2022-2023 M3/M4 Course Syllabi
Pathology & Laboratory Medicine
COURSE NUMBER:
15 01 36
TITLE:
SURGICAL PATHOLOGY
The student, paired with a surgical pathology resident, will assist with gross and microscopic examination of biopsy and surgically resected specimens, including frozen section examinations. Supervision is by a pathologist assistant (PA), resident, or attending surgical pathologist.
PREREQUISITES:
None
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 or 4 wks
DIRECTOR:
Paul Lee
leep7@ucmail.uc.edu
513-584-8157
LMB
ADMINISTRATIVE SUPPORT PERSON:
Grace Ross
rossga@ucmail.uc.edu
(513) 584-7043
MSB, 1257A
SITE(S):
Laboratory Medicine Building
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 06/06/2022 - 07/01/2022 0
2 07/04/2022 - 07/29/2022 0
3 08/01/2022 - 08/26/2022 1
3 08/15/2022 - 08/26/2022 1
4 08/29/2022 - 09/23/2022 1
4 09/12/2022 - 09/23/2022 1
5 09/26/2022 - 10/07/2022 1
5 09/26/2022 - 10/21/2022 1
5 10/10/2022 - 10/21/2022 1
6 10/24/2022 - 11/04/2022 1
6 10/24/2022 - 11/18/2022 1
6 11/07/2022 - 11/18/2022 1
7 11/21/2022 - 12/16/2022 0
8 01/02/2023 - 01/27/2023 0
9 01/30/2023 - 02/24/2023 1
9 02/13/2023 - 02/24/2023 1
10 02/27/2023 - 03/24/2023 1
10 03/13/2023 - 03/24/2023 1
11 03/27/2023 - 04/07/2023 1
11 03/27/2023 - 04/21/2023 1
12 04/24/2023 - 05/05/2023 1
12 04/24/2023 - 05/19/2023 1

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8:00 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
Report to the Lab Medicine Building Suite 110, a detailed scheduled will be sent prior to the beginning of this rotation.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Faculty
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
50% Attending Physician
50% Senior Resident
FEEDBACK:
Elective director
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
  Texts

     Rosai J:  Ackerman's Surgical Pathology, 8th ed.
     Sternberg S:  Diagnostic Surgical Pathology, 3rd ed.

  Journals

     American Journal of Surgical Pathology
     Human Pathology
     American Journal of Clinical Pathology
     Modern Pathology
Instructional Methods:
Learning activities/Instructional Methods:
Case-Based Instruction/Learning
Conference
Demonstration
Discussion-Small Group (Small Group (=12)
Independent Learning
Laboratory
Lecture
Mentorship
Reflection
Research
Self-Directed Learning
Assessment Methods:
Clinical Documentation Review
Participation
Knowledge/Skills:
  1. Learn the day-to-day activities of a pathology resident and surgical pathologist by participating in the acquisition, gross description, dissection and microscopic study of surgical and biopsy specimens submitted to the laboratory.

  2. Learn how to handle tissues for different purposes, such as frozen diagnosis, lymphoma work and permanent examination.

3.  Learn the normal histology and basic pathology of common diseases.

4. Learn the basic diagnostic use of special stains in differential diagnosis, and how they can be used in a cost effective manner.

5. Learn the proper utilization and technique of immediate surgical pathology consultation, including frozen section examination.

6. Learn how the surgical pathologist fulfills the role of consultant to other physicians by communicating with clinicians on individual cases, by reviewing charts and interviewing patients as indicated, and by participating in clinico-pathologic correlation and tumor board conferences.

7. Choose an area (or areas) of special interest for in depth study, reviewing case material, studying teaching slide collections, becoming familiar with the standard textbooks and classic references in those areas; and using computerized search mechanisms (e.g. Medline) to find appropriate journal references.

8. Demonstrate this new knowledge at an appropriate conference.

9. Understand that the archival tissues, such as paraffin block can be used for molecular tests.

10.  Review the clinical pathologic features of some of the more common findings in surgical pathology.

11.  Show interest in patient’s welfare by contributing knowledge and concerns to the right diagnosis and know the appropriate recommendations ensuing from the diagnosis-risk/benefit ratio; cost-effective work-up, and ethical consideration.
Main Course Topics :
  Histopathology
  Surgical pathology
  Frozen section
  Tumor diagnosis, classification and staging
Procedures:
  1. Describe, dissect and sample non-complex surgical pathology specimens.
  2. Prepare a frozen section.

SAMPLE WEEK

Monday:
8:00AM 9:00AM Pathology Resident Teaching Conference
9:00AM 12:30PM Review of biopsy specimen slides
12:30PM 1:00PM Lunch
1:00PM 5:00PM Attending sign-out of biopsy cases; Review of Surgical Cases
Tuesday:
8:00AM 9:00AM Pathology Resident Teaching Conference
9:00AM 12:30PM Attending sign out of surgical cases
12:30PM 1:00PM Lunch
1:00PM 3:30PM Examination & dissection of new biopsy specimens & frozen sections
3:30PM 5:00PM Sign out of remaining biopsy cases and examination & dissection of new surgical specimens
Wednesday:
8:00AM 9:00AM Pathology Resident Teaching Conference
9:00AM 12:30PM Frozen sections & examination and dissection of surgical specimens
12:30PM 1:00PM Lunch
1:00PM 5:00PM Examination of dissection of surgical specimens
Thursday:
8:00AM 9:00AM Pathology Resident Teaching Conference
9:00AM 12:30PM See Note
12:30PM 1:00PM Lunch
1:00PM 5:00PM See Note
Friday:
8:00AM 9:00AM Pathology Resident Teaching Conference
9:00AM 12:30PM See Note
12:30PM 1:00PM Lunch
1:00PM 5:00PM See Note
SCHEDULE NOTE:

SAMPLE DAY

Sub-Specialty Sign-Out*

8:00 am 9:00 am Pathology resident Teaching Conference

9:00 am 12:30 pm Review of cases with Resident

12:30 pm 1:00 pm Lunch

1:00 pm 3:00 pm Attending sign-out of cases

3:00 pm 5:00 pm Examination of dissection of cases

 *Daily routine may vary, depending on attending you will be shadowing during signing-out. Through-out the 2-4 weeks spent on this elective, students will be scheduled to review multiple sub-specialties, as well as time on Frozens.

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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