Stanford University Medical Center Department of Pathology

STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2011-12 Stanford University Medical Center Department of Pathology Resident and Clinical Fellow Handbook 2012-2013 300 Pasteur Drive Lane Bldg., Room L-235 Stanford, CA 93205-5324 Ph (650) 725-8383 Fx (650) 725-6902 1 STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2012-2013 TABLE OF CONTENTS SECTION PAGE # Overview................................................................................................. 4 Trainee Selection.................................................................................... 4 Anatomic Pathology (AP) Training ......................................................... 7 Clinical Pathology (CP) Training ............................................................ 7 Combined Anatomic & Clinical Pathology (AP/CP) Training ................. 8 Combined Anatomic & Neuropathology (AP/NP) Training ………………. 9 Goals of the Residency Program …………........................................... 10 GENERAL INFORMATION Regular Work Hours & Availability......................................................... ………14 Call Guidelines.......................................................................................... 15 Anatomic Pathology..........................................................................16 Clinical Pathology..............................................................................17 MedHub Residency Management System ...................................................20 Conferences .................................................................................................21 ADMINISTRATIVE POLICIES & PROCEDURES Vacation ................................................................................................ ……….26 Pathology Travel Policy .................................................................................26 Reimbursements ...........................................................................................27 Observing Hospital Holidays .........................................................................27 Residency Schedule Changes ......................................................................28 Residency Schedule Change – Routing Slip.................................................28 Unassigned Rotations ...................................................................................29 Moonlighting ......................................................................................... ………29 Supervision & Evaluation ...................................................................... ………29 Mentors..................................................................................... ………29 Evaluation by Faculty .......................................................................29 Core Competencies .........................................................................30 Mentor Meetings ..............................................................................31 Meetings with Program Director and Chair ......................................31 Promotion & Dismissal .....................................................................32 Evaluation of Training Program & Faculty ........................................32 California Medical License .............................................................................32 Resident In-Service Exam (RISE) ..................................................................34 Providing Feedback ........................................................................................34 Medical Student Teaching ..............................................................................35 Resident Retreat ............................................................................................36 Grant Applications ..........................................................................................36 Pathology Society Memberships ....................................................................36 Responsibilities of Chief Resident(s) ..............................................................37 Safety Policies and Procedures .....................................................................44 ANATOMIC PATHOLOGY ROTATIONS FOR RESIDENTS AP Quality Assurance ……………….............................................................. 48 AP Ancillary Studies Rotation ……….................................................. ……….54 STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2012-2013 Autopsy Pathology Learning Objectives .......................................................59 Autopsy at Stanford ......................................................................................61 AP Bone Marrow Hematopathology .............................................................72 Cytopathology ..............................................................................................77 Dermatopathology ........................................................................................82 Forensic Pathology ......................................................................................91 AP Tissue Hematopathology .......................................................................94 Neuropathology ...........................................................................................99 Surgical Pathology Learning Objectives ....................................................108 Surgical Pathology at Stanford ...................................................112 Frozen Sections ..........................................................................128 Non-Heme I/O Case Rotation .....................................................130 Pediatric Solid Tumor Protocol ....................................................132 Anatomic Pathology at VAPAHCS ..............................................................135 CLINICAL PATHOLOGY ROTATIONS FOR RESIDENTS Blood Bank / Transfusion Medicine .............................................................144 Clinical Chemistry / Immunology ..................................................................166 Chemistry / Special …………………………………………………………………169 Coagulation / RBC Special Studies …..........................................................172 CP Hematology ............................................................................................178 Clinical Pathology at PAVA ..........................................................................186 Cytogenetics ................................................................................................190 Histocompatibility ……………………………………………………………………197 Microbiology / Virology ..................................................................................199 Molecular Genetic Pathology .........................................................................210 Pediatric Clinical Pathology ...........................................................................214 RESPONSIBILITIES FOR CLINICAL FELLOWS General Policies .............................................................................................229 Cytopathology Fellowship ..............................................................................230 Dermatopathology Fellowship .................. .....................................................241 Gyn/Breast Pathology Fellowship .................. ...............................................244 Hematopathology Fellow Responsibilities .....................................................250 Molecular Genetics Pathology Fellowship ................. ...................................263 Neuropathology Fellowship .................. .........................................................268 Surgical Pathology Fellowship .................. ....................................................282 Transfusion Medicine Fellowship / Blood Bank ................... .........................285 Post Sophomore Fellowship ..........................................................................289 CONTACT INFORMATION & FAQ General Telephone Numbers .........................................................................292 On-Call Pager Numbers .................................................................................293 Addresses .......................................................................................................294 Frequently Asked Questions ..........................................................................295 APPENDIX Resident Handbook Agreement .....................................................................300 STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2011-12 TRAINING IN PATHOLOGY AT STANFORD Overview The Department of Pathology at Stanford University Medical Center seeks to train outstanding academically-oriented candidates for leadership positions in pathology. We offer residency training in Anatomic Pathology (AP), Clinical Pathology (CP), and combined AP and CP (AP/CP). The overall goal of our program is to provide in- depth, flexible training in all aspects of pathology, leading to board certification in AP, CP or AP/CP. We also offer accredited clinical fellowships in Blood Banking/Transfusion Medicine, Cytopathology, Dermatopathology, Gynecologic Pathology (Gyn/Breast), Hematopathology, Neuropathology, and Molecular Genetic Pathology and Surgical Pathology. Combined AP/Hematopathology and AP/Neuropathology are also offered, but must be discussed with the Associate Program Directors and appropriate fellowship directors prior to pursuing these training avenues. Trainee Selection All eligible applicants will be considered for training

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