The resident should become familiar with the techniques and protocols of processing and grossing most major common specimens as detailed in the Surgical Pathology Manual. By the end of the rotation, the resident should be able to dictate and perform a concise, yet comprehensive gross examination for common specimens. The resident is expected to develop grossing and sectioning skills and be able to gross all routine cases on the day of accession and process all large specimens for overnight fixation to be grossed on the following day.
Grossing technology in surgical pathology, biopsies and small specimens. Grossing in Dermatopathology manual. The site presents “Grossing in Dermatopathology” manual. Quality Assurance and Improvement in Surgical and Autopsy. Root Cause Analysis of Specimen Misidentification. Grossing complex specimens. The resident should demonstrate familiarity with the Surgical Pathology Grossing Manual.
The resident must participate in intraoperative consultations and preparation of frozen sections and touch preparations when assigned. The resident is also expected to review the clinical history and prior biopsy material for all patients requiring frozen section. Slides should be brought to the surgical suite for review during intraoperative consultations.
MCN Healthcare’s Pathology Policy and Procedure Manual gives you policies and procedures addressing histopathology. Specimens Excluded from Routine Submission to Cytology. In the absence of spongiform changes, process the remaining blocks as any other brain autopsy specimens. Dispose of all tissues. Morgue & Autopsy Equipment . Conduct gross examination and sectioning of specimens with Thermo Scientific.
At the end of the rotation, the resident should be able to address basic intraoperative issues that are common in surgical pathology, and be able to effectively communicate with the surgical staff. The resident will become competent in the gross and microscopic photography of specimens. The resident is expected to collect and interpret pertinent clinical information and laboratory data from Lifelinks or discussions with clinicians prior to sign- outg. The resident should gain an initial exposure to how surgical pathology reports are formulated and signed- out, including the use of proper diagnostic terms and the process of coding. Reports should reflect an accurate and specific diagnosis, when possible, and should be corrected for spelling, grammar, and punctuation before sign- out. By completion of the first year rotation, residents should master the gross anatomy of common pathology specimens and be able to grossly identify common benign and malignant lesions.
The resident is expected to review and master normal histology and become competent at microscopic description. The resident should develop basic diagnostic skills in surgical pathology and biopsy specimens, including most inflammatory lesions. The resident should begin to master more complicated specimens, including breast, colon, lung, kidney, and prostate carcinomas. The resident should understand the indications and use of common special stains. The resident is expected to demonstrate evidence of reading at the textbook level and begin to review the current surgical pathology literature. The resident should learn to communicate effectively with the clinical medical staff and other personnel, both to collect and to transmit information relevant to patient care.
The resident should learn to communicate effectively with the pathology staff concerning individual cases, keeping in mind that the staff pathologist will often depend on the resident for complete and accurate gross examination of specimens as well as any clinical information obtained from clinicians. Politeness, discretion, and honesty are paramount in preserving a positive working relationship among professionals. Patient care depends on all these factors. Attend gross conferences, tumor boards, clinicopathologic conferences, as well as grand rounds in various clinical departments. First year residents are required to attend Rhode Island Hospital Joint Oncology Conferences when on rotations at the hospital, and are expected to attend weekly Tumor Board and Morbidity and Mortality conferences when at the Miriam Hospital. Research difficult cases prior to sign- out. Gain confidence in formulating surgical pathology final diagnoses prior to sign- out with the attending and sign out all cases that are grossed by the resident.
The resident must follow the highest standards of professionalism and ethics: b. Show respect for patients and their families as well as all members of the health care team in the pathology department and other departments. Strictest adherence to patient confidentiality and HIPAA requirements with attention to names on slides and paperwork transported within the hospital as well as discussion of cases in private areas. When in doubt about a particular work assignment, consult the attending pathologist. Perform all work assignments with diligence, accuracy, and timeliness. Become familiar with the software used to accession cases and generate surgical pathology reports, and be able to access pertinent patient information.
Become familiar with the processing of tissue in the histology laboratory. Understand the role of pathology in the practice of medicine and attend clinicopathologic conferences. Surgical Pathology 2 (second year of training)Goals and Competencies.
The resident should be able to describe and perform the technique for processing and grossing most major specimens as detailed in the Surgical Pathology Manual as well as identify specimens that require assistance from senior residents or attending pathologists. By the end of the rotation, the resident should be able to dictate and perform a concise, yet comprehensive gross examination for most surgical specimens. The resident should be willing to begin to assist more junior residents.
The resident is expected to gross all routine cases on the day of accession and process all large specimens for overnight fixation to be grossed on the following day. The resident must participate in intraoperative consultations and preparation of frozen sections and touch preparations when assigned.
The resident is also expected to review the clinical history and prior biopsy material for all patients requiring frozen section. Slides should be brought to the surgical suite for review during intraoperative consultations.
The resident should be able to address basic intraoperative issues, formulate diagnoses with the assistance of the pathologist, and be able to effectively communicate with the surgical staff. The resident will master the gross and microscopic photography of specimens. The resident will become comfortable with the process of surgical pathology reporting. Reports should reflect an accurate and specific diagnosis, when possible, and should be corrected for spelling, grammar, and punctuation before sign- out. The resident should take additional responsibility for the completeness of information brought to sign- out, including adequacy of histologic sampling, selection of basic special studies, and gathering of necessary clinical information from Lifelinks or discussions with clinicians. By completion of the second year rotation, residents should master the gross anatomy of most pathology specimens and be able to grossly identify lesions.
The resident should be able to competently formulate the microscopic description of most lesions. The resident should develop diagnostic skills in the sign- out of biopsy cases. The resident should gain diagnostic skills for more complicated specimens, including differentiating pre- malignant from in situ malignant lesions. The resident is expected to formulate a working diagnosis and differential diagnosis for complicated cases. The resident should understand the indications and use of common special stains and immunohistochemical markers to assist diagnosis.
The resident is expected to demonstrate evidence of reading at the textbook level and demonstrate use of the current surgical pathology literature to solve diagnostic problems. The resident should be able to communicate effectively with the clinical medical staff and other personnel, both to collect and to transmit information relevant to patient care.
The resident should be able to communicate effectively with the pathology staff concerning individual cases, keeping in mind that the staff pathologist will often depend on the resident for complete and accurate gross examination of specimens as well as any clinical information obtained from clinicians. Politeness, discretion, and honesty are paramount in preserving a positive working relationship among professionals. Patient care depends on all these factors.
Attend gross conferences, tumor boards, clinicopathologic conferences, as well as grand rounds in various clinical departments. Residents should also attend departmental subspecialty pathology conferences when possible (ENT, GI, Hematology, Renal, Dermatology, Bone, etc.)b. Second year residents are required to present surgical cases at the Rhode Island Hospital Joint Oncology Conferences, and are expected to attend weekly Tumor Board and Morbidity and Mortality conferences when at the Miriam Hospital. Residents are expected to research difficult cases using the current surgical pathology literature prior to sign- out.
Formulate surgical pathology final diagnoses and a differential diagnosis for more difficult cases prior to sign- out with the attending and sign out all cases that are grossed by the resident. Residents should be able to identify areas in need of investigation and formulate methods that might be used to solve research questions.
The resident must follow the highest standards of professionalism and ethics: b. Show respect for patients and their families as well as all members of the health care team in the pathology department and other departments. Strictest adherence to patient confidentiality and HIPAA requirements with attention to names on slides and paperwork transported within the hospital as well as discussion of cases in private areas. When in doubt about a particular work assignment, consult the attending pathologist.
Perform all work assignments with diligence, accuracy, and timeliness. The resident will master the software used to accession cases and generate surgical pathology reports, and be able to access pertinent patient information. The resident will develop an advanced understanding of the processing of tissue in the histology laboratory.
Understand the role of pathology in the practice of medicine and attend clinicopathologic conferences. Surgical Pathology 3 (third year of training)Goals and Competencies.
Page. Redirecte- Manual for Gross Examination in Surgical Pathology. The new edition is now released with updated content and technologic improvement.
Go to Essential Pathology then click Specimen Exam or Click the image below to access the new e- Manual.