Gynecologic Pathology

Credits: 4.00 CREDITS (Clinical Elective)
Sites: BWH
Directors: Crum, Christopher Paul
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Not Offered in July.
Open to Exclerks: US/Canadian
Students are integrated into the daily activities of the Women's and Perinatal Pathology Division, which encompass tissue gynecologic oncology, placental and perinatal pathology and biopsy services. They are supervised by the staff and fellows and provided a seat with a microscope. They are expected to participate in the following activities:
1) Attendance at the daily diagnostic case sign-out sessions.
2) Weekly conference attendance incuding tumor conference, problem case review conference, Pap smear biopsy correlation conference, and weekly Women's and Perinatal Conference.
3) Shadowing fellows and residents in gross room activities, frozen section consultations and fetal and perinatal autopsies.
4) Involvement in short research projects, time and interest permitting.
5) Review of the interesting case files to broaden their scope of difficult pathologic diagnoses, time and interest permitting.
6) An optional presentation to the Pathology Department at the end of their month on the service.
7) A mandatory short oral exam at the end of the course will determine the degree of information retention.
Learning Goals:
The student should be familiar with the most important reasons for seeking pathology consultations in the practice setting.
The student should become familiar with the range of benign and precancerous processes seen on the biopsy service and their clinical significance.
The student should become familiar with the pathogenetic mechanisms for gynecologic cancers, including their similarities and differences as a function of organ site.
The student should have a working knowledge of the causes of fetal and perinatal morbiditiy and mortality as a function of placental pathology.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The W&P Division conducts a wide range of research on the pathogenesis of gynecologic cancer and fetal-placental disorders. The student will be familiar with these concepts and have access to published material and will be quizzed on this information at the end of the month.
1) Faculty will be asked to provide a summary of their impressions.
2) Fellows will provide an assesment of attendance, participation.
3) The oral exam will determine skill level.
Grade Criteria:
High Honors:
High level of participation, unusually strong diagnostic eye, strong interactive skills, strong skill set based on oral exam, presentation to the department
High level of participation, unusually strong diagnostic eye, strong interactive skills, strong skill set based on oral exam
Consistent level of participation, evidence of interest in pathology with a willingness to learn, positive interactive skills, evidence that basic skills were acquired based on oral exam
Lack of participation, unexcused absences, no demonstrated interest in pathology, poor interaction with fellows, minimal effort and no evidence of appreciable increase in skills based on oral exam.
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