Housestaff Openings and Duties

Three PGY-I positions in combined anatomic and clinical pathology (AP/CP) will be offered for academic year 2012-2013.

 

PGY I

Job Duties and Supervision

By the end of the first year rotations, the residents should demonstrate the skills and knowledge to perform all routine aspects of the various anatomic and clinical pathology services. They should demonstrate the ability to describe and dictate the gross pathologic findings for routine specimens, as well as formulate an appropriate microscopic interpretation or differential diagnosis. They should demonstrate the ability to embed and cut satisfactory frozen sections, producing a slide within 10 minutes of specimen receipt on routine cases. The skills of making smears in the setting of imaging-guided FNAs should be demonstrated. They should also understand the steps for performing FNAs on palpable lesions. Mastering the Rokitansky style of autopsy by the conclusion of the first year of training, resulting in independence in completing routine cases is another skill that should be demonstrated. First year residents on the various CP rotations should demonstrate the ability to appropriately address basic issues that arise. They present at path rounds and journal club, and participate in small group and student lab sessions. They begin presenting at interdisciplinary conferences upon completing their initial rotations on surgical pathology, autopsy, hematopathology, and transfusion medicine. First year residents do not take call.

Required Supervision: Requires Supervision by pathology faculty, upper level resident (PGY 3 or 4), and depending on the duty being performed, the pathology assistant.

 

PGY II

Job Duties and Supervision

During the second year, the resident should advance the skills gained during the first year, gain experience in special techniques, and become more active in consultative and managerial aspects of the service. By the end of the second year, the resident should independently examine most gross specimens. They should demonstrate the ability to recognize and properly interpret the microscopic findings of most inflammatory and neoplastic disorders. The resident should develop a clear understanding of his/her role in intraoperative consultation including clear communication with the surgeon/clinician. The resident demonstrates knowledge of which ancillary studies are appropriate in assessing anatomic pathology cases. The resident demonstrates the ability to give appropriate adequacy assessment on routine cytologic cases during imaging-guided FNA procedures. The resident should demonstrate the ability to perform the steps involved in the FNA of palpable lesions. The resident correctly interprets routine gynecologic and non-gynecologic cases. The resident independently performs both routine and complicated autopsy cases, independently formulating a provisional diagnosis. The resident should advance his/her skills gained during the first year of training in the area of clinical pathology. The resident demonstrates an understanding of the consultative role of the pathologist in the setting of clinical pathology, and independently formulates an appropriate plan of action for routine issues. The resident begins to understand and anticipate the implications of his/her diagnosis on patient care. The resident develops his/her teaching style during small group and lab interactions with the second year medical students over the course of the COM II Pathology and Laboratory Medicine Course. Second year residents present at Pathology Rounds and Journal Club, as well as interdisciplinary conferences, and take week night and weekend call with faculty back-up.

Required Supervision: Requires Supervision by faculty, upper level resident, and depending on the duty being performed, the pathology assistant.

 

PGY III

Job Duties and Supervision

Review and recognize histologic findings on all routine cases and understand how to work up unusual cases. Third year residents should demonstrate the capability of running all aspects of the surgical pathology service. They should independently formulate frozen section interpretations, as well as immediate adequacy assessments. They should demonstrate the ability to independently perform all aspects of FNA procedures on palpable lesions, and interpret unusual gynecologic and non-gynecologic cases in addition to routine cases.They should complete most autopsies independently, formulating an accurate FAD. They should be capable of giving comprehensive instruction to first year residents in most areas of anatomic pathology.

The resident collects, analyzes and interprets clinical pathology problems at an advanced level, and formulates solutions for those problems. Teaches other residents how to present findings of test(s) based on scientific principles of clinical problems. Teaches residents how to determine the correct process in identifying the appropriate type of diagnostic test for appropriate determination of diagnosis. The resident describes and dictates gross and microscopic pathology of non-complicated and complicated cases. Demonstrates the assimilation of knowledge at an advanced level by staging and grading tumors. Functions as a consultant to clinical residents and staff concerning laboratory operations. Functions as a problem solver for residents from the clinical programs concerning all aspects of laboratory operations. Demonstrates at an advanced level when to perform and how to interpret ancillary studies.

The resident independently leads small group and lab discussions for the second year medical students’ Pathology and Laboratory Medicine Course. The resident presents at all major conferences and interdisciplinary conferences, fielding questions independently from attending and residents from other disciplines. The resident takes call, and formulates an appropriate plan of action for those instances requiring discussion with the attending

Required Supervision: Requires supervision by faculty or PGY-4 resident depending on the duty being performed.

 

PGY IV

Job Duties and Supervision

Fourth year residents function as problem solvers/consultants for others on how to interpret and formulate solutions for anatomic and clinical pathology issues. They dictate in detail and without error non-complicated and complicated surgical pathology cases, including gross, microscopic, and final diagnoses. They independently perform all steps of intraoperative consultations and immediate adequacy assessments for imaging-guided FNAs, and independently and correctly interpret routine and complicated gynecologic and non-gynecologic cases. They are capable of formulating final anatomic diagnoses for autopsies with expertise. They demonstrate how to supervise a laboratory with expertise. Fourth year residents should be able to function as teachers to other residents on the various AP and CP services. They are capable of independent instruction of second year medical students in the setting of the COM II Pathology and Laboratory Medicine Course. They present thorough and instructive presentations at intradepartmental and interdisciplinary conferences, independently addressing discussion questions as they arise. Fourth year residents are capable of fielding essentially all calls independently when on call.

Required Supervision: Requires supervision by a faculty.

 

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