|November 12, 2010|
|7:00 pm - 8:30 pm||Presidents' Rounds #1
Cytology, Patient Safety, Universal Health Care: A New Paradigm?
William J. Frable, M.D.
1) A working knowledge of medical liability reform within the health care bill
2) Be able to formulate a plan to gain support for training cytotechnologists from the health care legislation
3) Evaluate the significance of cytology in screening for cancer with respect to comparative effectiveness research
This lecture and discussion will focus on the interface of issues among cytopathology professionals, patient safety and the beginnings of universal health care. Three areas will be covered within the framework of the health care legislation, medical liability reform, training support for cytotechnology, and the impact of comparative effectiveness research on aspects of screening involving cytopathology.
|7:00 pm - 8:30 pm||Presidents' Rounds #2
Diagnostic Problems in Non-Gynecologic Cytopathology
Yener S. Erozan, M.D.
1) Identify the major causes of misdiagnosis in non-gynecologic cytopathology
2) Learn how to avoid mistakes in cytopathologic diagnosis
3) Learn key cytomorphologic features helpful in the differential diagnosis of disease entities with similar morphology
4) Identify ancillary techniques helpful in the diagnosis
Application of cytopathology in the diagnosis of non-gynecologic diseases, specifically malignant neoplasms, expanded significantly during the past three decades with advancements in imaging and endoscopic techniques. Fine needle aspirations (FNAs) utilizing these techniques added new challenges to cytopathologic diagnosis. Selected cases representing diagnostic problems in both FNA and other types of cytologic specimens from various body sites will be discussed.
|7:00 pm - 8:30 pm||Presidents' Rounds #3
FNA Practice: From Bench to the Bedside, Some Practical Considerations
Prabodh K. Gupta, M.D., FIAC
1) Appreciate the common problems with the FNA services
2) Effective means to improve the current FNA practice
3) Developing FNA service in compliance with the various regulations
4) Futuristic view of cytopathology
This virtual practicum of the FNA practice incorporates personal experiences of examining over 60,000 FNA cases during the past 25 years in major medical institutions. Nearly 4,000 FNA cases are accessioned annually in our laboratory. These include outside slides obtained, processed and interpreted in different ways, send-in FNA specimens kept for variable length of time in various preservatives and in house clinician and self performed on site evaluated samples. Some of the FNA related common occurrence problems and topics generally ignored or only cursorily mentioned in the literature will be examined. Issues pertaining to communication, quality of preparations, interpretation and reporting shall be addressed. Requirements for an efficient, economical and accurate FNA service shall be discussed. The rapidly shifting paradigm of health care demands changes in our approaches to patient care and FNA delivery systems. Concept of point-of-care FNA service in compliance with the various regulations shall be explored. Some of the innovations including the use of online integrated software (EPIC) for specimen test ordering, an improved mobile FNA cart with remote access capabilities (Penn-A-Cart) for on site procedures and real time telecytopathology (TeleCyP) for slides interpretation shall be introduced.