Elective Program

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Department: MEPAT-Pathology
Course: 200-General Anatomic & Clinical Pathology - 2 week

Course Director: Christine Garcia Roth, MD
Course Faculty: Mike Perez, M.D.,Masand, Ramya, M.B.B.S.,Neda Zarrin-Khameh, M.D., M.P.H.,Merritt, Brian Yang, M.D., B.S.,Clilford Ryan Blieden,Reyes, Meredith Anne, M.D.,Arthur W. Bracey,Elizabeth Hartwell,Kristine McCluskey, Ed.D, MHS PA (ASCP),Abdul Hafeez Diwan, M.D.,Marwan Yared, M.D.,Shilpa Jain, M.D.,Vijayalakshmi Padmanabhan,Natalia Golardi, M.D.,Lasco, Todd, Ph.D.,Citron, Deborah Riley, M.D.,Christie Jean Finch, M.D.
Elective Location: BSL,BTH
Elective Offered Terms:
Two Week Periods: 4,12
Min. Number of Students: Max:  1
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:
Pathology drives 70% of clinical decisions, however, is less visible than other specialties, and it is difficult for future clinicians to fully appreciate its clinical role in the diagnostic process. This rotation provides a "behind the scenes" glimpse into the day to day practice of a diverse spectrum of anatomic and clinical pathology services. Appropriate utilization of pathology services, clinical tests, and blood products as tailored to the patient's clinical context will be emphasized. The future physician will be exposed to the highly collaborative nature of pathology, which works closely with other medical specialties as part of a multidisciplinary team providing high quality clinical care.

Learning Objectives

-Discuss the process involved in the evaluation of surgical, cytopathology, and frozen section specimens in order to arrive at a diagnosis

-Distinguish various blood components and their appropriate utilization

-Describe common hematology, microbiology, chemistry, immunochemistry methodologies used in clinical pathology testing to establish a diagnosis

Learning Activities

1 week: BTGH: Students can rotate different days on various services:
(daily) - sign-out of surgical pathology specimens
(daily) - sign-out of cytopathology specimens and opportunities to observe fine needle aspiration procedures
(daily) - evaluation and sign-out of intraroperative specimens ("frozen section")
Also: opportunities to participate in autopsy or various subspeciality areas of surgical pathology, depending on student interest

(daily) - self-directed learning time, including self-directed review of AP case studies

1 week: BSL
Students can rotate different days on various services:
(daily) -- patient rounds with the transfusion medicine attending on service
(daily) sign-out of immunology gels and other chemistry tests with clinical pathologist on service
(daily) peripheral smear review and sign-out of hematopathology cases with hematopathologist on service
(daily) - review of microbiology cases with microbiology teaching faculty and technologists

Also: general orientation to transfusion testing, blood donor center, and/or other areas of clinical pathology depending on student interest

(daily) -- self-directed learning time, including self-directed review of CP case studies

Standing Meetings & Conferences:
8-9 am (daily) - Resident Teaching conferences
12-1pm (Mondays) -- Pathology Grand Rounds
12-1 pm (Tuesdays) -- Hematopathology consensus conference
12-1pm (Wednesdays) -- Citywide Hematology Conference
11:30-12:30 (Fridays) -- Transfusion Medicine Conference (Problem-Solving, Journal Club, Research)

Monthly Conferences:
Transfusion Service Inter-Facility Meeting
Transfusion Service Management/QA Meeting
BSLMC Transfusion Committee
Hematologic Malignancies Tumor Board

Evaluation Methods

Clinical performance 80%; Completion of self-study cases 20%

When and Where to report on first day of service:

Either Dr. Roth's office (BSL pathology) or Dr. Finch's office (BTGH pathology)

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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