STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2011-12
Stanford University Medical Center
Department of Pathology
Resident and Clinical Fellow
Handbook 2012-2013
300 Pasteur Drive
Lane Bldg., Room L-235
Stanford, CA 93205-5324
Ph (650) 725-8383
Fx (650) 725-6902
1
,STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2012-2013
TABLE OF CONTENTS
SECTION PAGE #
Overview................................................................................................. 4
Trainee Selection.................................................................................... 4
Anatomic Pathology (AP) Training ......................................................... 7
Clinical Pathology (CP) Training ............................................................ 7
Combined Anatomic & Clinical Pathology (AP/CP) Training ................. 8
Combined Anatomic & Neuropathology (AP/NP) Training ………………. 9
Goals of the Residency Program …………........................................... 10
GENERAL INFORMATION
Regular Work Hours & Availability.........................................................………14
Call Guidelines.......................................................................................... 15
Anatomic Pathology..........................................................................16
Clinical Pathology..............................................................................17
MedHub Residency Management System ...................................................20
Conferences .................................................................................................21
ADMINISTRATIVE POLICIES & PROCEDURES
Vacation ................................................................................................……….26
Pathology Travel Policy .................................................................................26
Reimbursements ...........................................................................................27
Observing Hospital Holidays .........................................................................27
Residency Schedule Changes ......................................................................28
Residency Schedule Change – Routing Slip.................................................28
Unassigned Rotations ...................................................................................29
Moonlighting ......................................................................................... ………29
Supervision & Evaluation ......................................................................………29
Mentors..................................................................................... ………29
Evaluation by Faculty .......................................................................29
Core Competencies .........................................................................30
Mentor Meetings ..............................................................................31
Meetings with Program Director and Chair ......................................31
Promotion & Dismissal .....................................................................32
Evaluation of Training Program & Faculty ........................................32
California Medical License .............................................................................32
Resident In-Service Exam (RISE) ..................................................................34
Providing Feedback ........................................................................................34
Medical Student Teaching ..............................................................................35
Resident Retreat ............................................................................................36
Grant Applications ..........................................................................................36
Pathology Society Memberships ....................................................................36
Responsibilities of Chief Resident(s) ..............................................................37
Safety Policies and Procedures .....................................................................44
ANATOMIC PATHOLOGY ROTATIONS FOR RESIDENTS
AP Quality Assurance ……………….............................................................. 48
AP Ancillary Studies Rotation ……….................................................. ……….54
,STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2012-2013
Autopsy Pathology Learning Objectives .......................................................59
Autopsy at Stanford ......................................................................................61
AP Bone Marrow Hematopathology .............................................................72
Cytopathology ..............................................................................................77
Dermatopathology ........................................................................................82
Forensic Pathology ......................................................................................91
AP Tissue Hematopathology .......................................................................94
Neuropathology ...........................................................................................99
Surgical Pathology Learning Objectives ....................................................108
Surgical Pathology at Stanford ...................................................112
Frozen Sections ..........................................................................128
Non-Heme I/O Case Rotation .....................................................130
Pediatric Solid Tumor Protocol ....................................................132
Anatomic Pathology at VAPAHCS ..............................................................135
CLINICAL PATHOLOGY ROTATIONS FOR RESIDENTS
Blood Bank / Transfusion Medicine .............................................................144
Clinical Chemistry / Immunology ..................................................................166
Chemistry / Special …………………………………………………………………169
Coagulation / RBC Special Studies …..........................................................172
CP Hematology ............................................................................................178
Clinical Pathology at PAVA ..........................................................................186
Cytogenetics ................................................................................................190
Histocompatibility ……………………………………………………………………197
Microbiology / Virology ..................................................................................199
Molecular Genetic Pathology .........................................................................210
Pediatric Clinical Pathology ...........................................................................214
RESPONSIBILITIES FOR CLINICAL FELLOWS
General Policies .............................................................................................229
Cytopathology Fellowship ..............................................................................230
Dermatopathology Fellowship .................. .....................................................241
Gyn/Breast Pathology Fellowship .................. ...............................................244
Hematopathology Fellow Responsibilities .....................................................250
Molecular Genetics Pathology Fellowship ................. ...................................263
Neuropathology Fellowship .................. .........................................................268
Surgical Pathology Fellowship .................. ....................................................282
Transfusion Medicine Fellowship / Blood Bank ................... .........................285
Post Sophomore Fellowship ..........................................................................289
CONTACT INFORMATION & FAQ
General Telephone Numbers .........................................................................292
On-Call Pager Numbers .................................................................................293
Addresses .......................................................................................................294
Frequently Asked Questions ..........................................................................295
APPENDIX
Resident Handbook Agreement .....................................................................300
, STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2011-12
TRAINING IN PATHOLOGY AT STANFORD
Overview
The Department of Pathology at Stanford University Medical Center seeks to train
outstanding academically-oriented candidates for leadership positions in pathology.
We offer residency training in Anatomic Pathology (AP), Clinical Pathology (CP), and
combined AP and CP (AP/CP). The overall goal of our program is to provide in-
depth, flexible training in all aspects of pathology, leading to board certification in
AP, CP or AP/CP.
We also offer accredited clinical fellowships in Blood Banking/Transfusion Medicine,
Cytopathology, Dermatopathology, Gynecologic Pathology (Gyn/Breast),
Hematopathology, Neuropathology, and Molecular Genetic Pathology and Surgical
Pathology. Combined AP/Hematopathology and AP/Neuropathology are also
offered, but must be discussed with the Associate Program Directors and
appropriate fellowship directors prior to pursuing these training avenues.
Trainee Selection
All eligible applicants will be considered for training in the Pathology Department at
Stanford. Applicants must have one of the following qualifications to be eligible for
consideration:
• Graduates of medical schools in the United States and Canada accredited by the
Liaison Committee on Medical Education (LCME)
• Graduates of colleges of osteopathic medicine in the United States accredited by
the American Osteopathic Association (AOA)
• Graduates of medical schools outside the United States and Canada who have
received a currently valid certificate from the Educational Commission for Foreign
Medical Graduates or have a full and unrestricted license to practice medicine in
a U.S. licensing jurisdiction.
• Graduates of medical schools outside the United States who have completed a
Fifth Pathway program provided by an LCME-accredited medical school.
The Pathology Department selects trainees on the basis of their preparedness,
ability, aptitude, academic credentials, communication skills, and fit.
All trainee applications are reviewed by the Selection Subcommittee of the
Residency & Fellowship Committee (RFC), which selects those applicants to invite
for interviews. Faculty, clinician educators and current residents and fellows
interview selected candidates. All teaching faculty and trainees prepare written
evaluations of each applicant they meet with.
4
Stanford University Medical Center
Department of Pathology
Resident and Clinical Fellow
Handbook 2012-2013
300 Pasteur Drive
Lane Bldg., Room L-235
Stanford, CA 93205-5324
Ph (650) 725-8383
Fx (650) 725-6902
1
,STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2012-2013
TABLE OF CONTENTS
SECTION PAGE #
Overview................................................................................................. 4
Trainee Selection.................................................................................... 4
Anatomic Pathology (AP) Training ......................................................... 7
Clinical Pathology (CP) Training ............................................................ 7
Combined Anatomic & Clinical Pathology (AP/CP) Training ................. 8
Combined Anatomic & Neuropathology (AP/NP) Training ………………. 9
Goals of the Residency Program …………........................................... 10
GENERAL INFORMATION
Regular Work Hours & Availability.........................................................………14
Call Guidelines.......................................................................................... 15
Anatomic Pathology..........................................................................16
Clinical Pathology..............................................................................17
MedHub Residency Management System ...................................................20
Conferences .................................................................................................21
ADMINISTRATIVE POLICIES & PROCEDURES
Vacation ................................................................................................……….26
Pathology Travel Policy .................................................................................26
Reimbursements ...........................................................................................27
Observing Hospital Holidays .........................................................................27
Residency Schedule Changes ......................................................................28
Residency Schedule Change – Routing Slip.................................................28
Unassigned Rotations ...................................................................................29
Moonlighting ......................................................................................... ………29
Supervision & Evaluation ......................................................................………29
Mentors..................................................................................... ………29
Evaluation by Faculty .......................................................................29
Core Competencies .........................................................................30
Mentor Meetings ..............................................................................31
Meetings with Program Director and Chair ......................................31
Promotion & Dismissal .....................................................................32
Evaluation of Training Program & Faculty ........................................32
California Medical License .............................................................................32
Resident In-Service Exam (RISE) ..................................................................34
Providing Feedback ........................................................................................34
Medical Student Teaching ..............................................................................35
Resident Retreat ............................................................................................36
Grant Applications ..........................................................................................36
Pathology Society Memberships ....................................................................36
Responsibilities of Chief Resident(s) ..............................................................37
Safety Policies and Procedures .....................................................................44
ANATOMIC PATHOLOGY ROTATIONS FOR RESIDENTS
AP Quality Assurance ……………….............................................................. 48
AP Ancillary Studies Rotation ……….................................................. ……….54
,STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2012-2013
Autopsy Pathology Learning Objectives .......................................................59
Autopsy at Stanford ......................................................................................61
AP Bone Marrow Hematopathology .............................................................72
Cytopathology ..............................................................................................77
Dermatopathology ........................................................................................82
Forensic Pathology ......................................................................................91
AP Tissue Hematopathology .......................................................................94
Neuropathology ...........................................................................................99
Surgical Pathology Learning Objectives ....................................................108
Surgical Pathology at Stanford ...................................................112
Frozen Sections ..........................................................................128
Non-Heme I/O Case Rotation .....................................................130
Pediatric Solid Tumor Protocol ....................................................132
Anatomic Pathology at VAPAHCS ..............................................................135
CLINICAL PATHOLOGY ROTATIONS FOR RESIDENTS
Blood Bank / Transfusion Medicine .............................................................144
Clinical Chemistry / Immunology ..................................................................166
Chemistry / Special …………………………………………………………………169
Coagulation / RBC Special Studies …..........................................................172
CP Hematology ............................................................................................178
Clinical Pathology at PAVA ..........................................................................186
Cytogenetics ................................................................................................190
Histocompatibility ……………………………………………………………………197
Microbiology / Virology ..................................................................................199
Molecular Genetic Pathology .........................................................................210
Pediatric Clinical Pathology ...........................................................................214
RESPONSIBILITIES FOR CLINICAL FELLOWS
General Policies .............................................................................................229
Cytopathology Fellowship ..............................................................................230
Dermatopathology Fellowship .................. .....................................................241
Gyn/Breast Pathology Fellowship .................. ...............................................244
Hematopathology Fellow Responsibilities .....................................................250
Molecular Genetics Pathology Fellowship ................. ...................................263
Neuropathology Fellowship .................. .........................................................268
Surgical Pathology Fellowship .................. ....................................................282
Transfusion Medicine Fellowship / Blood Bank ................... .........................285
Post Sophomore Fellowship ..........................................................................289
CONTACT INFORMATION & FAQ
General Telephone Numbers .........................................................................292
On-Call Pager Numbers .................................................................................293
Addresses .......................................................................................................294
Frequently Asked Questions ..........................................................................295
APPENDIX
Resident Handbook Agreement .....................................................................300
, STANFORD PATHOLOGY RESIDENT/FELLOW HANDBOOK 2011-12
TRAINING IN PATHOLOGY AT STANFORD
Overview
The Department of Pathology at Stanford University Medical Center seeks to train
outstanding academically-oriented candidates for leadership positions in pathology.
We offer residency training in Anatomic Pathology (AP), Clinical Pathology (CP), and
combined AP and CP (AP/CP). The overall goal of our program is to provide in-
depth, flexible training in all aspects of pathology, leading to board certification in
AP, CP or AP/CP.
We also offer accredited clinical fellowships in Blood Banking/Transfusion Medicine,
Cytopathology, Dermatopathology, Gynecologic Pathology (Gyn/Breast),
Hematopathology, Neuropathology, and Molecular Genetic Pathology and Surgical
Pathology. Combined AP/Hematopathology and AP/Neuropathology are also
offered, but must be discussed with the Associate Program Directors and
appropriate fellowship directors prior to pursuing these training avenues.
Trainee Selection
All eligible applicants will be considered for training in the Pathology Department at
Stanford. Applicants must have one of the following qualifications to be eligible for
consideration:
• Graduates of medical schools in the United States and Canada accredited by the
Liaison Committee on Medical Education (LCME)
• Graduates of colleges of osteopathic medicine in the United States accredited by
the American Osteopathic Association (AOA)
• Graduates of medical schools outside the United States and Canada who have
received a currently valid certificate from the Educational Commission for Foreign
Medical Graduates or have a full and unrestricted license to practice medicine in
a U.S. licensing jurisdiction.
• Graduates of medical schools outside the United States who have completed a
Fifth Pathway program provided by an LCME-accredited medical school.
The Pathology Department selects trainees on the basis of their preparedness,
ability, aptitude, academic credentials, communication skills, and fit.
All trainee applications are reviewed by the Selection Subcommittee of the
Residency & Fellowship Committee (RFC), which selects those applicants to invite
for interviews. Faculty, clinician educators and current residents and fellows
interview selected candidates. All teaching faculty and trainees prepare written
evaluations of each applicant they meet with.
4
