Resident Participation in Conferences Sponsored by Other Departments
One of our goals is to place our pathology residents at the interface between the hospital clinical services and the anatomic and clinical pathology laboratories. In this way, we build bridges that enhance communication and clinical care through education of our colleagues about pathological findings related to their patients. As part of this goal, residents participate in a number of hospital conferences as described below:
Clinical pathology residents (PGY-1 if CP-only, PGY-2 if AP/CP) are each assigned to a medical FIRM conference for one year as the pathology/laboratory medicine consultant. FIRM conferences occur on Fridays from 11 am to noon. Attending each of the several FIRM conferences are medical interns and residents, a medical chief resident, attending physicians, sub-specialists, and a clinical pathology resident and attending. Medical interns and residents present cases as unknowns followed by group discussion. Often cases relate to an underlying pathological abnormality or disease state uncovered through the judicious use of laboratory testing. In these instances, the pathology resident contributes ad lib or with a short presentation towards the end of the meeting. The pathology resident is assigned to a FIRM along with an attending pathologist, so that there is attending backup and an opportunity to review case material prior to presentation.
Medicine Resident Report
Senior clinical pathology residents (PGY-2 if CP-only, PGY-3 if AP/CP), assigned on a monthly rotating basis, discuss laboratory testing in a "Test of the Week" format at Medicine Morning Report. In this conference, all residents and interns in the department of medicine gather to discuss current cases. To increase awareness of laboratory testing issues, every other week a senior clinical pathology resident presents a "Test of the Week" after a prior request from the medicine chief resident. The "Test of the Week" is a short five minute presentation about a laboratory test important in a recent case or for which a more general understanding of its use and characteristics is desired. Some recent examples include heparin induced thrombocytopenia antibody testing; limitations of the urinary Legionella antigen assay; toxicologic analysis; and hemoglobin electrophoresis.
Sub-Specialty Medicine Conferences
During their core and advanced electives in clinical pathology, residents also attend various subspecialty conferences as appropriate for each rotation, including those sponsored by the hematology-oncology, infectious diseases, endocrine, and nephrology services.
PGY3 pathology residents and more senior residents present anatomic pathology case findings at a number of conferences while they are on surgical pathology rotations. A list of such conferences follows:
Surgical Morbidity & Mortality Conference
Residents present pertinent anatomical pathology findings related to morbidity and mortality in surgical cases.
Soft Tissue Tumor Board
Residents present bone and soft tissue pathology findings to orthopedic surgeons, radiologists, and hematology/oncology physicians as part of a group discussion of optimal management.
General Tumor Board with Hematology-Oncology Fellows
Responding to a prior request by Hematology-Oncology fellows, pathology residents present either pathological findings on specific cases, or give a brief presentation on disease pathophysiology. Members of both the Hematology-Oncology and Pathology departments attend.
Endocrine Tumor Board
Endocrinology, General Surgery, and Pathology meet to discuss patient diagnosis and management.
Genitourinary Pathology Conference
Urology and Pathology meet to discuss important pathological findings and management issues.
Gynecologic Tumor Board
Pathology and Obstetrics & Gynecology meet to discuss pathological findings and management issues.