations (FNAs)
			\| pap test, urine, sputum, fluids (peritoneal, pleural)
			\|-
			\| C2
			\| 2
			\| fine needle aspirations (FNAs)
			\|
			\|-
			\|}

			===Additional block/levels===
			Deeper cuts and the submission of additional tissue are dealt with in [[L4E rule 6 (2018)\|rule 6]].

			===Special stains and IHC===
			Special stains and immunostains are dealt with in [[L4E rule 7-8 (2018)\|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===
			Recommended workload per pathologist:<ref name=capacp2018/>
			{\| class="wikitable sortable"
			! Mean annual L4E units
			! Lower bound ‡
			! Upper bound ‡
			\|-
			\| 7560
			\| 7115
			\| 8089
			\|-
			\|}
			‡ 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==
			*[[Workload measurement]].
			*[[Level 4 equivalent of 2010]].
			*[[Level 4 equivalent of 2014]].
			*[[L4E rules of 2018]].
			*[[L4E quizzes]].

			==References==
			{{Reflist\|1}}

			[[Category:Quality]]

Michael: redirect for now

2019-05-19T22:34:41Z

redirect for now

New page

#redirect [[Level 4 equivalent]]