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The students are supervised by the pathology staff and chief resident of the institution at which they rotate. The department chairman or his delegated director of residency education reports the students' evaluations to the oral and maxillofacial pathology program director. The objectives of the rotation are to provide the students with experience in the gross and histologic examination of specimens from the surgical and autopsy services (including frozen section diagnosis), and to familiarize the students with the conduct and reporting of postmortem examinations. Students rotate through all sub-specialties of pathology namely head and neck pathology, dermatopathology, general surgical pathology, neuropathology, gynecologic pathology, genito-urinary pathology, breast pathology, hematopathology and bone and soft tissue pathology. Students participate in all the didactic and clinical conferences that take place in the pathology department during their rotations, and complete any exercises usually required of residents such as oral presentations and participation in clinicopathological conference. This requirement is ordinarily completed during the Spring of year 2 or Summer of year 3.
Surgical Oral and Maxillofacial Pathology: - back to top
Site: Pathology Services Inc., Cambridge, MA
Preceptor: Dr. Sook-Bin Woo
At least 8 semesters of surgical oral and maxillofacial pathology are required. This takes place concurrently with diagnostic histopathology seminar each week. The objectives of the rotation are to familiarize the students with the conduct of surgical oral and maxillofacial pathology. Students learn about the organization and management of a pathology laboratory, the accession, handling and processing of specimens, the production of routine microscopic slides and the application of special diagnostic techniques such as histochemistry and immunohistochemistry. They take initial responsibility for the microscopic diagnosis and reporting of cases accessioned at PSI. Their progress is assessed continually through interaction with the staff oral and maxillofacial pathologists, and feedback on their progress is given directly to students and discussed with the program director. In the event that either the staff or the student perceives further experience to be required,additional time in this rotation is available as needed.
link to PSI
Cytopathology: - back to top
Site: Brigham and Women's Hospital, Beth Isreal Deaconess Medical Center
Preceptor: Attending Cytopathologist
At least two weeks of training in cytology is required. The objective of this rotation is to familiarize the students with the various applications of cytologic studies in modern pathology. Cytology of cervical smears, aspirated and lavaged fluids, and fine needle aspirations of suspected tumors are among the specimens considered. True expertise in this highly specialized area requires extensive knowledge and experience; the two week rotation is an introductory experience provided to students in the program at Brigham and Women's Hospital. Students who are interested in pursuing this area in greater depth may do so.
Clinical Pathology: - back to top
Site: Brigham and Women's Hospital, Beth Israel Deaconess Medical Center
Preceptor: Attending Clinical Pathologist
At least 4 weeks of training in clinical pathology are required. Oral and maxillofacial pathology students rotate through these facilities to familiarize themselves with the operation of large-scale testing facilities utilizing various types of automated and manual equipment, computerized record keeping and reporting systems and state-of-the-art quality control procedures.
Journal Club:
Site: Pathology Services, Inc.
Preceptor: Dr. Sook-Bin Woo
All students are required to participate in weekly journal club meetings, lasting between 1 and 2 hours. As with the departmental seminars, 8 semesters of participation in this activity is required. Students are assigned one or more journals to review, and each week students present articles of interest. General discussion of each article follows the presentation, and participants may obtain complete copies of interesting articles for their personal collections. The objective of journal club is to assure coverage of recent literature of interest to oral and maxillofacial pathologists and to provide a rofum for dissemination and discussion of emerging information among students and faculty. This session is run concurrently with "Diagnostic Histopathology".
Oral Medicine: - back to top
Site: Brigham and Women's Hospital
Preceptors: Drs. Sook-Bin Woo, Nathaniel Treister, Stephen T. Sonis
At least 1 month of oral medicine is required of all students. The objective of the rotation is to familiarize students with the clinical evaluation of patients with a wide variety of oral diseases and conditions as encountered in the outpatient populations. Laboratory and radiographic examinations are performed where appropriate and test interpretation is discussed. Patient management is planned and instituted by students under the supervision of the staff. Evaluation is continuous and interactive as students and staff work together in a clinical setting. In the event that either the staff or the student perceives further experience to be required, additional time in this rotation is available as needed.
Head and Neck Radiology:
Site: Harvard School of Dental Medicine, Massachusetts General Hospital
Preceptors: Dr. Bernard Friedland, Dr. Hugh Curtin
Students will be required to spend at least 2 weeks of formal training in head and neck imaging. They will familiarize themselves with frequently used imaging techniques such as the panoramic film, CT scans and MRIs and the indications and limitations of these techniques. In addition, they will also learn application of nuclear medicine and imaging and newer techniques such as PET scanning and cone beam CT scans.
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