GOALS AND OBJECTIVES
On completing the Anatomic pathology training, fellows are expected to be able to:
- Demonstrate familiarity with basic autopsy gross and microscopic examination, and integration of this examination with clinical information from the patient chart to explain the clinical picture, through participation in autopsy conferences.
- Understand the role of integration of clinical information, morphology, immunohistochemistry, in-situ hybridization, flow-cytometry and molecular pathology data in arriving at adiagnosis.
- Understand limitations of each of these approaches, in the overall evaluation of a clinical case.
Throughout their training fellows will use the above knowledge to:
- Integrate morphologic, immunohistochemical and flow-cytometry information with data generated in the molecular pathology laboratory to arrive at a clinically relevant conclusion about cases tested in the molecular pathology laboratory.
- Communicate the results of these tests to ordering physicians, and assist ordering physicians in obtaining additional information when necessary.
Practice based learning and improvement
- Integrate information obtained review of pathology material of cases tested in the molecular pathology laboratory with published information on the relationship between genetics and phenotype of various tumors, and how this affects sensitivity, specificity and clinical relevance of molecular pathology testing.
- Conduct literature searches to answer questions about individual patients, when appropriate.
- Regularly collect and study the relevant literature and demonstrate the ability to critically evaluate and compare published material.
Interpersonal and Communication skills
- Maintain an appropriate and cordial relationship with personnel and residents in surgical pathology and autopsy pathology.
- Participate effectively in anatomic pathology conferences.
- Convey relevant anatomic pathology to testing personnel to help them understand its relevance to tests performed.
Demonstrate habits leading to excellence in professional performance, which includes perfect attendance at all conferences.
Systems Based Practice
Fellows must demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to call on system resources to provide molecular genetic pathology services that are of optimal value. Towards this they shall, where appropriate:
- Integrate pathology information with other clinical information to ensure that Molecular Genetic is used and integrated into patient care in an appropriate and cost-efficient manner.
- Understand the clinical implications and cost-effectiveness of the tests performed in the molecular pathology laboratory and their implications for patient management.
- Provide information on alternative testing approaches that may be used, when appropriate.
- Use tumor specific characteristics to choose the most cost-efficient ancillary testing approaches to provide oncologists with information necessary to optimally manage patients.
- Use information obtained from autopsy studies to help counselors and clinical geneticists choose optimal approaches for further testing and family counseling.