Anatomic Pathology Laboratories and Services

Gastrointestinal and Liver Pathology Elective

Rotation Director(s):

Francesca M. Ruggiero, MD
 
Goals and Objectives:

Note:  The core competencies addressed by the goals and/or objectives are indicated by PC (Patient Care), MK (Medical Knowledge), PBLI (Practice Based Learning and Improvement), ICS (Interpersonal and Communication Skills), SBP (Systems Based Practice), and P (Professionalism).

By the end of the rotation, the resident will be able to:
  • Recognize the histopathologic features of the common inflammatory lesions of the esophagus, stomach and colon and offer a differential diagnosis appropriate to the clinical setting and gross findings.  (PC, MK)
  • Correctly use and explain the most recent AJCC form for colonic and rectal carcinomas.  (PC, MK, ICS, SBP)
  • Correctly apply the grading and staging criteria for chronic hepatitis and steatohepatitis.  (PC, MK, SBP)
  • Apply criteria for diagnosis of pancreatic carcinoma to frozen section biopsies. (PC, MK, ICS)
  • Compose a written consultation report for GI or liver specimens.  (PC, MK, PBLI, ICS, P, SBP)
Requirements:
  • At least 6 months of surgical pathology or trainee in another field by special arrangement.
  • Prior approval of FMR or other GI attending AT LEAST 3 months in advance.
  • May be combined with another elective month that is 4 weeks long or with PBL facilitation in the Gastrointestinal Block (only) for second year medical students.
Duration and Timing of the Rotation:
  • The rotation will be 2 to 4 week block.
Teaching Staff:
  • Francesca M. Ruggiero, MD
Components:
  • The resident will review and formally write-up all gastrointestinal and liver consultation cases that are referred to the surgical pathology office. Time permitting, he/she may also write-up the consultation cases from the consult office.  (PC, MK, PBLI, ICS, SBP)
  • The resident will be available to review all gastrointestinal, liver and pancreas resection specimens in the gross room as consultant to the resident of the day and pathology assistants.  (PBLI, ICS, P, SBP)
  • The resident will review the liver transplant biopsies with the liver attending of the day. (PC, MK)
  • The resident may review the liver FNAs/core biopsies, by arrangement with the Cytology service. (ICS)
  • The resident will review all intradepartmental GI/Liver/Pancreas consults referred to FMR or other GI attending.  (PBLI, ICS) 
  • The resident will present one case per week at the Tuesday unknown conference (total of 4 presentations) on topics of his/her choice.  (ICS, P, SBP)
  • During the months of October and November, the resident will assist in preparation of specimens (October) and teaching (November) of the GI laboratories for the second year medical students.  (ICS)
  • If the resident is interested and qualified, he/she may also facilitate in the GI block for second year medical students. To note, the Medical Education office requires special training in advance of this activity. The resident will also be expected to evaluate students and to be evaluated by them.
  • The resident will attend:
    • GI Tumor Board (last Friday, 7 a.m., C7702).
    • Liver/Pancreas/Upper GI Tumor Board (every Tuesday, 7 a.m., T3007).
    • GI Fellows' Conference (last Wednesday, 4 p.m., C7702).
    • Transplantation Conference (every other Friday, noon, C7602, liver and pancreas cases only). 
    • Pediatric GI case review (ad hoc).
  • Potential, by mutual agreement in advance:
    • May assist in developing a study set in GI and liver diseases.
    • May present at multidisciplinary conferences.
    • Other academic activities, such as case report. 
  • Recommended text: Odze and Goldblum.  
Method(s) of Evaluation:
  • Residents will be evaluated based on direct observation by faculty
  • After each rotation, residents will be evaluated by faculty in New Innovations