Medical Doctorate in Pathology - Ain Shams Universitymed.asu.edu.eg/uploads/med/MD_Pathology_201508171121.pdf · Medical Doctorate in Pathology ... histopathology or other investigations

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Medical Doctorate in Pathology درجة الدكتوراه في الباثولوجيا

Program Code: PAT 700

Program Guide and Logbook

2009

2

C a n d i d a t e C u r r i c u l u m v i t a e

Name:

Please attach your recent photo photo here.

Telephone no:

Mobile no:

Mailing address:

email address:

Postcode:

Experience

Organization:

Your present job title:

Start date:

Location:

Responsibilities:

Organization:

Previous job title:

Start and end date:

Location:

Responsibilities:

Organization:

3

Previous job title:

Start and end date:

Location:

Responsibilities:

Education

Certificates:

Start and end date:

School or College:

Training

4

[any other training that will be useful in your job]

Filled by post graduate authorities

Date of Registration

First semester _______________________

Second semester _______________________

Third semester _______________________

Fourth semester _______________________

Fifth semester ______________________

Sixth semester _______________________

TABLE OF CONTENTS:

Page

I – Welcome Statement

5

II - Mission Statement

III – Senior supervisor and affiliated departments and

Hospitals

IV – Program specifications

1 - Basic Information

2 - Professional Information

3 – Academic standards

4 - Curriculum structure and contents

5 - Program courses:

6. Program admission requirements:

7. Regulation for progression and program completion

Pathology course specifications

a - Basic Information

b - Professional Information

V - General information

VI – Your log book

1 - Introduction

2 - Supervisors

3 - Tables for training records

4 – Log book preview

VII - Head of department approval for the exam entry

Detachable forms:

VIII – Thesis follow up

IX - Evaluation forms

I – Welcome Statement: The Pathology Department welcomes you to the Medical Doctorate in Pathology.

As a department we are committed to medical student education and continuously

strive to improve your educational experience.

6

This handbook presents information guide and logbook activity of this doctorate

degree administered by the Pathology Department, Faculty of Medicine, Ain

Shams University.

Pathology curriculum provides core knowledge of disease processes affecting each

organ system. It also demonstrates the pivotal role of pathology in establishing the

diagnosis, prognosis, treatment and prevention of disease. In addition, the

curriculum emphasizes the importance of clinicopathological communication and

correlation, as well as the appropriate and effective use of pathology laboratory

investigations in patient’s management. Finally, the curriculum stimulates

candidates’ interest in pathology research so that they will read and expand their

core knowledge as a basis for their professional life. The professional and practical

skills that will be provided will help you to practice pathology.

In Pathology, a central skill in patient care is the "training of the eye," which is best

done by seeing a large number of cases (specimens) as unknowns over a long

period of time, and being given responsibility for gross and microscopic analysis

under supervision will allow you to observe the specimen, formulate an opinion,

write a gross description and a preliminary microscopic pathology report. This is

followed by reviewing and teaching by Pathology staff members who provide

definitive answers as to diagnosis and pathogenesis of disease. Additional exposure

to specimens is provided in teaching seminars and clinicopathological conferences

at which gross and microscopic features of virtually all the interesting, unusual, or

difficult surgical pathology cases as well as many cytopathology specimens are

presented.

The guide and activity book (log-book) will highlight the overall aim, specific

objectives of the program, outline the structure and content and will clarify the

teaching and learning methods provided as well as the methods of assessments

used.

There is an anonymous feedback evaluation form at the end of the book, please be

sure to fill it at the end of the program and deliver it to the department secretary.

II - Mission Statement:

7

The mission of the Faculty of Medicine, Ain Shams University is

“Preparation of a trained physician, researcher and life long tutor

capable of following standards of medical care and ethics, with

managerial and technical skills in his specialty. Furthermore, promotion

outstanding programs of health care to serve the society, environmental

development and targeted scientific research for continual improvement

of health”.

Our mission is to provide strong basic training in Pathology by developing

medical knowledge, skill base and professional attributes that allow the

candidate to independently and competently practice pathology with a life

long commitment to continued learning and distinction.

III – Senior Supervisor and Affilated Departments and

Hospitals

Senior Supervisor

Prof.

-------------------------------

-------------------------------

-------------------------------

E-mail:

Affilated Departments and Hospitals

-------------------------------

-------------------------------

-------------------------------

IV – Program Specifications

8

Programme Specifications for Medical Doctorate in Pathology

A- Basic Information 1- Programme Title: Medical Doctorate in Pathology

2- Programme Type: Single Major

3. Faculty: Faculty of Medicine Ain Shams University

4- Department: Pathology Department

5- Assistant Coordinator: Prof. Faten Ghazal

6- Coordinator: Prof. Thanaa Helal

7- Last date of programme specifications approval: September/2009

B- Professional Information

1. The overall aim The overall aim of a pathology curriculum is to provide core knowledge of

disease processes affecting each organ system, with an emphasis on

understanding mechanisms of disease rather than recall of facts. The

curriculum will demonstrate the pivotal role of pathology in establishing

the diagnosis, prognosis, treatment and prevention of disease. In addition,

the curriculum will emphasize the importance of clinicopathological

communication and correlation together with appropriate use of pathology

laboratory investigations to be used effectively and economically. Finally,

the curriculum will stimulate candidates’ (trainees’) interest in pathology so

that they will read and expand their core knowledge as a basis for their

professional life.

2. Intended Learning Outcomes of Course (ILOs) a. Knowledge and Understanding: By the end of the course the candidate will be able to:

a.1. Recognize and define the basic pathologic processes that disturb the

structure and function of the body including cell injury, tissue response to

injury (inflammation, healing and repair), haemodynamic disturbances,

neoplasia, infections and parasitic diseases.

a.2. List the causes of common pathologic conditions and diseases

affecting organs or systems.

a.3. Explain the pathogenesis of common pathologic conditions and

diseases affecting organs or systems.

9

a.4. Describe the basic principles of genetic alterations in relation to some

diseases

a.5. Recognize and describe the basic pathologic features (morphologic

alterations) including the gross and microscopic pictures of various

common pathologic conditions and diseases affecting organs and systems.

a.6. Describe how the pathological processes affect the structure and

function of the organ systems of the human body.

a.7. Explain the signs and symptoms of disease based on its pathogenesis

thereby demonstrate clinical reasoning.

a.8. Interpret and identify the complications of common diseases.

a.9. Describe the effect of environmental factors on causation and

geographical variation of disease.

a.10. Recognize the terminology used in the classification, investigation

and description of disease, enabling effective communication with

professional colleagues and patients.

a.11. Grade and stage malignant neoplasms according to different

systems.

b. Intellectual Skills By the end of the course the candidate will be able to:

b.1. Correlate the pathologic features of the disease with its clinical

presentation, laboratory investigations and complications.

b.2. Develop skills of observation, interpretation, and integration needed

to analyze basic clinical and pathologic data and to diagnose human

disease.

c- Professional and Practical Skills c.1. Surgical Cut-up

By the end of the course the candidate will be able to:

c.101. Orient properly, describe accurately and select blocks adequately

from different gross pathologic surgical specimens whether neoplastic or

nonneoplastic.

c.102. Select blocks adequately from different gross pathologic surgical

specimens whether neoplastic or nonneoplastic.

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c.103. Dissect safely and sample accurately all major cancer resection

specimens, without damage to tissues according to the general principles of

dissection

c.104. Complete standards gross reports.

c.105. Handle and select appropriate tissue from fresh specimen for frozen

section examination

c.2. Laboratory Processes and Surgical Reporting


c.201. Set up a microscope with safety and operate it effectively.

c.202. Recognize faults and artifacts of glass slide preparation, e.g. air-

drying.

c.203. Recognize the microscopic features of tissue structure in normality

and disease.

c.204. Diagnose malignancy correctly in specimens from breast, gastro

intestinal (GI) tract, respiratory tract, urinary tract, head and neck,

lymphoreticular system, and serous fluids.

c.205. Diagnose frozen sections.

c.206. Analyze, manage and integrate clinical information and

histopathology or other investigations effectively into diagnosis.

c.207. Write an accurate report with clear conclusions that gives clinicians

the information they need.

c.208. Identify when to resort to special techniques.

c.209. Recognize when definitive diagnosis is beyond capability

d- General and Transferable Skills By the end of the course the candidate will be able to:

d.1. Frame questions to be answered by a research project.

d.2. Develop protocols for research.

d.3. Use database to collect material needed for research.

d.4. Use appropriate statistical methods.

d.5. Present orally a research material (thesis) and deliver it in both

written and electronic forms.

e.Attitude By the end of the course the candidate will be able to:

11

e.1. Ensure that request form and specimen identification is accurate and

identify and resolve any errors or discordance.

e.2. Select block and describe specimens carefully during surgical

specimen cut up.

e.3. Communicate with clinicians promptly and accurately.

e.4. Manage difficult and complex situations with patients and their

families, to advise them appropriately and to manage complaints

effectively.

e.5. Demonstrate acknowledgement of personal limitations and ask for

help and consultation

e.6. Ensure ethical approval and patient consent for clinical research.

e.7. Work cooperatively and be conscientious.

e.8. Respect colleagues, including nonmedical professionals and

recognize good advice.

3. Academic Standards The Royal College of Pathologists curriculum is taken as the external

references standards (Benchmarks).

Website: www.rcpath.org/education

4. Curriculum Structure and Contents

a. Programme Duration: minimum 3 years (6 semesters)

General and Systemic Pathology: 28 credit hours

Thesis: 15 credit hours

Log Book: 15 credit hours

Elective Course (Electron Microscope, Molecular Biology or Genetics): 2

credit hours

b. Programme Structure

المناهجالساعات الكود المقررات الدراسية

المعتمدة دورة أساسيات البحث العممي متطمبات الكمية ال يوجد الجزء األول

http://www.rcpath.org/education

12

51 الرسالة الجزء الثانيPAT7001 82 باثولوجيا عامة وباثولوجيا األجهزة المختمفة احدة من: يتم اختيار مادة و المقررات االختيارية الميكروسكوب االلكتروني -5 E7106 8 E7107 البيولوجيا الجزيئية --8 عمم الوراثة -3 E7108 51 كراسة األنشطة 06 المجموع

5- Programme Courses

5.1- Level/Year of Programme a. Compulsory: General and Systemic Pathology Curriculum Code No.

PAT 700

5a.1 General and Systemic Pathology (28 Credit Hours) For the sake of the end of semester exam the Pathology Course Topics are

divided in the six semesters as follows. However the Pathology Lab

Activities and Scientific Meetings are not divided as they are governed by

the cases received at the Pathology Lab. The practical course credit hours

are totally 15 divided into 5 semesters.The remaining semester is for the

thesis and the elective course.

Semester Credit Hours

1st (from topic 1 in General

Pathology to 7) 2

2nd

(from topic 8 to 10 General

Pathology & topic 1 and 3 in

Systemic Pathology)

2

13

3rd

(from topic 4 in Systemic

Pathology to 10) 2

4th


pathology to 16) 2

5th


Pathology to 22) 3

6th

(The Elective Course) 2

Total 13

General Pathology Course Topics: 1. Cellular Adaptation, Cell Injury and Cell Death

2. Acute and Chronic Inflammation

3. Tissue Repair and Healing

4. Haemodynamic Disorders, Thromboembolic Diseases, and Shock

5. Genetic Diseases

6. Diseases of Immunity

7. Neoplasia

8. Infectious Diseases

9. Environmental and Nutritional Pathology

10. Diseases of Infancy and Childhood

Systemic Pathology Course Topics 1. Blood Vessels

2. Heart

3. Red Blood Cells and Bleeding Disorders

4. Diseases of White Blood Cells, Lymph Nodes, Spleen and Thymus

5. The Lung

6. Head and Neck

7. The Gastrointestinal Tract

8. Liver and Biliary Tract

9. The Pancreas

10. The Kidneys

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11. The Lower Urinary Tract and Male Genital System

12. The Female Genital System

13. The Breast

14. The Endocrine System

15. The Skin

16. Bones, Joints and Soft Tissue Tumours

17. Peripheral Nerve and Skeletal Muscle

18. The Central Nervous System

19. The Eye and Accessories

20. Immunohistochemistry

21. Cellular Molecular Biology

22. Cytopathology

General and Systemic Pathology topics are divided on 5

semesters so that the candidate will be assessed during and at the

end of the semester on the selected topics.

5a.2 Practical Training Course

By the end of the programme the candidate will be able to:

a) Ensure that request form and specimen identification is accurate and


b) Review accurately reports written by pathology staff members.

c) Dissect and gross describe gross pathologic specimens.

d) Handle and prepare specimens requiring paraffin and frozen section

examination including cutting by microtome and staining procedure.

e) Prepare a gross pathologic specimen in a glass jar.

f) Diagnose and report a number of microscopic slides to assess the

knowledge and understanding, intellectual, professional and practical skills.

g) Perform fine needle aspiration.

h) Select, examine and diagnose specimens for frozen sections

examination i) Examine and diagnose specimens using immunohistochemical

staining.

5a.3 Log Book (15 Credit Hours) a) Attending seminars, conferences, workshops and thesis discussions

15

b) Active participation in department activities including:

Attending laboratories with active participation in surgical cut up

specimen

Diagnosing and reporting microscopic slides under supervision of

staff member

Reviewing pathology reports accurately

Participating, performing and reporting frozen section examination

Performing fine needle aspiration.

Examining, diagnosing and reporting immunohistochemically

stained slides

Case presentation

Research assignment presentation

c) Demonstrating respect for others colleagues and non professionals.

5a.4 Submission of a Thesis (15 Credit Hours)

5b- Elective Courses (2 Credit Hours): Electron Microscope, Molecular Biology or Genetics

5c- Optional Courses: Not applicable

6. Program Admission Requirements:

-(: يشترط لقيد الطالب للحصول على درجة الدكتوراه :7المادة )

لسوي يوو وص ت ىيأووإ أ ادووا ىو لمصموا ىيووويا وص وو أ نو دصالو ع ػيوو الوا ىص -1

تسواا -9 . يقا لا ىؼو ػيو يلياوصت ىاا موا -2ادا ىجصؼصت ىو ا أ ػي الا ؼص ىا ىص .

ىيفو ؽ -10 0( 2 ى م وصاف ىيااب امي ك للزت اميفصء ىسيا ت ىلي ا يو ىيذو)

ما ىات خس يوه ا ما ػي لقو قاو خه يذوص ىجوزء ىنوص. نو أ وي ىيوااب ىوفس ىياا

ىات ػي لقو ي دا ىسيشفصت أ ى مز ىؼيا ىؼيات ىنيوا ؼوا أمويفصء ىشو ت ىيو تذوا ص

لقسص ىأيوا.

7. Regulation for Progression and Program Completion

ي ىيسجو ىاالصت ىاميا ت ي ىؼص : لى أه ى دي آخ أغسلس ىنصوا (: 8مادة )

.آخ سا أه يا دي

تزع ىاا ما ي مو ػص لصؼ ػي يوي ا م ات مو وص خسوا ػشو مواػصع . اوا (: 9مادة )

ىنص ي وف يا . غ تظ يوو ا م الف ننف ىات مويا موص غ . اله ي أه أمي اا

ىاا مو قاوو مواػ و ا يو ػيو القوو ؼوا امويفصء ىشو ت دسوب ىقو ا ت وي ىيسوجو ىيفووو

16

او موصػصت ؼيوات. جوز ىيلصىوب تؼو 6 ىسجيا. الاغ أ زا ىؼبء ىاا م ي ىفوو ى دا ػ

ىق ا ت خ ه ماػ ا ا ىفوو ىاا مو صىذو ا الفوصيا (. موص جوز ىو السوذص خو ه

مي مص غ دا ىق ات ديسص ا ماصع ي.

ات ىاا ما ىيذوه ػي ىاميا ميا ث ثو هو ع موص يووه ا موا( جيوصز خ ىو (: 77مادة )

صجوصع توواااصع ينوص ع صىقسو تاقووصع ىيسوصػصت ىؼيووات ىفوذا صىاوص ىأووصس سويي خ ىووص ىلصىوب

و ال سخ ى واخه ميذوص قاوو امويفصء ث ثوا أا وصع ىليو لشلا ىلي ي ميب يص ؼا

. ىسصػصت ىؼيات

يووو ا مو دوا جيوصز ؼوا ىلصىوب ايذصوصع ا لوا ات ىاا ما ي ىجزء له ىياميا(: 78مادة )

ال شي ت ىجصح ي صىنصو ىإليقصه ىياا ما ي ىجزء ىنص شي ت خ ىص ىيوااب حدوا ىسيشوفصت

ػيو أ وي ىؼيات و ىقسو ىجوا ىاا موصت ىؼيوص صىنيوا مو ء صىوا خو أ ىأوصا أ ى مز ىجصؼا

. مينصه ىاا ما تاقصع ىيسصػصت ىؼياتا

جووز صقشووا تىياالووا ال ووغ ىقووا قوو ىووا ار ىاالووا ىوواميا يسووجو فووع ى مووصىا (: 79مااادة )

ى مصىا قاو ا ػص ػي ىيسجو ىياالا ال أوإ ىص الصت.

صقشوا ؼا قاو ىيسجو يلياوصت ىنيوا ق ىا ار ىاالا ىاميا حميفصء يلياصت ىجص(: 02مادة )

يلياووصت ىجصؼووا وو ىذوووه ػيوو هووص ت ىيفووو يوو ىيغووا .قاووو خووه ايذووص ىجووزء ىنووص ى مووصىا

الووا( يلياووصت ىنيووا وو دتووا ا ت ؼيووات وو ىجووا ىاا مووصت ىؼيووص 550 مجيزووا جووع

ىلاا مدوصء ىلا أ اليصز اخياصا ت خصالا تذا ص ىيجا. صىنيا ي جصه ىيألط ىاا مصت

مووص تسووؼ مووصػا ووص مووص ث ثوو مووصػا تووص ىسووصػصت ىؼيووات ىاا مووا ىوواميا (: 07مااادة )

ػي لقو أوإ ص خوس ػشو ت موصػا ىنيوب ؼيات مصػا ا مي ثصء ىصلسي تصا مي

. ا لاػش ت مصػا ىي مصىا مص مصػصت ػي لقو ىيجزء له خس لشلا يص ؼا

ميا خس مو ت جوز ىجيوس ىجصؼوا وصء ع ػيو تيوب جيوس ىنيوا ىا ات ىقا ىاالا(: 00مادة )

ؼووا يقووا ىجووا ىاا مووصت ىؼيووص صىنيووا ؼووا تيووب جيووس ىقسوو اموويص ع اىوو تقووصا مووا وو لووغ

ذوا أقوو ثوص مو ت و توصاد ىقوا ىيذووه ػيو ػي ىلصىب ىسوصح حفوصيا ػوص دوا ىش ي

الا ىاميا .

فوغ ايذصوصت فوػا تشوو القسص ىؼوا صلهوي ك وغ أقسوص ىو ى تالوا ييز ت(: 02مادة )

ت ، اخياووصا ت امينووا قووا تقووس مووص و ىيقوو ىأييفووا وو أمووويا تيووا قووو ت يؼووا ت مخيووصا

ىصا ت ىأييفا ػي أ تشو م ما ىصج تفصالو ذىل تؼيا ىجا ىاا مصت ىؼيص صىنيا .

17

الووا ىيجووزء له ا 300 الووا ووص 1500جووع الووصت اليذووص ىووص ىيوواميا (: 02مااادة )

. 400 م ص ز ي ىيولا. تصا ىص ىؼاه ىف

ؼقا ايذص ىاا له ي أمي يا موو ػوص ؼقوا ايذوص ىواا ىنوص يو أ وو (: 02مادة )

ص مو ػص.

ىيذ وو ىؼيوو % وو الووا60نوو ىجووصح يوو وو ىوواميا ؼووا ىذوووه ػيوو (:02مااادة )

المين ىشف مو ػي دات.

Assessment Schedule and Weighing of Assessments:

ػي ىل ىيصى:يذظا: تؼص ه الصت ىلصىب تاقص ىيقصت

نقاط 2 : % فأكثر 92 -7 A

نقاط 2627 : % 92% حتى أقل من 82من -0 A-

قاطن 2622 : %82% حتى أقل من 82من - 2 B+

نقاط 2622 : %82% حتى أقل من 72من - 2 B

نقاط 0627 : %72% حتى أقل من 72من - 2 B-

نقاط 0622 : %72% حتى أقل من 22من - 2 C+

نقاط 0622 : %22% حتى أقل من 20من -7 C

نقاط 7627 : %20% حتى أقل من 22من - 8 C-

F صفر : %22أقل من - 9

الا ىيجزء له ا لا. تصا 300 الا ص 1500جع الصت اليذص ىص ىياميا

. الا ىياميا 400 الا ىيا ي ىؼصى ىصلسي 300ي ىي م ص ز واىص ىؼاه ىف

18

( ػيو أموصر جوع دصالوو فو قوصت موو قو ا تو صع يو ػوا GPAي دسص ىؼاه ىفوي

مصػصت ىؼيات قسصع ػي ىسصػصت ىؼيات ىيق ا ت ىي اموص ىلصىوب يو ىفووو ىاا مو. موص وي

( ػيو أموصر جوع دصالوو فو ىقوصت ىيو دووو ػيوص CGPA ىؼواه ىي مو ىيلصىوب دسص

صع ي ػا مصػصت ىؼيات قسصع ػي جع ىسصػصت ىؼيات ىنيا. ىلصىب ي مو ق ا ت

وي مػوص ت يو أ ىواميا ىصلسوي يو ىوا ي أقو ا ت ىي دصىوا ى مو يو وص ت أ جػوا و

تنو ا امو ا ي دسص ىيقا ىفؼي ى ذوو ػي ي أه اػص ت يقط أوص اذ ىص ت أ ىجػا يقط.

قصت 1.61% يقط 60يذسب ى ػا ىجصح تقا -

C)6

19

Course Specifications of Pathology for Medical Doctorate in

Pathology

Programme on which the course is given: Medical Doctorate in Pathology

Major or minor element of programme: Single Major

Department offering the programme: Pathology Department

Department offering the course: Pathology Department

Academic year / Level:

Date of specification approval: September/2009

A-Basic Information Title: Course of Pathology Code: PAT 700

Lecture: 2 hours/ week (for 15 weeks) = 2 credit hours /semester

Practical: 6 hours / week (for 15 weeks = 3 credit hours/ semester)

Total: 60 credit hours

B- Professional Information 1. The overall aim The overall aim of a pathology curriculum is to provide core knowledge of

disease processes affecting each organ system, with an emphasis on

understanding mechanisms of disease rather than recall of facts. The

curriculum will demonstrate the pivotal role of pathology in establishing

the diagnosis, prognosis, treatment and prevention of disease. In addition,

the curriculum will emphasize the importance of clinicopathological

communication and correlation together with appropriate use of pathology

laboratory investigations to be used effectively and economically. Finally,

the curriculum will stimulate candidates’ (trainees’) interest in pathology so

that they will read and expand their core knowledge as a basis for their

professional life.

2. Intended Learning Outcomes of Course (ILOs)

a. Knowledge and Understanding: By the end of the course the candidate will be able to:

a.1. Recognize and define the basic pathologic processes that disturb the

structure and function of the body including cell injury, tissue response to

20

injury (inflammation, healing and repair), haemodynamic disturbances,

neoplasia, infections and parasitic diseases.

a.2. List the causes of common diseases affecting organs or systems.

a.3. Explain the pathogenesis of common diseases affecting organs or

systems.

a.4. Describe the basic principles of genetic alterations in relation to some

diseases

a.5. Recognize and describe the basic pathologic features (morphologic

alterations) including the gross and microscopic pictures of various

common diseases affecting organs and systems.

a.6. Describe how the pathological processes affect the structure and

function of the organ systems of the human body.

a.7. Explain signs and symptoms of disease based on its pathogenesis

thereby demonstrate clinical reasoning.

a.8. Interpret and identify the complications of common diseases.

a.9. Describe the effect of environmental factors on causation and

geographical variation of disease.

a.10. Recognize the terminology used in the classification, investigation

and description of disease, enabling effective communication with

professional colleagues and patients.

a.11. Grade and stage malignant neoplasms according to different systems.

b. Intellectual Skills By the end of the course the candidate will be able to:

b.1. Correlate the pathologic features of the disease with its clinical

presentation, laboratory investigations and complications.

b.2. Develop skills of observation, interpretation, and integration needed to

analyze basic clinical and pathologic data and to diagnose human disease.

c- Professional and Practical Skills c.1.Surgical cut-up


c.101. Orient properly, describe accurately and select blocks adequately

from different gross pathologic surgical specimens whether neoplastic or

nonneoplastic

21

c.102. Dissect safely and sample accurately all major cancer resection

specimens, without damage to tissues according to the general principles of

dissection and to complete standards gross reports.

c.103. Handle and select appropriate tissue from fresh specimen for frozen

section examination

c.2. Laboratory Processes and Surgical Reporting


c.201. Set up a microscope with safety and operate it effectively.

c.202. Recognize faults and artifacts of glass slide preparation, e.g. air-

drying.

c.203. Recognize the microscopic features of tissue structure in normality

and disease.

c.204. Diagnose malignancy correctly in specimens from different organs

and serous fluids.

c.205. Diagnose and write a report for frozen sections.

c.206. Analyze and integrate clinical information and histopathology or

other investigations effectively into diagnosis.

c.207. Write an accurate report with clear conclusions that gives clinicians

the information they need.

c.208. Identify when to resort to special techniques.

c.209. Recognize when definitive diagnosis is beyond capability

c.208.Construct, review and edit a complete surgical pathology report. A

surgical pathology report components are:

a. Patient and institution identifiers.

b. Clinician and clinical service identifiers.

c. Clinical information and preoperative diagnosis.

d. Documentation of the date and time that specimens were obtained

e. Documentation of the date and time that specimens were submitted

f. Gross description.

g. Microscopic description, if indicated.

h. Final diagnosis.

c.209. Be able to prepare modifications and additions for reports.

c.210. Recognize how his/her professional practices affect other health care

professionals, the health care organization, and the larger society and how

these elements of the system affect their own practice.

22

a. Recognize the duties and the role of a surgical pathologist in

patient care.

b. Contribute to and attend at intra and interdisciplinary

conferences.

c.211. Practice cost-effective pathology (appropriate number of

sections/ordering of special studies) without compromising quality of

patient care.

d- General and Transferable Skills By the end of the course the candidate will be able to:

d.1. Plan and analyze a research project.

d.2. Develop protocols for research.

d.3. Use database to collect material needed for research.

d.4. Gather and organize material from various sources (including library,

electronic and online resources).

d.5. Present orally a research material (thesis) and deliver it in both

written and electronic forms.

e- Attitude By the end of the course the candidate will be able to:

e.1. Ensure that request form and specimen identification is accurate and


e.2. Select and describe carefully in details during surgical specimen cut

up and block selection.

e.3. Communicate with clinicians promptly and accurately.

e.4. Manage difficult and complex situations with patients and their

families, to advise them appropriately and to manage complaints

effectively.

e.5. Demonstrate acknowledgement of personal limitations and ask for

help and consultation

e.6. Ensure ethical approval and patient consent for clinical research.

e.7. Work cooperatively and be conscientious.

e.8. Respect colleagues, including nonmedical professionals and recognize

good advice.

23

3. Pathology Course Content

General Pathology Course Topics: 1. Cellular Adaptation, Cell Injury and Cell Death

2. Acute and Chronic Inflammation

3. Tissue Repair and Healing

4. Haemodynamic Disorders, Thromboembolic Diseases, and Shock

5. Genetic Diseases

6. Diseases of Immunity

7. Neoplasia

8. Infectious Diseases

9. Environmental and Nutritional Pathology

10. Diseases of Infancy and Childhood

Systemic Pathology Course Topics 1. Blood Vessels

2. Heart

3. Red Blood Cells and Bleeding Disorders

4. Diseases of White Blood Cells, Lymph Nodes, Spleen and Thymus

5. The Lung

6. Head and Neck

7. The Gastrointestinal Tract

8. Liver and Biliary Tract

9. The Pancreas

10. The Kidneys

11. The Lower Urinary Tract and Male Genital System

12. The Female Genital System

13. The Breast

14. The Endocrine System

15. The Skin

16. Bones, Joints and Soft Tissue Tumours

17. Peripheral Nerve and Skeletal Muscle

18. The Central Nervous System

19. The Eye and Accessories

20. Immunohistochemistry

21. Cellular Molecular Biology

22. Cellular Pathology

24

Elective Course: Electron Microscope, Molecular Biology or Genetics

4. Teaching and Learning Methods

1. Independent self-directed learning is encouraged by providing

reference text books. It is the candidate’s responsibility to seek

opportunity for experiential learning.

2. The most important learning method will be day-to-day work.

Histopathology candidates (trainees) are amongst the most closely

supervised groups in postgraduate medical training. This close

supervision allows frequent short episodes of teaching, which

may hardly be recognized as such by candidates.

3. Regular weekly slide seminar alternating with a lecture will be

held and presented by professors of Pathology.

4. Attending in Pathology Lab for receiving and checking request

forms for gross pathologic specimen is mandatory for examination,

gross description and practicing dissection of various gross

pathologic specimens under the supervision of professors, assistant

professors and lecturers.

5. Self directed learning: Research assignment is given to candidates

to gather, organize and present information orally and

electronically on topics selected by Pathology professors.

6. Scientific meetings: research and the understanding of research are

essential to the practice of histopathology. Candidates (Trainees)

should be encouraged to attend and present their work (case

presentation and research assignment presentation) at relevant

meetings.

7. Attending clinicopathological conferences offers the opportunity

for candidates (trainees) to develop an understanding of clinical

25

management and appreciate the impact of histopathological

diagnosis on patient care.

5. Candidate Assessment Methods

5.1. Written examination: 2 written papers 3 hours each

The exam may include short questions, essay questions, multiple choice

questions and problem solving cases to assess the knowledge,

understanding and intellectual skills.

5.2. Practical examination to assess practical and professional skills in

the form of:

a) Dissection and gross description for gross pathologic specimens

b) Diagnosis and reporting: 1. Histopathology: haemotoxylin and eosin stained slides to assess

the knowledge and understanding, intellectual, professional and practical

skills. The cases are drawn from a wide range of organ systems The cases

will represent a range of difficulty from straightforward cases readily

diagnosable on a single Hx&E section and more complex cases requiring

more detailed description, differential diagnosis and special techniques.

2. Cytopathology: a number of cases will be provided.

3. Frozen section examination: slides of previous cases needing

frozen section examination.

4. Immunohistochemistry: previously stained slides.

5.3. Oral examination to assess knowledge and understanding,

intellectual and communication skills.

5.4. Log Book: The principle is that candidates (trainees) are assessed on

work that they are actually doing and that, as far as possible, the assessment

is integrated into their day-to-day work. It includes:

a) Case presentation is a way for trainees to present and discuss their

cases with more experienced colleagues throughout their training and

obtain systematic and structured feedback. It is designed to assess decision-

making and the application or use of medical knowledge. This can be

evaluated as follows:

26

Presenting complex case such as a major resection specimen or one

requiring immunohistochemistry or other special techniques for

diagnosis

Discussion of a case involving diverging diagnostic opinions.

b) Research assignment is given to candidates to gather, organize

and present information orally and electronically on topics selected

by Pathology professors.

c) Direct observation of practical skills (DOPS) is used for assessing

competence in the practical procedures that trainees undertake e.g.

Dissecting surgical gross specimen

Setting up and using of microscope

Handling and preparing a specimen requiring paraffin and frozen

section examination including cutting and staining.

Diagnosing and reporting specimen requiring paraffin and frozen

section examination

Assessment of specimen stained with immunohistochemical

staining

Performing fine needle aspiration

Attending seminars, conferences workshops and thesis discussions

5.5. Submission of a thesis on a selected subject

6. Weighing of Assessments

Written Examination: 840 marks (2 papers each 420 marks) 60 %

Practical Examination: 420 marks 30 %

Oral Examination: 140 marks 10 %

Total: 1400 marks

During the semester: 80 x 5 (semesters) = 400 marks

Elective Course: Written: 60 marks, Practical: 30 marks and Oral: 10

marks Total: 100 marks

The total grade for Doctorate Degree in Pathology is 1900 marks (1400

marks + 400 marks during the semester + 100 of elective course)

Assessment of the thesis: Accepted/ or not

7. List of References

27

7.1 Course notes

No department course notes for postgraduates

7.2 Essential books (text books)

Rosai and Ackerman’s Surgical Pathology 9th edition 2004 Mosby

Sternberg Diagnostic Surgical Pathology 4th edition 2004 Lippincott

Williams & Wilkins (LWW)

Enzinger and Weiss Soft Tissue Tumors 4th edition 2007

Robbins and Cotran Pathologic Basis of Disease 7th edition 2004

Philadelphia, PA W.B. Saunders.

Kumar, V. (Ed.), Cotran, R. S., Robbins, S. L. Basic Pathology 8th

edition (2007) Philadelphia, PA: W.B. Saunders.

7.3 Recommended books

Curran Histopathology Atlas

7.4: Periodicals and Web sites http://www.webpath,

http://www.pathguy

http://www.pathmax.com,

http://www.uwo.ca/pathol/resources.html

Elective Courses

Course Specifications of Electron Microscopy for Medical Doctorate in

Pathology

Programme on which the course is given: Doctorate Degree of

Pathology.

Major or minor element of programme: Elective course.

Department offering the programme: Pathology Department.

Department offering for the course: Electron Microscopy Unit -

Pathology Department.

Academic Year/Level: Given in the sixth semester of doctorate degree.

Date of Specification Approval: 1/10/2009.

A-Basic Information

Title: Electron Microscopy Course Specification Code: E7106

Credit Hours: Two Lectures:

B-Professional Information

http://www.pathguy/

http://www.pathguy/

http://www.pathmax.com/

http://www.uwo.ca/pathol/resources.html

28

1. Overall Aims of Course

Electron microscopy (EM) deals with and studies the ultra-structure of

different tissues and cells, and it is one of the tools helpful in the diagnosis

of some diseases as renal diseases, muscle diseases, nerve diseases and

storage diseases. Moreover it is also helpful in the diagnosis of

undifferentiated malignant tumours. Concerning research, EM is one of the

tools helpful in detection of the fine ultra-structure of tissues that may aid

in the progress of the scientific research. So pathologists should be familiar

with the pathologic applications of EM, they should also know the

principles of specimen preparation for EM and be able to interpret the

electron micrographs

2-Intended Learning Outcomes of Course (ILOs)

a-Knowledge and Understanding:


a.1-Recognize the structure of the electron microscope and the function of

each part.

a.2- List the steps of specimen preparation for EM examination.

a.3-Explain the importance of each step of specimen preparation.

a.4-Recognize and describe the basic ultra-structure of cells and tissues.

a.5- List and describe the ultra-structural changes in different renal

diseases, muscle diseases, nerve diseases and storage diseases as well as

some malignant tumours.

a.6-Explain and interpret the relation between the light microscopic

pathologic changes and the ultra-structural changes of the different renal

diseases, muscle diseases, nerve diseases and storage diseases.

a.7- Identify the ultra-structural changes in electron micrographs of

different renal diseases, muscle diseases, nerve diseases and storage

diseases as well as some malignant tumours.

b-Intellectual Skills:


b.1- Correlate the light microscopic picture and the ultra-structural

changes of the different renal diseases, muscle diseases, nerve diseases and

storage diseases.

b.2-Interpret and integrate the ultra-structural changes in electron

micrographs of different renal diseases, muscle diseases, nerve diseases and

storage diseases.

29

b.3-Diagnose different common renal diseases, muscle diseases ,nerve

diseases and storage diseases as well as some malignant tumours based

upon the light microscopic picture and ultra-structural changes in electron

micrographs .

c-Professional and Practical Skills:


c.1- Recognize and interpret the defects in specimen preparation for EM

examination.

c.2- Select the appropriate preservative material for EM specimens.

d-General and Transferable Skills:


d.1- Work with the team and apply the rules of the working group.

d.2- Gather and organize material from various sources (including

library, electronic and online resources)

d.3-Attend and share in clinic-pathologic meetings and conferences for

continuing professional development.

3-Electron Microscopy Course Content:

Basics of Electron microscopy:

Technique of specimen preparation for EM.

Basic structure of the Electron Microscope.

Basic ultra-structure of the cell.

Basic ultra-structure of the connective tissue.

Basic ultra-structure of epithelial tissue.

Pathologic applications of EM:

Ultra-structural changes in different renal diseases.

Ultra-structural changes in different muscle diseases

Ultra-structural changes in different nerve diseases

Ultra-structural changes in different storage diseases

Ultra-structural features of some tumours

Tutorials

Practical Lectures

30

1 h 1 h Technique of specimen

preparation for EM.

1 h 1 h Basic structure of the

Electron Microscope.

1 h 4 hs 2 hs Basic ultra-structure of

the cell.

1 h 1 h Basic ultra-structure of

the connective tissue.

1 h 1 h Basic ultra-structure of

epithelial tissue.

1 h 6 hs 4 hs Ultra-structural changes

in different renal

diseases.

4 hs 2 hs Ultra-structural changes

in different muscle

diseases

4 hs 1 h Ultra-structural changes

in different nerve

diseases


in different storage

diseases


of some tumours

2 hrs 28 hs 30 15 hs Total = 2 credit hours

4-Teaching and Learning Methods

31

1- Lectures are given by power point presentation.

2- Practical training in the EM lab on the specimen preparation.

3- Practical training in the EM lab on the specimen examination by

Electron Microscope.

4- Practical training on the interpretation of the electron micrographs.

5- Tutorials for training on the collaboration of the light microscopic

picture and ultra-structural changes in different pathologic lesions into

specific diseases entities.

5-Candidate Assessment Methods

Final Exam

1-Written Exam: whether short questions, essay questions, multiple

choice questions and problem solving cases to assess the knowledge,

understanding and intellectual skills.

2-Oral Exam: to assess knowledge, understanding, intellectual and

communication skills.

3-Practical Exam: to assess knowledge, understanding and intellectual

skills.

Weighing of Assessments

Written Exam 60 marks

Oral Exam 10 marks

Practical Exam 30 marks

Total 100 marks

6-List of References:

1-Course notes:

Electron Microscopy Notes written by staff members of Pathology

Department

2-Text Books:

-Bancroft JD, Gamble M; Theory and Practice of Histological Techniques.

Fifth edition (2002).

-Fawcett DW, Jensh RP.; Bloom and Fawcett's Concise Histology.Second

edition (2002).

-Heptinstall RH; Pathology of the Kidney. Sixth edition (2007).

32

-Dubowitz V, Sewry CA; Muscle Biopsy .A Practical Approach.Third

edition (2007).

-Schröder JM; Pathology of Peripheral Nerves. An Atlas of Structural and

Molecular Pathological Changes.(2001).

3-Periodicals and websites

-Journal of Nephrology and Transplantation.

-Ultra-structural Pathology.

7-Facilities required for Teaching:

Teaching accommodation, EM laboratory, library, data show projector and

computer.

Teaching Professors and Course Coordinators:

Prof. Elham Seif

Prof. Nadia Galal

Ass. Prof. Manal Salman

Course Specification of Molecular Biology for Medical Doctorate in

Pathology

University: Ain Shams University Faculty: of Medicine

Course specifications

Course specifications

Program on which the course is given: Medical Doctorate in pathology

Major or minor element of programs: Elective Course

Department offering the program: Pathology department

Department offering the course: Anatomic pathology and Medical

biochemistry departments

Academic Level: Given in the sixth semester of doctorate degree.

Date of specification approval: October 2009

A- Basic Information

Title: Pathology Molecular biology course Code: E6002

Credit Hours: 2 credit hours Lecture: Total:

Coordinator: Prof.Thanaa El.sayed Helal and Prof.Sanaa Eissa Mahmoud

33

B - Professional Information

1- Course Aims:


a) Understand the key features and operating principles of the organization

of human genome, control of gene expression and DNA repair.

b) Define and classify the genes involved in carcinogenesis and other

pathologic conditions.

c) Explain the molecular steps of carcinogenesis.

d) Specify the genes and the molecular pathways of the common

carcinomas as in carcinomas of the breast, liver, stomach, colon, bladder,

lung…etc.

2- Intended Learning Outcomes (ILOs) from the Course:

a- Knowledge and understanding


a1 - Describe the nucleotides, DNA and RNA structure.

a2 - Understand the processes of replication, DNA repair, transcription and

translation.

a3 – Demonstrate knowledge of the genes involved in carcinogenesis and

other pathologic conditions.

a4- Demonstrate and understanding of the molecular steps of

carcinogenesis in general and specifically in various cancers.

b- Intellectual skills


B1 - Read and evaluate scientific literature in the molecular biology

sciences.

B2- Asses the medical literature to gain further information on the

molecular bases of disease

c- Professional skills


C1- Utilize the molecular methods for diagnosis of diseases

C2- Address the possible applications of molecular biology in gene therapy

of cancer patients

d- General and transferable skills


34

d1 - Work effectively in a group during preparation of seminars

d2- work in teams to communicate concepts of molecular bases of

diseases to non specialist audiences

d3- Work independently to report an assigned research topic by using

specialist journal articles

3- Course Content:

Topics

No. of hours

L T C/P SDL

Basic DNA structure 1

DNA replication 2

DNA repair 1

RNA structure and transcription 2

Post transcriptional modification 1

Genetic code 1

Protein synthesis (Translation ) and

Post translation processing

1

Techniques Molecular methods of cancer

diagnosis

Special

topics

Molecular bases of disease

Genes involved in carcinogenesis

Molecular steps of carcingenesis

Molecular bases of special cancers

L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self

directed learning

4 - Student Assessment Methods

4.1 Essays &MCQ to assess knowledge and understanding

4.2 case study to asses the ability of problem solving and critical thinking

4.3 oral exam to asses the intellectual and communication skills

Weighing of assessment

Written Exam 60 marks

Oral Exam 10 marks

Practical Exam 30 marks

Total 100 marks

35

5 -- List of References

5.1- Course Notes (paper and / or electronic)

Electronic lectures

5.2- Essential Books (Text Books)

Core concepts in clinical molecular biology

Basic pathology 8th ed.Kumar, Cotran and robbins (2007).sounders Co.

5.3- Recommended Books

………………………………………

5.4- Periodicals, Web Sites, etc

http://www.web-books.com/MoBio/

http://www.coe.uncc.edu/~hhilger/EB_I_F_06/web_links_on_basics_of_m

olecular_biology.htm

Basics

http://plato.acadiau.ca/courses/biol/Microbiology/Basics.htm

Cell structure http://www.wiley.com/legacy/college/boyer/0470003790/animations/cell_s

tructure/cell_structure.htm

http://www.cellsalive.com/cells/3dcell.htm

DNA

http://www.pbs.org/wgbh/nova/genome/dna.html#

http://www.johnkyrk.com/DNAanatomy.html good link

http://www.pwc.k12.nf.ca/wadey/biotech/dna1.swf

Replication

http://www.johnkyrk.com/DNAreplication.html

http://highered.mcgraw-

hill.com/sites/0072437316/student_view0/chapter14/animations.html#

http://www.wiley.com/college/pratt/0471393878/student/animations/dna_re

plication/index.html

Transcription

http://www.johnkyrk.com/DNAtranscription.html very good link

Protein synthesis

http://www.johnkyrk.com/DNAtranslation.html very good link

http://www.wisc-online.com/objects/index_tj.asp?objid=AP1302

http://highered.mcgraw-

hill.com/sites/0072437316/student_view0/chapter15/animations.html

http://learn.genetics.utah.edu/units/basics/transcribe/

http://library.thinkquest.org/20465/g_DNATranscription.html

http://www.web-books.com/MoBio/

http://www.coe.uncc.edu/~hhilger/EB_I_F_06/web_links_on_basics_of_molecular_biology.htm

http://www.coe.uncc.edu/~hhilger/EB_I_F_06/web_links_on_basics_of_molecular_biology.htm

http://plato.acadiau.ca/courses/biol/Microbiology/Basics.htm

http://www.wiley.com/legacy/college/boyer/0470003790/animations/cell_structure/cell_structure.htm

http://www.wiley.com/legacy/college/boyer/0470003790/animations/cell_structure/cell_structure.htm

http://www.cellsalive.com/cells/3dcell.htm

http://www.pbs.org/wgbh/nova/genome/dna.html

http://www.johnkyrk.com/DNAanatomy.html

http://www.pwc.k12.nf.ca/wadey/biotech/dna1.swf

http://www.johnkyrk.com/DNAreplication.html

http://highered.mcgraw-hill.com/sites/0072437316/student_view0/chapter14/animations.html


http://www.wiley.com/college/pratt/0471393878/student/animations/dna_replication/index.html

http://www.wiley.com/college/pratt/0471393878/student/animations/dna_replication/index.html

http://www.johnkyrk.com/DNAtranscription.html

http://www.google.com/url?sa=D&q=http%3A%2F%2Fwww.johnkyrk.com%2FDNAtranslation.html

http://www.wisc-online.com/objects/index_tj.asp?objid=AP1302



http://learn.genetics.utah.edu/units/basics/transcribe/

http://library.thinkquest.org/20465/g_DNATranscription.html

36

http://www.brookscole.com/chemistry_d/templates/student_resources/share

d_resources/animations/protein_synthesis/protein_synthesis.html

http://www.biostudio.com/demo_freeman_protein_synthesis.htm

Beginner’s Guide to Molecular Biology

http://www.rothamsted.ac.uk/notebook/courses/guide/

http://publications.nigms.nih.gov/insidethecell/chapter1.html

http://www.cs.washington.edu/homes/tompa/papers/molbio.pdf

http://en.wikipedia.org/wiki/Central_dogma_of_molecular_biology

http://en.wikipedia.org/wiki/Molecular_biology

Molecular Pathology

www.Washington.edu/student/crscat/patho.html

http://malpath.ucsd.edu/classes/spp5240.shtml

Waiting for course specifications for Genetics

http://www.brookscole.com/chemistry_d/templates/student_resources/shared_resources/animations/protein_synthesis/protein_synthesis.html

http://www.brookscole.com/chemistry_d/templates/student_resources/shared_resources/animations/protein_synthesis/protein_synthesis.html

http://www.biostudio.com/demo_freeman_protein_synthesis.htm

http://www.rothamsted.ac.uk/notebook/courses/guide/

http://publications.nigms.nih.gov/insidethecell/chapter1.html

http://www.cs.washington.edu/homes/tompa/papers/molbio.pdf

http://en.wikipedia.org/wiki/Central_dogma_of_molecular_biology

http://en.wikipedia.org/wiki/Molecular_biology

http://www.washington.edu/student/crscat/patho.html

37

V- General Information

1 – Monitoring Of Training and Submission Of Training Reports You must keep proper and updated records in your logbook to

reflect the activities encountered in your training. Your logbook must be

duly endorsed by an authorized signatory at the end of each semester.

You will be continuously assessed by your supervisors, in

consultation with head of department. An assessment will be submitted

within 2 weeks of completion of each semester.

2 - Miscellaneous Information:

Injury and/or Blood or Body Fluid Exposure: During regular working hours, you should immediately report an exposure

to incident injury during surgical cut up. Please report to the Emergency

Department.

Please also be sure to inform the supervisors of an exposure

incident and/or injury.

3 - Action Completion of Practical Training

Once all training sessions are completed the log book should be

signed by the senior supervisor and the head of the department and then

should be submitted to post graduate Secretariat.

VI – Your log book

1- Introduction The aim of this book is to give you a guide to the expectations for each

item. It will be a guide for both you and your teachers to what you should

be seeing and doing.

It will give you a list of the important topics that you should think about

and should be covered in:

1. Practical sessions

2. Seminars

3. Self-directed learning (SDL)

Remember

This document is only a guide. It is not an exhaustive list. It is not just a

checklist to score points. It is a guide to encourage you to read and learn

more. This book is for your benefit. It will form a record of your clinical

38

training and experience.

2 - Supervisors ………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………

3–Tables for Training Records Candidates are required to fulfill the listed activities in order to be eligible

for the exam entry. The minimum number required for each activity is

stated in the tables. You are free to attend more and record your extra

attendance.

Weekly Department Plan (The schedule for slide seminar and lectures will

be announced in the department) Day /time Saturday Sunday Monday Tuesday Wednesday Thursday

Lab

Activities

9am-1pm 9am-1pm 9am-1pm 9am-1pm 9am-1pm 9am-1pm

Slide

Seminar/

Lecture

Scientific

Meeting

Monthly activity……………………………….

Sixth monthly activity …………………………

Yearly activity: Faculty Conference

39

Candidate’s Role in the Pathology Lab:

The candidate attends and actively participates in the Pathology laboratory day to day work including surgical cut up of gross pathology specimens, frozen section examination and fine needle aspiration and examination. The candidate is responsible for receiving the daily requests and pathology gross specimens, reviewing them promptly and accurately for history and relevant clinical data. The candidate will first attend and observe senior trainees (candidates) then he /she will actively participate in dissection under close supervision. He/ she will ensure that the slides have no artifacts, examine the slides and write a preliminary report and diagnosis (draft). Discussion with the staff member is followed. Accurate revision of the pathology report is the responsibility of the candidate after being written by a staff member. The candidate is required to present interesting pathology cases whenever required from him/her.

The candidate is expected to:

1. Enthusiastically perform and complete the assigned duties and services.

2. Read extensively about the diseases encountered.

3. Acquire understanding and experience with the technical and mechanical aspects of the laboratory.

4. Develop the skills required to communicate information about Pathology.

5. Gain experience in the skills required for problem solving and for interpretation of data.

6. Gain experience in laboratory management, and informatics.

7. Assume a role in the education of colleagues, medical students, and allied health professionals.

Candidates are required to attend (100) Pathology Lab for gross dissection and microscopic examination over a period of 6 semesters (60 weeks). Activities done in each Lab are documented in the activity log book including number of specimens received and dissected, histopathological cases examined, frozen sections, cytology cases, with reference to interesting cases.

40

A minimum of 1000 gross specimens handling, 1000 histopathologic cases examination, 60 frozen section examination, 250 cytology cases examination are required. Candidates completing the pathology course for master degree will:

o Acquire core knowledge of disease processes affecting each organ system, with an emphasis on understanding mechanisms, causes and courses of human disease.

o Develop the diagnostic skills and training to provide high quality laboratory services including immunohistochemistry and electron microscopy for the diagnosis, management and prognostic evaluations of patients.

o Interpret the effects of disease on patient tissues and other specimens.

o Learn to make clinicopathological correlations and communication. o Use observation, data analysis and different research methods to

improve his knowledge about the disease and its treatment. o Develop consultative skills with medical colleagues. o Generate a useful and informative surgical pathology report.

o Develop skills for teaching students (for members of our department only), junior candidates, medical colleagues or other allied health personnel about disease and about the use of the laboratory in patient care.

o Stimulate candidates’ interest in pathology so that they will read and expand their core knowledge as a basis for their professional life.

41

Pathology Laboratory Activities (100 are minimally required)

Lab number 1 Date

Gross Specimens

Histopathology Cases

Frozen sections Cytology Cases

Examples of interesting cases

1.

2.

3.

4.

5.

Signature of Attending Staff

Lab number 2 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 3 Date

Gross Specimens




1.

2.

3.

4.

5.


42

Lab number 4 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 5 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 6 Date

Gross Specimens




1.

2.

3.

4.

5.


43

Lab number 7 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 8 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 9 Date

Gross Specimens




1.

2.

3.

4.

5.


44

Lab number 10 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 11 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 12 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


45

Lab number 13 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 14 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 15 Date

Gross Specimens




1.

2.

3.

4.

5.


46

Lab number 16 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 17 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 18 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


47

Lab number 19 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 20 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 21 Date

Gross Specimens




1.

2.

3.

4.

5.


48

Lab number 22 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 23 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 24 Date

Gross Specimens




1.

2.

3.

4.

5.


49

Lab number 25 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 26 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 27 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


50

Lab number 28 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 29 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 30 Date

Gross Specimens




1.

2.

3.

4.

5.


51

Lab number 31 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 32 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 33 Date

Gross Specimens




1.

2.

3.

4.

5.


52

Lab number 34 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 35 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 36 Date

Gross Specimens




1.

2.

3.

4.

5.


53

Lab number 37 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 38 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 39 Date

Gross Specimens




1.

2.

3.

4.

5.


54

Lab number 40 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 41 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 42 Date

Gross Specimens




1.

2.

3.

4.

5.


55

Lab number 43 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 44 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 45 Date

Gross Specimens




1.

2.

3.

4.

5.


56

Lab number 46 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 47 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 48 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


57

Lab number 49 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 50 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 51 Date

Gross Specimens




1.

2.

3.

4.

5.


58

Lab number 52 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 53 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 54 Date

Gross Specimens




1.

2.

3.

4.

5.


59

Lab number 55 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 56 Date

Gross Specimens




1.

2.

3.

4.

5.


Lab number 57 Date

Gross Specimens




1.

2.

3.

4.

5.


60

Lab number 58 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 59 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 60 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


61

Lab number 61 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 62 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 63 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


62

Lab number 64 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 65 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 66 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


63

Lab number 67 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 68 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 69 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


64

Lab number 70 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 71 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 72 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


65

Lab number 73 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 74 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 75 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


66

Lab number 76 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 77 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 78 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


67

Lab number 79 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 80 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 81 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


68

Lab number 82 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 83 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 84 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


69

Lab number 85 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 86 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 87 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


70

Lab number 88 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 89 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 90 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


71

Lab number 91 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 92 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 93 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


72

Lab number 94 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 95 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 96 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


73

Lab number 97 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 98 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Lab number 99 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


74

Lab number 100 Date

Gross Specimens


Frozen sections

Cytology Cases


1.

2.

3.

4.

5.


Scientific Meetings Attendance (8 are minimally required)

1st Meeting Date Staff Member

Interesting cases

1.

2.

3.

2nd Meeting

Date Staff Member

Interesting cases

1.

2.

3.

3rd Meeting

Date Staff Member

Interesting cases

1.

2.

3.

75

4th Meeting Date Staff Member

Interesting cases

1.

2.

3.

5th Meeting Date Staff Member

Interesting cases

1.

2.

3.

6th Meeting

Date Staff Member

Interesting cases

1.

2.

3.

7th Meeting

Date Staff Member

Interesting cases

1.

2.

3.

8th Meeting

Date Staff Member

Interesting cases

1.

2.

3.

76

Slide Seminars and Lectures Attendance (20 are minimally

required)

Date Title of Seminar Authorized Staff Member Signature

77

National and International Conferences Attendance

Date Title of Conference

Scientific Session

Title

Speaker Presented Summary

Head of Department

Thesis Discussions Attendance

Date Title of Thesis Authorized Staff Member Signature

78

Global Evaluation of Lab Activities Rating Scale:

1= unsatisfactory, 2= marginal, 3= satisfactory

Rating Gathers essential and accurate clinical information

Reviews previous pathology reports/slides

Dissects and gross describes accurately

Recognizes normal anatomy and histology

Recognizes basic as well as advanced pathologic processes such as inflammation, repair, dysplasia, and neoplasia

Diagnoses accurately or generates differential diagnoses based on independent review of slides

Constructs and edits a complete surgical pathology report including: patient and institution identifiers, clinician and clinical service identifiers, clinical information and preoperative diagnosis, documentation of the date and time that specimens were obtained, documentation of the date and time that specimens were submitted, gross description., microscopic description, if indicated, and final diagnosis.

Participates actively in frozen sections including formulating an accurate diagnosis

Recognizes the importance of the ongoing professional growth through independent reading and literature search and attendance at conferences, seminars, workshops, and thesis discussions.

Locates and assimilates evidence from scientific studies

Uses information technology to manage information and access on-line medical information to support his/her own education Follows instructions

Demonstrates knowledge of personal limitations and ask for help and consultation

79

Contributes to timely completion of reports

Practices cost-effective pathology as taking appropriate number of sections and ordering of special studies, etc

Follows instructions

Demonstrates enthusiasm and asks relevant questions

Works effectively with others as a member of a health care team

Communicates with clinicians promptly and accurately.

Ensures ethical approval and patient consent for clinical research.

Responds timely to patient’s family’s and clinician’s needs

Respects patient specimens and maintains patient confidentiality

80

Global Evaluation Form of Professional Attitude, Interpersonal and Communication Skills

Rating Scale: 1= unsatisfactory, 2= marginal, 3= satisfactory

Rating

1. Communicates with clinicians promptly and accurately.

2. Demonstrates knowledge of personal limitations and ask for help and consultation.

3. Ensures ethical approval and patient consent for clinical research.

4. Maintain patient confidentiality.

5. Shows respect for others opinions.

6. Works cooperatively and is reliable

7. Volunteers to take on additional work without being asked

8. Completes tasks on time. When given extra responsibilities, he/she consistently completes the project without constant reminders.

9. Respects colleagues, including nonmedical professionals and recognize good advice.

10. Understands the importance of continuing professional development.

11. Demonstrates self-analysis to identify strengths and deficiencies.

Overall Performance Score:

Staff Member Signature:

81

5 - Log book preview

The candidate logbook will be reviewed and patients seen/ skills performed

summarized by diagnosis groups during the semester evaluation and at the

end of the course in the table below. The results of this review will be

totaled in the summary chart below.

For Medical Doctorate in Pathology

Summary

Semester 1

st 2

nd 3

rd 4

th 5

th 6

th Total

Activity No No No No No No Pathology Lab Activities

Scientific Meeting

Attendance

Slide Seminars & lecture

Attendance

National & International

Conferences Attendance

Thesis Discussions

Attendance

Supervisor Signature

VII - HEAD OF DEPARTMENT APPROVAL FOR THE EXAM

ENTRY

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

______________________________________

82

VIII – THESIS FOLLOW UP

ىيق ىوف ىس ىؼص /

ػ ىلصىب /

ىقا ىاالا ىاميا ت (

قس /

تق ىسص ت المصت ت ىش ي

قلغ هتص ذا لغ ىص ت ىؼيا اأ

اي ىجغ يصء ميص ا ىقاا أهل ػي م

قلغ هتص ذا ىجزء ىؼي اأ

اي ىيذيو أهل ػي ميصء

قلغ هتص ذا ىيص ج اأ صقشا

اي ىيذ أهل ػي ميصء

قلغ هتص ذا ى لؼا ىص ا غ ىش ا اأ

ايص تصص أهل ػي ميصء

------------------------------------------------------------------------------------------------

ياأ ىسص ت ىش

ا ىقا امي ا قا ىلصىب

هلب قا ىلصىب

تصاد ىيشنو / / ت تشنو ىجا ىصقشا ؼ

ال

ا / هلب ىقا

83



ػ ىلصىب /


قس /

ت ىش يتق ىسص ت المصت


اي ىجغ ميص ا ىقاا أهل ػي ميصء



قلغ هتص ذا صقشا ىيص ج اأ



ايص تصص يصء أهل ػي م

------------------------------------------------------------------------------------------------

اأ ىسص ت ىش ي

ا ا ىق امي ا قا ىلصىب


ت تشنو ىجا ىصقشا ؼ تصاد ىيشنو / /

ال

/ هلب ىقا ا

84



ػ ىلصىب /


قس /


ص ذا قلغ هت لغ ىص ت ىؼيا اأ








------------------------------------------------------------------------------------------------




ىصقشا ؼ تصاد ىيشنو / / ت تشنو ىجا

ال

ا / هلب ىقا

85


/ ىيق ىوف ىس ىؼص

ػ ىلصىب /


قس /



ىجغ اي ميص ا ىقاا أهل ػي ميصء



قلغ هتص ذا اأ صقشا ىيص ج


ا قلغ هتص ذ ى لؼا ىص ا غ ىش ا اأ


------------------------------------------------------------------------------------------------





ال

ا / هلب ىقا

86



ػ ىلصىب /

ىقا ىاالا / ىاميا ت (

قس /


قلغ هتص ذا ىؼيا اأ لغ ىص ت







ص تصص اي أهل ػي ميصء

------------------------------------------------------------------------------------------------





ال

ا / هلب ىقا

87



ػ ىلصىب /


قس /



اي ىجغ قاا أهل ػي ميصء ميص ا ى





قلغ هتص ذا ىص ا غ ىش ا اأ ى لؼا


------------------------------------------------------------------------------------------------




ؼ تصاد ىيشنو / / ت تشنو ىجا ىصقشا

ال

ا / هلب ىقا

88

VIII – EVALUATION FORMS

Evaluation Form at the end of 1st semester

To be completed at -------------------------------------

Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________ Agreed educational objectives and timescale in which objectives should be

achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Candidate

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Supervisor

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Date of next meeting

Signed by candidate

Signed by Supervisor

Date

89


Evaluation Form at the end of 2nd semester


Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

90


Evaluation Form at the end of 3rd semester


Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

91


Evaluation Form at the end of 4th semester


Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

92




Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

93




Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

94

Postgraduate Course Evaluation Form

To be filled after completion of the Pathology course & delivered on the last

day of your exam

1. Was the aim of the programme clearly stated?

Excellent Very good Fair Poor

2. Were the intended learning outcomes (detailed objectives) clearly stated?


3. How far have the objectives stated in the guide and activity book been achieved?


4. Were the teaching and learning methods suitable to gain the intended learning

outcomes?


5. Was the teaching staff available for consultation?


6. Grade your (candidate’s) role in the pathology lab


7. Grade the slide seminar held by staff members


8. Did the final exam evaluate ALL course objectives?


9. To what extent was the final exam evaluating your professional and practical

skills?


10. Are there any topics that you think should be added to the course or given more

time?

11. Are there any topics you think should be removed from the course or should be

given less time?

12. What can be done to address any objectives that have not been achieved?

95

Degree Program Evaluation Form by the Candidate

To be completed at the end of your degree.

Please consider each pair of statements and decide which most clearly reflects your view and tick one

box or answer the question.

I. Individual Information 1. Are you a graduate of ASU?

yes no to some degree 2. Year and semester when studies began: II. General Questions 1. What are the advantages/disadvantages of the general study environment at the University ASU? 2. What were your expectations when you applied to the degree? 3. Do you feel that the degree program prepares you well for your future studies or employment according to the demands and expectations of those institutions?

yes no to some degree 4. Has the time limit of the program (two or three academic years) caused you any difficulties or inconveniences?

yes no to some degree III. Structure of Degree Program 1. Did you receive enough guidance in planning your study schedule in the beginning of the program?

yes no to some degree 2. What were the main difficulties in the planning of your study schedule? 3. What is your general opinion on the structure of the degree program?

96

4. In your opinion, does the degree program offer a good balance of lectures, seminars, conferences, and book exams?

yes no to some degree a) General Studies i) Do you feel that you have received enough guidance on academic writing?

yes no to some degree ii) Do you feel that you have acquired sufficient knowledge on research skills (eg. quantitative and qualitative research methods)?

yes no to some degree b) Courses i) Have you had some special difficulties in completing some of the courses? Please specify. ii) Has there been a sufficient variety of courses offered for your optional studies?

yes no to some degree iii) Have you received enough guidance for the preparation of your thesis?

yes no to some degree IV. Concluding Points 1. Did the degree program meet your expectations?

yes no to some degree 2. What aspects of the degree program do you particularly like? 3. What aspects of the degree program do you particularly dislike? 4. What are your suggestions on how to improve the program? Thank you!

Documents

Medical Doctorate in Pathology - Ain Shams Universitymed.asu.edu.eg/uploads/med/MD_Pathology_201508171121.pdf · Medical Doctorate in Pathology ... histopathology or other investigations