Evidence map›Paper›PMID 36930800›Full record

ArticleBlood advances2023

Consensus recommendations on peripheral blood smear review: defining curricular standards and fellow competency.

Matthew L Chase, Reed Drews, Marc S Zumberg, Leslie R Ellis, Erin G Reid, Aaron T Gerds, Alfred I Lee, Gabriela S Hobbs, Jonathan Berry, Jason A Freed

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Matthew L ChaseDivision of Hematology and Hematologic Malignancies and Division of Medical Oncology, Beth Israel Deaconess Medical Center, Boston, MA.ORCID 0000-0002-6998-2212
Reed DrewsDivision of Hematology and Hematologic Malignancies, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Marc S ZumbergDivision of Hematology/Oncology, University of Florida, Gainesville, FL.
Leslie R EllisSection on Hematology and Oncology, Comprehensive Cancer Center of Atrium Health Wake Forest Baptist, Winston-Salem, NC.
Erin G ReidDivision of Hematology/Oncology, Moores Cancer Center, University of California San Diego, La Jolla, CA.ORCID 0000-0003-4029-8641
Aaron T GerdsCleveland Clinic Taussig Cancer Institute, Cleveland, OH.ORCID 0000-0002-3422-1309
Alfred I LeeDivision of Hematology, Yale University School of Medicine, New Haven, CT.ORCID 0000-0002-5968-3948
Gabriela S HobbsDepartment of Medical Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-0199-9333
Jonathan BerryDivision of Hematology and Hematologic Malignancies and Division of Medical Oncology, Beth Israel Deaconess Medical Center, Boston, MA.
Jason A FreedDivision of Hematology and Hematologic Malignancies, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Beth Israel Deaconess Medical Center · USAtrium Health Wake Forest Baptist · USCleveland Clinic · USHarvard University · USUniversity of California San Diego · USUniversity of Florida · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Graduate medical education training in hematology in North America is accredited by the Accreditation Council for Graduate Medical Education (ACGME). Trainees routinely review peripheral blood smears (PBS) in providing clinical care. Competency in PBS review at graduation is required by the ACGME. However, there are no consensus guidelines on best practices surrounding PBS review, education, or competency. We describe the generation of proposed theory and the consensus recommendations developed through a multi-institutional focus group, developed using constructivist grounded theory and a modified nominal group technique. Eight academic hematologists, spanning classical and malignant hematology, enrolled and participated in 2 one-hour focus groups. All routinely worked with fellows and half had formally instructed trainees on PBS interpretation. Focus group data were analyzed using mixed-methods techniques. Tenets of emerging theory were identified through inductive coding. Consensus recommendations (CR) were generated. Participants reviewed CR in an iterative fashion until consensus was reached. Strong consensus was reached on multiple aspects of PBS education. All agreed that trainees should learn PBS review through a systematic approach. Group discussion focused on disorders of red and white blood cells. The diagnoses of acute leukemia and thrombotic microangiopathies were most commonly discussed, with specific emphasis on disorders in which prompt recognition was required to avert significant patient morbidity. These CR offer external validity to future research and curricular development for both PBS review and other visuospatial tasks in medical education.

Indexed as

Clinical CompetenceHematologyAccreditationEducation, Medical, GraduateHumansNorth America

Identifiers

PMID36930800
PMCPMC10336252
OpenAlexW4327697284

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.