Residents show the ability to analyze their practice experience and perform practice-based improvement activities using a systematic methodology, including:
Evaluating their gross reports for diagnostic and typographical errors (all PGY levels).
Assessing slides for technical and staining quality (PGY2-4).
Residents are given results of their concordance with staff diagnoses and are expected to use this information to direct their learning toward improving their diagnostic acumen (all PGY levels).
Senior residents actively participate in monthly Anatomic Pathology Quality Assurance Committee meetings, learning how to identify and report on a variety of QA monitors (case turnaround time, frozen section discrepancies/deferrals, histology quality monitors, amended/addended cases, cyto-histologic correlation, etc.) (PGY3-4).
Residents show ability to locate, appraise, and assimilate evidence from scientific studies related to patients’ health care problems, including:
Perform literature search and review to find relevant scientific references to aid in the workup of surgical pathology cases (computer-based searches) (all PGY levels).
Obtain and incorporate information about their patient population (via Copath computer searches and medical records chart review) for clinicopathologic study of selected diseases (all PGY levels).
Residents are able to apply knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness (PGY3-4).
Residents demonstrate competency in the use of information technology to manage information, access on-line medical information, and support their own education, including:
Accessing of patient clinical information and previous pathology accessions via Medsite and Copath (all PGY levels).
Performance of computer searches of the medical literature (all PGY levels).
Utilize digital imaging technology (all PGY levels).
Access web sites pertaining to specific pathologic diagnoses (grading systems for tumors, etc.) (all PGY levels).
Residents actively participate in the teaching of medical students and other health care professionals rotating through the anatomic pathology section, including:
Teaching medical students as lecturers, leaders in small groups and laboratory sections (PGY4).
Teaching medical students and residents from other disciplines during surgical specimen gross description and dissection (PGY2-4).
Evaluation
Rotation evaluation
Review of resident portfolio yearly to assess improvement and discuss self-education