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Duties and Functions:
For the initial rotation, a few days are allowed for resident orientation to the service. The resident is then on a four-day cycle consisting of outpatient (OS/NS) gross, outpatient (OS/NS) microscopic, inpatient (IS) gross, and inpatient (IS) microscopic. In this way, the resident is responsible for the gross description and measurements of the specimens they review under the microscope the next day. The alternating of outpatient and inpatient specimen insures exposure to a wide range of specimen types.
The day that the resident is scheduled to gross inpatient (IS) specimens, the resident is expected to be on call for intraoperative consultations. During their first month of surgical pathology, the resident should develop the technical skills of cutting and staining a frozen section. While all frozen sections are interpreted by an attending pathologist, the resident should work towards the goal of independent diagnosis while under supervision.
Clinical Responsibilities:
It is anticipated that during the first few months of surgical pathology, the resident will double scope with the attending pathologist during microscopic examination. As the resident's diagnostic skills increase, they are encouraged to review a portion or all of the cases on their own with subsequent review/correlation with the attending. The attending pathologist is ultimately responsible for review of the entire material for each case and verification upon completion.
Interactions:
A pathologist assistant is specifically assigned to each resident who is grossing specimens for teaching and close supervision. In addition, the attending pathologist responsible for the cases reviews all tissue examination protocols prior to dissection for special instructions as needed. The attending pathologists is available throughout the day to answer questions and review specimens with the resident as needed.
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