Haematology is an intensive, exciting and rewarding but demanding specialty that encompasses both clinical and laboratory practice. As a result, this dual role provides a unique opportunity to combine clinical skills with appropriate, often cutting edge, science to make a diagnosis, choose the optimal treatment plan and monitor progress. Clinical care is delivered in both in-patient and out-patient environments and the haematologist frequently contributes to diagnosis and management in other specialties and in the intensive care setting. This holistic approach to clinical care is a highlight of the specialty.
Within haematology there is the opportunity to further develop special interests in a wide variety of clinical and laboratory areas (e.g. haemogloginopathies, haemostasis and thrombosis, transfusion medicine, malignant haematology, transplantation). The specialty may suit a wide variety of individuals including those who may wish to combine a clinical and academic career.
The duration of specialist training is normally five years. Satisfactory completion of training requires that the trainee acquire the competencies set out in the haematology curriculum. The completion of training also requires that the trainee obtains FRCPath. As specialists in haematology are involved in direct patient care and in management of haematology pathology laboratories, specialist training covers both these components, including training in transfusion medicine.
One year of specialist training may be approved for research, which is relevant to the specialty and in an area approved by the Specialty Advisory Committee (SAC).
Entry into Haematology training is possible following successful completion of both a foundation programme and a core training programme. There are three core training programmes for Haematology training:
- Core Medical Training (CMT)
- Acute Care Common Stem - Acute Medicine (ACCS-AM)
- Level 1 Paediatric Training - visit the Royal College of Paediatrics and Child Health website for details
The Haematology national trainee committee regularly publishes an update for UK trainees. The latest issues are below. Any views expressed within these newsletters are those of the national training committee.
The curriculum for each specialty defines the process of training and the competencies needed for the award of a certificate of completion of training (CCT). The curriculum includes the assessment system for measuring trainees’ progress comprising workplace based assessment and knowledge based assessment.
Previous versions of the curriculum are no longer available online but copies can be requested from firstname.lastname@example.org.
The ARCP decision aid for each specialty defines the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year. ARCP decision aids were revised to reflect the changes to the assessment and review process from August 2014 and replace all previous versions.
Completing an application for credit during OOPR to count towards training
Please complete the out of programme (research) application form (OOPR) available here. The following guidance indicates the type of information you should provide in the box headed 'clinical involvment by year'.
1. Details of hospital services and activity where training will take place: clinical, laboratory, liaison and on-call work
eg, Department of haematology at St Elsewhere: this is a tertiary referral /level 1, 2 3 etc haematology department in a teaching/DGH hospital with x in-patient beds/ day units/ outpatient clinics etc treating haematology patients with disorders of x, y z.
Give a description of other Hospital/GP work that would be experience for liaison work – eg A+E, maternity, intensive care , cardiothoracic, trauma centre etc.
Give a description of the Laboratory services: eg, general lab, films, marrows, haemoglobinopathy coagulation, transfusion
2. Details of haematology work to be covered – clinics frequency and types of cases expected, Laboratory and liaison work – details
3. Details of educational supervision of clinical work
4. Curriculum competencies expected to be gained – refer to sections of haematology curriculum.
Transfusion training checklist
The following checklist for Haematology trainees is aimed at integrating transfusion training provided by the UK Blood Services with clinical and laboratory training within hospitals.
Guidance for paediatric haematology
The purpose of this guidance is to expand and provide additional detail to supplement the syllabus for trainees in paediatric haematology. This guidance should be use by trainers and supervisors with documentation on the ePortfolio for SLE/Reflection and notes to document mapping and setting learning objectives.