Anatomic Pathology Program
Jozef Malysz, MD
Goals and Objectives:
Residents must demonstrate a satisfactory level of diagnostic accuracy and the ability to provide appropriate and effective consultation about the pathology of cardiac diseases. Residents are expected to:
- Recognize, correctly describe and interpret the pathology of common cardiac diseases, including cardiovascular disease, transplant pathology, benign and malignant cardiac and vascular neoplasms, congenital anomalies, metabolic conditions, and infectious and inflammatory diseases.
- Be familiar with patient history and prior pathologic findings.
- Formulate appropriate differential diagnoses based on the histologic findings.
- Correlate pathologic lesions with clinical and radiographic findings.
- Appropriately use histochemistry and electron microscopy for evaluation of cardiac diseases.
- Understand ramifications of turn-around of highly time-sensitive specimens such as heart biopsy and vascular/ temporal artery biopsies.
Residents must demonstrate knowledge about established and evolving biomedical and clinical sciences and the application of this knowledge to cardiovascular pathology. Residents are expected to:
- Develop knowledge of the spectrum of neoplastic and non-neoplastic cardiovascular diseases through reading of textbooks and primary literature
- Identify specific morphologic changes in tissues, and their significance
- Understand the relationships between normal development, anatomic pathology findings, radiology, pathophysiology, patient signs and symptoms, and effects of therapies
- Understand the utilization of ancillary diagnostic testing ( immunohistochemical and special stains, electron microscopy, flow cytometry, cytogenetics, molecular testing) in evaluation of cardiovascular diseases
Practice-based Learning and Improvement:
Residents must be able to demonstrate the ability to evaluate and improve their clinical practices based on new and evolving scientific evidence. Residents are expected to:
- Apply current medical knowledge and recent literature to current cases
- Utilize library, web-based, and other educational sources to evaluate cases
- Prepare clinical cases in an optimal timeframe
- Utilize performance evaluations to improve practice
- Acquire skills to engage in "lifelong" learning through appraisal and assimilation of scientific studies related to specific cardiovascular pathology problems
- Facilitate learning of medical students, residents and fellows, and other health care professionals
Residents must demonstrate an awareness and responsiveness to the larger context and system of health care and the ability to call on system resources to provide optimal pathology services. Residents are expected to:
- Become involved with management issues related to cardiovascular pathology and their effects on other health care professionals, organizations, and society
- Consider cost-effectiveness in their practice of cardiovascular pathology without compromising patient care
- Understand the pathologist's role and professional practices in relation to other health care professionals
- Demonstrate ability to access and utilize the resources, providers, and systems necessary to provide optimal care
- Advocate for quality patient care
Interpersonal and Communication Skills:
Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and learning with other health care providers, patients, and patients' families. Residents are expected to:
- Exhibit effective listening skills and the ability to follow standard operating procedures and verbal instructions
- Interact with departmental and extradepartmental personnel, including healthcare professionals, administrators, and other staff in an appropriate manner
- Provide effective and professional consultation to other health care professionals demonstrating care and respect for them, and sustain ethically sound professional relationships with colleagues, staff, patients, and patients' families
- Present pathology material at a conference in an organized, coherent fashion, with well-constructed audiovisual materials
- Provide accurate communication of pathology information using non-verbal and verbal skills
- Work effectively as a team with other health care professionals and other staff
Residents must demonstrate a commitment to fulfilling professional responsibilities and ethical principles and sensitivity to a diverse patient population. Residents are expected to:
- Demonstrate commitment to ethical principles pertaining to confidentiality of patient information, informed consent, and business practices
- Demonstrate respect, compassion and integrity in all interactions with patients, their families, faculty, other trainees, technologists, and other staff
- Demonstrate sensitivity and responsiveness to the ethnicity, diversity, age, gender, sexual orientation, and disabilities of patients, colleagues, and staff
- Attend all required conferences and actively participate in them to enhance individual and group learning
- Demonstrate a commitment to excellence and on-going professional development
- Demonstrate adherence to guidelines and regulations set forth by regulatory and accrediting agencies
- Demonstrate ability to identify deficiencies in peer performance
- Discuss expectations for Surgical Pathology rotations with attending pathologists at beginning of each rotation
- Review and sign "Expectations for Surgical Pathology Rotations" form
Resident Graduated Responsibility in Cardiovascular Subspecialty Core Rotations:
Increasing levels of responsibilities are expected of each resident as their training time progresses in each subspecialty area. See explanation of Expectations by Resident Experience Level. Simple, moderately complex and complex cases are defined on the Checklist for Surgical Pathology Competencies. All residents have a personal copy of this spreadsheet, which they use to record their competency with gross dissections of increasingly complex cases. This checklist is reviewed by the Program Director during semi-annual evaluations.
Jozef Malysz, MD
Francesca Ruggiero, MD
1. Background reading (covered independently by resident)
- See recommended reading list in Pathology Resident Hand Book
2. In-house cases
- Active cases will be reviewed independently and then with the faculty member on service.
3. Multidisciplinary Conference
- Slides that the resident will present at the Cardiac Tumor Board will be reviewed prior to the conference with a faculty member.
4. Research or educational project (optional)
- If desired, the resident can work on a small research or educational project.
- Residents are encouraged to review the study set and acquire proficient knowledge of all cases included (study set is maintained by Dr. Malysz and is available upon request).
Method(s) of Evaluation:
The resident will be evaluated at the end of the rotation using New Innovations. The evaluations will be based on the resident's daily performance including diagnostic accuracy, and oral "quizzes" throughout the rotation. Performance on the rotation components will be assessed. The resident should be able to formulate appropriate differential diagnoses in >90% of cases in this area.
Residents will be expected to evaluate faculty and the rotation using New Innovations. These evaluations will be collated and reviewed by the program director and chair and the results will be reported yearly to each faculty member and submitted for review to the Residency Program Committee for feedback.