ELECT EPATH - Anatomic and Clinical Pathology Elective
ELECTIVE DIRECTORS: Diana Veillon, M.D. and Mingxia Shi, M.D. ADMINISTRATIVE CONTACT: Lisa LaChance
DURATION OF ELECTIVE: 4 Weeks Room 2-319; Ext. 5-7822; firstname.lastname@example.org
LOCATION OF ELECTIVE: 2nd Floor, Pathology Dept.
MAXIMUM NUMBER OF STUDENTS: 1 VISITING STUDENTS: Application Permitted
ELECTIVE OFFERED DURING BLOCKS: All except block 1
COURSE NUMBER: EPATH * Dropping/adding/changing - Approval required. Contact Ms. LaChance
Visiting Students: Application Permitted
Department Approval Required for Dropping/Changing/or Adding
The student participates in the following: dissection, gross description, microscopic description, and diagnosis of surgical pathology specimens; frozen section procedures; intradepartmental subspecialty and educational conferences; autopsies, and rotations through the Clinical Pathology laboratory. Pathology textbooks and other literature are available in the department for student use. The student attends all conferences in the pathology department and documents attendance on a log sheet. Clinical correlation with pathological findings is stressed. Time is made available for the student to review areas of special interest in pathology. Reading assignments will be suggested after discussion with the student.
1. GOAL: Become familiar with the different subspecialties of Pathology (AP & CP)
a. Attendance at morning/afternoon sign-out, didactic lectures, and journal/research club, and other conferences.
b. Participation in all activities of surgical pathology including frozen sections, specimen examination and reporting, conferences, and autopsies.
c. Rotation through and completion of tasks in each of the areas of Clinical Pathology as listed on the log sheet
d. Daily communication with the Co-Directors
2. GOAL: Gain an understanding of the pathologist’s role in patient care and management decision making.
a. Observation of intra-operative consultation, fine-needle aspiration, blood transfusion and plasmapheresis to understand how specimens are obtained, preserved, examined, processed, diagnosed, and reported.
b. Attendance at tumor board conferences to understand expected components of a surgical pathology report and acceptable turn-around times for patient reports.
c. Completion of the log sheet as each case type is observed.
3. GOAL: Gain competency in gross examination and processing of routine specimens and identify common pathologic lesions.
a. Observation of gross examination of different organs at intra-operative consultation, as well as in the gross room.
b. Identification of various tissues and organ structures.
c. Attendance at daily slide review with senior resident.
d. Attendance at surgical microscopic sign-out on assigned days.
e. Completion of the log sheet as each case type is observed.
4. GOAL: Understand the three phases of laboratory diagnostics (i.e., pre-analytical, analytical, post- analytical).
a. Interpretation of laboratory test results in microbiology, hematology, chemistry, and blood bank.
b. Daily communication with the Co-Directors.
5. GOAL: Become familiar with and be able to perform common procedures (e.g. H&E & DQ staining) OBJECTIVES:
a. Observation and participation in staining of slides during intra-operative consultations and fine-needle aspirations.
b. Attendance in the histology laboratory, learning the basics of tissue processing and slide preparation
c. Attendance in the microbiology laboratory, learning how to process and read Gram stains.
d. Completion of the log sheet as each task is performed.
6. GOAL: Students will demonstrate their knowledge of disease pathophysiology and the role of pathology in patient care
a. Presentation to the AP/CP faculty and residents, based on an interesting case or topic encountered during their LSU experience
1. A Pathology Textbook: Pathology Rubin, Farber
or Robbins Pathologic Basis of Disease, Robbins, Cotran, Kumar
2. The Handbook of Clinical Pathology, (Department Copy)
3. The Art of Sciences of Pathology, DeMay (Department Copy)
SCHEDULE: The 4-week rotation includes 12 days in AP (frozen, gross, microscopy, sign-out, cytopathology, and forensics) and 8 days in CP (Blood bank, Hematology, Chemistry, Point-of-Care, Molecular, Microbiology). First day: report to Dr. Veillon (room 2-320 at 8:30 a.m. and a schedule will be provided at that time. Meet with either director before leaving (5:00 p.m.) on a daily basis.
ATTENDANCE: To accommodate students’ travel needs for post-graduate interviews, during the timeframe from October 1st through January 30th, 1 excused absence will be allowed per week of the rotation. A copy of the student’s travel itinerary must be submitted to the course directors in order to be considered an excused absence. During the remainder of the academic year, only 2 excused absences will be allowed during this rotation. Excused absences over the allowed limit, and all unexcused absences must be made up in order to receive credit for the rotation. The requirements for making up lost time will be assigned at the discretion of the director.
ASSESSMENT: Comprised of attendance, daily completion of assignments/rotation requirements, periodic question and answer sessions with staff, and the final presentation.
APPROVAL: For all internal and external applicants, a letter of intent and CV must be sent to Ms. LaChance for review prior to scheduling a rotation.
HOURS PER WEEK
CONF ___5___HRS WARD______ HRS LAB 10 HRS LIBRARY ___10___ HRS
OR ______HRS CLINIC______ HRS LECTURE___5___ HRS READING___10___ HRS
TOTAL NUMBER OF HOURS PER WEEK ____40______