Program Objectives, Goals, and Supervision of Residents in Anatomic Pathology Page 6 - 1 Section 6: Program Objectives and Supervision of Residents in Anatomic Pathology Program Objectives, Goals, and Supervision of Residents in Anatomic Pathology Page 6 - 2 SECTION 6: PROGRAM OBJECTIVES AND SUPERVISION OF RESIDENTS IN ANATOMIC PATHOLOGY Overview Definition Anatomic Pathology includes autopsy, surgical pathology, cytopathology, pediatric pathology, dermatopathology, forensic pathology, immunopathology, histochemistry, neuropathology, ultrastructural pathology, cytogenetics, molecular biology, laboratory management and clinical informatics. Mission The mission statement of our anatomic pathology training program is to train Statement outstanding anatomic pathologists and to provide them with the necessary tools and experience to pursue a scientific approach to the practice of anatomic pathology that will not only enhance their professional lives but will also advance the field of anatomic pathology as a whole. Definition of The faculty members are responsible for the supervision of all activities of the “direct” and residents. This supervision can be “direct” or “indirect”. (See also Section 2: “indirect” Supervision, page 2-2) supervision • Under “direct supervision” the resident signs out cases at the microscope with the teaching faculty and the resident performs fine needle aspirations (FNAs), grosses in biopsies and routine surgical specimens and performs autopsies in the presence of the supervising teaching faculty. This corresponds to the proposed ACGME definition of “Direct Supervision.” • Under “indirect supervision” the resident will be (i) given the opportunity to unofficially sign-out cases without concurrent review by the faculty, but with all cases reviewed separately by the faculty prior to official sign-out (This corresponds to the proposed ACGME definition of “Oversight”) and (ii) allowed to perform FNAs in the clinic and on the wards without a faculty member present but with a faculty member available for immediate consultation if necessary. (This corresponds to the proposed ACGME definition of “Direct Supervision Immediately Available.” • Also, “indirect supervision” allows for residents to gross in biopsies and surgical routine specimens without a faculty member present but with a faculty member available for immediate consultation if necessary. Indirect supervision requires that the resident has demonstrated technical/procedural competence during direct supervision to allow for graded responsibility. For patient safety, qualified faculty members always supervise the resident. Continued on next page Program Objectives, Goals, and Supervision of Residents in Anatomic Pathology Page 6 - 3 Overview, Continued In this chapter This chapter contains the following topics. Topic See Page Anatomic Pathology Boot Camp 6 – 8 Definition 6 – 8 Description and Duration 6 – 8 Criteria for Nature of Supervision 6 – 8 Teaching Staff 6 – 8 Educational Goals, Objectives of Program 6 – 9 Professionalism 6 – 10 Weekly Schedule for Boot Camp – week 1 6 – 11 Weekly Schedule for Boot Camp – week 2 6 – 12 Weekly Schedule for Boot Camp – week 3 6 – 13 Weekly Schedule for Boot Camp – week 4 6 – 14 Cut-Review-Read Schedule for Boot Camp – weeks 6 – 15 1 – 4 Autopsy 6 – 17 Definition 6 – 17 Description and Duration 6 – 17 Criteria for Nature of Supervision 6 – 18 Teaching Staff 6 – 18 Educational Goals, Objectives of Program – 6 – 19 American Board of Pathology Autopsy Requirements Evaluation Tools 6 – 19 General Competencies and Graded Responsibilities 6 – 20 Weekly Schedule for LAC 6 – 21 Autopsy/Neuropathology/Liver Weekly Schedule for Medical Examiner’s 6 – 22 Autopsy, Basic Skills Goals 6 – 23 Patient Care 6 – 23 Medical Knowledge, Skill Level I Goals 6 – 24 Medical Knowledge, Skill Level II Goals 6 – 25 Practice-Based Learning and Improvement 6 – 26 Interpersonal and Communication Skills 6 – 27 Continued on next page Program Objectives, Goals, and Supervision of Residents in Anatomic Pathology Page 6 - 4 Overview, Continued In this chapter This chapter contains the following topics. Topic See Page Professionalism 6 – 27 Systems-Based Practice 6 – 28 Case Log 6 – 28 Recommended Reading 6 – 28 Autopsy, Los Angeles Medical Examiner’s Office 6 – 29 Experience Prerequisite 6 – 29 Duration 6 – 29 Patient Care 6 – 29 Medical Knowledge 6 – 29 Professionalism 6 – 30 Autopsy, Liver Pathology Experience 6 – 31 Patient Care 6 – 31 Medical Knowledge 6 – 31 Practice-Based Learning and Improvement 6 – 31 Professionalism 6 – 32 Neuropathology 6 – 33 Definition 6 – 33 Description and Duration 6 – 33 Criteria for nature of supervision 6 – 33 Teaching Staff 6 – 33 Evaluation Tools 6 – 33 Graduated Responsibilities 6 – 33 Patient Care 6 – 34 Medical Knowledge, Neuropathology 6 – 34 Medical Knowledge, Ophthalmologic Pathology 6 – 35 Practice-Based Learning and Improvement 6 – 36 Interpersonal and Communication Skills 6 – 38 Professionalism 6 – 38 Surgical Pathology 6 – 39 Definition 6 – 39 Description and Duration 6 – 39 Criteria for nature of supervision 6 – 40 Supervisory Resident: Definition 6 – 41 Non-supervisory Resident: Definition 6 – 41 Achieving Supervisory Resident Status 6 – 41 Continued on next page Program Objectives, Goals, and Supervision of Residents in Anatomic Pathology Page 6 - 5 Overview, Continued In this chapter This chapter contains the following topics. Topic See Page Supervisory Resident Status Responsibilities 6 – 41 Teaching Staff 6 – 42 Prioritization of Educational Goals and Scholarly 6 – 43 Activities Educational Goals, Objectives of Program 6 – 43 Evaluation Tools 6 – 43 General Competencies and Graded Responsibilities 6 – 44 Weekly Schedule for LAC+USC Surgical Pathology 6 – 45 (Residents and Fellows) Surgical Pathology, Months 1 – 4 Goals 6 – 46 Patient Care 6 – 46 Medical Knowledge 6 – 46 Practice-Based Learning and Improvement 6 – 50 Interpersonal and Communication Skills 6 – 51 Professionalism 6 – 52 Systems-Based Practice 6 – 52 Surgical Pathology, Months 5 – 8 Goals 6 – 53 Prerequisite 6 – 53 Patient Care and Medical Knowledge 6 – 53 Practice-Based Learning and Improvement 6 – 54 Interpersonal and Communication Skills 6 – 54 Professionalism 6 – 54 Systems-Based Practice 6 – 54 Surgical Pathology, Months 9 to 12 Goals 6 – 55 Prerequisite 6 – 55 Medical Knowledge 6 – 55 Other Competencies 6 – 55 Surgical Pathology, “Hot Seat” Elective 6 – 56 Prerequisite 6 – 56 Patient Care, Medical Knowledge, Systems-Based 6 – 56 Practice Other Competencies 6 – 56 Surgical Pathology, All Months of Training 6 – 57 Portfolio 6 – 57 Other 360° Evaluations 6 – 57 Continued on next page Program Objectives, Goals, and Supervision of Residents in Anatomic Pathology Page 6 - 6 Overview, Continued In this chapter This chapter contains the following topics. Topic See Page Cytopathology 6 – 58 Definition 6 – 58 Description and Duration 6 – 58 Supervisory Resident: Definition 6 – 59 Non-supervisory Resident: Definition 6 – 59 Achieving Supervisory Resident Status 6 – 60 Criteria for Nature of Supervision 6 – 60 Teaching Staff 6 – 60 Educational Goals, Objectives of Program 6 – 61 Weekly Schedule for Cytopathology 6 – 62 Evaluation Tools 6 – 63 General Competencies and Graded Responsibilities 6 – 63 Cytopathology, First Two Months 6 – 64 Patient Care 6 – 64 Practice-Based Learning and Improvement 6 – 65 Interpersonal and Communication Skills 6 – 65 Professionalism 6 – 65 Systems-Based Practice 6 – 66 Case Log 6 – 66 Cytopathology, Third and Fourth Months 6 – 67 Patient Care 6 – 67 Technical (Procedural) Competency 6 – 67 Medical Knowledge 6 – 67 Practice-Based Learning and Improvement 6 – 67 Clinical Aspiration Cytology Rotation 6 – 68 Patient Care 6 – 68 Interpersonal and Communication Skills 6 – 70 Professionalism 6 – 70 Systems-Based Practice 6 – 70 Case Log 6 – 70 Continued on next page Program Objectives, Goals, and Supervision of Residents in Anatomic Pathology Page 6 - 7 Overview, Continued In this chapter This chapter contains the following topics. Topic See Page Electron Microscopy/Renal Pathology Pulmonary 6 – 71 Pathology Faculty 6 – 71 Duration 6 – 71 Educational Goals, Objectives of Program 6 – 71 Patient Care 6 – 71 Medical Knowledge – Renal Pathology 6 – 72 Practice-Based Learning and Improvement 6 – 72 Interpersonal and Communication Skills 6 – 73 Professionalism 6 – 73 Systems-Based Practice 6 – 74 LAC+USC Medical Center Dermatopathology Elective 6 – 75 Faculty 6 – 75 Duration 6 – 75 Educational Goals, Objectives of Program 6 – 75 Patient Care/Medical Knowledge 6 – 75 Practice-Based Learning and Improvement 6 – 76 Interpersonal and Communication Skills 6 – 77 Professionalism 6 – 77 Systems-Based Practice 6 – 77 Children’s Hospital Los Angeles (CHLA) Pediatric 6 – 78 Pathology Faculty 6 – 78 Description and Duration 6 – 78 Criteria for nature of supervision for Pediatric 6 – 78 Pathology Weekly Schedule for CHLA Conference Schedule 6 – 79 Weekly Schedule for CHLA Pediatric Pathology 6 – 80 Educational Goals, Objectives of Program 6 – 81 Patient Care–Autopsy Pathology 6 – 81 Medical Knowledge – Autopsy Pathology 6 – 81 Practice-Based Learning and Improvement – 6 – 82 Autopsy Pathology Patient Care – Surgical Pathology 6 – 82 Medical Knowledge – Surgical Pathology 6 – 82 Practice-Based Learning and Improvement – 6 – 82 Surgical Pathology Interpersonal and Communication Skills – Autopsy 6 – 83 and Surgical Pathology Professionalism – Autopsy and Surgical Pathology 6 – 83 Systems-Based Practice – Autopsy & Surgical Path 6 –