Core Surgical Pathology Rotation |
| The rotation in Surgical Pathology represents a major segment of
Resident training in Anatomic Pathology. The core rotation of 12 months
is typically divided into several two- to three-month intervals across
the four year Residency tenure. |
Supervision |
| During the first month of rotation, the Resident is instructed and
supervised in fundamental gross room techniques and the concepts of
basic macropathology. For the remainder of the rotation, Residents
rotate daily between gross Surgical Pathology dissection and sign-out
microscopic examination and interpretation of Surgical Pathology
material. At all times, for both gross and microscopic assignments,
Residents are under the direction of an Attending Pathologist, Pathology
Instructor and the Surgical Pathology Fellows. |
Goals |
- To afford our patients and clinicians with the most accurate and timely diagnostic reports for Surgical Pathology specimens
- To explore new approaches and strategies by which to optimize clinical efficiency and productivity
- To concentrate our efforts in the instruction and training of
Surgical Pathology Fellows, Residents, and Medical Students so as to be a
reflection of strong commitment to the superior medical education at
UTMB
- To encourage and supervise Fellows, Residents and Medical Student
in basic, applied and translational research with Faculty members from
our Division
|
Objectives |
The learning objectives are as follows:
- Gross simple specimens (appendix, gallbladder, placenta, etc)
- Gross specimens of intermediate complexity (pneumonectomy, colectomy, oopherectomy, hysterectomy, etc)
- Gross complex specimens (pelvic exenteration, Whipple-type resection, laryngectomy, radical neck dissection, etc)
- Generate accurate microscopic descriptions, distinguish normal from abnormal
- Construct gross and microscopic differential diagnoses
- Develop algorithms for use of special stains, immunostains, electron microscopy, etc, to arrive at final diagnoses
- Develop competence in interpretation of immunohistochemistry and electron microscopy
- Develop familiarity with the current literature on Surgical Pathology and Molecular Diagnostics
- Understand the principles and practice of quality improvement and
quality assurance and the procedures for meeting the requirements of
accreditation agencies
- Learn good management practices for Surgical Pathology and histology
- Develop skills to communicate effectively with clinicians in
settings of Intra-Operative Consultation, multidisciplinary conferences,
etc
|
Resident Evaluation |
| Residents are continuously evaluated by the Faculty in the Gross
Room, at the microscope during sign-out and during the numerous
conferences. At the end of each rotation, each member of the Faculty
completes an electronic evaluation form based on the six core
competencies as dictated by ACGME. In addition, competencies specific to
Surgical Pathology are also evaluated. All evaluations are sent to the
Director of Surgical Pathology, who summarizes the Resident performance
in a meeting at the end of the rotation. Both the evaluator and the
Resident sign the evaluation. All evaluations are returned to the
Pathology Program Director. A competency test is administered at the end
of rotation to all residents based on their level in the program. |