Residency & Fellowship Programs: AP Rotations

Gynecological Pathology

ABOUT FORENSIC PATHOLOGY:
Cytogenetics Laboratory Director:


Genetics Diagnostic Laboratory Co-Director:


Cytogenetics Laboratory Location:



Recommended Rotation Length:
 

Goals and Objectives

For PGY 1-2

Diagnostic and patient care activities:

  1. To become quite familiar with processing gynecological specimens. This includes:
    1. knowing how to sample and process for histological evaluation routine specimens (e.g., how many sections are needed from benign cystic teratomas, uteri removed for leiomyomas, uteri removed for endometrial cancer, etc);
    2. understanding the importance of tissue also as a key resource for investigational studies and for evaluating the efficacy of future treatment modalities.
  2. To develop adequate morphologic skills in identification of gynecological lesions. This includes:
    1. spectrum of appearances of the normal vulva, vagina, cervix, uterus, fallopian tubes, and ovaries
    2. histological dating of the endometrium as to menstrual cycle
    3. distinction of reactive / metaplastic cervical processes from intraepithelial neoplasia and HPV infections
    4. recognizing common pathological conditions involving the vulva, vagina, cervix, uterus, fallopian tubes, and ovaries
  3. To become quite familiar with evaluation and correct interpretation of a variety of immunohistochemical stains:
    1. interpretation of HPV in-situ hybridization
    2. use of p16 for determining whether cervical lesions are neoplastic

Interpersonal and communication skills:

To learn to function as a laboratory consultant to the clinical physicians, which includes:

  1. communicating accurately the results of the pathologic evaluation and the diagnostic conclusions;
  2. discussing additional or alternative biopsy procedures and their role in reaching a diagnosis;
  3. developing the skills of presenting the results of all studies to the clinicians at a clinicopathologic conference.

Medical knowledge and its application:

To establish a long life habit and method of collecting and studying the relevant literature and reach the ability to critically evaluate and compare published material. This includes using technology to manage information, support own education and facilitate the learning of students and other health care professionals.

Systems-based practice:

  1. To develop an understanding of the organization and function of the different technical sections of the laboratory, and to practice cost-effective laboratory utilization and resource allocation that does not compromise quality care. This also includes an understanding of how gynecological pathology services and other professional practices affect other health care professionals and organizations.
  2. To develop an understanding of quality assurance and quality control issues relative to gynecological pathology. This includes:
    1. using appropriate controls for each test performed;
    2. making certain that histological sections are consistent and contain the region of interest through effective quality control procedures.

Professionalism:

To develop the habits leading to excellence in professional performance, which includes:

  1. perfect attendance to all laboratory activities;
  2. reliability in each assigned duty;
  3. completeness of the work-up of each case;
  4. dedication to patient’s care;
  5. maintaining correct and cordial relationships with laboratory and clerical personnel, with attendings and with other fellows and residents.

Practice-based learning and improvement:

To locate, appraise and assimilate evidence from scientific studies related to the division cases; and to obtain and use information from the division experience and the larger population from which specimens and cases are drawn.

For PGY 3-4

Diagnostic and patient care activities:

  1. To continue to improve morphologic skills in identification of gynecological lesions. This includes:
    1. being able to diagnose less common vulvar, cervical, uterine, and ovarian lesions including uncommon types of carcinoma
    2. learning to evaluate and diagnose liquid-based cervical cytology specimens
    3. learning to evaluate and diagnose common placental lesions
  2. To learn how panels of immunohistochemical stains aid in the differentiation of different types of gynecological malignancies:
    1. Use of immunostains to differentiate cervical from endometrial adenocarcinomas
    2. Use of immunostains in differentiating source of ovarian tumors
    3. Use of immunostain panels to differentiate Type I from Type II endometrial cancers

Interpersonal and communication skills:

Continue to learn to function as a laboratory consultant to the clinical physicians, which includes:

  1. communicating accurately the results of the pathologic evaluation and the diagnostic conclusions;
  2. discussing additional or alternative biopsy procedures and their role in reaching a diagnosis;
  3. developing the skills of presenting the results of all studies to the clinicians at a clinicopathologic conference.

Medical knowledge and its application:

To establish a long life habit and method of collecting and studying the relevant literature and reach the ability to critically evaluate and compare published material. This includes using technology to manage information, support own education and facilitate the learning of students and other health care professionals.

Systems-based practice:

  1.  To develop an understanding of the organization and function of the different technical sections of the laboratory, and to practice cost-effective laboratory utilization and resource allocation that does not compromise quality care. This also includes an understanding of how gynecological pathology services and other professional practices affect other health care professionals and organizations.
  2.  To continue to develop an understanding of quality assurance and quality control issues relative to gynecological pathology.

Professionalism:

To develop the habits leading to excellence in professional performance, which includes:

  1. perfect attendance to all laboratory activities;
  2. reliability in each assigned duty;
  3. completeness of the work-up of each case;
  4. dedication to patient’s care;
  5. maintaining correct and cordial relationships with laboratory and clerical personnel, with attendings and with other fellows and residents.

Practice-based learning and improvement:

To locate, appraise and assimilate evidence from scientific studies related to the division cases; and to obtain and use information from the division experience and the larger population from which specimens and cases are drawn.

 

 
 
Contact the Pathology Webmaster at PathWebMaster@columbia.edu