Elective Program

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Department: MEPAT-Pathology
Course: 206-Gynecological Pathology - 2 week

Course Director: Ramya Masand, M.B.,B.S.
Course Faculty: Kristine McCluskey, Ed.D, MHS PA (ASCP),Ramya Masand, M.B.,B.S.,Vijayalakshmi Padmanabhan,Tracilyn Hall, M.D.,B.S.,Anthony Costales
Elective Location: BSL,BTH
Elective Offered Terms:
Two Week Periods:
Min. Number of Students:   Max:  0
Elective Type: Clinical
Matriculating prior to fall 20154
Matriculating fall 2015 and beyond2
Pre-requisites: None
Open to US Visiting Students: No
Open to International Visiting Students: No
Grading: H,HP, P, MP, F Narrative Evaluation
Faculty Approval: No

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): 5 days/week, average 8 hours/day Inpatient Ward:
Night Call: No Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: No Surgery:
Course Description & Learning Objectives:

This is closed for Fall 2022

Course Description

Surgical pathology plays a crucial role in decision making in patient treatment at every step from diagnosis to treatment. In this elective, an insight into processes from the time of tissue receipt in pathology department all the way to release of final report to the clinical team will be provided. This course will delve into HPV testing, PAP smear review, subsequent surgical procedures with respect to cervical dysplasia and cancer. Trainees will also participate in intraoperative consultation and frozen section of ovarian tumors where rapid intraoperative diagnosis will be provided to the clinician in order to decide surgical course of management. There will be an opportunity to observe how residents rapidly cut and stain tissue. Daily sign-out with Dr. Masand includes one to one sessions at microscope of biopsies, large gynecologic cancer specimens with emphasis in recognizing normal from pathology. At this session, cases will be discussed and ancillary tests when necessary will be ordered. Sign out with Dr, Padmanabhan will include review of pap smears and the algorithm involved in dysplasia management. This rotation will expose the students to histology as well as common pathologic specimens in Gynecologic pathology, for eg, endometrium different phases of menstrual cycle, effect of hormones on female genital tract, cervical dysplasia, common ovarian tumors. In addition, for those interested, rotating with gynecologic oncologists Drs. Hall and Costales at their coloposcopy clinic on Fridays is an option provided to learn how common out-patient colposcopic procedures are performed.

Learning Objectives

- Describe the steps in general specimen processing leading to the final diagnosis
- Discuss the microscopic appearance of normal and abnormal (including inflammatory vs malignant diseases).
- Discuss the role of GYN pathologist as a effective member of an interprofessional health care team multidisciplinary team treating patients

Learning Activities

2 week: BTGH rotation:
(First day) - observing grossing and processing of specimen in the Laboratory
(Tuesdays and Thursdays) - evaluation and sign-out of intra-operative specimens ("frozen section")
(Fridays 8am - noon) - opportunities to visit colposcopy clinic
(daily) - sign-out of Pap smears and GYN pathology specimens at double headed microscope
(daily) - self-directed learning time, including self-directed review of Gyn study sets

Standing Meetings & Conferences:
8-9 am (daily) - Resident Teaching conferences
12-1pm (Mondays) - Pathology Grand Rounds
7-8 am (Wednesday)- Multidisciplinary GYN oncology tumor board
9.30- 10.30 (Wednesday) - Gyn interactive microscopy session (residents and fellows) with Dr.Masand
8 -9 am (Wednesday)- OB/GYN grand Round, TCH Auditorium
12-1 pm ( Thursday) - Interesting cases/ Consensus conference

Evaluation Methods

Clinical performance 80%; Presentation (completion only) 20%

Students will work closely with faculty, fellows, residents, and laboratory staff.
Students will also be required to give an 10-15 min oral presentation to the faculty and staff during the rotation. Topics may include but are not limited to an interesting clinical case, journal or review article summary.

When and Where to report on first day of service:
Ben Taub Hospital, 6th Floor New Tower, Dr. Masand's office: 601-0.

For additional information regarding this elective contact:
Contact Name: Yvetter Boney
Contact Phone: 713-798-5490
Contact Fax: 713-798-3665
Contact Location: One Baylor Plaza Houston TX 77030 Pathology Dept 213B MS: BCM315
Email: yboney@bcm.edu
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