Elective Program

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Department: MEPAT-Pathology
Course: 205-Gastrointestinal Liver and Pathology - 2 week

Course Director: Shilpa Jain, M.D.
Course Faculty: Neda Zarrin-Khameh, M.D., M.P.H.,Kristine McCluskey, Ed.D, MHS PA (ASCP),Ramya Masand, M.B.,B.S.,Shilpa Jain, M.D.,Vijayalakshmi Padmanabhan,Christie Jean Finch, M.D.
Elective Location: BSL,BTH
Elective Offered Terms:
Two Week Periods: 4,5,6,7,9,10,11,12,13,14,15,16,17,18,19,20,21,22
Min. Number of Students:   Max:  1
Elective Type: Clinical
Matriculating prior to fall 20154
Matriculating fall 2015 and beyond2
Pre-requisites: Any Pathology clinical elective AND Medicine or Surgery or Family and Community Medicine core
Open to US Visiting Students: No
Open to International Visiting Students: No
Grading: H,HP, P, MP, F Narrative Evaluation
Faculty Approval:

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): 5 days/ week and avg 8 hours/ day Inpatient Ward:
Night Call: Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: Surgery:
Course Description & Learning Objectives:
Pathology is the medical basis to understanding and differentiating between inflammation, infection, and malignancy which further define the treatment options including oncologic, surgical, radiation. etc. Surgical pathology plays a crucial role in decision making in patient treatment at every step from diagnosis to personalized medicine. In this elective, students will have the opportunity to partake in a range of experiences, including cytology assessment, observing grossing of surgical specimens, intra-operative gross and frozen section evaluations, related ancillary techniques e.g. special stains; immunostains; molecular testing with a focus of GI specimen. They will get an opportunity to have one to one sessions at microscope for histological evaluations, and "sign-out" with emphasis in recognizing differentiating normal from pathology. This rotation will expose the students to the bread and butter of Gastrointestinal pathology including the various causes of esophagitis, gastritis, colitis with an emphasis on infectious etiology, as well as benign and malignant tumors. Under liver pathology, student will learn to work up fatty liver disease cases which makes a large group of United States’ population and how to differentiate this from other etiologies of liver disease.

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 GI pathologist as a effective member of an interprofessional health care team multidisciplinary team treating patients

Learning Activities
2 week: BTH rotation:

8-9 am (daily except Thursday) - Resident Teaching conference
8-9 (Thursday)- GI grand Round, McNair Campus or Zoom in

Monday: observing grossing and processing of specimen in the Laboratory
Tuesday : sign-out of gastrointestinal pathology specimens at double headed microscope
Wednesday: sign-out of gastrointestinal pathology specimens at double headed microscope
Thursday: Opportunities to observe fine needle aspiration procedures
Friday: Gross evaluation of intra-operative specimens ("frozen section")

12-1pm (Mondays) - Pathology Grand Rounds
11-1pm (Wednesdays) - Multidisciplinary Tumor board
12-1 pm (Thursday) - Interesting cases/ Consensus conference
1- 2 (Fridays) - GI microscopic interesting case session

1pm – 5 pm
Monday: Self-directed learning by review of lectures on blackboard
Tuesday : Observing grossing with the residents
Wednesday: Gross evaluation of intra-operative specimens ("frozen section")
Thursday: opportunities to observe fine needle aspiration procedures
Friday: Self-directed learning by review of lectures on blackboard

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, or some other gastrointestinal topic.

When and Where to report on first day of service:
Ben Taub Tower, Pathology Department , 6th floor, office of Dr. Jain , 601W at 9 am
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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