Anatomic Pathology Program

Gynecologic Pathology Elective

Rotation Director:
Richard J. Zaino, 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:

  • Create a general diagnostic classification of the neoplastic and non-neoplastic pathologic abnormalities of the female genital tract, including the vulva, vagina, cervix, endometrium, myometrium, fallopian tubes, ovaries, pelvic peritoneum (PC, MK)
  • Recognize the histologic features associated with each of these diagnostic entities (PC, MK)
  • Know the typical age at presentation, presentation, etiology, pathogenesis, biologic behavior and appropriate therapeutic interventions for these diagnostic entities (PC, MK, SBP)
 
Requirements:
  • Level of training: 6 months of surgical pathology or 24 months of obstetrics/gynecology residency
 
Duration and Timing of the Rotation:
  • 4 week block
  • A 2 week mini-rotation can be split with breast pathology upon approval of the rotation directors
 
Teaching Staff:
  • Richard J. Zaino, MD
 
Components:
  • Review of gyn pathology glass slide study sets (C7606A) while reading on the appropriate material in a gynecologic pathology textbook. (Collect the cases upon which there are questions for review at multiheaded microscope with Dr Zaino)  (MK, PBLI)
  • Review of all extramural gyn consults sent to Dr Zaino for the rotation (preview each case and then present description at signout with Dr Zaino daily)  (PC, MK, PBLI, ICS, SBP)
  • Review of all internal gyn pathology consults sent to Dr Zaino (preview each case and then present description at signout with Dr Zaino daily) (PC, MK, PBLI, SBP)
  • Review of all available large gyn cases accessioned during the rotation (this requires co-ordination with the gross room staff and resident staff, including a daily review of the OR schedule and with a request to call or page upon arrival of selected large gyn cases. These cases should be examined while being cut by the resident of the day, the slides previewed in coordination with the resident of the day, and then attend that portion of signout when possible (or request feedback from the resident of the day).  (PC, MK, ICS, SBP)
  • Review of the microscopic slides of most small gyn cases accessioned during the rotation (this also requires coordination with the resident of the day, and attendance at signout when possible) (PBLI, ICS, P)
  • Presentation of one case each week at surgical pathology conference (ICS, P)
  • Attendance at surgical pathology and gross pathology conferences weekly, and other conferences as applicable, including Gyn tumor board (ICS, P, SBP)
  • Participation at cytology signout for at least one day (PBLI, SBP)
  • Reading: choice of Gynecologic Pathology textbooks, including most recent editions of 1) Robboy, 2) Kurman, 3) Crum, and 4) Fox. Extensive reading of chapters corresponding to the glass slide sets one of these texts is expected. Additional reading of primary sources is expected for consult cases as required. (MK, PBLI)
 
Method(s) of Evaluation:
  • Subjective evaluation by the rotation director
  • Pre- and post-test (20 glass slides or electronic images with questions)
  • Residents will be evaluated based on direct observation by faculty
  • After each rotation, residents will be evaluated by faculty in New Innovations