Gastrointestinal Pathology Fellowship
Competencies-Based Learning Goals/Objectives and Assessment Methods
(As recommended by the ACGME)
Year: Fellow
Rotation: GIB
Location: UPMC-Presby
Competency:
Medical Knowledge
Patient Care
Rotation Goals/Objectives:
Have an extensive knowledge of neoplastic and
non-neoplastic disorders that either primarily or
secondarily affect the luminal GI tract, liver and
pancreas, including the clinical aspects of these
disorders
Independently evaluate intraoperative
consultations
Perform appropriate grossing of gastrointestinal
surgical specimens.
Independently work-up and complete the
majority of cases, including ordering and
interpreting ancillary studies
Gross specimens with very limited supervision
How Topic or Skill is Taught
Assessment Method(s) or Evaluation Tool
Practical (on-service) experience, didactic Objective quizzes, review surgical
lectures, case conferences, reading literature pathology diagnostic interpretations,
evaluation of conference presentations
On-service experience (frozen section
procedure, gross evaluation)
On-service experience (gross evaluation)
On-service experience (grossing,
microscopic analysis, formulating final
reports)
On-service experience (grossing)
What Constitutes Acceptable Performance?
Score at least 65% on the quizzes, minimal errors in
final pathology reports, intelligent discussion of
cases at conferences with minimal attending support,
logical presentation of cases at conferences.
Review of each intraoperative consultation Correct interpretation of slide (benign, malignant,
by attending
defer) and appropriate reporting of the result
Review of each gross description at sign
The specimen can be accurately reconstructed using
out.
the fellow’s gross description.
Direct observation, global faculty evaluation Minimal changes needed to the final report
form
Direct observation (gross description),
The specimen can be accurately reconstructed using
global faculty evaluation form
the fellow’s gross description.
Review electronic medical records of surgical
Internet tool
Review fellow’s use of the electronic
Medical record review performed on a majority of
cases in preparation for signout
medical records system (MARS)
cases
Independently present cases at conferences
Case conference
Direct observation (assess effectiveness of
pictures, verbal communication and answers
to questions), global faculty evaluation form
Independently perform intraoperative
On-service experience (frozen section
Direct observation (review of each
Correct section taken, appropriate levels cut, correct
consultations
procedure, gross evaluation)
intraoperative consultation by attending),
interpretation of slide (benign, malignant, defer),
global faculty evaluation form
appropriate reporting of the result
Independently function as a critical consultant to On-service experience (evaluation of inside Review of each consultation by attending,
clinical physicians
and outside consult material, discussions
documentation of discussions with
with clinicians and pathologists)
clinicians
Discuss problem cases and sensitive issues with Direct interactions with clinicians
Direct observation
Appropriate and ethical behavior
Interpersonal Skills
clinicians.
Design and deliver effective presentations /
Direct interactions, case conference
Direct observation, Evaluation of
Effective teaching, clear and organized presentations
instructions for medical students, residents, coconference presentation
fellows and faculty.
Reliable, punctual, appropriate appearance,
Direct interactions
Direct observation, global faculty evaluation Appropriate and ethical behavior, efficient time
Professionalism
ethical behavior, sensitive to issues of diversity.
form, evaluation by non-faculty
management
Effectively communicate case processing with
Direct interactions
Direct observation, global faculty evaluation Appropriate and ethical behavior
technical personnel (PAs, histology, special
form, evaluation by non-faculty
laboratories, transcriptionists)
Attendance at regular GI Pathology COE
Track attendance
Attendance at the majority of these meetings
System based Practice Learn about the administrative and technical
functions involved in the operation of surgical
business meetings
pathology department
Attendance at weekly QA Conference,
Track attendance, evaluate QA projects
Attendance at the majority of these meetings
Practice-based Learning Be involved in quality assurance/quality
improvement.
participation in QA projects.
and Improvement
Year: Fellow
Rotation: GIQ
Location: UPMC-Presby
Competency:
Medical Knowledge
Patient Care
Rotation Goals/Objectives:
Have an extensive knowledge of neoplastic and
non-neoplastic disorders that either primarily or
secondarily affect the luminal GI tract, liver and
pancreas, including the clinical aspects of these
disorders
Independently work-up and complete the
majority of cases, including ordering and
interpreting ancillary studies
Review electronic medical records of surgical
cases in preparation for signout
Independently present cases at conferences
How Topic or Skill is Taught
Assessment Method(s) or Evaluation Tool
Practical (on-service) experience, didactic Objective quizzes, review surgical
lectures, case conferences, reading literature pathology diagnostic interpretations,
evaluation of conference presentations
On-service experience (grossing,
microscopic analysis, formulating final
reports)
Internet tool
What Constitutes Acceptable Performance?
Score at least 65% on the quizzes, minimal errors in
final pathology reports, intelligent discussion of
cases at conferences with minimal attending support,
logical presentation of cases at conferences.
Direct observation, global faculty evaluation Minimal changes needed to the final report
form
Review fellow’s use of the electronic
Medical record review performed on a majority of
medical records system (MARS)
cases
Case conference
Direct observation (assess effectiveness of
pictures, verbal communication and answers
to questions), global faculty evaluation form
Independently function as a critical consultant to On-service experience (evaluation of inside Review of each consultation by attending,
clinical physicians
and outside consult material, discussions
documentation of discussions with
with clinicians and pathologists)
clinicians
Discuss problem cases and sensitive issues with Direct interactions with clinicians
Direct observation
Appropriate and ethical behavior
Interpersonal Skills
clinicians.
Design and deliver effective presentations /
Direct interactions, case conference
Direct observation, Evaluation of
Effective teaching, clear and organized presentations
instructions for medical students, residents, coconference presentation
fellows and faculty.
Reliable, punctual, appropriate appearance,
Direct interactions
Direct observation, global faculty evaluation Appropriate and ethical behavior, efficient time
Professionalism
ethical behavior, sensitive to issues of diversity.
form, evaluation by non-faculty
management
Effectively communicate case processing with
Direct interactions
Direct observation, global faculty evaluation Appropriate and ethical behavior
technical personnel (PAs, histology, special
form, evaluation by non-faculty
laboratories, transcriptionists)
Attendance at regular GI Pathology COE
Track attendance
Attendance at the majority of these meetings
System based Practice Learn about the administrative and technical
functions involved in the operation of surgical
business meetings
pathology department
Attendance at weekly QA Conference,
Track attendance, evaluate QA projects
Attendance at the majority of these meetings
Practice-based Learning Be involved in quality assurance/quality
improvement.
participation in QA projects.
and Improvement