RESIDENT ROTATION EVALUTAION: CYTOPATHOLOGY – UPMC-Shadyside
Progressive Goals and Objectives Checklist
Competency
1 Professionalism
Core Rotation Part 1
(2 weeks)
Reliable, punctual,
appropriate appearance,
ethical behavior,
sensitive to issues of
diversity. HIPPA
compliant.
Core Rotation Part 2
(2 weeks)
Same as near beginning of
rotation but projects more
confidence and handles
difficult situations with
greater ease.
Fellows &
3rd and 4th Year Resident
In addition to elements
already noted, can help
advise more junior trainees
and serve as a more senior
role model.
Demonstrate knowledge to
compose a clear, concise,
and clinically relevant
cytopathology report.
Supervises junior residents
in specimen collection,
evaluation, and diagnostic
activities.
Attends and is conversant in
discussions at department
Cytology Conferences.
Independently handles
cytology conferences.
Demonstrate working
familiarity with instruments
and materials needed to
perform FNA biopsies.
Demonstrate knowledge of
how to apply concepts of
quality control, quality
improvement, risk
management, and of
regulatory compliance to the
practice of cytopathology.
Demonstrate competence in
performing superficial FNA
in a clinical setting with
appropriate patient care and
diagnostic outcomes.
2 Medical
Knowledge
Demonstrate
knowledge of specimen
adequacy and primary
diagnostic
interpretation.
Demonstrate
knowledge of the
cytopathologic features
of normal, reactive,
infectious, dysplastic,
and neoplastic
conditions as seen in
common cytopathology
specimens.
Demonstrate
knowledge of how
specimens are screened.
Demonstrate
knowledge of how to
Demonstrate knowledge of
the application of ancillary
techniques including
immunocytochemistry, in-situ
hybridization, and
molecular studies
Demonstrate knowledge of
how to rapidly evaluate
common FNA biopsy
specimens including
determination of specimen
adequacy, and the need for
ancillary techniques.
Demonstrate knowledge of
how to evaluate common &
complex cytopathology
specimens comprehensively
(Review of 70 CD
questions).
Reviews all cytology
consultation material and
achieves a correct diagnosis
in 75% of cases.
Independently writes up
80% of routine cytology
cases.
Demonstrates familiarity
with the principles of
automated screening.
Demonstrate knowledge of
how to evaluate common &
complex cytopathology
specimens comprehensively
(Review of 70 CD
questions).
Participates and
demonstrates knowledge of
Reviewed (Y/N)
Comments
evaluate common
cytopathology
specimens
comprehensively
(Review of 70 CD
questions).
Demonstrate competence in
collecting cytologic
material, preparing slides
and allocating material for
ancillary studies.
Attends and is conversant in
discussions at Cytology
Conference.
3 Patient Care
Be able to verify that
cytopathology
requisitions are correct.
Be knowledgeable of
methods of collection
and cytopreparatory
turn- around time.
Demonstrate
knowledge of how
specimens are screened.
Demonstrate
competence in
performing superficial
FNA
Demonstrate working
familiarity with instruments
and materials needed to
perform FNA biopsies.
Demonstrate competence in
collecting cytologic
material, preparing slides
and allocating material for
ancillary studies.
Demonstrate competence in
performing superficial FNA
how to perform quality
assurance, including cytohistologic correlation, both
in aggregate for QA purpose
and on a case-by-case basis.
Demonstrate knowledge of
how to apply concepts of
quality control, quality
improvement, risk
management, and of
regulatory compliance to the
practice of cytopathology.
Demonstrate knowledge of
how to apply concepts of
quality control, quality
improvement, risk
management, and of
regulatory compliance to the
practice of cytopathology.
Demonstrate competence in
performing superficial FNA
in a clinical setting with
appropriate patient care and
diagnostic outcomes.
Demonstrate knowledge to
compose a clear, concise,
and clinically relevant
cytopathology report.
Demonstrate
knowledge of how to
evaluate common
cytopathology
specimens
comprehensively.
Demonstrate ability to
perform superficial
FNA in a clinical
setting with appropriate
patient care and
diagnostic outcomes, if
opportunity is available.
4 Practice-based
Learning
5 Interpersonal/Com
munication Skills
Active participation in
case sign outs.
Active participation in case
sign outs.
Independently handles
cytology conferences.
Uses histology to
correlate with cytology
(cyto-histo correlation)
Extensive review of
cytology-histology
correlation teaching cases.
Follow up on required QA
Project
Demonstrate collegial
and professional
Consider QA Project
Same as new beginning of
rotation, but projects more
Supervises junior residents
in specimen collection,
communication with
trainees and staff.
confidence and handles
difficult situations.
evaluation, and diagnostic
activities.
Independently handles
cytology conferences.
Independently writes up
80% of routine cytology
cases.
6 Other Goals &
Feedback
EXPECTATIONS FOR ROTATION:
1. Arrive on time for work and procedures
a. Workday is typically 7:30am to 5:00pm. Arrive on time or notify your attending and lab
personnel when you will be late or absent (ex. send an email to notify everyone).
b. The cytotechnologists or coordinator will page you prior to a procedure. Arrive on time for
procedures.
2. Work as part of the cytopathology team
a. You are expected to help in the on-site evaluations, including preparation of slides, triage, and
evaluation of the specimen. You may be notified by the pathologist, coordinator or
cytotechnologists if you are needed to assist in a particular FNA.
b. Ask for feedback on your performance from the personnel that you interact with.
3. Preview cases and Sign out with attending
a. You are expected to preview the selected cases that are given to you and bring the cases to the
attending to sign out.
b. If you would like to review a case or double scope, it is your responsibility to ask and meet with
the attending.
c. Utilize quick texts and document ancillary studies when appropriate in cytology reports.
Examples:
i. For thyroid FNAs, use quick text “MBTCC” and select your diagnosis and assessment of
amount of colloid/cells/inflam (you can delete everything, except for the options you
choose).
ii. For lymphoma FNAs, with flow cytometry and IHC, use quick text “FLOWIHC”, which
says you needed both for a diagnosis.
iii. “CYTOFLOW” : For CSF where we (the cytopathology team) orders the flow (not the
clinician)
iv. Indicate if IHC is performed on a cell block or core biopsy and the part # (ex. Part 1A).
v. The last line in the report should say “The preliminary findings in this case were
discussed with Dr.___ on (date) at (time) or at the conclusion of the procedure.”
vi. Send to the attending pathologist’s worklist, with a memo if any tests are pending.
4. Dress in the appropriate attire
a. Scrubs are not appropriate, unless you know that you will be in the OR for procedures for most
of the day.
b. We frequently see patients, particularly in the FNA Clinic, and scrubs do not look professional
for patient care.
c. Wear a white coat to the FNA clinic or patient floors when interacting directly with patients and
their families.
5. Attend division conferences
a. You are expected to attend all educational cytology conferences during your rotation, including
the Thursday morning cytology didactic conference from 8-9am.
b. A schedule will be given to you by the coordinator.
6. Read to increase your knowledge base
a. Areas to concentrate on during the rotation: Lung/Respiratory cytology, Urine cytology, Lymph
node cytology, Soft tissue cytology, and Thyroid cytology
b. Choose a text book in cytology to use for reference and reading. Suggested text: Cibas’s
“Cytology: Diagnostic Principles and Clinical Correlated”.
7. Prepare and Present a cytology case conference in your final week of the rotation
a. 45 minute presentation at the microscope. Present approximately 5 cases from your rotation that
you select as interesting and educational.
b. Presented during the final week of the rotation (usually Thursday afternoon of your final week at
3pm).
c. Audience will include other trainees, cytopathology faculty, and cytotechnologists.
8. OTHER: Special requests (time off, area of concentration, other)
a. You are expected to notify us of any special requests at the start of your rotation, so that we can
make any special arrangements.
9. OPTIONAL: Review cytology study sets.
a. Ask Dr. Khalbuss for study sets in a particular area of interest, if interested.
b. These can also be reviewed during the advanced cytology elective offered in the PGY-4 year
prior to the American Board of Pathology examination.
10. OPTIONAL (highly recommended): You are encouraged to get involved with a cytology project,
either web case, case report, or small research study during your rotation.
a. Ask a faculty member if there is a particular project/case that you are interested in working on.
b. A list of potential projects is available upon request.
RESIDENT ROTATION EVALUTAION: CYTOPATHOLOGY – UPMC-Shadyside
TRAINEE NAME: ______________________________________
TIME PERIOD OF ROTATION: ________________________________
Competencies
Reviewed at Entrance
Interview (orientation)
Reviewed at Exit
Interview
Patient Care
Medical Knowledge
Interpersonal/Communication
Skills
Practice-Based Learning and
Improvement
Professionalism
System-Based Practice
OTHER: Required
Presentation at end of
rotation
OTHER: Optional project in
cytology (web case, case
report, or research study)
OTHER: Special requests
during rotation addressed
OVERALL: The resident has
met the educational goals,
objectives, and requirements
of the Cytopathology resident
rotation at UPMC-Shadyside.
This document will serve as an evaluation summary for the resident and will remain on file as a
permanent record.
ENTRANCE INTERVIEW (ORIENTATION)
_______________________________________
Sara E. Monaco, MD
________________________
Date
_______________________________________
Trainee Signature
________________________
Date
EXIT INTERVIEW
_______________________________________
Sara E. Monaco, MD
________________________
Date
_______________________________________
Trainee Signature
________________________
Date