Anatomic Pathology Program

Lancaster General Health Community Practice Elective


Rotation Director:
John M. Yelcick, 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).
  • Develop an understanding of disease processes (benign and malignant) and be able to recognize them in their initial and late stages.  (PC, MK)
  • Recognize the limitations of tissue diagnosis and maximize the diagnostic information.  (MK, PBLI, ICS, P, SBP)
  • Recognize your role as a medical consultant and be certain you have the appropriate clinical data before rendering a diagnosis.  (ICS, P, SBP)
  • Learn what diagnostic information is necessary for proper patient care and how to concisely communicate that data to the responsible clinician.  (PC, MK, ICS, P)
  • Understand the distinctive qualities of community pathology practice compared with academic practice.  (SBP)
  • Level of training: PGY-3 or 4 year
Duration and Timing of the Rotation:
  • 2 weeks – 8 weeks, depending upon the interests of the resident
  • Resident should contact Dr. Miele at least 3 months before the rotation to let her know of interest in doing the rotation.
Teaching Staff:
  • John M. Yelcick, MD and other LGH pathologists
Under supervision the resident will:
  • Perform intraoperative consultations. Appropriately triage and process specimens.  (PC, MK, PBLI, ICS, P)
  • Preview, interpret and write up surgical pathology and cytology cases. Case load will vary, depending on the experience level of the resident.  (PC, ICS)
  • Perform 1-2 autopsies, as available. Pathologists' assistant and autopsy assistant support will be provided.  (PC, MK)
  • Participate in 1-2 apheresis procedures, as available.  (PC)
  • Attend two Lancaster General Health tumor boards and present at least one case.  (ICS, P, SBP)
  • Complete an evaluation of the rotation and submit it to Dr. Yelcick.  (ICS, P)

Note: Gross dissection will be performed by Lancaster General Health pathologists' assistants and is not expected of residents during this rotation.

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