ResidencyProgramManual

2013–2014

TheDepartmentofPathologyandCellBiologyMorsaniCollegeofMedicineUniversityofSouthFlorida

AnneChampeaux,MDProgramDirector

NicoleEsposito,MD

AssociateProgramDirector

SallyLamarProgramCoordinator

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PURPOSEOFMANUAL

Thismanualcontainsinformationwhichyouwill findusefulasyoubecomefamiliarwiththeDepartment, itsmultifacetedmission, and your role as a resident. It can serve as avaluablereferencetoolforquestionsondepartmentalresidencypolicy.TheDepartmentofPathologyandCellBiologyatUSFhasseveralprimaryobjectives.Theseinclude:

1) Teachingof:a. Medicalstudentsb. Graduatestudents

2) Trainingof:a. Residentsb. Pathologyfellowsc. Postdoctoralresearchfellows

3) Patientcarea. MedicalClinicsb. MorsaniCenterforAdvancedHealthCarec. Affiliatedhospitals

4) Research

a. Basicb. Translational

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I. WELCOMEANDINTRODUCTIONTOTHEDEPARTMENTOFPATHOLOGYANDCELLBIOLOGY

Welcome to the Department of Pathology and Cell Biology at the University of SouthFloridaHealthMorsaniCollegeofMedicine.TheidentificationofPathologyasadisciplinebridgingthebasicandclinicalsciencesisparticularlytruetodayaftertherecentmergingoftwo departments (Pathology and Anatomy) within the newly created School of BasicBiomedical Sciences. On the department websitehttp://health.usf.edu/medicine/pcb/index.htm you will find information on oureducational,research,clinicalandacademicactivitiesincludingshortprofilesoffacultyandtheirareasofexpertiseaswellasalistofgraduateandpostgraduatetrainees.

Ourmissionistostriveforexcellenceinteaching,research,academicserviceandpatientcare. Through its academic components of Anatomy and Pathology, the Departmentbridges basic and clinical knowledge and constantly pursues excellence in education,training, individual aswell as collaborative research, and in sophisticateddiagnostic andconsultativeservices.

Educational and training programs include teaching of medical students, PathologyResidency and Fellowship programs, training of clinical fellows, PhD and PostdoctoralResearchprogramsintheBiomedicalScienceswithconcentrationincancerbiology,andonsite and onlineMaster of Scienceprograms inAnatomy. Extramurally funded basic andtranslationalresearch is focusedonovariancancerdevelopmentalandmolecularbiologywith additional areas of interest in the neurosciences, Sertoli cell immunobiology andvirtualanatomy.

Clinical operations and training are based within the Department and at affiliatedinstitutions including the NCI‐designated H. Lee Moffitt Comprehensive Cancer Center,Tampa General Hospital, the James A. Haley and Bay Pines Veterans AdministrationHospitals,AllChildren'sHospitalandtheHillsboroughCountyMedicalExaminer’sOffice.

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Our ACGME‐accredited residency training program is based at the University Of SouthFloridaMorsaniCollegeOfMedicine,acommunity‐basedmedicalschoolwithaclasssizeof120.Like themedical school, itdraws from theeducationalopportunitiesat threemajorTampa hospitals: the James A. Haley Veteran’s Administration Hospital, Moffitt CancerCenterandResearchInstitute,andTampaGeneralHospitalaswellasattheHillsboroughCountyMedicalExaminer’sofficeandBayPinesVAHospital.Withfourresidentsacceptedannually throughERAS, andeight fellowshippositions, thereareabundantopportunitiesforexposuretoawidevarietyofcasetypes,patients,andteachingopportunities,aswellasregionalemploymentinthegreaterTampaBayarea.Thefaculty:traineeratioandnumberof pathology assistants at all institutions ensure adequate “scope time”, very reasonablecallpolicies,and,mostimportantly,amplestudyandresearchopportunities.Ouraimistofullyprepareyou for, and tailor your training to, either a career in academicsorprivatepracticebasedonyourinterestsandaptitudes.

A. MissionStatement 

ThemissionoftheResidencyTrainingProgramistopreparephysiciansforacareerineitheracademicor communitypathology. Successful completion of thismission is acomplextaskrequiringanintensive4‐yeareffortonthepartofbothfacultyandindividualresidents. TheDepartment's approach to thismission involvesa combinationof severalactiveandpassivemodalitiesincluding:1) Participationinpatientservicewithsupervisedgraduatedresponsibility2) Attendanceatdidacticconferences3) Presentationandparticipationininteractiveconferences4) Independentstudy5) Teachingmedicalstudentsandresidents6) Participationinhospitalcommitteesandnationalpathologyorganizations7) CompletionandpresentationofasupervisedresearchprojectThrough these activities, which are described in detail throughout this manual, eachresidentwhosuccessfullycompletes theprogramwillacquire theknowledgebase,skills,andjudgmenttocompetentlypracticepathology.Everyresidentwillcompleteanidentical"core" curriculum providing a basic foundation for the practice of pathology. Throughprotectedelectivetimeandindividualincentiveitishopedthateachresidentwilltailorhisorher training towardacademicorcommunitypracticewithaparticularsubspecialtyorindividualinterestinmind. 

II. PROGRAMDESCRIPTION 

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TheresidencyprogramattheDepartmentofPathologyandCellBiologyattheUniversityofSouth Florida Morsani College of Medicine is an ACGME‐accredited, integrated 4‐yearresidency program in Anatomic and Clinical Pathology. The basic core curriculum iscomplemented by a broad choice of electives allowing comprehensive preparation foreithercommunityoracademicpractice.Ourprogramemphasizesgraduatedresponsibilityinpatientcareandteachinginavarietyofpracticesettings,aswellasampleopportunityforsupervisedresearch. Activeparticipationinpatientcareservicesiscomplementedbyanextensivelectureandconferenceseriesinallaspectsofanatomicandclinicalpathology.

TheAnatomicPathologycurriculumincludestraininginautopsyandsurgicalpathology,cytopathology,pediatricpathology,neuropathology,dermatopathology,forensicpathology,andimmunohistochemistry.

The Clinical Pathology curriculum includes training in microbiology (includingbacteriology, mycology, parasitology, and virology), immunopathology, bloodbanking/transfusionmedicine,chemicalpathology,cytogenetics,hematology,coagulation,toxicology,medicalmicroscopy (includingurinalysis),molecularbiologic techniques, andlaboratoryadministration.

A. ACGMECoreCompetencies 

All ACGME‐accredited residency programs are required to define specific learningobjectives for residents to demonstrate knowledge in six areas essential to becoming acompetent physician. Programsmust define the specific knowledge, skills, and attitudesrequired and provide educational experiences as needed in order for their residents todemonstrate achievement of these “General Competencies”, which are defined below.Thesecompetenciesareintegratedintotheresidencyprograminareasofbothclinicalanddidacticexperiences.Rotationevaluationswillincludeassessmentinalloftheseareas.Thesixareasdefinedare: 

PatientCare‐compassionate,appropriate,andeffectiveforthetreatmentofhealthproblems and thepromotion of health. Residentsmust demonstrate a satisfactorylevelofdiagnosticcompetenceandtheability toprovideappropriateandeffectiveconsultationinthecontextofpathologyservices.

Medicalknowledge‐establishedandevolvingbiomedical,clinical,andcognate(eg,epidemiological and social‐behavioral) sciences and the application of thisknowledgetopathology.

Practice‐basedlearningandimprovement‐involvesinvestigationandevaluationoftheirdiagnosticandconsultativepractices,appraisalandassimilationofscientificevidence,andimprovementsintheirpatientcarepractices.

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Interpersonal and communication skills – results in effective informationexchange and collaboration with patients, their families, and other healthprofessionals.

Professionalism ‐manifested througha commitment to carryingoutprofessionalresponsibilities,adherencetoethicalprinciples,andsensitivitytoadiversepatientpopulation.

Systems‐basedpractice‐manifestedbyactionsthatdemonstrateanawarenessofandresponsivenesstothelargercontextandsystemofhealthcareandtheabilitytoeffectivelycallonsystemresourcestoprovidepathologyservicesthatareofoptimalvalue.

B. ScopeofPractice–PathologyAnatomic/Clinical 

Thefour‐yearAP/CPcurriculumisachievedbyafixedcurriculumcomposedof48monthsofrequiredrotations(20monthsanatomicpathologyand19monthsclinicalpathology)aswellas9monthsofelectiverotations.Thespecificgoalsandobjectivesofeachrotation,aswell as the manner in which progressive responsibility is achieved, are detailed in therotation descriptions. The following is a brief summary of the general duties of eachresidentateachlevelofresidencytraining. 

1. AnatomicPathology 

PGY–1

o Learntechniqueofautopsydissectionwithsupervisiono Dictategrossautopsyfindingsindependentlyo Signoutgrossandmicroscopicfindingswithattendingsupervisiono Grosssurgicalspecimenswithsupervisiono Becomefamiliarwithperformingfrozensectiontechniqueo Assesssurgicalslidesbeforesign‐outandpreparedifferentialdiagnoseso Introductiontoprinciplesofhistochemicalandimmunohistochemicalstainingo Introductiontoexfoliativecytology

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PGY–2

o Performautopsydissectionwithoutsupervision,beproficientinautopsypresentationskills

o Dictategrossandmicroscopicautopsyfindingsbeforesign‐outwithattendingo Grosssurgicalspecimensindependentlyo Workingknowledgeofspecimenprocessing,cutting,andstainingo FamiliaritywithIHCstainsandtheiruseindifferentialdiagnoseso Interfacewithcliniciansinworkupofsurgicalspecimens/diagnoseso Assesssurgicalslidesandbegintodevelopmoresophisticateddifferential

diagnoseso LearntechniquesandperformanceofFNA’s,bodyfluidexamo AttendCT‐guidedFNA’sandassessadequacyofspecimeno PerformandstaintouchprepsandrapidIHCstainingoncytologysampleso Assesscytologymicroscopicspecimensbeforesign‐outandbepreparedwith

differentialdiagnosis.

PGY–3

o Completeentireautopsywithminimalsupervisiono Performanddiagnosefrozensectionwithattendingbackupo Correctlycompletegrossandmicroscopicdictationonmostsurgicalsbefore

sign‐outwithattendingo Becomemoresophisticatedwithdifferentialdiagnosisofsurgicalspecimenso Befamiliarwithtechniquesandinterpretationofimmunofluorescenceand

electronmicroscopicspecimenso Independentconsultationwithcliniciansinwork‐upofsurgicalso Presentsurgicalcasesinmultidisciplinaryconferences

PGY–4

o Completeentireautopsywithminimalsupervisiono Perform,diagnose,andcallfrozensectionresultwithattendingbackupo Correctlycompletegrossandmicroscopicdictation,includingorderingIHCand

specialstains,onmajorityofsurgicalsbeforesign‐outwithattendingo Havesophisticatedknowledgeofdifficultcases,withfrequentuseofliterature

forbackupo Beproficientinuseandinterpretationofspecialdiagnostictechniques,including

molecularbiologictechniqueso Regularlyconsultwithcliniciansinmultidisciplinaryconferenceandinworkup

ofcaseso Supervisejuniorresidentsingrossandmicroscopicdiagnoses

 

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2. ClinicalPathology 

PGY–1

o Performbonemarrowbiopsywithsupervisiono Learnhowtoevaluateabasicbonemarrowbiopsyo Understandprocessingtechniquesforbonemarrowaspirateandbiopsyo Learnanemiaworkupo Introductiontoflowcytometrytechniqueso Beresponsiblefornighttimeandweekendcoverageofclinicalpathologylab,

withattendingbackupo ObservelaboratoryteachingsessionsinMSIIpathologycourse

PGY–2

o Evaluatepatientsforautologousdonationo Coverclinicallaboratorycalldayandnight,withattendingbackupo Learnmicrobiologiccultureandplatingtechniqueso Learnbasicsofmicrobiologicspecimenidentificationandcorrectlyworkup

threeunknownbacterialspecimenso Learnbasicsofparasitologyandfungalidentificationo AttendMSIIlaboratorysessionsandhelpattendingpresentgrossspecimens

PGY–3

o Learnprinciplesofbloodbanking,includingevaluationofdonoreligibilityo Performhospitalconsultsonpheresispatientso Learnprinciplesandtechniquesofcrossmatchandcompatibility,withbench

experienceo Chemistryo Labadministrationo TeachMSIIlaboratorysessionswithattendingsupervision

PGY–4

o Developsophisticatedknowledgeinthediagnosesofneoplastichematopathology,includingusesofflowcytometry,cytogenetics,andmolecularbiologictechniques

o Dictatehematologyconsultationcaseswithattendingbackupo Virologyo CP‐2descriptionso TeachMSIIlaboratorysessionswithattendingbackupo Serveonahospitaladministrativecommittee

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III. EDUCATIONALFACILITIESANDTRAININGSITES

A. USFHealthScienceCenter

TheDepartment of Pathology andCell Biology at theUniversity of South FloridaHealth,College of Medicine is located within the Health Sciences Center on the main Tampacampus. TheHealthSciencesCenterishometothemedicalschool,whichbeganin1971and currently accepts 120 freshman medical students each year. Nearby the HealthSciencesCentersits theUSFHealthMorsaniCenter forAdvancedHealthcare,a largeandactive multidisciplinary outpatient clinical center, which includes a surgery center anddiagnosticimagingcenter.

TheShimbergHealthSciencesLibraryisalsolocatedhere.Withserviceasitshallmark,theHinks and Elaine Shimberg Health Sciences Libraryhttp://health.usf.edu/library/home.html offers innovative technologies, educationalprograms, reference services, research assistance, and access to electronic and printresources in the biomedical sciences. Founded in 1971, the Library supports theinstructionalandresearchactivitiesoftheCollegesofMedicine,Nursing,PublicHealth,andtheSchoolofPhysicalTherapy.Thelibraryoffers3newlyremodeledconferencerooms,acomputer lab and a comfortable environment for study or research activities. TheShimberg Library subscribes to 2,718 online journals, 265 print journals, 65 researchdatabases and a collection of 30,650 health science books including 938 e‐books. Anextensivecatalogofinformationisavailablefulltextonline,andaninterlibraryloanserviceoffers researchers borrowing privileges from Universities nationwide. Professionallibrarians offer group and individualized instruction in the use of print and electronicresourcesandinformationmanagementskills.ForlibrarytrainingclassinformationortomakeanappointmentforindividualinstructionpleasecontactJohnOrriolaat974‐2990.

http://hsc.usf.edu/nocms/library/usf_ill.html

B. JamesA.HaleyVAMedicalCenter 

TheJamesA.HaleyVeteransHospitalisa327bedtertiarycareteachinghospital,with300authorized nursing home care beds (180 in Tampa, and 120 beds in Orlando) and isdedicated to providing the highest quality of patient care and services to veterans inCentral Florida. The full range of inpatient and outpatient care services is providedincluding Medicine (111 beds), Surgical (61 beds), Psychiatry (50 beds), Neurology (7beds), as well as a 60‐bed Spinal Cord Injury Service, and a 42‐bed ComprehensiveRehabilitationCenter.

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Tampa is also responsible for threemajorSatelliteOutpatientClinics located inOrlando,NewPortRichey, andViera, aswell as twoReadjustmentCounselingCenters inOrlandoandTampa.CommunityBasedOutpatientClinics(CBOCs)are locatedthroughoutCentralFloridasuchas:Lakeland(Polk),Brooksville(Hernando);Sanford(Seminole),Zephyrhills(Pasco)andinKissimmee(Osceola).TheTampaVAMCandits facilitiesserveveterans ineightcountiesofCentralFlorida:Brevard,Hernando,Hillsborough,Orange,Osceola,Polk,Pasco,andSeminolewithacombinedestimatedveteranpopulationof435,442.

TampaanditssatelliteclinicsmakeupthebusiestVAfacilitiesinthenation.Thehospitalwasactivatedin1972andisaffiliatedwiththeUniversityOfSouthFloridaMorsaniCollegeOf Medicine. Residency training programs are provided to 138 residents inmost of themedicalandsurgicalsubspecialties,aswellasPathology,Psychiatry,andRadiology.Othertrainingprogramsexist inNursing,Audiology/SpeechPathology,Pharmacy,SocialWork,Dietetics,NuclearMedicine,PhysicalandOccupationalTherapy,andRadiology.

ThePathologyandLaboratoryMedicineServiceisstaffedbyfull‐timeandpart‐timefacultymembers.In2008,therewereapproximately35,700surgicalspecimens,82,000surgicalslides,277bonemarrowexaminations,19,000immunohistochemistryslides,21autopsies,10,326regularcytology(GYN&NON‐GYN)and693fineneedleaspirationspecimens,1,593,932outpatientvisits,andapproximately7,326,824clinicallaboratorytests.Therearefacilitiesforimmunohistochemistry,flowcytometry,andmolecularpathology.

C. MoffittCancerCenter

H. Lee Moffitt Cancer Center and Research Institute is a 162 bed, specialized NCI‐designatedComprehensiveCancerCenteronthecampusoftheUniversityofSouthFloridaadjacenttotheCollegeofMedicine.Comprehensivein‐patientandout‐patientservicesareavailablethroughmultidisciplinarygroupsinwhichpathologyplaysavitalrole.Eachyearthe laboratory accessions approximately 11,000 surgicals, 8,300 frozen sections, 8000consultation/reviewcases, includingapproximately829cytologyreviews,8,418cytologyspecimens (including 3213 non‐gyn), 2095 bone marrow biopsies, 2281 fine needleaspiration biopsies and 20 autopsies. The laboratory also offers a full range of clinicalpathology services and has facilities for immunohistochemistry, flow cytometry, andfluorescentin‐situhybridization(FISH). 

D. TampaGeneralHospital 

Tampa General Hospital is a 958‐bed, county‐funded institution located in downtownTampathatservesasaprimaryteachingfacilityfortheCollegeofMedicine.Atotalof230autopsies, includingapproximately150embryoandearly fetalautopsies,21,770surgicalspecimens, and 5,780 cytology samples are examined annually. The hospital has activekidney, liver, lung, pancreas and heart transplant programs, a Level 1 Trauma Center, a

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RegionalCardiovascularCenter,andisthebaseforairborneadultandpediatricemergencyteams.Theclinicallaboratoryperformsmorethan3.5milliontestsperyear. 

E. OtherRotationSites 

ResidentrotationsarealsodoneattheBayPinesVAMedicalCenter,TheHillsboroughCountyMedicalExaminer’sOffice,andtheMorsaniCenterforAdvancedHealthCare.Pleaseseethecurriculumsectionformoreinformationaboutrotationsatthesesites.

F. TampaCommunity 

The Tampa campus of the University of South Florida and the College of Medicine arelocated in the rapidlygrowingsuburbanareaofnortheastTampa. Housing isaffordableand readily available in several pleasant local neighborhoods with easy access to theUniversity, thebeaches, andculturalactivitiesof thedowntownarea. Tampa ishome toBusch Gardens, the Florida Symphony, the world champion Tampa Bay Buccaneers, theworldchampionTampaBayLightning,TheTampaBayStorm, theTampaBayDevilRaysand the American Board of Pathology. The Tampa Bay area, which includes Tampa, St.Petersburg,andClearwater,isathrivingcommunityof2.39millionpeoplelocatedontheGulf ofMexico. The climate and location allow year round outdoor recreational activityincludinggamefishing,sailing,boating,tennis,andgolfing.

IV. CURRICULUMANDROTATIONS 

A. CoreCurriculumThefouryearsofcombinedanatomic&clinicalpathologytrainingaredividedasfollows:20mos.AP(assignedasfollows)CoreCurriculum19mos.CP(assignedasfollows)CoreCurriculum9mos.electives(APorCPfreelychosen)48mos.Total

PGY‐1Rotation    Location    Duration 

Surgical Pathology (AP)    JAHVA‐3; TGH‐4    7 months Cytology 1 (GYN) (AP)    Bay Pines VA    1 month Forensic Pathology‐Autopsy (AP)    County ME Office    1 month Hematopathology (CP)    JAHVA‐2; TGH‐1     3 months         12 months total 

PGY‐2Rotation    Location    Duration 

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Surgical Pathology (AP)    Moffitt    3 months Cytology  (Non‐GYN) (AP)    Moffitt    3 months Chemistry (CP)    JAHVA    3 months Hematopathology (CP)    Moffitt    3 months         12 months total 

PGY‐3Rotation    Location    Duration 

Surgical Pathology (AP)    JAHVA    2 months Molecular Pathology (CP)    JAHVA    1 month Electives (AP/CP)    VA/Moffitt/TGH    3 months Microbiology (CP)    JAHVA    3 months Forensic Pathology (AP)    County ME Office    1 month Blood Bank (CP)    TBD    2 months         12 months total 

PGY‐4Rotation    Location    Duration 

Surgical Pathology (AP)    USF    1 month Advanced Clinical Pathology‐Immunology (CP)    Moffitt    2 months Advanced Clinical Pathology‐Microbiology (CP)    Moffitt    2 months Electives (AP/CP)    VA/Moffitt/TGH    6 months Surgical Pathology (AP)    TGH    1 month         12 months total 

The rotations encompass training in anatomic pathology, including autopsy and surgicalpathology, cytopathology, pediatric pathology, dermatopathology, forensic pathology,immunopathology, histochemistry, neuropathology, cytogenetics, molecular biology,aspiration techniques, and other advanced diagnostic techniques as required by theAccreditationCouncilforGraduateMedicalEducation.

The CP rotations encompass training in microbiology (including bacteriology, mycology,parasitology,andvirology),immunopathology,bloodbanking/transfusionmedicine,chemicalpathology, cytogenetics, hematology, coagulation, toxicology, medical microscopy (includingurinalysis),andmolecularbiologictechniquesassetforthbytheACGME.

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B. RotationDescriptions 

Atthebeginningofeachrotation,thesitedirectorordesigneeisresponsibleforprovidingthe resident with a copy of the rotation description as well as the list of the requiredcompetencies forthatrotation.These importantdocumentscontainrequiredinformationsuchasthegoalsandobjectivesoftherotation,thedurationoftherotation,thedutiesandresponsibilitiesofresidentsateachyearoftraining,theteachingstaffresponsibleforthesupervisionandinstructionoftheresidentsduringtherotation,andthemannerinwhichresidentsaresupervisedandevaluatedduringtherotation.Theresidentwillacknowledgereceiptoftherotationdescription(seeattachedform).

Copiesoftheserotationdescriptionsarekeptonfilewiththeprogramdirector,residencycoordinator and electronic versions are accessible on the sharepoint site(https://my.usfhealth.usf.edu/sites/com_pathology/residency/Goals%20%20Objectives/Forms/AllItems

.aspx)

C. Electives 

Rotation    Abbreviation   Location    Duration 

Neuropathology    NP    TGH    1 month Pediatric Pathology    PP    TGH    1 ‐ 3 months Transplant Pathology    TP    TGH    1 ‐ 3 months Advanced Surgical and Autopsy Pathology 

  SP‐E    Any    1 – 3 months 

Advanced Cytopathology    CY‐E    BP    1 – 2 months EM/Renal Pathology    EM/R    TGH    1 month Advanced Cytology and FNA    CY‐E    MCC    1 – 3 months Dermatopathology    DP    MCC or USF or JAHVA    1 month Hematology Elective    HP‐E    MCC    3 months Molecular Pathology    MP    MCC    1 month Research    RS    Any    1 – 6 months 

 

Note:Detailedrotationdescriptions(requiredandelective)areavailablethroughtheprogramcoordinator. 

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D. ResearchRequirement

The Department considers research an integral part of preparation for the practice ofpathology. Residents interested in academic practicewill have the opportunity throughelective time to pursue research projects in more depth than the required minimum.Residents who wish to enter community practice may spend elective time refiningdiagnosticskillsorbeginningtopursueasubspecialty.However,theDepartmentbelievesthatallresidents,regardlessoftheircareerdirection,shouldactivelyparticipateinatleastone research project. Through this activity, residentswill learn to ask appropriate anddefined questions (hypothesis formulation), seek the best ways of answering questions(experimentaldesign),judgethereliabilityofinformation(dataacquisitionandcontrols),assess the relevance of information (statistical analysis), and weigh the validity ofconclusions (statistical inferences). Experience with this process is valuable in dailypracticeinbothcommunityandacademicpathology.

The following pages contain a list of faculty research interests. Each resident shouldapproachfacultymemberswhohavelistedprojectsthatmaybeofinteresttotheresident.Afterdiscussionof theprojectandmutualconsent, theresidentundersupervisionof thefaculty member will be responsible for all phases of the project including hypothesisformulation, literature review, experimental design, data acquisition, statistical analysis,andconclusions.Aresidentmayalsopursueanoriginalprojectofhisorherowndesignbycollaboratingwithawillingfacultymember.Thescopeofprojectsthatwillbeconsideredappropriate range from clinical/pathological correlation to basic bench research. Theindividual faculty member will be responsible for securing space and funding for theproposedresearch.Residentsmayalsobeabletoobtaindepartmentalfunding(p.17).

Each resident, duringPGY‐3 or PGY‐4 year,will be required to present his/her researchprojectatleastonceatthePathologyResidentsResearchDay.Thiseventwillbeheldeachyear and attended by current residents, Pathology faculty, alumni of the USF PathologyResidencyTrainingProgram,andallotherinterestedfacultyandresidentsintheCollegeofMedicine.Eachpresentationwillbeapproximatelythirtyminutesinlength.Projectsmaybegin as soon as the PGY‐1 year but should bewell in progress by the beginning of thePGY3 year. Research activities may be pursued concurrently with required rotationsand/or during elective time. All other responsibilities of a required or elective rotationmustbesatisfiedbeforearesidentmayspendtimedoingresearch.

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Inaddition,presentationatnationalmeetingsandpublicationinpeer‐reviewedjournalsisencouraged and will be supported by the Department upon individual approval (seeEducationFunds). 

E. AmericanBoardofPathology 

ResidentsareeligibletoapplyforcertificationbytheAmericanBoardofPathologyintheirfourth year of training. As the application is extensive, the following materials, takendirectlyfromtheAmericanBoardofPathologyApplication,areprovided.Werecommendthatresidentsbeginkeepingalogoftheseitemsfromthebeginningofresidency.Autopsy,FNA and bone marrow biopsy numbers need to be exact and logged into the ACGMEwebsite (www.acgme.org). Clinical pathology consultations include: SPEPs, UPEPs, flowcytometry,hemoglobinelectrophoresis,reviewofsendoutlabs,etc.While the volume and variety of procedures performed by pathology residents is quitedifferentfrommostothermedicalresidents,itisnecessarytokeeptrackofproceduresyouperform. This informationwill be required for credentialing by the American Board ofPathology,isneededaspartoftheACGMEaccreditationprocess,andisrequestedyearlybytheUSFGraduateMedicalEducationCommittee.Currently,theABPrequires50autopsiestobeperformedper resident. TheACGMErequireseachresidentexamineat least2000surgicalcases,1500cytologycases,and200frozensections.Itishighlyrecommendedforresidentstokeeptrackofthenumberandtypesofcasesseenduringeachrotationsothisinformation canbe queried. Thepathology residencyprogramdirectormay request thisinformationatanytime.

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**AmericanBoardofPathologywww.abpath.org 

 

 

 

 

 

 

 

 

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F. DidacticLectures,Conferences,andPresentationsThe Department of Pathology and Cell Biology conferences are attended by pathologyresidentsandfellows,graduateandpostdoctoraltrainees,facultyaswellasUniversityandCommunityphysicians.Speakersatconferencesincludedepartmentfacultyandresidents,other university faculty, and distinguished pathology faculty and scientists from otherinstitutions.Purpose:

1. Todisseminateknowledgeofallaspectsofpathologytoallattendees.2. Tosupplementthetrainingresidentsreceiveonformalrotations.3. To provide an opportunity for residents to gain public speaking and

presentationskills.4. To expose the attendees to ongoing research and new developments in

pathologyandrelatedbasicsciencedisciplines.Residentsareexpectedtoarrangetheirdailyschedulesinordertoattendrequireddepartmentalconferences.Thefacultyateachoftheaffiliatedinstitutionsareawareofthisrequirementandwillworkwithresidentstoallowforattendance.The weekly USF conference schedule, including topics, times, and locations arepostedontheSharepointsite.Scheduleofrequireddepartmentalconferences:

TUESDAY 8:00a.m.‐12:00p.m. Weekly

ShimbergLibraryRoom2215

WEDNESDAY 5:00‐7:00p.m. LastWednesdayofeachmonth

FacultyOfficeBldgRoom5179

1. ConferenceSeries 

DIDACTICCOURSEINANATOMICANDCLINICALPATHOLOGYObjective:

The didactic course is designed to present corematerial in anatomic and clinicalpathologynecessaryforthepracticeofpathologyandsuccessfulcompletionoftheboard examination. The course is taught in didactic fashion by core and clinicalfaculty of theDepartment of Pathology andCell Biology.Material is taught in 2‐4week blocks based on organ system (anatomic pathology) or major disciplines(clinicalpathology).

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Mechanism:TheDidacticCourseusescoretexts inpathology(Robbins,Henry,McClatchey)forresident reviewbefore conference. The conferences arepresented inPowerPointformatwith handouts provided at the time of conference. The conferencewill bemost successful if all attendees have read the material and are prepared toparticipate.Residentsandfellowsarealsoexpectedtopresentatthisconferenceonthetopicoftheirchoice.Theyusuallywillpresent2‐3timesduringtheirtraining.Residentscansignupforavailabledatesoncetheremainderoftheconferenceschedulehasbeendetermined.PRACTICALANATOMICPATHOLOGY

Objective:This didactic course is designed to present a variety ofmaterial in anatomic andclinicalpathologynecessaryforthepracticalpracticeofeithercommunitybasedoracademic pathology. The course is taught in didactic fashion by core and clinicalfacultyoftheDepartmentofPathologyandCellBiology.

Mechanism:Attendings assigned to present at these conferencesmay select from a variety ofmethods/topicsthatpertaintothecurrentpracticeofpathology.TheselecturesarepresentedinPowerPointformatting.PATHOLOGYCASESTUDIES

Objective:

Case studies conference will increase residents' exposure to clinical pathologytopics and topics in anatomic pathology that are not part of required rotations.These topics include, but are not limited tomedicalmicrobiology, blood banking,chemistry, lab management, coagulation, hematology, neuropathology,dermatopathologyandrenalpathology.

Mechanism:

Attendings assigned to present at these conferencesmay select from a variety ofmethods including circulationof unknown cases among the residentsprior to theconference, unknown cases presented for the first time at conference or lectureformat.

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FORENSICPATHOLOGYLECTURESERIES

Objectives:The lectures will expose the residents to the work of medical examiners andincreasetheirknowledgeandunderstandingofforensicpathology.

Mechanism:EachlecturewillbepresentedbyoneoftheforensicpathologistsemployedattheHillsborough County Medical Examiner Department, including Drs. Mainland andChrostowski.Thematerialwillbepresentedusingprojectionofkodachromeslidesand discussion during the lecture is encouraged. Residents should familiarizethemselveswiththetopictobediscussedpriortothe lectureusingoneofseveralforensicpathologytextbooks.

GRANDROUNDS/TOPICSINPATHOLOGYPRACTICE

Objective:

Topresentcurrentinformationinthefieldsofbasicscienceresearchandpracticaldiagnostic pathology to Pathology and cell Biology faculty, graduate students,postdoctoral fellows, pathology residents and fellows as well as to interestedUniversityfacultyandmedicalcommunity.

Mechanism:

ThePathologyandCellBiologydepartmentwillinviteexpertspeakersfromaroundthe country and from within the department to speak on a variety of topics inanatomic and clinical pathology, cancer pathobiology, neurosciences andintercellularmatrix.

Whenpossible,speakersmayalsoconductamicroscopesessionspecificallyfortheresidentslaterinthedaywhereinterestingcaseswillbediscussed.

 

G. ResidentIn‐ServiceExamination 

ResidentsarerequiredtotaketheASCP’sResidentIn‐ServiceExamination(RISE)annuallyinthespring.Theonlineexamisnotusedasadirectevaluationtool,butdoesgagetheresident’sknowledgebase.

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H. OtherEducationalOpportunitiesandScholarlyActivities

1. TeachingOpportunities 

MedicalStudentTeaching:Thesecondyearmedicalstudentcurriculumemphasizesbasicpathologicprinciples.Residentsarerequiredtoteachmedicalstudentsduringtheirpathologylabs.

ResidentConferences:ResidentsarealsoscheduledtogivelecturesduringTuesdayconferencestofellowresidents.Chiefresidentsmakethelectureschedule.

2. SeniorResidentCommitteeAppointments

IntroductionandObjectives:Residentparticipationascommitteemembersorcommitteechairmen is an important aspect of Pathology training and practice. This involvementprovidesaleadershiprolebyPathologistsinareasofUniversityandHospitalfunctions.

A portion of the management experience for senior level residents is participation oncommitteesattheUniversityofSouthFloridaanditsaffiliatedhospitals. Thisexperiencewillaccomplishthefollowingobjectives.

1. Demonstrate the committee structure in the medicalenvironment.

2. Show the interaction of pathology with other medicalspecialties

3. Provide a forum by which senior level residents will beexposedtotheprocessofcommitteedynamicsandfunction.

Participating Residents: PGY‐3 and PGY‐4 pathology residents will participate oncommittees. The appointments will be for a period of one year, July 1 ‐ June 30.Appointments will be made with the recommendation of the Chief Residents, and theDirectorsoftheResidencyTrainingProgram.Theirrecommendationswillbeforwardedtotheappropriatepersonforcommitteeappointment.Onceanappointmenthasbeenmade,attendanceatallmeetingsismandatory.

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ApprovedCommitteeAppointment

MoffittCancerCenterSurgicalCase&BloodUtilizationReviewCommitteeMoffittCancerCenterQualityAssuranceCommitteeMoffittCancerCenterInfectionControlCommitteeJamesA.HaleyVeterans'HospitalTransfusionCommitteeJamesA.HaleyVeterans'HospitalTissueCommitteeJamesA.HaleyVeterans'InfectionControlCommitteeUniversityofSouthFloridaYear2MedicalStudentIntegratedPathologyCommittee

SENIORRESIDENTCOMMITTEEAPPOINTMENTS–

MoffittCancerCenterSurgicalCase&BloodUtilizationReviewCommittee

MoffittCancerCenterQualityAssuranceCommittee

MoffittCancerCenterInfectionControlCommittee

JamesA.HaleyVeterans’HospitalTransfusionCommittee

JamesA.HaleyVeteran’sHospitalTissueCommittee

JamesA.HaleyVeterans’HospitalInfectionControlCommittee

UniversityofSouthFloridaYear2MedicalStudentIntegratedPathologyCommittee

V. ADMINISTRATIONANDPOLICIES

A. Orientations

1. GeneralOrientationGeneralorientationisscheduledandconductedbyGME.Theorientationschedulefor2013‐2014canbefoundattheofficialUSFGMEwebsite.

2. DepartmentOrientationOrientationforthedepartmentofPathologyandCellBiologywillbeheldatthefirstTuesdaymorningconferenceoftheacademicyear.

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B. Personnel

1. Departmental 

PhillipMarty,PhD–InterimDepartmentChair,DepartmentofPathology&CellBiologyAnneChampeaux,MD–PathologyResidencyProgramDirectorJeanNixon–InterimDepartmentAdministratorChantelLeBlanc–FiscalandBusinessSpecialistKarenKirchner–PathologyOfficeSecretarySallyLamar–ResidencyProgramCoordinator

C. SiteDirectors 

AsitedirectorisassignedateachofthemajorinstitutionsthatparticipateintheeducationandtrainingoftheDepartmentofPathologyandCellBiologyResidentsoftheUniversityofSouthFlorida.Theyassurethatthereisanadequateandbalancededucationalexperienceattheirinstitution.

DutiesoftheSiteDirector

1. Oversee the educational experience of all residents at the institution withwhichthesitedirectorisaffiliated.

2. Assurethatthereisabalancebetweenserviceandteaching.3. Protectallsegmentsofeachrotationattheinstitution.4. Theyoradesigneeprovideon‐goingfeedbacktotheresidentthroughoutthe

rotation.Theyalsoreviewwiththeresidenttheirwrittenfinalevaluationattheendoftherotation.

5. Ifresidentevaluationsareaccomplishedbyall facultyattheinstitution,thesite director or a designee should chair the evaluationmeeting and assuretheevaluationiscritical,constructive,andfair.

6. Maintaincomplete, current,andaccuratedocumentationof therotationsattheirinstituteincludinggoals,skills,objectivesandrequirements.

CurrentSiteDirectors

H.LeeMoffittCancerCenter Dr.PrudenceSmithTampaGeneralHospital Dr.JonFinanJamesA.HaleyVeteransHospital Dr.L.BrannonThomasBayPinesVeteransHospital Dr.RehanaNawabMedicalExaminer'sOffice Dr.MaryMainland

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D. ResidentAdvisors/Mentors

TheResidentAdvocateisaFacultyMemberoftheUniversityofSouthFloridaDepartmentof Pathology and Cell Biology. Their responsibility is to assist the resident initially inadaptingtotheprogramandlatertofunctionasamentorandadvisorfortheresident.ProcessofAdvocateSelectionInitiallyresidentsareassignedtointerestedfaculty.Theresidentatanypointcanelecttoselectanotherresidentadvocatealthoughthisisgenerallydiscouraged.Thismaybedonewiththeassistanceoftheircurrentresidentadvocate. Inthisway,astheresident'sgoalsandobjectiveschange,theadvocatemaychange.DutiesofResidentAdvocate1. The advocate should initially provide assistance in helping the resident

adjusttothispathologyprogram.Questionsshouldbeansweredandadvicegiven. They should provide helpwith the transition ofmedical student toresidentorresidentinanotherprogramtotheUSFPathologyProgram.

2. The advocate should provide counsel to the resident, assisting them withproblemsorissueswhichtheresidentoradvocatefeelsareimportanttotheresidents’ development. These include but are not limited to selection ofrotations, career selection, and assistance with positions after leaving theprogram. Resident progress including rotation evaluations should bereviewedaminimumoftwiceperyear.

3. The advocate should provide a mentoring influence, encouraging theresidenttoexcelinallareasoftheprogram.

4. The advocate should encourage residents to pursue a research interest,shouldseekoutotherfacultymembersforsupport,andprovideguidancetoachievethisgoal.

ImplementationWhentheresidentinitiallyjoinstheprogram,theadvocateshouldscheduleasessionwiththeresidentandassurethattheresidentisadjustingtotheprogram.Theyshouldmeetonregularand initially frequent intervals toassure that the transitionof theresident to theUSFDepartmentofPathologyandCellBiologyisproceedingsmoothly. 

NOTE:Residentmentorswillbedecidedatthebeginningoftheyearandwillbeannouncedafterdecided.

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E. ChiefResidentDuties 

Eachyear,twoseniorresidentswillbeelectedtobechiefresidents.Thisyear’schiefresidentsareJohnnyNguyen,MDandMaryamTahmasbi,MD.Dutiesaschiefresidentincludethefollowing:

Serveasamentortojuniorresidents Assistinschedulingandcoordinatingintra‐departmentalconferencesandother

departmentalevents. Facilitatetherelationshipbetweenresidentsandfacultytomaximizelearningand

serviceefficiency. Determinefromeachresidentduringeachrotationwhetherproblemsexist.

 

F. HousestaffPolicies

GeneralPrinciplesThesepolicies are complementary to theUSFHouseOfficerPersonnel policies agreed towhen the contract is signed. The following policies reiterate and expand upon thesepoliciesas theypertain to thePathologyDepartment. Anofficial copyof theHouseStaffPolicy Manual can be viewed via the USF Graduate Medical Education website:http://health.usf.edu/medicine/gme/index.htm All official matters regarding house staffpoliciesaredelineatedthroughtheOfficeofGraduateMedicalEducationandfullydefinedintheUSFhousestaffmanual.

Vacation/SickLeave Each resident shall be creditedwith three (3)weeks or 15working

days per year. Taking vacation during 1‐month rotations isdiscouraged. Vacation leave daysmay not be carried over from oneappointmentyeartothenext,andnopaymentforunusedleavedayswillbemadeuponterminatingatrainingperiod.

Atotalof9daysofsick leaveperyearareallowedeachresident; inaddition one day of sick leave per year is credited to the sick leavepool. Unused sick leave will not be paid upon termination of atrainingperiodforanycause.

Thefollowingmethodwillbeusedtoreportvacation/sickleave:

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1. Thevacation/sickleaverequestformistobefilledoutandturnedinassoonasvacationisplanned;duringSurgicalPathologyrotationsthisistobenolaterthanthebeginningoftherotation. Thisformmustbeco‐signedbytheattendingheadingtherotation.AleaverequestformcanbefoundontheSharepointsite.Nogreaterthanoneconsecutiveweekofvacationleaveinonerotationshouldbetaken,unlessitisapartofmaternityleave.2. Attheendoftherotation,theresidentevaluationformwillincludeasection on whether the resident has taken vacation/sick leave during therotation.3. Whenaresidentusessickleave,therotationdirectorattheassignedhospitalandchiefresidentsshouldbenotifiedbytelephonethatday. Uponreturningtowork,thevacation/sickleaveformisfilledoutandturnedin.

Administrative(Professional)leave

AdministrativeleaveisavailabletoresidentsforprofessionalactivitiesapprovedbytheProgramDirectorandtheGraduateMedicalEducationOffice.Professionalactivitiesincludeactiveparticipationandpresentation(s)atspecialtymeetings.FamilyandMedicalLeaveThe policies for family and medical leave are the same as stated in the House OfficePersonnelPolicybooklet,briefly:

o Parental. Each resident is allowed up to twelve (12) weeks of uncompensatedparental leave. Individuals must apply for parental leave in advance and obtainapproval fromtheirProgramDirectorandtheGMEOffice. Individualsmayutilizeaccumulated sick or vacation leave as continued compensation during parentalleaveundertheconditionsspecifiedforthosebenefits,plusanadditionaltwoweeksofcompensatedparentalleave.IfbothparentsareUSFresidents,acombinedtotalof12weeksofparentalleaveisallowedasprescribedbyFMLA.

o AbsencesfromtheresidencyinexcessofthatallowedbytheRRCandBoardmustbe made up in order to fulfill the requirements for completion set forth by theACGME.

o Assoonasitisfeasible,thedepartmentshouldbenotifiedofaresident'spregnancyso that a review of her remaining rotations and any necessary changes may bemade.Ingeneral,pregnantresidentsareexpectedtoperformtheusualdutiesoftherotationstowhichtheyareassigned,unlessexcusedformedicalorotherreasonsbytheirphysician.Residentsmaybeexcusedfromassignedrotationsandreassignediftheattendingpathologistonthatrotationbelievesthedutiesoftherotationposeanunduerisktoapregnantwomanorchild.

o Child Care. Upon written approval of the Program Director and GME Office,uncompensatedleaveforchildcarepurposesuptoamaximumofsixmonthsshallbe granted. The leave shall begin nomore than two weeks before the expectedadoptionordeliverydate.Whencertifiedbyalicensedphysician,sickleavecreditsmay be used for any illness caused or contributed to by pregnancy or delivery.Vacation leavecreditsmayalsobeused in conjunctionwith childcare leave. (SeesectionsonParental,Sick,andVacationLeave.)

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LeavewithoutpayUponwritten request of a resident, the Program Directormay grant a leave of absencewithoutpayforaperiodnottoexceedsix(6)months,ifitisdeterminedthatgrantingsuchleavewouldbeinthebestinterestoftheUniversityandHouseOfficer.

**All leave in excess of 4weeks per yearmust bemade up at the end of the resident’straining.

DressCodeThepurposeof thedresscode is tomaintainhighstandardsofdress,hygiene,groomingand the personal appearance of the staffmembers, which are essential elements in ourdailyrelationswithpatients,families,andvisitorsinassuringaprofessional,business‐likerepresentation.Without unduly restricting individuals’ tastes, it is our policy to requirepersonal cleanliness, good grooming and appropriate dress while staff members are onduty every day of the week and to establish a mechanism by which uniforms will beprovidedtoemployeesinpositionsmeetingdesignatedcriteria.Operationalneedswithinadepartmentmayrequirespecificdepartmentalpolicies,butinallcasesstandardsmustbein compliance with infection control and safety guidelines. In departments where staffmemberswillhavecontactwithpatients,uniformsmayberequired.Indepartmentswhereuniformsarenotrequired,staffmembersareexpectedtousegoodjudgment inselectingthe clothes theywearon the job. Male staffmembersmustwearneckties exceptwherespecificuniformsdictateotherwise.Extremestylesshouldbeavoided:

o Revealingclothingsuchasmidrifftops,tanktops,shorts,rompers,beachwear,flip‐flops,cut‐offs,see‐throughclothing,oranystreetclothesthatexposethebodytoadegreethatrepresentspoortasteorunprofessionalappearance.

o Workoutclothingsuchassweatsuits,spandexexercisewears, joggingsuits,sweatpants,orotherathleticwear.

o T‐shirts,sweatshirt,oranyotherclothingwithcommerciallogos,slogans,orotherartordesignsthatmightbeoffensivetoothers.

o Anyclothing thatdoesnotproperly fit (excessively smallor large for thewearer)and/orexposesthewearertoanyaddedriskofinjury.

Licensure/AccreditationAllresidentsmustbeACLS/BCLScertifiedpriortotheirstartdateofJuly1.All residents must apply for licensure/registration with the Florida Department ofProfessional Regulation as soon as they are eligible (after the first year of residencytraining),accordingtothebylawsoftheHealthSciencesCenterTrustFund.ApplicationsareavailablefromtheHousestaffOfficeatTGH,orbywritingtheDPR.

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SalaryscheduleStipendsforhouseofficersattheUniversityofSouthFloridaHealth,CollegeofMedicinearerevisedannuallyandaregenerallyabovethoseforthesouth.ThestipendlevelisbasedonPGYlevel.Stipendlevelsfor2013/2014yearcanbefoundintheHousestaffManualontheUSFGMEwebsite.http://health.usf.edu/medicine/gme/index.htm

TheStateofFloridahasnoStateIncomeTax.Comprehensivehealthinsuranceandlimiteddisability insurance are provided by the University. Professional liability insurance isfurnishedbytheStateofFloridafortrainingrelatedincidents.Numerous child care facilities are available on and off campus. White lab coats areprovidedfreeofcharge.OtherbenefitsanddiscountsareavailablethroughtheHouseStaffAssociation.

G. DutyHours 

Residencytraininginvolvesbotharesponsibilityandacommitmentthatrequiresagreaternumberofhoursthanthetraditionaljob.Medicineisaprofession,andassuch,individualsmake commitments to patients that exceed those of most of modern society. Thispathology residencyprogramhas assignedduty hours, and it is the expectation that theresidentwillbepresentatallassigned times. Ingeneral,AProtatorsareexpected tobepresent8a.m.to5p.m.,exceptwhen:a)onfrozensectiondutywhentheyshouldarriveat7:30a.m.anddepartafterthe last frozensectioniscompleted;b)ongrossingdutywhenthey should depart after the last required specimen has been grossed, cassetted andimmersedinfixative.CProtatorsshouldbepresentfrom8a.m.to5p.m.Itisrecognizedthateventsandcircumstancesmayrequireadditionaltimespentinpatientcareactivitiesoverandaboveroutineworkhours.Thisisatthediscretionofeachrotationdirector,butthey are required to notify the residents in advance of the expectations regarding dutyhours over the above‐stated guidelines. It is understood that residents who agree toparticipateintheprogramwillmeettherequirements.Absencefromclinicaldutyduringanticipated duty hours is considered an unexcused absence and will be addressed.Individuals with repeat absence during scheduled duty hours may be considered foradverseaction.Residentswill notbe scheduled formore than80dutyhoursperweek, averagedoverafour‐weekperiod. Atleastone,andusuallytwodaysinsevenwillbefreeofpatientcareresponsibilities, averaged over a four‐week period. Residents will take call no morefrequentlythaneverythirdnight,alsoaveragedoverafour‐weekperiod.Whenresidentstake call from home and are called into the hospital, the time spent in the hospital iscountedtowardtheweeklydutyhourlimit.

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Each hospital maintains a schedule of on‐call activities for nights and weekends. Mosthospitalsallowresidentstotakecallfromhome.Ineithercase,individualswhoareon‐callare expected to be immediately available and ready towork during the entire period ofassignedcall.Individualswhobelievethatthetimerequirementsareexcessivehavetheopportunitytoquestionthedutyhourassignment,eitherwiththeprogramdirectororwiththeAssociateDeanforGraduateMedicalEducation. TheUniversityofSouthFloridaGraduateMedicalEducation Committee supervises resident duty hours and night call but also recognizesthatpatientneedscomefirst.Individualswhoarescheduledtotakenightcallandarenotavailableordonotexecutetheirresponsibilitiesaresubjecttoadverseaction.DutyhoursaresetinaccordancewiththeACGMEmandatesandresidentsarerequiredtologtheirdutyhoursinNewInnovationsonabi‐weeklybasis.

H. Moonlighting 

MoonlightingisnotallowedinthePathologyprogram.

I. RotationChangesandRequestsChangesintheassignedrotationschedulemaybecomenecessarythroughouttheyearforavariety of reasons including maternity leave. When a change is being contemplated, avarietyoffactorsmayaffectitsapproval,mostimportantlybeingtheavailabilityoffundingatthesponsoringinstitution.Otherfactorsincludetheavailabilityofspaceandwhetherornotthereareotherresidentsonrotationatthesametime.Ifyouhaveanyquestionsconcerningfundingofrotations,pleaseaskoneoftheProgramDirectors. If a schedule change becomes necessary, a ROTATION CHANGE REQUESTFORM must be filled out by the resident, signed by one of the Program Directors, andturnedintoSallyLamar.Pleaseturnthisinasearlyaspossible,butnolaterthantendaysbeforethemonthinwhichthechangeistobemade. 

J. EducationFunds 

RefertotheGMEwebsiteforpoliciesonusingGMEEducationFundsfortravel:  http://health.usf.edu/medicine/gme/directors_coordinators/edu_funds.htm 

 

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K. GrievancePolicy 

ThisgrievanceprocessisadepartmentalproceduretobeusedforaddressingissueswhereaResidentfeelsthattheyhavebeentreatedunfairlyandseeksresolution.Thispolicyisinaccordwith all University regulations, as defined by the House Office Policymanual forresidentsintheUniversityofSouthFloridaMorsaniCollegeofMedicine.Ifaresidentexpressesaconcernregarding their treatment,workload,assigneddutiesorotherissues,theyhavetheabilitytocontactanyofthefollowingindividuals:

(1) ChiefResidentsinPathology(Drs.JohnnyNguyenandMaryamTahmasbi)(2) ResidentAdvocate(3) SiteDirectorofthesitethattheyarecurrentlyassignedto(4) ResidencyDirectors(Dr.AnneChampeauxorDr.NicoleEsposito)(5) ChairmanoftheDepartmentofPathologyandCellBiology(Dr.PhillipMarty)

Theresidentcanusetheirjudgmentinwhomtheyfeelisappropriateandwhomtheyfeelcomfortablespeakingwith.Theprogramdoesnotdeterminewhomtheresidentneedstospeakto,andismeanttoencouragedialoguewithanyoftheseindividualsandtheresident.Aftertheissueispresented,thefactsregardingtheallegationaregathered,asmallgroupofindividuals are then convened to discuss the issues in further depth. At all times strictconfidentiality is maintained. It is the understanding that unless the resident givespermission,otherindividualsarenotinvolved.Duringalldiscussionsanattemptismade,if appropriate, to involve the Resident Advocate. At the end of these sessions, if theresident is not satisfied with the outcome, they are free to proceed with the ResidencyGrievanceProcessasoutlinedintheResidentHandbookCollegeofMedicineUniversityofSouthFlorida.

L. Evaluations 

Thecontinuedsuccessofthedepartmentdependsoncontinuous,thorough,andfairevaluationofallcomponentsoftheprogram.Thisincludesregularassessmentoftheperformanceofresidents,faculty,andindividualrotations.Thefollowingsummarizesourcurrentevaluationprocess.Residentsareevaluatedatleastfourtimesayearthroughformalevaluationattheendofeachrotation.Inaddition,theiroverallperformanceisreviewedannuallybyoneoftheProgramDirectors.Wheneachresidentcompletestheprogram,afinalsummaryevaluationofhisorherperformanceiscompleted.Likewise,facultyandrotationsshouldbeevaluatedbytheresidents.Theresident’sevaluationofthefacultyisanessentialpartoftheiryearlyevaluationsbytheChairman,aswellasimportantdatarequiredforthefacultyPromotionandTenureprocess.