PA504.23

Gynecologic Pathology

Sites: BWH
Director(s): Erik Alexander, Marisa Nucci
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Not Offered in July.
Location: BWH - Brigham and Women's Hospital (23)
Open to Exclerks: US/Canadian
Description: 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.
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.
Grade Criteria:
Honors with Distinction: High level of participation, unusually strong diagnostic eye, strong interactive skills, strong skill set based on oral exam, presentation to the department Honors: High level of participation, unusually strong diagnostic eye, strong interactive skills, strong skill set based on oral exam Satisfactory: 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 Unsatisfactory: 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.