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Anatomical Pathology Orientation for New Residents

Anatomical Pathology Orientation for New Residents. Previn Gulavita, PGY-4. Location. General Campus - 4th Floor of Eye Institute Civic Campus - Separate building - Between the Parkade, Parkdale clinic, and western wing of the hospital . Important Contacts.

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Anatomical Pathology Orientation for New Residents

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  1. Anatomical Pathology Orientation for New Residents Previn Gulavita, PGY-4

  2. Location General Campus - 4th Floor of Eye Institute Civic Campus - Separate building - Between the Parkade, Parkdale clinic, and western wing of the hospital

  3. Important Contacts • Previn Gulavita (Chief Resident) • - sislam@toh.on.ca • (613) 737-8899 ext. 78287 • Dr. S. Islam (Program Director) • - sislam@toh.on.ca • - (613) 737-8297 • Sheila Schnupp (Program Administrator) • - sschnupp@uottawa.ca • - (613) 562-5422

  4. Other Useful Names Contacts Head of Laboratory Medicine - Dr. John Veinot Chief, Anatomic Pathology - Dr. D. Banarjee Divisional Secretary - Joanne Charbonneau 79080 Laboratory Manager - William (Bill) Parks 78864 Locating General 78222 Loating Civic 14221 Resident Room General 78287 Resident Room Civic 16440 Gross Room General 72059 Gross Room Civic 13531 Morgue General 78283

  5. Daily Scheduling • - Block schedule ready and emailed to you at least a week before beginning of the block • - When on Lab Medicine rotations chief assigns all residents and med students • - PGY 1 • 1 block Surgical Pathology • 1 block Cytology and Autopsy • 1 block Hematopathology (2 weeks), Medical Microbiology (1 week), Medical Biochemistry (1 week)

  6. Surgical Pathology Rotation • General weekly format: • 2 sign-outs (any of the major subspecialty services) • 1 dedicated grossing day • 1 dedicated frozen section day • Same day trickle flow sign-out format • Usually shadowing a more senior resident when grossing or on frozen section

  7. Autopsy • Hospital Autopsy • Staff on for 1 week at a time • If AP resident also on, shadow them • If no AP resident on, shadow PA and morgue tech • No responsibility for ownership of cases until PGY-2 Cytology • Daily sign-out • Teaching by cytotechnologists in PGY-3 and 4

  8. Non-AP Lab Medicine Rotations • Hematopathology (2 weeks) • Supervisor: Dr. R. Padmore, RPadmore@ottawahospital.on.ca • Medical Microbiology (1 weeks) • Supervisor: Dr. P. Jessamine, pgjessamine@ottawahospital.on.ca • Medical Biochemistry • Supervisor: Dr. C. McCudden, cmccudden@toh.on.ca

  9. AP Standardized Rotation Schedule PGY-1 Laboratory Medicine (3 blocks) Medical Oncology ( 1 block) Gyne Oncology (1 block) Radiation Oncology (1 block) General Surgery (1 block) Pediatrics Emergency (1 block) Emergency (1 block) Radiology (1 block) CTU (1 block) Infectious Diseases (1 block) Elective (1 block)

  10. AP Standardized Rotation Schedule • PGY-2 GI (1 block) • GI *(1 block) • Dermatopathology(1 block) • Gyne (1 block) • Breast (1 block) • Lung (1 block) • Genitourinary (1 block) • Research (1 block) • Forensic (1 block) • Autopsy (3 blocks) • Elective (1 block)

  11. AP Standardized Rotation Schedule PGY-3 Breast (2 blocks) GI (2 blocks) Genitourinary (2 blocks) Gyne (2 blocks) Lung (1 block) Research (1 block) Lymph Nodes (1 block) Cardiovasular (1 block) Cytopathology (1 block)

  12. AP Standardized Rotation Schedule PGY-4 Neuropathology (2 blocks) Cytopathology (3 blocks) Pediatrics (2 blocks) Forensics (1 block) Soft bone Tissue (1 block) Head and Neck (1 block) Molecular pathology (1 block) Renal (1 block) Research (1 block) PGY-5 Elective (13 blocks)

  13. Website • Valuable resource • Goals and Objectives (Rotations, Rounds, etc) • Schedules (Academic day activities, on-call) • Evaluations and Forms (ITERs and daily evaluation form, application for annual leave form) • Policies and Guidelines (Graded Resident Competencies, Resident Supervision and Graduated Responsibilities) • CanMEDS Roles • Orientation

  14. Workspaces and Computers • Computers and workspaces dedicated for all 16 AP residents • Username and Password • V: drive (Residents Folder) • W: drive (Autopsy and Surgical Pathology manuals) • OACIS and PACS • PowerPath and Voiceover

  15. On Call • Comprehensive On-Call Handbook in V: drive • One week home call; 4-5 weeks of call/year from PGY 2-5 • Begins at 4:30pm and ends at 8am • Resident 1st call, Staff 2nd call, Histo tech on call • Most common things  After hours frozen section, lymphoma protocol, late breast, heart valves, weekend forensic autopsy

  16. Gross, Histology, Immuno Lab Course • 3 day course annually in July • Organized by Laboratory Manager, Mr. William (Bill) Parks • For PGY-2 residents • Walk-through and education in gross lab, histology lab, and immunohistochemistry • Pre and post-test

  17. Multihead Microscope Room and Scanner • Rounds and Teaching • Monthly schedule on door to book time • 6 headed microscope • Computer with dictation capability • 50 inch monitor • Slide scanner

  18. Textbooks • Robbins Pathologic Basis of Disease • Surgical Pathology (Rosai and Ackerman and/or Sternberg) • Lester’s Manual of Surgical Pathology • Specialty Specific books, egs: • Odze (GI) • Blaustein (Gyne) • Knight (Forensic)

  19. Evaluations • PGY-1 in Laboratory Medicine: • Daily Evaluations • http://www.med.uottawa.ca/patho/assets/documents/anatomical_general_pathology/dailyevaluations.pdf • Filled out by Staff or Resident • Send to Sheila Schnupp at the end of the block • Final evaluation completed through one45 • PGY-2 to PGY-5: • ITERs for subspecialty rotations • Completed by all staff in that specialty through one45

  20. Exams • Exams are used as a tool for objective evaluation of resident progress throughout the program • Mini Royal College Mock Exam • Over 2 days each year (Dec or Jan) for PGY 2 through 5 • Written, gross, cytology, forensic, slides, oral • RISE (Residents In-Service Examination) • Annually for one day in April • Computer based multiple choice exam • AP exam and Special Topics

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