Cytopathology Pathology
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Medical Directors Arup Medical Directors and Consulting Faculty | 2015
MEDICAL DIRECTORS ARUP MEDICAL DIRECTORS AND CONSULTING FACULTY | 2015 MAY 2015 www.aruplab.com Information in this brochure is current as of May 2015. All content is subject to change. Please contact ARUP Client Services at (800) 522-2787 with any questions or concerns. ARUP LABORATORIES ARUP Laboratories is a national clinical and anatomic pathology reference laboratory and a nonprofit enterprise of the University of Utah and its Department of Pathology. Located in Salt Lake City, Utah, ARUP offers in excess of 3,000 tests and test combinations, ranging from routine screening tests to esoteric molecular and genetic assays. Rather than competing with its clients for physician office business, ARUP chooses instead to support clients’ existing test menus by offering complex and unique tests, with accompanying consultative support, to enhance their abilities to provide local and regional laboratory services. ARUP’s clients include many of the nation’s university teaching hospitals and children’s hospitals, as well as multihospital groups, major commercial laboratories, group purchasing organizations, military and other government facilities, and major clinics. In addition, ARUP is a worldwide leader in innovative laboratory research and development, led by the efforts of the ARUP Institute for Clinical and Experimental Pathology®. Since its formation in 1984 by the Department of Pathology at the University of Utah, ARUP has founded its reputation on reliable and consistent laboratory testing and service. This simple strategy contributes significantly to client satisfaction. When ARUP conducts surveys, clients regularly rate ARUP highly and respond that they would recommend ARUP to others. As the most responsive source of quality information and knowledge, ARUP strives to be the reference laboratory of choice for community healthcare systems. -
Health Sciences Center
Faculty of Allied Health Sciences Handbook: 2020-2021 KUWAIT UNIVERSITY HEALTH SCIENCES CENTRE 1 | P a g e KUWAIT UNIVERSITY HEALTH SCIENCES CENTRE FACULTY OF ALLIED HEALTH SCIENCES Established: 1982 HANDBOOK 2020-2021 2 | P a g e Department of MEDICAL LABORATORY SCIENCES [MLS] 3 | P a g e DEPARTMENT OF MEDICAL LABORATORY SCIENCES Medical Laboratory Sciences offers opportunities for those interested in biological and chemical sciences, leading to a career in the health service or in research. Medical laboratory scientists are professionals who perform laboratory tests and analyses that assist physicians in the diagnosis and treatment of patients. They also assist in research and the development of new laboratory tests. The various studies include chemical and physical analysis of body fluids (clinical chemistry and urinalysis); examination of blood and its component cells (haematology); isolation and identification of bacteria, fungi, viruses and parasites (clinical microbiology and parasitology); testing of blood serum for antibodies indicative of specific diseases (immunology and serology) and collection, storage of blood, pretransfusion testing and other immunohaematological procedures (blood banking). In addition, medical laboratory scientists prepare tissues for histopathological, cytological and cytogenetic examination. They must know the theory and scientific fundamentals as well as the procedures for testing. Medical laboratory scientists work in hospital clinical laboratories, medical schools, research institutions, public health agencies and related organizations. MISSION AND OBJECTIVES Mission The mission of the Department of Medical Laboratory Sciences is to educate and train skillful, knowledgeable and committed Medical Laboratory Scientists who have breadth of knowledge and competence in the various aspects of Medical Laboratory Sciences, who shall adhere to professional ethics, and who can contribute successfully as Medical Laboratory Scientists in the health care team. -
Clinical Microbiology Core Rotation
C:\Documents and Settings\jdnoll\Desktop\UofFCytolRot10.doc CYTOPATHOLOGY ROTATION Site: University of Florida-Gainesville/ Shands North & South Tower Faculty: Peter Drew, M.D. (4-4969) Larry J. Fowler, M.D., Cytology Director (4-4959) Jacquelyn Knapik, M.D. (4-3887) Li Lu, M.D, PhD (63-6440) Demaretta Rush, M.D. (5-3364) Edward Wilkinson, M.D. (4-4962) Anthony Yachnis, M.D., Anatomic Pathology Director (4-4951) Current Cytopathology Fellow Charlene M. Lewis, CT (ASCP) Superviser Deborah A. Carroll, CT, (ASCP) Patricia Christensen, CT (ASCP) David A. Lemire, CT (ASCP) Rotation Periods: 12 weeks for CORE Rotation broken into three 4 week rotations (a portion of the 12 weeks may be on the VA Hospital Cytology Rotation). Offered all 12 months of any training year. I. General Organization: The cytopathology core rotation consists of three 4 week rotations (total 12 weeks) routinely placed within the 1st thru 4th PGY training years of a 4 year APCP training program. The CORE rotation may also be done in one combined 12 week rotation upon special request. Cervical biopsies and local gynecologic excisions are signed out in tandem with cytology specimens (correlation of surgical and cytologic specimens). The first 4 week's rotation, residents review the day's cases at the time of sign-out with the faculty member on service. During the second and third 4 week rotations residents preview cases before sign-out, render preliminary interpretations, and receive feedback at sign out (graduated responsibility). Fellows preview the slides before sign-out and render interpretations, and have the option to attend sign-out or receive feedback from the attending pathologist later (graduated responsibility). -
Cytopathology Fellowship Faculty of Medicine, Postgraduate Medical Education
Cytopathology Fellowship Faculty of Medicine, Postgraduate Medical Education Institution: McGill University and McGill University Health Centre Location: Department of Pathology, MUHC and Duff Medical Building Type of Fellowship: One year clinical fellowship in Cytopathology Fellowship Program Director: Dr. Manon Auger Program Information Number of fellowship positions requested: One Academic affiliation: McGill University Name of hospitals involved in training: McGill University Health Centre (MUHC) Background: The fellowship will be principally based at the MUHC. This one-year post-residency clinical fellowship offers a comprehensive, integrated exposure to the field of Cytopathology. The cytological specimens handled at the MUHC include approximately 50,000 gynecological specimens per year (including approximately 7000 colposcopic specimens) as well as 10,000 non-gynecological specimens (including approximately 4000 fine needle aspirates). Exposure to liquid- based cytology is provided. Research activity and publications: The fellow will be expected to participate in at least one major research project involving, at minimum, a review of a series of cases (i.e., not simply a case report) with a view to publication in a peer-reviewed journal (i.e. not only presentation at a meeting). In addition, other research projects may be carried out, including case reports. Mission and objectives: The general mission of the fellowship is to provide training in the interpretation of cytopathology with a view to learn the entire spectrum of reactive -
Brain – Necrosis
Brain – Necrosis 1 Brain – Necrosis 2 Brain – Necrosis Figure Legend: Figure 1 Appearance of a thalamic infarct at low magnification, identified by pallor within the zone of the black arrows, in an F344/N rat. The dentate gyrus of the hippocampus is identified by a white arrow. This infarct was the result of an arterial embolus (arrowhead), shown at higher magnification in Figure 2. Figure 2 Arterial embolus from Figure 1 at higher magnification, in an F344/N rat. Figure 3 Acute necrosis of the posterior colliculus, a bilaterally symmetrical lesion (arrows), in the whole mount of a section in a male F344/N rat from an acute study. This resulted from the selective vulnerability of this brain region to toxin- induced impaired energy metabolism. The arrowhead identifies necrosis of the nucleus of the lateral lemniscus. Figure 4 Similar regionally selective bilateral brain necrosis of the parietal cortex area 1 (blue arrow), thalamus (arrowhead), and retrosplenial cortex (white arrow) in a treated male F344/N rat from an acute study, all resulting from the same toxic compound as used in Figure 3. Figure 5 Unusual form of malacia (total regional necrosis) of the spinal cord in the dorsal spinal funiculi (arrow) in a female F344/N rat from a chronic study. Figure 6 A cortical infarct with gliosis and capillary hyperplasia (arrow) from a male B6C3F1 mouse in a chronic study. Figure 7 A more advanced stage of cortical infarction (arrows) in a treated female B6C3F1 mouse from a chronic chronic inhalation study. Figure 8 Morphology of an infarct of known duration (arrow) in an F344/N rat with experimental infarction. -
The Papanicolaou and Frost 2019 Cytopathology Tutorial
Y 5 E Coun cil for Continuing Medical Education to provide continuing N 1 Statement of Need , D G . T N medical education for physicians. A Diagnostic cytopathology per forms a vital role in the O T S W N D S I di agnosis and treatment of non-neoplastic and neoplastic T Weill Cornell Medicine designates this live activity for a O T A O I R T 15. 0 1 P AMA PRA Category Credi t(s )™. P le sions. This course is intended to advance and develop S M maximum of H . R T R S I the knowledge base of pathologists in cytopathology. P Physicians should claim only the credit commensurate with E M U P Current criteria and concepts based on cytomorphologic the extent of their participation in the activity. S evaluation and approaches to differential diagnosis are the core need for the practice of cytopathology. This course is Maintenance of Certification designed to provide a practical update to cytopathologists, The American Board of Pathology has approved the Tutorial cytotechnologists, general pathologists and fellows/residents as a Self- Assessment Module (SAM) for Part II of the ABP in training. Main tenance of Certifica tion (MOC) program and designates this edu cational activity for a max imum of 10.0 SAM Course Goals and Objectives Credit(s). Physi cians should claim only the credit commen - This CME approved course will lead to improved practice surate with the extent of their participation in the activity. of cytopathology leading to enhanced pa tient care. At the conclusion of this course the at tendees will be able to: Disclosure of Relationships/ Content Validity • Evaluate cytologic criteria of various non-neoplastic It is the policy of Weill Cornell Medicine to adhere to and neoplastic lesions. -
Anesthesiology
Anesthesiology RESIDENCY PROGRAM AT Ocala Regional Medical Center Welcome to the AboutAnesthesiology HCA Healthcare Residency Program at Ocala Regional Medical Center The Anesthesiology Residency Program at Ocala Regional Medical Center is part of the HCA Healthcare Graduate Medical Education network. HCA Healthcare is the nation’s leading provider of quality, patient-centered care. We are also the leader in graduate medical education, all brought together by a single mission: Above all else, we are committed to the care and improvement of human life. ACGME ID: 401100212 Tracks & Positions Tracks NRMP # Available Positions Advanced 1587040A0 9 Salary PGY2 PGY3 PGY4 $55,456 $58,590 $60,630 Welcome and thank you for your interest in our program. In partnership with HCA Healthcare GME, we adhere to the mission statement, “Above all else, we are committed to the care and improvement of human life”. The Anesthesiology Residency Program is committed to training physicians in the science and practice of anesthesiology and perioperative medicine. In this context, we will train our colleagues in delivering evidence-based, high quality medical care emphasizing patient safety goals, and in which patient and family satisfaction is optimized. Excellence, collegiality, compassion, and integrity in patient care are the core tenets of our program education. We envision the residency program as a safe, positive and inspiring clinical environment to improve health outcomes and better serve our community. Sincerely, Ettore Crimi, MD Program Director Our faculty Ettore Crimi MD, Program Director • Anesthesiology Residency completed at MGH/Harvard • Cardiothoracic Fellowship completed at Stanford • Critical Care Fellowship completed at University of Florida • Subspecialty interests include critical care medicine, cardiothoracic anesthesia, and translational research. -
Role of Histopathological Examination in Medicolegal Autopsies in Unravelling Pathology Section Precise Causes of Mortality
DOI: 10.7860/NJLM/2021/48233:2522 Original Article Role of Histopathological Examination in Medicolegal Autopsies in Unravelling Pathology Section Precise Causes of Mortality DIVYA SHARMA1, ANSHU GUPTA2, KHUSHBOO DEWAN3, KARSING PATIRI4, KUSUM GUPTA5, USHA RANI SINGH6 ABSTRACT Histopathological examination was performed in 96 cases out of Introduction: Medicolegal autopsies are performed to determine which 10 were excluded due to autolysis (n=86). Haemotoxilin the cause and manner of death. Histopathological examination and Eosin (H&E)-stained slides were examined and special is reserved for only those cases where Cause Of Death (COD) is stains and Immunohistochemistry (IHC) applied wherever not readily apparent on autopsy. However, there are conflicting required. Gross and histopathological findings were recorded views regarding the utility of histopathological examination in along with autopsy findings and clinical history. The results were medicolegal cases. tabulated and statistical analysis was done using the Chi-square and Fischer’s test to look for any significance and association Aim: To examine the role of histopathological examination in between gross and microscopic findings in various organs. The unravelling specific causes of mortality in two settings: 1) where p-value of <0.05 was considered significant. collaborative clinical history and gross autopsy findings were available; 2) where definitive cause could be discovered only Results: Histopathological examination was conclusive in at the time of microscopic examination, thus altering its legal ascertaining the specific COD in 30/86 cases (35%). These were implications. categorised as pulmonary causes (27) including one case each Materials and Methods: This was a retrospective observational of fat embolism and Amniotic Fluid Embolism (AFE) and cardiac study including all medicolegal autopsy cases, in which causes (3). -
2021 Anatomic & Clinical Pathology
BEAUMONT LABORATORY 2021 ANATOMIC & CLINICAL PATHOLOGY Physician Biographies Expertise BEAUMONT LABORATORY • 800-551-0488 BEAUMONT LABORATORY ANATOMIC & CLINICAL PATHOLOGY • PHYSICIAN BIOGRAPHIES Peter Millward, M.D. Mitual Amin, M.D. Chief of Clinical Pathology, Beaumont Health Interim Chair, Pathology and Laboratory Medicine, Interim Chief of Pathology Service Line, Beaumont Health Royal Oak Interim Physician Executive, Beaumont Medical Group Interim Chair, Department of Pathology and Laboratory Medicine, Oakland University William Beaumont School Interim System Medical Director, Beaumont Laboratory of Medicine Outreach Services Board certification Associate Medical Director, Blood Bank and • Anatomic and Clinical Pathology, Transfusion Medicine, Beaumont Health American Board of Pathology Board certification Additional fellowship training • Anatomic and Clinical Pathology, • Surgical Pathology American Board of Pathology Special interests Subspecialty board certification • Breast Pathology, Genitourinary Pathology, • Blood Banking and Transfusion Medicine, Gastrointestinal Pathology American Board of Pathology Lubna Alattia, M.D. Kurt D. Bernacki, M.D. Cytopathologist and Surgical Pathologist, Trenton System Medical Director, Surgical Pathology Board certification Beaumont Health • Anatomic and Clinical Pathology, Chief, Pathology Laboratory, West Bloomfield American Board of Pathology Breast Care Center Subspecialty board certification Diagnostic Lead, Pulmonary Tumor Pathology • Cytopathology, American Board of Pathology Diagnostic -
ASC and PSC Position Statement on Use of Molecular
American Society of Cytopathology (ASC) and Papanicolaou Society of Cytopathology (PSC) Joint Position Statement on The Use of Molecular Testing on Cytologic Specimens Cytomorphologic evaluation of exfoliative and aspiration cytology specimens play an essential role in guiding the management of patients undergoing evaluation for neoplasia. In recent years, medicine has witnessed an explosive growth in our recognition and understanding of molecular genetic abnormalities that drive the development and progression of various cancers, as well as the therapeutic relevance of these abnormalities which mandates that molecular testing be performed for management decisions. Technologic advances that enable minimally invasive interventional modalities to obtain tissue for diagnosis have resulted in the increasing importance of cytologic specimens for patient management. Therefore, judicious and effective integration of molecular ancillary testing with cytopathology specimen acquisition, processing, and analysis is required in order to ensure timely and appropriate patient management. Molecular studies can serve as diagnostic adjuncts to aid in cytomorphologic classification and/or to interrogate specific relevant biomarkers, thereby providing information pertinent to prognosis and targeted therapy. Salient examples illustrating the intimate interface between cytopathology and molecular diagnostics include: (1) human papillomavirus testing on cervical cytology specimens and metastatic and primary head and neck cancers; (2) mutation panel and gene expression classifier testing on indeterminate thyroid fine needle aspirates (FNAs); (3) EGFR/ALK/ROS1 analysis on advanced‐stage lung adenocarcinoma; (4) BRAF mutational analysis in melanoma and thyroid cancer FNAs; (5) fluorescence in‐situ hybridization (FISH) testing applied to a variety of specimens such as urinary tract cytology, pancreatobiliary brushings, effusions, and cytologic samples from sarcomas and lymphomas; and (6) the application of next generation sequencing (NGS) to cytologic specimens. -
Cytopathology (Path Cyto)
path cyto 1 Pathology: Cytopathology Page updated: August 2020 This section contains information to assist providers in billing for pathology procedures related to cytopathology services. Pap Smear Tests Taking a Papanicolaou (Pap) smear sample is considered part of a pelvic examination and is not separately reimbursable. The Pap smear test is reimbursable only to the provider who performs and reads the Pap smear and issues the written report. These tests include up to three smears for Pap tests for cancer screening and/or a qualitative report on the patient’s level of estrogen. Modifiers TC and 26 Providers may use modifier TC to bill cervical or vaginal Pap smear results. When a smear is billed with modifier 26, it is reimbursable only to a hospital pathologist whose service is not covered by the hospital. Submitting a claim on one line without a modifier indicates that both the professional and technical components of the service were provided. Clinical or Hospital Laboratory Pap smears examined in a clinical or hospital laboratory can be reimbursed without a modifier only if both the professional and technical components are performed in the laboratory. Billing Restrictions CPT® code 88120 will not be reimbursed if billed in conjunction with codes 88121 or 88365; CPT code 88121 will not be reimbursed if billed in conjunction with codes 88120 or 88365. CPT codes 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88164, 88165, 88166 or 88167, 88174 or 88175 may be used to bill cervical or vaginal Pap smear tests and to report physician interpretation services. Part 2 – Cytopathology path cyto 2 Page updated: August 2020 Recommended frequencies are as follows: ‹‹Recommended Frequencies CPT Codes›› CPT Codes Recommended Frequency 88142, 88143, 88147, 88148, 88150, One in 30 days 88152, 88153, 88174, 88175 88164 thru 88167 One in one year Frequency limits apply to claims billed by any provider, for the same recipient. -
Histopathology
INTERNATIONAL CLINICAL FELLOWSHIP TRAINING IN HISTOPATHOLOGY © Royal College of Physicians of Ireland, 2019 1 This curriculum of training in Histopathology was developed in 2015 and undergoes an annual review by Prof Cecily Quinn, Clinical Lead, Leah O’Toole, Head of Postgraduate Training and Education , and by the Histopathology Training Committee. The curriculum is approved by the Faculty of Pathology. Version Date Published Last Edited By Version Comments 5.0 01 July 2019 Keith Farrington None © Royal College of Physicians of Ireland, 2019 2 Histopathology International Table of Contents Table of Contents INTRODUCTION ............................................................................................................................................... 4 GENERIC COMPONENTS ................................................................................................................................... 7 GOOD PROFESSIONAL PRACTICE ................................................................................................................................. 8 INFECTION CONTROL .............................................................................................................................................. 10 SELF-CARE AND MAINTAINING WELL-BEING ............................................................................................................... 12 COMMUNICATION IN CLINICAL AND PROFESSIONAL SETTING .......................................................................................... 14 LEADERSHIP .........................................................................................................................................................