Transcript Anatomical Pathology Orientation for New Residents Previn Gulavita, PGY-4

Anatomical Pathology
Orientation for New Residents
Previn Gulavita, PGY-4
Location
General Campus
- 4th Floor of Eye Institute
Civic Campus
- Separate building
- Between the Parkade, Parkdale clinic, and western wing of the
hospital
Important Contacts
Previn Gulavita (Chief Resident)
- [email protected]
- (613) 737-8899 ext. 78287
Dr. S. Islam (Program Director)
- [email protected]
- (613) 737-8297
Sheila Schnupp (Program Administrator)
- [email protected]
- (613) 562-5422
Other Useful Names
Contacts
Head of Laboratory Medicine - Dr. John Veinot
Chief, Anatomic Pathology - Dr. D. Banarjee
Divisional Secretary - Joanne Charbonneau 79080
Laboratory Manager - William (Bill) Parks 78864
Locating General 78222
Loating Civic 14221
Resident Room General 78287
Resident Room Civic 16440
Gross Room General 72059
Gross Room Civic 13531
Morgue General 78283
Daily Scheduling
- Block schedule ready and emailed to you at least a week before
beginning of the block
- When on Lab Medicine rotations chief assigns all residents and
med students
- PGY 1
•1 block Surgical Pathology
•1 block Cytology and Autopsy
•1 block Hematopathology (2 weeks), Medical Microbiology (1
week), Medical Biochemistry (1 week)
Surgical Pathology Rotation
- General weekly format:
• 2 sign-outs (any of the major subspecialty services)
• 1 dedicated grossing day
• 1 dedicated frozen section day
- Same day trickle flow sign-out format
- Usually shadowing a more senior resident when grossing or on
frozen section
Autopsy
- Hospital Autopsy
- Staff on for 1 week at a time
- If AP resident also on, shadow them
- If no AP resident on, shadow PA and morgue tech
- No responsibility for ownership of cases until PGY-2
Cytology
- Daily sign-out
- Teaching by cytotechnologists in PGY-3 and 4
Non-AP Lab Medicine Rotations
- Hematopathology (2 weeks)
• Supervisor: Dr. R. Padmore, [email protected]
- Medical Microbiology (1 weeks)
• Supervisor: Dr. P. Jessamine, [email protected]
- Medical Biochemistry
• Supervisor: Dr. C. McCudden, [email protected]
AP Standardized Rotation Schedule
PGY-1
Laboratory Medicine (3 blocks)
Medical Oncology ( 1 block)
Gyne Oncology (1 block)
Radiation Oncology (1 block)
General Surgery (1 block)
Pediatrics Emergency (1 block)
Emergency (1 block)
Radiology (1 block)
CTU (1 block)
Infectious Diseases (1 block)
Elective (1 block)
AP Standardized Rotation Schedule
PGY-2
GI (1 block)
GI *(1 block)
Dermatopathology(1 block)
Gyne (1 block)
Breast (1 block)
Lung (1 block)
Genitourinary (1 block)
Research (1 block)
Forensic (1 block)
Autopsy (3 blocks)
Elective (1 block)
AP Standardized Rotation Schedule
PGY-3
Breast (2 blocks)
GI (2 blocks)
Genitourinary (2 blocks)
Gyne (2 blocks)
Lung (1 block)
Research (1 block)
Lymph Nodes (1 block)
Cardiovasular (1 block)
Cytopathology (1 block)
AP Standardized Rotation Schedule
PGY-4
Neuropathology (2 blocks)
Cytopathology (3 blocks)
Pediatrics (2 blocks)
Forensics (1 block)
Soft bone Tissue (1 block)
Head and Neck (1 block)
Molecular pathology (1 block)
Renal (1 block)
Research (1 block)
PGY-5
Elective (13 blocks)
Website
- Valuable resource
- Goals and Objectives (Rotations, Rounds, etc)
- Schedules (Academic day activities, on-call)
- Evaluations and Forms (ITERs and daily evaluation form,
application for annual leave form)
- Policies and Guidelines (Graded Resident Competencies, Resident
Supervision and Graduated Responsibilities)
- CanMEDS Roles
- Orientation
Workspaces and Computers
- Computers and workspaces dedicated for all 16 AP residents
- Username and Password
- V: drive (Residents Folder)
- W: drive (Autopsy and Surgical Pathology manuals)
- OACIS and PACS
- PowerPath and Voiceover
On Call
- Comprehensive On-Call Handbook in V: drive
- One week home call; 4-5 weeks of call/year from PGY 2-5
- Begins at 4:30pm and ends at 8am
- Resident 1st call, Staff 2nd call, Histo tech on call
- Most common things  After hours frozen section, lymphoma
protocol, late breast, heart valves, weekend forensic autopsy
Gross, Histology, Immuno Lab Course
- 3 day course annually in July
- Organized by Laboratory Manager, Mr. William (Bill) Parks
- For PGY-2 residents
- Walk-through and education in gross lab, histology lab, and
immunohistochemistry
- Pre and post-test
Multihead Microscope Room and Scanner
- Rounds and Teaching
- Monthly schedule on door to book time
- 6 headed microscope
- Computer with dictation capability
- 50 inch monitor
- Slide scanner
Textbooks
- Robbins Pathologic Basis of Disease
- Surgical Pathology (Rosai and Ackerman and/or Sternberg)
- Lester’s Manual of Surgical Pathology
- Specialty Specific books, egs:
• Odze (GI)
• Blaustein (Gyne)
• Knight (Forensic)
Evaluations
- PGY-1 in Laboratory Medicine:
• Daily Evaluations
•http://www.med.uottawa.ca/patho/assets/documents/anatomical_
general_pathology/dailyevaluations.pdf
• Filled out by Staff or Resident
• Send to Sheila Schnupp at the end of the block
• Final evaluation completed through one45
- PGY-2 to PGY-5:
• ITERs for subspecialty rotations
• Completed by all staff in that specialty through one45
Exams
- Exams are used as a tool for objective evaluation of resident
progress throughout the program
- Mini Royal College Mock Exam
• Over 2 days each year (Dec or Jan) for PGY 2 through 5
• Written, gross, cytology, forensic, slides, oral
- RISE (Residents In-Service Examination)
• Annually for one day in April
• Computer based multiple choice exam
• AP exam and Special Topics