Cytopathology (Clinical Elective)

M60 Path 812

This elective is designed to familiarize students with the discipline of cytopathology and to encourage the development of basic skills. Cytopathology impacts many different areas of patient care and medical practice. The cytopathology laboratory at Barnes-Jewish Hospital receives a broad range of medical cytology material involving fine needle aspiration biopsies (FNA), body fluids and Pap tests. As a result, the elective is beneficial for students considering a career in pathology and for students planning careers in internal medicine, surgery, OB/GYN, ENT, and radiology. The focus of the experience can be customized based on the interest of the student. Desk space and a microscope are provided.

Students on the elective will (1) learn how patient specimens are received and processed, (2) acquire skills in the microscopic diagnosis of disease through active participation, and (3) learn the role of the cytopathologist in the care and management of patients. Students will have the opportunity to function as junior house staff, managing their own cases with supervision from residents, fellows, and attending cytopathologist. There are text books and extensive study sets allowing students to focus on specific areas of interest.

The daily schedule for student begins previewing the cytology cases at 8:00 am. The student will attend daily pathology noon didactic conferences. In general, the student will be able to complete sign-out activities by 4:30 pm.

Student time distribution: Clinical Duties 85%; Conferences/Lectures 15%; Subspecialty Care 100%
On call/weekend responsibility: None

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Bernadt

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Location: This course takes place on the WUSM medical campus.
Elective contact: Dr. Justavian Tillman, justavian.tillman@wustl.edu; Maria Turnbough, tmaria@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1
Reporting information: Report to the Cytopathology fellow in the BJC Institute of Health (Third Floor Residents' Room, 3202) at 9:00 am on the first day.

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Molecular Pathology (Clinical Elective)

M60 Path 813

This elective is designed to introduce students to the field of Molecular Pathology, including established molecular diagnostics and Next Generation Sequencing clinical assays. Students will learn through observation in the laboratory, didactic sessions, resident and fellow presentations, sign out with attending pathologists, and clinical informatics workshops. Opportunities for assay validation as well as additional instruction in Cytogenomics are available and tailored to student interest. Students will work with residents/fellows on the rotation and participate as part of the team.

Student time distribution: Preview/Signout 40%; Conferences/Lectures 30%; Lab Observation and Training 30%
Patients seen weekly: 50 assays
On-call/weekend responsibility: None

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Parikh

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Location: This course takes place on the WUSM medical campus.
Elective contact: Maria Turnbough, tmaria@wustl.edu; Dr. Justavian Tillman, justavian.tillman@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 1

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OBGYN Pathology (Clinical Elective)

M60 Path 817

This elective stresses the principles of anatomic pathology as applied to obstetrics and gynecology. The expectation for this elective is that the student actively participates in the gynecologic pathology service, along with rotating residents and fellows. The student will examine gross and microscopic specimens in the pathology lab, gaining basic skills in grossing and histopathological interpretation. The student will gain familiarity with gynecologic anatomy and common OB/GYN diagnoses, including malignant and premalignant conditions, as well as placental conditions. The elective is appropriate both for students intending a career in pathology and those intending careers in other specialties, including obstetrics and gynecology. Ample time will be available for attending learning conferences.

Student time distribution: Inpatient 90%; Conferences/Lectures 10%; Subspecialty Care 100%
On-call/weekend responsibility: None

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Sun, Krigman

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Location: This course takes place on the WUSM medical campus.
Elective contacts: Dr. Justavian Tillman, justavian.tillman@wustl.edu; Maria Turnbough, tmaria@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 2
Reporting information: Report to the Institute of Health (Third Floor Elevators) at 9:00 am on the first day.

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Surgical Pathology (Clinical Elective)

M60 Path 820

This elective is designed to familiarize students with the discipline of surgical pathology and to encourage the development of basic skills in gross pathology and histopathological interpretation. The Laboratory of Surgical Pathology at Barnes-Jewish Hospital receives a broad range of medical biopsy material in addition to specimens derived from the busy surgical subspecialty practices. As a result, this elective is beneficial not only for students considering a career in pathology, but also for students planning careers in internal medicine, surgery, obstetrics-gynecology, pediatrics, radiology, radiation oncology and dermatology.

Students on this elective will:

learn how patient specimens are received and processed
acquire skills in the gross examination and microscopic diagnosis of disease through active participation
learn the role of the pathologist in the preoperative, intraoperative, and postoperative care and management of patients.

Students will function as junior house staff, managing their own cases with supervision from residents, fellows, and attending pathologists. Students may also wish to participate in ongoing research projects within the department as time and interest allow. At the end of the rotation, students are required to do a formal case presentation for the residents, fellows, and attending staff.

The daily schedule for students begins at 8:00 am with previewing cases with the residents. In general, the student will be able to complete all gross examination and sign-out activities by 4:30 pm. Students are welcome to stay beyond 4:30 pm to participate in any of the academic or other working activities of the Division.

On call/weekend responsibility: None

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Byrnes

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Location: This course takes place on the WUSM medical campus.
Elective contact: Justavian Tillman, justavian.tillman@wustl.edu; Maria Turnbough, tmaria@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 3
Reporting information: Report to the Institute of Health (Third Floor) at 9:00 am on the first day.

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Introduction to Neuropathology (Clinical Elective)

M60 Path 825

The course is structured to give the student a full-time immersion in the specialty of Neuropathology, including both Neurosurgical and Neuroautopsy derived material. There are daily didactic sessions that cover the spectrum of Neurological diseases, review gross and microscopic Neuro-anatomy, discuss approaches to the diagnosis of nervous system disease, and point out the interrelationships of research to clinical problems. Multiple clinical conferences and diagnostic working sessions complement reading, use of a large microscopic divisional study set and project work. Time: 35 to 40 hours per week.

Student time distribution: Conferences/Lectures 100%; Subspecialty Care 100%
On call/weekend responsibility: None

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Schwetye

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Location: This course takes place on the WUSM medical campus.
Elective contact: Dr. Justavian Tillman, justavian.tillman@wustl.edu; Maria Turnbough, tmaria@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 2
Reporting information: Report to the BJC Institute of Health, Room 3407, at 9:00 am on the first day.

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Clinical Laboratory Medicine (Clinical Elective)

M60 Path 860

This elective rotation is designed to teach the student how clinical laboratory assays are used in the diagnosis of disease and to understand the quality assurance tools the laboratory utilizes to assure the reliability of tests. The elective includes rotations through a variety of clinical laboratories including clinical chemistry, clinical microbiology, hematopathology, molecular pathology, and transfusion medicine. During the elective the student will have a daily schedule, which includes didactic sessions with faculty and regular interactions with house staff. Some examples of useful clinical skills acquired during the experience include: morphologic review of peripheral blood smears and bone marrow biopsies; interpretation of coagulation tests, biomarkers of cardiac damage and serum protein electrophoresis patterns; identification of infectious organisms; and appropriate use of blood component therapy and therapeutic apheresis. The rotation culminates with a case discussion presented by the medical student which focuses on application of clinical laboratory evaluations to direct patient care.

Student time distribution: Inpatient 25%; Conferences/Lectures 75%
Patients seen weekly: 5
On call/weekend responsibility: None

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Zaydman

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Location: This course takes place on the WUSM medical campus.
Elective contact: Dr. Justavian Tillman, justavian.tillman@wustl.edu; Maria Turnbough, tmaria@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 2
Reporting information: Report to the BJC Institute of Health, Fourth Floor, at 8:30 am on the first day.

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Special Study Elective - Pathology

M60 Path 899

Var. Units (max = 16.0)

Pathology Special Study Elective

Attributes:

Med: VSEC, WUSMEC

Instruction Type:

Independent study, tutorial, or other

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Anatomic Pathology and Laboratory Medicine Advanced Clinical Rotation (ACR)

M60 Path 910

Var. Units (max = 16.0)

The purpose of the Anatomic Pathology and Laboratory Medicine Advanced Clinical Rotation involves the development of expertise related to diagnostic pathology and laboratory testing in a well-supervised teaching environment. ACR students are under the supervision of anatomic pathology and laboratory medicine residents, fellows and attending pathologists. ACR students have the same daily schedules as first year anatomic pathology/clinical pathology residents. They are assigned the primary workup of patient specimens or patients on each sign-out day. An approach to the specimen or patient and required follow up or ancillarytesting is planned in consultation with the resident, fellow or attending physician. The trainees assume the primary responsibility for generating any required reports and communication with other healthcare providers. As for most entering residents, there is no formal after-hours call schedule. Students attend the same conferences as the house staff.

On-call/weekend responsibility: None

Attributes:

Med: VSEC, WUSMAC, WUSMEC

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