Pathology - University of Nevada School of Medicine

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Pathology - University of Nevada School of Medicine Powered By Docstoc
					Revised February 18, 2008

                             GOALS AND OBJECTIVES

Rotation Coordinator:                            Laura Bilodeau, M.D.
                                                 Department of Pathology
                                                 University Medical Center


It is important for specialists in internal medicine to have an understanding of clinical laboratory
medicine’s practice, powers, and limitations. It will be useful for the practitioner to understand
preventable problems in the collection and processing of laboratory specimens, and to understand
the process of sequential testing necessary to resolve clinical problems. The resident will also
become familiar with the processes of surgical pathology. There will also be the opportunity to
become familiar with common blood smear abnormalities.

Teaching Methods
The rotation will be under the supervision of the attending pathologist. The resident will
accompany the pathologist to obtain frozen section specimens. The resident will review
cases and pathology specimens with the pathologist. There will be regular blood smear
review as well.

Residents will be required to continue their regular morning report and noon conference
core curriculum. The resident and attending will review and discuss any required reading.

Mix of Diseases
Not applicable.

Patient Characteristics
Not applicable, as no direct patient care will occur.

Types of Clinical Encounters
There will be the opportunity to go to the operating room to obtain surgical biopsy
specimens. From time to time, the pathologist may review patient charts and visit
patients to enhance pathologic diagnosis.

Common Clinical Presentations
Not applicable.
The resident may observe the pathologist perform cytological aspiration of subcutaneous masses
and lymph nodes.

Resident Supervision
Residents are supervised by the attending pathologist.

Didactic Teaching
       Morning Report
       Residents are required to maintain greater than 60 % attendance at morning
       report. Morning Report begins at 8 a.m. on Monday through Thursday and at
       8:30 a.m. on Friday.

       Noon Conference
       Residents are required to maintain greater than 60 % attendance at noon
       conference. Noon conference occurs daily, Monday through Friday. These
       sessions cover the basic core curriculum, and other curriculum topics such as
       ethical issues, geriatrics, computer systems and informatics, health care systems,
       occupational and environmental health issues, and other topics of concern.

       Attending Teaching
       Didactic discussions will be held regarding pathologic specimen consultation and
       clinical laboratory testing.

Core Reading Materials
      Harrison’s Principle’s of Internal Medicine, 16th ed., Kasper DL, ed. McGraw
      Robbins & Cotran Pathologic Basis of Disease, 7th ed. Kumar J, ed. Elsevier

Ancillary Educational Materials
       Subspecialty Texts of Neurology, Pulmonary Medicine, Nephrology,
       Endocrinology, Infectious Diseases, Rheumatology as well as General Medical
       References (Harrison’s Principles of Internal Medicine, Cecil’s Textbook of
       Medicine) are available 24 hours a day, seven days a week in the resident lounge.
       Savitt Medical Library On-Line
       Residents have access to the on-line services of Savitt Library (the main library of
       the University of Nevada - Reno) via their computer in the resident room, Suite
       300 of the 2040 W. Charleston Building. Access to this room is available 24
       hours a day, seven days a week.
       Full text is available for many peer-review journals including, but no limited to:
               ACP Journal Club
               Annals of Internal Medicine
               British Medical Journal
               Journal of the American College of Cardiology
               The Lancet
                New England Journal of Medicine

        Also available on-line:
               Harrison’s Principle’s of Internal Medicine, 14th ed.
               Merck Manual, 17th ed.
               Guide to Clinical Preventive Services, 2nd ed.
               The Cochrane Library
               Medline and Grateful Med Databases

Pathological Material and Other Educational Resources
As above

Training Sites

        University Medical Center
        Experience will occur in the pathology department, including clinical laboratories

Competency-based Goals and Objectives
Rheumatology Rotation
       Learning Venues              Evaluation Methods                  Level Specificity

1. UMC Clinical Pathology               A. Attending evaluation        Not applicable, as
                                                                       the rotation will
2. M&M Conference                       B. Self Evaluation             occur once during
3. Self Study

Competency Patient Care                        Learning       Evaluation          Level
                                               Venues         Methods
Not applicable – no direct patient care will

Competency : Medical Knowledge                 Learning       Evaluation        Level
                                               Venues         Methods

Gain an understanding of clinical              1, 3           A, B               NA
laboratory medicine rotating in
Hematology, Blood Bank, and
Correlate tissue biopsies, resections, or      1, 2, 3        A, B               NA
blood smears with chart reviews.
Be able to identify normal histology and       1              A                  NA
WBC under the microscope.
Recognize typical, common diagnostic        1 ,2            A              NA
biopsies (particularly GI).
Attend an autopsy (optional).               1               A              NA

Competency: Interpersonal and               Learning        Evaluation   Level
Communication Skills                        Venues          Methods

Interact in an effective way with           1, 2            A             NA
physicians, residents, nurses and medical
support staff.
Maintain accurate medical records.          1               A             NA
Communicate efficiently and effectively     1               A             NA
with other consulting physician,
regarding diagnosis, treatment and
follow-up of seriously ill inpatients.

Competency: Professionalism                 Learning        Evaluation     Level
                                            Venues          Methods

Treat laboratory personnel, primary care-   1               A, B          NA
givers, and colleagues with respect
Understand, practice and adhere to a code   1, 2, 3         A, B          NA
of medical ethics.
Attend and participate in all scheduled     3, 5            A, B          NA
Competency: Practice-Based Learning         Learning        Evaluation     Level
                                            Venues          Methods
Incorporate case studies with relevant      1, 2, 3, 4, 5   A, B          NA
research outcomes and report those
findings during didactic sessions and
Identify limitations of one’s medical    1, 2, 4, 5         A, B          NA
knowledge in evaluation and
management of patients and use medical
literature (primary and reference) to
address these gaps in medical knowledge.

Competency: Systems-Based Practice          Learning        Evaluation     Level
                                            Venues          Methods

Understand need for effective               1, 3            A, B          NA
communication between multiple
caregivers (i.e. primary physician,
surgeon, radiologist, and nursing staff).
Understand clinical trial design and the    1, 2, 3, 4, 5   A, B          NA
statistical methods for evaluating
scientific studies, in cooperation with
attendings and research nurses/personnel.


       A. Of Residents
       At the completion of each rotation, all clinical faculty are required to complete the
       standard ABIM resident evaluation form. All clinical faculty are encouraged to
       provide face-to-face feedback with the residents. The night-float resident is
       evaluated by one of the three service attendings. In addition, residents may
       receive interim feedback utilizing the ABIM’s Praise and Early Warning cards.

       B. Of Rotation and Preceptor
       All residents are encouraged to evaluate the rotation, and the clinical faculty
       member, at the completion of the rotation. This evaluation form is included at the
       end of this document. These evaluations are then converted to type and shared
       anonymously with the clinical faculty.
       The program director also discusses the rotation with the residents to ensure
       rotation quality and satisfaction.
                      Pathology Rotation Resident Check List

1. Evaluation reviewed at mid-month and end of rotation by the supervising faculty
member and resident.

2. Completed assigned readings

3. Attended all assigned activities (excluding scheduled time away, required clinics and

4. Completed required case report abstracts and/or posters if assigned by the supervising
faculty member.

5. Demonstrated understanding of the basic principals of pathology.

6. Receive verbal feedback from attending at end of rotation.

Intern/Resident Signature_________________________          Date___________________

Supervising Attending Signature___________________          Date___________________

All items must be completed for rotation credit and checklist returned to the
Department of Medicine by the rotation’s end.

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