University of Kansas Medical Center Department of Pathology and Laboratory Medicine Resident Manual (2012-2013) Table of Contents Mission, Goals and Philosophy ........................................................................................................4 Educational Program........................................................................................................................5 Overall Educational Goals ..............................................................................................................5 Program Structure .........................................................................................................................10 PGY-Specific Goals ......................................................................................................................12 Didactic Sessions and Conferences ..............................................................................................17 Resident Scholarly Activity ..........................................................................................................17 USMLE Step 3 Policy ...................................................................................................................18 Professionalism .............................................................................................................................19 Eligibility and Selection of Residents ...........................................................................................20 Evaluations ....................................................................................................................................21 Resident Evaluations .................................................................................................................21 Faculty Evaluations ...................................................................................................................22 Program Evaluations.................................................................................................................22 Promotion ......................................................................................................................................25 Remediation, Probation and Corrective Action ............................................................................25 Grievance Procedure .....................................................................................................................26 Work Environment and Duty Hours ............................................................................................27 Work Environment ........................................................................................................................27 Supervision of Residents ...............................................................................................................29 Transfer of Care ............................................................................................................................33 Duty Hours and Call Schedules ....................................................................................................34 Outside Rotations and Moonlighting ............................................................................................36 Fatigue ...........................................................................................................................................38 Vacations .......................................................................................................................................41 Other Policies ................................................................................................................................41 Core Competencies Teaching and Assessment Matrix .................................................................43 Pathology Resident Manual Page 2 Table of Contents (Continued) Rotation-Specific Goals and Learning Objectives .......................................................................44 Supervision Requirements .............................................................................................................44 Surgical Pathology – University of Kansas Medical Center .........................................................48 Surgical Pathology – VA Medical Center .....................................................................................62 Pediatric Surgical Pathology – Children’s Mercy Hospital ..........................................................68 Surgical Pathology Trainer ............................................................................................................79 Cytology ........................................................................................................................................85 Autopsy .........................................................................................................................................95 Forensic Pathology ......................................................................................................................107 Transfusion Medicine ..................................................................................................................109 Clinical Chemistry .......................................................................................................................125 Hematopathology ........................................................................................................................148 Wet Heme/Flow Cytometry ........................................................................................................155 Microbiology and Immunology ..................................................................................................166 Laboratory Management .............................................................................................................174 Integrated Clinical Pathology – VA Medical Center ..................................................................186 Cytogenetics ................................................................................................................................194 Molecular Pathology ...................................................................................................................200 Dermatopathology/Neuropathology ............................................................................................206 Electives ......................................................................................................................................216 Anatomic Pathology Elective ..................................................................................................216 Clinical Pathology Elective .....................................................................................................217 Research Elective ....................................................................................................................220 Addendum A – Sample Evaluation Forms Pathology Resident Manual Page 3 MISSION, GOALS AND PHILOSOPHY The mission of the Department of Pathology and Laboratory Medicine at the University Of Kansas School of Medicine is to provide excellent teaching, research, patient care, and community service to meet the health needs of Kansas and the community at large. Our aim is to provide a supportive work environment in which each individual can excel and pursue avenues that lead to national and international recognition. We will accomplish this by developing mechanisms that make optimal use of our human and financial resources. Within this context the overall goals of our residency training program are to develop a pathologist with the following characteristics: • A pathologist capable of communicating as a medical consultant to other clinicians and to patients, as well as being capable of optimally directing the management of anatomic and clinical laboratory enterprises. The pathologist understands the science and technology of laboratory medicine and assures the quality, clinical appropriateness, and usefulness of the data produced by that laboratory. The pathologist is a clinician first and foremost. • A pathologist who has the skills to recognize, interpret, and communicate pathologic processes in the clinical practice of anatomic pathology. • A pathologist who understands and consults on methods of diagnostic test development, test utilization in the context of both generally applicable as well as patient-specific clinical settings, and assay interpretation in the acute and chronic clinical management of patients. These activities include the pathologist’s role in the development and implementation of integrated medical informatics that optimize patient care. • A pathologist who has the skills to consult in these areas at the broader systems level, and in the various extant healthcare delivery models. • A pathologist who understands the role of research, in its broadest definition, in clinical decision- making, test development, knowledge generation, and continuing education. To accomplish these goals, our program offers a flexible but educationally intensive training program in Anatomic Pathology (AP) and Clinical Pathology (CP, Laboratory Medicine) in order to prepare each of our residents for certification by the American Board of Pathology. A core program provides training that will lead to basic competence in general pathology. Elective opportunities are offered to permit the development of specialty excellence in particular subspecialty fields