Pathology

042.4 Pathology Elective

Instructors: Qing Grace Zhao, M.D. and Anatomical and Clinical Pathology Staff

Location: Pathology Department, Biosquare 3, 3rd Floor, Room 310, 670 Albany St., Boston, MA 02118

Direct inquiries to:  Daphney Noel    email: Daphney.Noel@bmc.org

Please e-mail Daphney Noel at the above e-mail address one to two weeks prior to the start of the rotation to confirm that you are to report on the first day of the elective to the Department of Pathology and Laboratory Medicine at 670 Albany Street Bio III 3rd Floor at 8:00 A.M.

Telephone: 617 414-5314

Number of Students: Two

Period to be Offered: Four weeks (Blocks 13-20)

Description of Elective:

This elective will allow the 4th year Boston University medical student to explore the discipline of Pathology by allowing them to do rotations in Surgical Pathology, Cytopathology, Hematopathology and Laboratory Medicine to comprise a total of 4 weeks for the elective.  They will work with the Course Director and Coordinator to develop the 4-week experience.

The Surgical Pathology rotation, resection and biopsy divisions, with a duration of two weeks are held in the Department of Pathology and Laboratory Medicine at Boston Medical Center. Responsibilities include participation in gross prosections, frozen section evaluations, microscopic evaluation of surgical pathology specimens with histologic diagnosis and differential diagnostic considerations and performance of autopsies. Students are supervised by pathology residents, faculty on service and pathology assistants.

The Cytopathology rotation (shared with the Hematopathology rotation), one week duration, is held in the Department of Pathology and Laboratory Medicine at Boston Medical Center. During this rotation the student will value the clinical application of cytopathology to include diagnosis, differential diagnosis, ancillary tests and therapy. Responsibilities include evaluation of gynecologic and non-gynecologic specimens, participation in the fine needle aspiration service and daily cytology sign-out with the cytology fellow, resident and staff cytopathologist.

The Hematopathology rotation (shared with the Cytopathology rotation), one week duration, is held in the Department of Pathology and Laboratory Medicine at Boston Medical Center. During this rotation the student will develop the skills needed to interpret and formulate a differential diagnosis of the more commonly occurring disorders seen in peripheral blood, bone marrow, and lymph node biopsies. The student will gather pertinent clinical history on assigned cases, and review the slides with the resident rotating in the hematopathology service. During sign out with the attending faculty and resident, the student will have the opportunity to present their brief case histories, and summarize available laboratory data. Morphologic evaluation and case interpretation will take place during sign out.

The Laboratory Medicine rotation, one week duration, is held in the Department of Pathology and Laboratory Medicine at Boston Medical Center. During this period the student will rotate through Hematology, Blood Bank, Clinical Chemistry and Microbiology services and attend Amyloid and Hematopathology Conferences.

Through these rotations, students will gain an understanding of the role of the pathologist in patient care in a multidisciplinary professional team. At the end of the block students will present to attendings, residents and pathology assistants an interesting anatomic or clinical case they encountered during the elective. Supervision and feedback will be provided during our daily sign out sessions.  Students are supervised daily by pathology residents and clinical faculty on service.

 

043.4 Diagnostic Neuropathology

Department of Pathology Boston University School of Medicine

Course Director:  Brian Moore, M.D., Clinical Professor of Pathology and Neurology

Contact: Daphney Noel, Pathology Residency Program Coordinator

email: Daphney.Noel@bmc.org  phone: (617) 414-5314

Location: Pathology Department, 3rd Fl., 670 Albany St.

NUMBER OF STUDENTS: one 4th year student per block

LENGTH OF ELECTIVE : 4 weeks

 

AVAILABLE BLOCKS / SEMESTERS: Continually through the year depending on the number of students doing other electives within Department of Pathology; early planning is recommended.

GOAL AND SUMMARY: At the end of the elective, the student will be able to functionally approach common neuropathology entities, including formulating clinical and pathological work-up of the case, choosing appropriate special studies, and generating differential diagnoses. This elective is for the student to be involved in neurosurgical pathology, including frozen-section diagnosis, muscle and nerve biopsies, adult and fetal brain autopsies. Specifically, the student will actively participate in the sign-out of the cases above. In addition, the student will participate in interdepartmental conferences attended by the Departments of Neurology, Surgical Neurology and Radiology. Further, at brain cuttings, the student will present selected brain autopsy cases to neurology residents and other interested clinicians. The student is expected to give presentations of selected neuropathology topics throughout the elective.

DESCRIPTION: The elective will take place in the Pathology Department, 3rd floor, 670 Albany St. The student will interact with pathology residents, pathology lab personnel, and pathology attendings. Pathology residents will alert students about neuropathology cases, surgical and autopsies. Two hours per day on average will be devoted to teaching contact. The student will shadow pathology resident in charge of a case, assist in history and presentation data gathering, reviewing images, choosing appropriate special studies, and generating differential diagnoses.

OBJECTIVES:

  • Diagnosis of CNS vascular diseases:

By the end of this elective, the BUSM student will be able to recognize macroscopically and microscopically the effect of ischemia and hemorrhage on the CNS tissues (U, C, A, R, E);

  • Diagnosis of major neurodegenerative diseases:

By the end of this elective, the BUSM student will be able to recognize macroscopically and microscopically the effect of Alzheimer’s Disease and Parkinson’s Disease on human brain tissue (U, C, A, R, E);

  • Diagnosis of CNS neoplasms:

By the end of this elective, the BUSM student will be able to recognize microscopically common CNS neoplasms including metastases, gliomas, meningioma, and nerve sheath tumors (U, C, A, R, E).

CURRICULUM: The student will be attending daily review of neuropathology cases (new and/or archived) and weekly brain-cutting conferences and/or clinical neuroscience grounds. Reading assignments will be given at the beginning of the week, followed by the didactic presentation of a selected topic in neuropathology by the student to the pathology residents at the end of the week.

OBLIGATORY READING MATERIAL:
Gray F, De Girolami U, Poirier J:

Escourolle and Poirier Manual of Basic Neuropathology, Fourth Edition.

EVALUATION: The evaluation will follow student’s presentation at the end of each week. Provided these presentations are deemed satisfactory by pathology residents and the faculty, at the end of the rotation, the student will be given three neuropathological cases representing each of three disease categories described in the objectives. The final grade will be given based on the number of cases the student will diagnose correctly:

Three correct diagnoses – H Two correct diagnoses – HP One correct diagnosis – P No correct diagnosis – F

FACULTY: Brian Moore, MD, Clinical Professor of Pathology and Neurology, Department of Pathology, BUSM  email: bmoore2@bu.edu       phone: (617) 414-4291

 

 047.4 Forensic Pathology

Instructors: The senior staff of medical examiners at the OCME

Location: Office of the Chief Medical Examiner, 720 Albany Street, Boston, MA 02118

Telephone: 617 267-6767   Contact: Kimberley Springer, M.D.

Number of Students: 1 maximum per block

Duration of elective: 4 weeks

Period to be Offered: TBD

Description of Elective:

Mornings are spent in the autopsy room observing medical examiners in the investigation and certification of causes and manners of death.  The day starts with case distribution conference where histories and autopsy approaches are discussed before assignment to individual pathologists. Afternoons are available for students to work with medical examiners reviewing toxicology and histopathology of older cases.   Students will also have the opportunity to spend time with our forensic neuropathologist in our neuropathology lab.   In addition, students can observe our medicolegal investigators, forensic odontologist and forensic anthropologist to learn more about the identification process.  Later in the afternoon are the daily case discussions (“sign-out” rounds) with senior staff and visiting residents.  Students who participated in cases may present them at these meetings.