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Anatomic Pathology

In 2005 the department had:
  • some 52,000 surgical accessions;
  • 53,000 cytology specimens (45,000 gyn; 8,000 non-gyn; 1,600 FNA)
  • performed more than 2,100 frozen sections.
  • A total of 273 autopsies were performed, including 192 adult and 81 pediatric Cases.

Combined with an active consultation service (which receives from other institutions approximately

  • 2,000 general surgical pathology referrals,
  • 2,000 renal biopsies,
  • 200 gynecological pathology cases,
  • 500 nerve and muscle biopsies
  • and 50 neuropathology cases each year
Clinical Laboratory Consultation Service

The department's Clinical Laboratory Consultation Service is extremely active in the daily routine of the medical center and provides our residents with a superb opportunity for training in the issues which confront pathology departments in this changing health care environment.

The service has two main roles:
  1. To examine the clinical laboratory testing needs of the medical center and to find the most accurate and cost-effective solutions to provide such testing;

  2. To analyze the utilization of the clinical laboratories by clinicians and to work with the medical staff to improve laboratory test and blood component ordering practices.
The clinical laboratories perform approximately 3 million tests yearly.

  • The transfusion medicine service is active in:


    • blood banking (38,000 blood type and antibody screens, 1,600 antibody identifications, 16,000 platelet units transfused, and 25,000 packed RBC units transfused),
    • hemotherapy (850 plasma exchanges, 430 stem cell harvests)
    • and stem cell harvesting (390 peripheral blood stem cell harvests, 75 autologous stem cell transplants, 7 MDR gene transductions).

  • The cytogenetics laboratory performs approximately 4,000 karyotypic analyses and 500 in-situ hybridizations (FISH) yearly.

  • The immunogenetics laboratory performs some 250 HLA phenotypings, 500 direct B and T cell crossmatches, 270 cadaveric typings and crossmatches, and 3500 anti-B and anti-T cell antibody screenings.
Access to Information and Resources

  • Within the Department of Pathology residents have complete access to the internet, Medline searches, word processing and slide making programs.
  • The diagnostic activities of the department are on the new, windows-based CoPath client/server with its excellent relational database.
  • The hospital's internet-based Clinical Information System ("WebCIS") provides patient information and search capabilities both at the bedside and in physicians' offices.
  • There are both hospital and university networks that provide for the easy flow of information within the medical center and for communication with the university and other institutions world-wide.
The Columbia University Health Science Library

The Columbia University Health Science Library at the medical center has extensive holdings:

  • more than 500,000 volumes
  • 4,400 periodicals
  • active media center
  • microcomputer facilities
  • the CPMC Center for Medical Informatics


 
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