The residency program has been and continues to be a major priority of The Ohio State University Pathology Department. The major goal is to train residents to




НазваниеThe residency program has been and continues to be a major priority of The Ohio State University Pathology Department. The major goal is to train residents to
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Clinical Pathology Didactic Lectures

  1. Monday, 7:30 am, year-round

  2. Didactic presentations, primarily by faculty

  3. 2-year cycle covering clinical pathology

  4. Attendance: mandatory for all residents

  5. Course Director: Michael G. Bissell, MD, PhD, MPH




  1. Clinical Pathology Unknown Conference

    1. Wednesday, 7:30 am, year-round

    2. Given by faculty

    3. Case presentations: instructive cases, technology, quality control/assurance, management, ethical issues

    4. Once a month CP Journal Club occurs during this time period

    5. Attendance: mandatory for all residents PGY-2 and above and strongly encouraged for PGY-1 residents

    6. Course Director: Arwa Shana’ah, MD




  1. Clinical Pathology Journal Club

    1. Wednesday, 7:30 am, approximately 1 per month

    2. Faculty and resident(s) assigned to each journal club

    3. Selection of no more than 2 articles

    4. Articles will be available at least 1 week prior

    5. Discussion will be led by assigned resident(s), all residents in attendance are expected to have reviewed the article and reached their own conclusions and validity of the study and to offer their overall review of the article as it is being discussed.

    6. Review/criticism/discussion of current research and developmental literature in Clinical Pathology, basic or applied

    7. Attendance: mandatory for all residents PGY-2 and above and strongly encouraged for PGY-1 residents

    8. Course Director: Arwa Shana’ah, MD




  1. Clinical Pathology Call Review

    1. Monday, noon-1:00 pm, July – August

    2. Primarily discuss CP call issues and AP call issues as they arise

    3. Resident driven with a CP faculty in attendance

    4. Attendance: mandatory, PGY-2 and above residents

    5. Course Director: CP Chief Resident and Arwa Shana’ah, MD




  1. Anatomic Pathology Didactics

    1. Tuesday and Thursday, 7:30-8:30 am

    2. Given primarily by faculty

    3. Didactic organ system review

    4. 2-year cycle covering surgical pathology

    5. Attendance: mandatory for all residents

    6. Course Director: Adrian Suarez, MD




  1. Anatomic Pathology Unknown Slide Conference

    1. Monthly (1-2 times/month)

    2. Given primarily by faculty

      1. glass slide conference on surgical pathology or subspecialties

      2. covers organ systems, histochemistry, immunoperoxidase, electron microscopy, flow cytometry, molecular biology

      3. didactic presentations, microscopic slides available

    3. Attendance: mandatory for all residents

    4. Course Director: Adrian Suarez, MD




  1. Anatomic Pathology Journal Club

    1. Given approximately 4 times per year by presiding attending pathologist

    2. Faculty and resident(s) assigned to each journal club

    3. Selection of no more than 2 articles

    4. Articles will be available at least 1 week prior

    5. Discussion will be led by assigned resident(s), all residents in attendance are expected to have reviewed the article and reached their own conclusions and validity of the study and to offer their overall review of the article as it is being discussed.

    6. Attendance: mandatory for all AP/CP residents

    7. Course Director: Adrian Suarez, MD




  1. Surgical Pathology Diagnostic Conference

    1. Opportunity to learn more surgical pathology and occasionally cytopathology

    2. Glass slides to be discussed will not be available beforehand, so no specific preview is necessary

    3. After review, slides will be available for study during the weekend and returned on Monday

    4. Given approximately every other Friday, 8:00-8:45 am, 4th floor multi-headed scope room

    5. Attendance: optional

    6. Course Director: Paul E. Wakely, Jr., MD




  1. Neuropathology Gross Conference

    1. Thursday, noon; year round, Room 005 DHLRI

    2. Given by faculty

    3. Attendance: mandatory for resident on autopsy service and those with case to present

    4. Faculty: Abhik Ray Chaudhury, MD




  1. Weekly Autopsy Teaching Conference

    1. Wednesday, 4:00-5:00 year round

    2. Given by faculty and residents

    3. Attendance: mandatory for residents with case to present. All other residents encouraged to attend

    4. Faculty: Charles Hitchcock, MD, PhD




  1. Dermatopathology Conference

    1. 2nd and 4th Wednesday, 4:30 pm; year round

    2. Attendance: highly recommended and mandatory for residents on Dermatopathology service, conference concentrated towards dermatology residents.

    3. Course Director: Sara Peters, MD




  1. Transfusion Medicine Rounds

    1. Friday, noon, monthly

    2. Given by residents and fellows

    3. Case presentations, antibody problem solving literature review and critique, topic presentation and discussion, and ethics discussions

    4. Attendance: mandatory, residents and fellows on Transfusion Medicine rotation and Clinical Pathology rotations

    5. Course Director: Scott Scrape, MD




  1. Transplant & Kidney Conference

    1. Wednesday, 2:00 pm; year round

    2. Surgical Pathology Sign-Out Room

    3. Attendance: mandatory for resident and fellow on Transplant rotation

    4. Course Director: Tibor Nadasdy, MD




  1. CTTR Conference (California Tumor Tissue Registry)

    1. Friday, 8:00 am; one/month

    2. Surgical Pathology Sign-Out Room

    3. Course Director: O. Hans Iwenofu, MD




  1. Lymphoma Conference

    1. Thursday, noon-1:00 pm

    2. 4th Floor, Starling-Loving Hall

    3. Heme Onc driven with Hematopathology faculty/fellow presenting pathology

    4. Attendance: strongly encouraged for all residents




  1. Pathology Grand Rounds

    1. Tuesday, 2nd & 4th, noon-1:00 pm, September-June

    2. Seminars on research or clinically-oriented subjects given by faculty, residents, fellows or guest faculty

    3. Attendance: mandatory for all residents




  1. The Business of Pathology & Topics in Lab Medicine

    1. Last Wednesday of each month; noon, 137 Hamilton Hall; year round

    2. Given by faculty, selected guest speakers

    3. 2-year cycle covering topics related to ethics, finance, investing, federal regulations/laws, coding, contract negotiation, research design, statistics, etc. as each of these pertain to pathology

    4. Attendance: Mandatory for all residents

    5. Course Directors: Harry Pukay-Martin, MBA, CPA, FHFMA and Michael Bissell, MD, PhD, MPH




  1. Chat with the Chair

    1. Held every 3 months

    2. Discuss resident concerns




  1. Chat with the Program Director

    1. Held every 4 months

    2. Discuss resident concerns




  1. Resident Business Meetings

    1. Bi-monthly, 11:30-12:30

    2. To discuss resident concerns among each other



  2. Oncology Tumor Board

    1. Thursday, 8:30 am; year round

    2. 518A James Cancer Hospital

    3. Attendance: mandatory for residents on AP

    4. Course Director: William Farrar, MD




  1. Gynecologic Oncology Tumor Board

    1. Friday, 7:00-8:30 am

    2. 137 Hamilton Hall

    3. Attendance: optional

    4. Course Director: Adrian Suarez, MD



G. Evaluation of Residents and Residency Program


  1. The following policies and evaluation forms are used for the evaluation of residents in the department (see appendices).




    1. Resident Applicant Interview Form (Appendix A)

      1. Filled out by all faculty who interview resident applicants

      2. Returned within 3 days to Education Coordinator

      3. Used by Residency Advisory Committee as part of resident selection process




    1. Resident Evaluation Form for Anatomic and Clinical Pathology (Appendix B)

      1. Resident/fellow evaluation form (Appendix B) is e-mailed via E*Value, a web based software program, to all faculty members and laboratory support staff at the end of every one or two months for PGY-1 residents, at the end of the rotation for PGY-2 and above or monthly at the discretion of the Program/Associate Program Director. Individual faculty are encouraged, but not required, to also give in-person feedback to residents at each evaluation point.

      2. Division Director’s are able to view statistical analysis and comments on E*Value of the trainees evaluations completed by faculty and laboratory personnel on their rotation.

      3. Evaluation is discussed between the Division Director and resident/fellow within 1 week before or after the end of the rotation.

      4. On each service it is recommended that all faculty involved in teaching have input into the evaluation. With respect to the resident’s attitude and effectiveness, the ACGME recommends that the evaluator interview allied health personnel, and other residents for added input.

      5. Program Director or Associate Director will meet with all residents and perform evaluations a minimum of two times per year. More frequent, interim evaluations can also be performed at the discretion of the Program Director, Associate Director, or upon the recommendation of the faculty, as needed.

      6. A Resident Evaluation Signature page (Appendix C) is signed by both the Program Director and/or Associate Program Director and resident and placed in their file documenting that they have gone over their evaluations. Trainee may disagree and submit a written response.

      7. Evaluations are used to document progress of residents, including positive feedback for good performance and early identification/correction of problem areas. They are also used to document unsatisfactory performance.

      8. Used as a data file to answer inquiries about residents who have left the program.




    1. Evaluation of Rotations by Resident (Appendix D)

      1. Monthly or at the end of rotation, residents and fellows will evaluate all rotations on E*Value.

      2. Pathology Education Coordinator monitors and prints out statistical summary for review annually.

      3. Statistical summaries are reviewed by Chairman, Residency Director, Associate Program Director, Residency Advisory Committee and Chief Residents annually.

      4. A statistical summary given to the appropriate division director annually for review and appropriate changes if needed.




    1. Evaluation of Faculty by Resident (Appendix E)

      1. Monthly or at the end of the rotation, residents will complete an Evaluation of Faculty Teaching Form (Appendix E) on E*Value for each faculty member encountered during the rotation.

      2. Pathology Education Coordinator monitors and prepares statistical summaries for review.

      3. Faculty evaluations summaries are reviewed by the Chairman, Program Director, Associate Program Director, and AP and CP Directors annually.

      4. Changes will be made if there is a deficiency and individuals counseled.

      5. Statistical summaries are given to the faculty member and Division Director annually.

      6. Evaluations may be used as follows:

  • To commend those faculty with favorable evaluations

  • To improve resident teaching where indicated

  • Promotion and tenure process




    1. Pathology Conference Evaluation (Appendix F)

      1. The form includes a brief overall evaluation of all departmental conferences related to resident teaching (Appendix F).

      2. To be completed by residents/fellows once a year on E*Value.

      3. Pathology Education Coordinator prints out statistical summary for review.

      4. Statistical summaries are reviewed by Chairman, Residency Director, Associate Program Director, Residency Advisory Committee and Chief Residents annually.

      5. Statistical summaries are given to the appropriate conference director.

      6. Used to commend those responsible for highly-rated conferences and to correct deficiencies in suboptimal conferences.




  1. ACGME regulations require a final evaluation of each graduating resident. The final evaluation must have input from more than one faculty member and should address the resident’s performance during the final period of education and verify that the resident has demonstrated sufficient competence to enter practice without direct supervision.




    1. It is recommended that the final evaluation be written by the Residency Director, with input from other faculty.

    2. Uses of final evaluation:

      1. For recommendation to the American Board of Pathology

      2. To answer inquiries about residents after they have left the program.




  1. Annual Faculty Program Survey (Appendix G)


A Faculty Program Survey is e-mailed once a year to all clinical faculty asking for their perception of the program. A summary of the results are discussed once a year with the Residency Advisory Committee (Appendix G).


  1. Annual Resident Program Survey (Appendix H)


A Resident Program Survey is e-mailed once a year to all residents asking for their perception of the program. A summary of the results are discussed once a year with the Residency Advisory Committee (Appendix H).


  1. Appendix: Blank Evaluation Forms




    1. Resident Applicant Interview Form

    2. Resident Evaluation Form

    3. Resident/Fellow Evaluation Signature Page

    4. Resident and Fellow Evaluation of Rotation

    5. Evaluation of Faculty Teaching

    6. Pathology Conference Evaluation Form

    7. Annual Faculty Program Survey

    8. Annual Resident Program Survey



H. Resident Advancement


The following are the general guidelines for resident advancement in the Department of Pathology:


  1. Advancement of each member of the limited medical staff is determined annually by the Residency Advisory Committee in accordance with the guidelines of the OSU Limited Medical Staff Agreement.

  2. During the last 4 months (March-June) of the academic year, the Resident Advisory Committee will meet and determine the advancement of each resident. The Committee will also meet at other times of the year, if necessary.

  3. Resident advancement will be based primarily on the written faculty evaluations of resident performance on rotations.

  4. The most important determinations of advancement are made during the latter portions of the first and second year. Emphasis should be on early detection of problems and regulation of such problems in a fair and equitable manner.

  5. For each resident, the Committee will make a recommendation to the Program Director for advancement, remediation, or sanctions (probation, termination, suspension). The Program Director will discuss all recommendations for sanctions with the Department Chair.


I. Program Evaluation


In addition to the above methods for program evaluation, other methods of evaluation will include maintaining the pass/fail rate for the American Board of Pathology examinations, and job placement.


J. Probation and Remediation


  1. If a resident receives a substandard evaluation, sequential counseling by Division Director or designee, Program Director or Associate Director, and Department Chair occur as necessary; counseling should be documented by placing a letter in the resident’s file. If warranted, a remedial plan is initiated by Division Director. If remediation fails, Division Director notifies Program Director.

  2. The Residency Committee will generally consider probation if the resident has received overall evaluations of “improvement needed” or “unsatisfactory” on 2 or more rotations or has failed remediation. The committee may also choose to consider probation on the basis of 1 adverse evaluation if the deficiencies are severe or considered difficult to remediate.

  3. Residents placed on probation will receive oral and written notice of the probation from the Residency Program Director.

  4. The Department will assist the resident during the probation period. Specifically, the Committee will appoint a faculty advisor for the resident. In addition, the appropriate Division Director will counsel the resident. The chief resident(s) may also assist the resident.

  5. During the probation the resident will be evaluated after every rotation or as often as the Director of Service deems appropriate. The Committee will officially evaluate the resident between 4 to 6 months. If the resident on probation has not satisfactorily addressed their deficits during the rotations in this period, possible consequences include, but are not restricted to, lack of reappointment to the residency or further remediation.

  6. Probation periods will generally be 4 to 6 months, and will not go beyond the current contract year.

  7. The Committee may assign remediation for deficiencies of lesser magnitude than those requiring probation.

  8. In general, residents must remediate all rotations with overall evaluations of “improvement needed” or “unsatisfactory” in order to satisfactorily complete the residency.


K. Resident Grievance and Due Process


A resident is provided the opportunity to raise a concern at any time regarding non-performance related to the Limited Staff Agreement or non-compliance with any GME or Hospital policy. Resident complaints and concerns with any aspect of the program are to be discussed initially with the Rotation Director, and if unresolved at this level, are to be discussed with the Residency Program Director or Associate Program Director. If not satisfactorily resolved at this level, they are to be brought before the Residency Advisory Committee and/or Chairman within the Pathology Department, and ultimately the hospital’s Graduate Medical Education DIO for resolution. The institution has policies and procedures listed in the Limited Staff Agreement Outlining Due Process and Grievance Procedures. All residents, as a basis for employment are required to sign the Limited Staff Agreement. This agreement is the overarching institutional policy with regard to discipline, grievance, and due process issues. A copy of this agreement is provided at the applicant’s interview and in their appointment application packet to the OSUMC.


APPENDIX A

EVALUATION FORM

The Ohio State University

Pathology Residency Program

Name:




Medical School:




Interview Date:




Interviewer:





Based on your review of the applicant’s file and their interview with you, please rate the likelihood that this candidate will:







Very Unlikely


Unlikely


Uncertain


Likely


Very

Likely


The Applicant:

0

1

2

3

4

1. Function well as a resident in this program (key characteristics: organization, multitasking ability, equanimity, experience in a tertiary care center as a student)
















2. Function well as a supervising resident in this program (key characteristics: teaching skills, leadership skills, organization, delegation, judgment)
















3. Feel comfortable in the OSU pathology culture (autonomy, assertiveness, enthusiasm, flexibility, teamwork)
















4. Successfully complete the residency without need for remediation (either knowledge, skills or attitudes) (any past history of the same?)
















5. Has the desire to participate in scholarly activities (research, publication submission, presentations at meetings)
















Based on your interview, what did you feel were this candidate’s unique strengths?


Do you have concerns about any aspects of this candidate’s record or interview performance?


Conclusion






Definitely don’t rank


Would consider not ranking


Bottom 1/3


Middle 1/3


Top 1/3


The Applicant:

0

1

2

3

4

5. Where would you rank this individual within this pool of applicants
















Please return form to:

Jill Hostetler

Fax: 293-7273

Email: Jill.Hostetler@osumc.edu

Drop off: N-308 Doan Hall

THANK YOU for your participation!

Ohio State University APPENDIX B
Pathology – Resident/Fellow Evaluation


Subject:

 

Evaluator:

 

Site:

 

Period:

 

Dates of Activity:

 

Activity:




Evaluation Type:

Resident




Method  (Question 1 of 16 - Mandatory)

Methods used in evaluation




Selection

Option

    

Written Exam

    

Observation




Patient Care  (Question 2 of 16 - Mandatory)
Observes compassionate, appropriate, and effective patient care.





Demonstrates diagnostic competence including the use of information technology to support patient care decisions
Effectively communicates and is dependable
Works well with health care professional, including those from other disciplines, to provide patient-focused care 




N/A

Well Below Expectations/Unsatisfactory

Below Expectations

Meets Expectations

Exceeds Expectations

Outstanding

0

1

2

3

4

5




Medical Knowledge  (Question 3 of 16 - Mandatory)
Is conversant with established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.





Demonstrates knowledge about established and evolving biomedical, clinical, and cognate sciences
Demonstrates an investigatory and analytic thinking approach to clinical and pathological situations
Knows and applies the basic and clinically supportive sciences appropriately to pathology  




N/A

Well Below Expectations/Unsatisfactory

Below Expectations

Meets Expectations

Exceeds Expectations

Outstanding

0

1

2

3

4

5




Practice Based Learning and Improvement  (Question 4 of 16 - Mandatory)
Demonstrates efforts for continuous improvement of patient care and for ongoing appraisal and assimilation of scientific evidence.





Applies knowledge of study designs and statistical methods from scientific studies related to their patients' health problems
Uses information technology to manage information and support self-education
Facilitates the learning process of students and other health care professionals 




N/A

Well Below Expectations/Unsatisfactory

Below Expectations

Meets Expectations

Exceeds Expectations

Outstanding

0

1

2

3

4

5







Interpersonal and Communication Skills  (Question 5 of 16 - Mandatory)
Demonstrates effective information exchange with colleagues, patients, their families, and other health care professionals.





Demonstrates effective information exchange and teaming with other health care professionals, patients, and their families
Works effectively with others (including faculty, other residents, and laboratory staff) 




N/A

Well Below Expectations/Unsatisfactory

Below Expectations

Meets Expectations

Exceeds Expectations

Outstanding

0

1

2

3

4

5




Professionalism  (Question 6 of 16 - Mandatory)
Shows a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.





Demonstrates sensitivity and responsiveness to patients', colleagues', and laboratory personnel
Responds to the needs of patients that supercedes self-interest
Committed to ethical principles pertaining to confidentiality of patient information and business practices  




N/A

Well Below Expectations/Unsatisfactory

Below Expectations

Meets Expectations

Exceeds Expectations

Outstanding

0

1

2

3

4

5




Systems-Based Practice  (Question 7 of 16 - Mandatory)
Demonstrates an awareness of and responsiveness to the larger context and system of health care.





Is able to effectively call on system resources to provide pathology services that are of optimal value
Understands how pathology services and professional practices affect other health care professionals and organizations
Understands the principles of cost-effective health care and resource allocation without compromising quality care   




N/A

Well Below Expectations/Unsatisfactory

Below Expectations

Meets Expectations

Exceeds Expectations

Outstanding

0

1

2

3

4

5




Diagnostic Ability  (Question 8 of 16 - Mandatory)




Demonstrates appropriate progress in diagnostic skills for level of training

 




N/A

Well Below Expectations/Unsatisfactory

Below Expectations

Meets Expectations

Exceeds Expectations

Outstanding

0

1

2

3

4

5




Accountability and Dependability  (Question 9 of 16 - Mandatory)




Follows procedures faithfully and always follows cases through to completion
Is dependable and consistent in performance of duties 




N/A

Well Below Expectations/Unsatisfactory

Below Expectations

Meets Expectations

Exceeds Expectations

Outstanding

0

1

2

3

4

5




Laboratory Skills  (Question 10 of 16 - Mandatory)




Follows established guidelines and shows appropriate levels of competence for level of training in the dictation and grossing of surgical specimens and/or performance of autopsies  

 




N/A

Well Below Expectations/Unsatisfactory

Below Expectations

Meets Expectations

Exceeds Expectations

Outstanding

0

1

2

3

4

5
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