Pathology & Laboratory Medicine
TITLE:
PERINATAL PATHOLOGY
Participate in perinatal autopsies: dissection, gross photography, microscopic analysis, conferences, literature search, examination of placentas and participation in placental pathology service. Participate in weekly perinatal autopsy, placental pathology/perinatal conferences.
PREREQUISITES:
Aimed at 4th year students, preferably
intending to specialize in obstetrics/gynecology, pediatrics or pathology.
expand all
GENERAL INFORMATION
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
STATUS:
Full-Time
OFFERED AS FULL-TIME AND PART-TIME:
NO
ALLOWS OVERLAP:
YES
DIRECTOR:
Jerzy Stanek, MD, PHD
Jerzy.Stanek@cchmc.org
(513) 636-8158
CHMC, R2.2304
Rachel Jug
jugrl@ucmail.uc.edu
513-584-7290
LMB, 4051
ADMINISTRATIVE SUPPORT PERSON:
Lindsay Stover
stoverlr@ucmail.uc.edu
513-584-1323
LMB, 4067
SITE(S):
Cincinnati Childrens Hospital Medical Center
ROTATIONS:
Rotation |
Dates |
Max |
4 |
08/12/2024 - 08/23/2024 |
0 |
5 |
08/26/2024 - 09/06/2024 |
1 |
6 |
09/23/2024 - 10/04/2024 |
1 |
7 |
10/21/2024 - 11/01/2024 |
1 |
7 |
11/04/2024 - 11/15/2024 |
1 |
10 |
01/13/2025 - 01/24/2025 |
1 |
10 |
01/27/2025 - 02/07/2025 |
1 |
11 |
02/10/2025 - 02/21/2025 |
1 |
11 |
02/24/2025 - 03/07/2025 |
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 Children's room R2384 at 9am. Dr Jerzy Stanek will be your director.
jerzy.stanek@cchmc.org
COMMENTS:
Please reach out to Ala via email at ala.alshammary@cchmc.org one month prior to your rotation to complete badge paperwork. You will not be able to access CCHCM with out this.
Your badge will be issued through the CCHMC GME Office (gmeoffice@cchmc.org)
INSTRUCTION
LEARNING ACTIVITIES:
- Case-Based Instruction/Learning
- Conference
- Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
- Discussion-Small Group (Small Group (=12)
- Independent Learning (Instructor-guided learning activities to be performed by the learner outside of formal educational settings.)
- Journal Club
- Lecture
- Mentorship
- Patient Presentation--Faculty
- Patient Presentation--Learner
- Problem-Based Learning (PBL)
- Research
- Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
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:
70% |
Attending Physician |
10% |
Senior Resident |
20% |
Fellow Physician |
ASSESSMENT:
During rotations, daily assessment of student’s
assigned activities. At the end of
rotation, a student will be provided with unknown placental slides. Apart from
this, a conversation with a student will provide me with information about the
students knowledge acquired during the rotation.
ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Oral Patient Presentation
Participation
Practical (Lab)
FINAL GRADE:
GRADE ASSIGNED BY:
Course director
OBJECTIVES
Curricular Resources :
1. Bohm N: Pediatric autopsy
pathology. Hanley & Belfus, Philadelphia 1988.
2. Joshi VV: Handbook of placental pathology. Igaku-Shoin, New York, Tokyo
1994.
3. Kaplan CG: Color atlas of gross placental pathology. Igaku-Shoin, New York,
Tokyo 1994.
4. Stevenson RE, Hall JG: Human malformations and related anomalies. Oxford
2006
5. Gilbert-Barness E, Opitz JM: Handbook of pediatric autopsy pathology. Humana
Press, Totowa, NJ
6. R. N. Baergen: Manual of Bernirschke and Kaufman's Pathology of the Human
Placenta. Springer 2005.
7.
Khong TY, Mooney EE, Ariel I, Balmus NCM, Boyd TK, Brundler MA et al. Sampling
and definitions of placental lesions.
Amsterdam placental workshop group consencus statement. Arch Pathol Lab
Med 2016;140:698-713.
8.
Stanek J. Hypoxic patterns of placental injury: A review. Arch Pathol Lab Med
2013;137:706-720.
Instructional Methods:
Learning
activities/Instructional methods:
- Case-based instruction/learning
-
Conference
-
Demonstration
-
Independent Learning
-
Lecture
-
Mentorship
-
Self-Directed Learning
-
Clinical documentation review participation
Knowledge/Skills:
1. Review the clinical
pathologic features of some of the more common disorders of pregnancy and
neonatal period.
2. Explain the differences
between the embryo/previable fetus/stillbirth/abortion/delivery.
3. Define the criteria of fetal
immaturity/maturity/postmaturity.
4. Discuss the criteria of fetal/placental maceration.
5. Calculate the retention time of dead fetus in utero.
6. Describe normal gross and microscopic anatomy of fetus and placenta at
different gestational ages.
7. Identify basic developmental milestones on fetal imaging.
8. 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 :
- Embryo
- Fetus
- Abortion
- Preterm Labor
- Stillbirth
- Perinatal asphyxia
- Chorioamnionitis
- Amiotic fluid infection syndrome
- Placenta
- Oligohydramnios
- Congenital malformation
Procedures:
- Dissect uncomplicated placental specimens and dictate the findings.
- Photograph uncomplicated specimens.
- Director can discuss additonal procedure s if interested.
Remediation Plan:
Self-directed learning (Learners take
initiative for their own learning; diagnosing needs; formulating goals;
identifying resources; implementing appropriate activities; and evaluating
outcomes)
Service Learning Activity
SAMPLE WEEK
Monday:
8:00AM |
10:00AM |
Perinatal Autopsy |
10:00AM |
11:00AM |
Individual reading |
11:00AM |
12:00PM |
Grossing Placentas or Abortions |
12:00PM |
1:00PM |
Lunch |
1:00PM |
2:00PM |
Review of Slides |
2:00PM |
3:00PM |
Review of Slides |
3:00PM |
5:00PM |
Individual reading/Clinical research |
Tuesday:
8:00AM |
9:00AM |
Autopsy Conference |
9:00AM |
10:00AM |
Grossing of Placentas or Abortions |
10:00AM |
11:30AM |
Individual reading/Clinical research |
11:30AM |
12:00PM |
Lunch |
12:00PM |
1:00PM |
Neonatal Pathology Conference (DHMC) |
1:00PM |
2:00PM |
Review of Slides |
2:00PM |
3:00PM |
Review of Slides |
3:00PM |
5:00PM |
Individual reading/Clinical research |
Wednesday:
8:00AM |
9:00AM |
Individual reading/Clinical research |
9:00AM |
11:00AM |
Pediatric Surgical Pathology Conference (Children's Hospital) |
11:00AM |
12:00PM |
Grossing Placentas/Abortions |
12:00PM |
1:00PM |
Lunch |
1:00PM |
2:00PM |
Review of Slides |
2:00PM |
3:00PM |
Review of Slides |
3:00PM |
5:00PM |
Individual reading/Clinical research |
Thursday:
8:00AM |
11:00AM |
Perinatal Autopsy |
11:00AM |
12:00PM |
Grossing Placentas/Abortions |
12:00PM |
1:00PM |
Lunch |
1:00PM |
2:00PM |
Review of Slides |
2:00PM |
3:00PM |
Review of Slides |
3:00PM |
5:00PM |
Individual reading/Clinical research |
Friday:
8:00AM |
9:00AM |
Surgical Pathology Conference |
9:00AM |
11:00AM |
Perinatal Autopsy |
11:00AM |
12:00PM |
Grossing Placentas/Abortions |
12:00PM |
1:00PM |
Lunch |
1:00PM |
2:00PM |
Review of Slides |
2:00PM |
3:00PM |
Review of Slides |
3:00PM |
5:00PM |
Individual reading/Clinical research |
SCHEDULE NOTE:
This rotation is Monday through Friday 8:00am to 5:00pm
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.