E L E C T I V E S
DEPARTMENT OF PATHOLOGY
M400 Use of Clinical
Lab Tests for Medical Diagnosis | M401 Molecular
Pathology - M.C. | M403 Surgical Pathology and Autopsy | M405
Hematopathology | M406 Autopsy/Pathology
| M408 Neuropathology
- Clinical and Experimental | M410 Experimental
Pathology and Medicine | M412 Cytogenetics
|
M414 Cytopatology |
M415 Surgical
Pathology | Post-Sophomore Year
Fellowship | M700
Anatomic Pathology- LIJ | M701
Cytology- LIJ | M702
Medical Microbiology- LIJ | M703
Surgical Pathology- LIJ | M704
Pediatric Pathology- LIJ | M800
Diagnostic Pathology- Beth Israel
This one month clinical
elective provides the student with practical information on how to arrive
at clinical diagnoses and track patients' progress through the rational
use of laboratory tests. The elective should be helpful to anyone entering
Internal Medicine, Pediatrics, Ob/Gyn, or Surgery. Students will spend
one week each in the following laboratory areas, learning how tests are
performed and how to interpret them: Chemistry/ Endocrinology, Hematology/Flow
Cytometry, Microbiology/Virology, and Rheumatology/Blood Bank. Didactic
lectures and clinical case-based conferences will be given by the faculty
of the Division of Clinical Pathology including Drs. Peter Barland, Edward
Burns, Kevin Cash, Amy Fox, Michael Levi, John McKitrick, Janet Piscitelli,
Howard Ratech, Samuel Reichberg, Herb Rose, Ilya Spigland, Martin Surks,
Ira Sussman, and Joan Uehlinger. Formal conferences on the evaluation
of clinical disorders will be given on the following topics:
•Lipid
Disorders
•Liver Disorders
•Myocardial Infarction
•Thyroid and Parathyroid Disease
•Diabetes
•Bleeding Disorders
•Anemia
•Leukemia/Lymphoma
•Hepatitis
•HIV Disease
•Arthritis/Autoimmune Diseases
•Rational use of Blood Products
Dr. K. Cosh
(718-920-6430)
Modules 5A Only
Full-Time; Minimum 4 - Maximum 8
First day meet Dr. Cosh at Pathology Clinical Labs Administration
Offices- Moses Division, North 8
Molecular Pathology
is designed to be hands-on-rotation. Strategies for diagnosis of genetic,
infectious and neoplastic diseases using molecular testing are covered.
We encourage residents to participate in laboratory bench work-up of cases
in order to understand the principles involved in measuring DNA, Southern
blot analysis, safe handling of radioactivity, polymerase chain reaction,
and, where applicable, correlation with clinical and other laboratory
data. Opportunities to participate in test development
and small research projects are available for enthusiastic residents willing
to go the extra mile. Recommended text: Molecular Biology and Pathology. A guidebook for
Quality Control. Edited by Daniel H. Farkas, Academic Press. San Diego,
Ca. 1993.
Dr. Howard Ratech,
M.C. (718-920-4976)
All Modules
Primarily for those
interested in a career in Pathology, Surgery or Obs/Gyn. Instruction is
given in the handling of surgical specimens, their preparation for histological
study and review of the stained specimens, grossly and microscopically,
emphasizing clinical-pathological correlation. The students will correlate
clinical findings with autopsy findings, read assigned pertinent literature and attend mortality conferences to correlate material.
Drs. S. Factor,
M. Abadi, C. Wang, S. Zee (718-918-4826)
Time to be arranged
All Modules except 1B, 2A
Full-Time
Minimum 1 - Maximum 2
First day of elective BE-1 Jacobi Medical Center - 8:30 A.M.
Hematopathology is
offered as a concentrated elective in the Anatomic Pathology training program. It includes exposure to the major morphological classification
schemes of lymph node based diseases such as non-Hodgkin's malignant lymphomas and Hodgkin's
disease.
Bone marrow biopsies are correlated with bone marrow and peripheral blood
smears in the majority of cases when evaluating the leukemias, as well as myelodysplastic
and myeloproliferative disorders. Because of the nature of the diagnostic
work-up for these diseases, there is additional emphasis placed on immunologic features
using flow cytometry and immunohistochemistry and also on molecular pathology
abnormalities using Southern blot analysis and the polymerase chain reaction.
Teaching sets and a collection of original references are provided for
study.
Recommended texts:
Neoplastic Hematopathology, Edited by DM Knowles. Williams & Wilkins,
Baltimore, 1992. Willimas Hematology. 5th edition. Edited by E. Beutler,
MA Lichtman, BS Coller
and TJ Kipps. McGraw Hill, Inc., NY, 1995.
Dr. Howard Ratech,
M.C. (718-920-4976) (Fax 718-920-7611)
All Modules
An elective in Autopsy
Pathology is available which initially focuses the trainee in the ability
to be able both to integrate in An interdisciplinary way the clinical
and anatomic findings evident in an autopsy. Research within the autopsy
service is active and particularly based towards a number of studies in
using the autopsy as a tool for health care outcome research, a wide variety
of studies in the diseases associated with dementia, gerontology, and the integration of any special studies and large data
management as it relates to autopsy pathology. Further, the autopsy service is an integral
part of the institutional review board of human studies, and opportunities
and issues related to ethics
and do not resuscitate order or other quality assurance (QA) issues are
present.
Dr. Jacob J. Steinberg,
(718-920-6573)
All Modules
Fax 718-547-8349
e-mail: steinber@aecom.yu.edu
Students will participate
in the gross and microscopic study of neuropathologic cases, attending conferences which include those concerning clinical, gross,
microscopic and research material.
A full-time Neuropathology
Research Elective could be arranged with a particular preceptor, to involve
structure, chemistry or immunology. The major research areas are dementia, neurochemistry or
immunology, demyelinating diseases, and neuroimmunology, neurodevelopment
and
Neuro-Aids.
Drs. C. Brosnan,
P. Davies, A. Hirano, A.B. Johnson, J. Llena, S. Lee, K. Weidenheim,C.
Raine, B. Shafit-Zagardo, H. Kiezak-Reding
All Modules
Full-Time, Part-Time by arrangement
Minimum 1 module, Maximum 3 modules
First day of elective meet at Central 2 (Dr. Llena's office), M.C. -
9:00 a.m. or by arrangement.
The laboratory has
a number of active projects in environmental and occupational medicine
on toxicology, and radiation damage.
We study these diverse
environmental toxins by investigating DNA damage (adducts) which occurs
through disease environmental injury. We have developed unique, high technology
state of the art assays to successfully measure this damage. These reproducible
techniques are strongly human disease oriented. The young investigator
is tutored and worked with to develop and complete a unique project during
their laboratory tenure. Our collaborators include the National Cancer
Institute, The Bronx Zoo and The New York Botanical Garden. The laboratory
has been very productive, with many publications, and welcomes novice
investigators.
Dr. Jacob J. Steinberg,
718-918-6573
steinber@aecom.yu.edu
All Modules, Half Modules
Full-Time
Students are to call prior to the onset of elective for the time and
place of meeting.
Cytogenetic training
for students consists of a rotation of one month. Both routine perinatal
cytogenetic procedures, as well as molecular and cytogenetic diagnosis
of hematopoietic and solid malignant tumors are covered. Students are
instructed in all aspects of cytogenetic analysis including indications for different procedures,
accession of samples, cell culture, harvesting, fixing and staining procedures.
These include a variety of banding techniques, microscopic analysis and preparation of
karyotypes.
Standard cytogenetic nomenclature, analysis and interpretation of test results
are also covered. The cytogenetics rotation provides adequate exposure and background for residents
to acquire competence to advise other physicians about indications for cytogenetic
testing, appropriate test procedures and interpretation of results. Additional
elective time in cytogenetics is available for interested students.
Dr. Linda A. Cannizzaro
(718-430-2898) (FAX# 718-430-8633)
Forchheimer Bldg - AECOM
All Modules
The division of cytology
offers participation in a variety of projects that utilize cytology specimens.
Some projects consist mainly of retrospective studies of a certain type
of neoplasm or organ involvement and are primarily of clinical nature.
Other work involves the attempted measurement of certain objective markers
of tumor differential or presumed prognostic significance. The student
may participate at a variety of levels
(search data base for cases, retrieve archival material, learn to perform
image analysis, perform electron microscopy on archival material, case
review with analysis of criteria with attendings, etc.)
Dr. Mark Suhrland,
920-5037
All modules except July or August
Minimum - 1 module
Maximum - 3 modules
Full-Time
Student to call before beginning of elective to arrange appointment.
Diagnostic surgical
pathology is an integral part of patient care. During the student's rotation
in surgical pathology they become part of the pathology team and will
learn, and be involved,
in the workflow of the pathology lab. More specifically, the students
will observe and gross
specimens (under guidance), perform microscopic examinations, and develop
diagnoses based
on the pathologic material and clinical input from various clinical services.
WHAECOM (Einstein-Weiler
Division-MMC)
Drs. J. Jones, M. Li, B. Sabla, K. Whitney
Time to be arranged (904-2947)
All Modules
Full-Time
Minimum 1- Maximum 2
First day of elective meet in Room 33-8 at 8:30 a.m.
The Department of
Pathology has a year long Fellowship Program for Senior medical students.
The students are offered the flexible mixtures of doing clinical and research
work. They participate in performing autopsies, processing and diagnosing
surgical specimens and presenting interesting cases at various Department
conferences.
Residents have found
this program to be of great benefit to the training program. The students
are usually bright, enthusiastic and full of ideas. Furthermore, in a
program where teaching and learning to teach is emphasized, the presence
of students is mutually beneficial.
Contact Dr. J.J. Steinberg
(718-918-4804)
steinber@aecom.yu.edu
M700
Anatomic Pathology –Long Island Jewish Medical Center
The student will be given an overview
of the practice of Anatomic Pathology in active hospital setting by
participating in the gross and microscopic examination of current
surgical, cytology and autopsy cases. The work-up of diagnostic problems
will emphasize a variety of methodologies including immunohistochemistry,
electron microscopy and automated cell analysis. The student will also be
exposed to the use of intraoperative pathologic consultation. Clinical
pathologic correlation is stressed.
Dr. L.B. Kahn (718) 470-7491
All Modules, Half Modules
Full Time
Students are to call prior to the
onset of the elective for the time and place of meeting.
M701
Cytology- LIJ
The student receives an introduction
to the study of exfoliated cells for differentiation of benign from
malignant cells. The student participates in the collection, preparation
and study of samples and the correlation with the clinical findings and
biopsy material. There is ample opportunity for the students to develop
knowledge and skills in the technique of fine needle aspiration.
Dr. Patricia Wasserman
(718) 470-7592
All Modules
Half Modules
Students are to call prior to the onset of elective for the time and place
of meeting.
M702
Medical Microbiology- LIJ
The student gains practical
experience in the collection of specimens and identification of
microorganisms related to human disease. The student learns mechanisms of
pathogencitiy, host responses and microbial susceptibility to
chemotherapuetic agents. The student has exposure to programs for
nosocmial infedtion. Automated methodologies available in microbiology are
discussed.
Dr. Ernestine M. Vellozzi
(718) 470-3072
All Modules
Half Modules
Students are to call prior to the onset of elective for time and place of
meeting.
M703
Surgical Pathology-LIJ
There is daily participation in the
preparation and study of current surgical specimens. Gross and microscopic
examinations are emphasized. There is operating room frozen section
consultation exposure. Histochemical, electron microscopic and
fluorescence microscopic methodologies are available and utilized freely
for investigation of a wide range of problems and correlation with
clinical signs, prognosis and treatment.
Dr. Tawfiqul Ehuiya
(718) 470-3070
All Modules
Half Modules
Students are to call prior to the onset of the elective for the time and
place of meeting.
M704
Pediatric Pathology-LIJ
A one month elective rotation is
offered at the campus, which has a separate children’s hospital,
Schenider Children’s Hospital. The Division of Pediatric Pathology is
directed by Dr. Elsa Valderrama, who is board certified in the
subspecialty of Pediatric Pathology. The division receives approximately
15-20 surgical specimens per day and between 3-4 autopsies per month. The
Resident will be responsible for the gross and microscopic examination of
all these specimens and will be directly supervised by Dr. Valderrama. The
Division of Pediatric Pathology participates with the Department of
Pediatrics in a number of weekly conferences and where appropriate the
Resident will participate in case presentations. Residents are also
strongly encouraged to review a teaching set of frequently encountered
lesions in Pediatric Pathology. In addition, the Department of Pathology
requires all Residents to attend four intradepartmental conferences:
Surgical Pathology/Microscopic Conference; Surgical Pathology/Gross
Conference; Autopsy Conference, Residents Seminar.
Dr. Elsa Valderrama
(718) 470-7490, Fax (718) 347-9171
All Modules
This elective is designed to provide
the intellectual challenge of real-life Diagnostic Pathology practice with
advanced information and automation technologies. In this rapidly changing
era of managed care; medical students are more cautiously than ever
exploring the differential qualities of various career opportunities. In
particular, there are more closely scrutinizing fields that have greater
attraction in context of the absence of serious constrictions and
frustrations that are currently being identified in the pursuit and
practice of certain clinical specialties. The exciting and intellectually
stimulating role of Diagnostic Pathology and Laboratory Medicine in the
practice of medicine cannot be fully appreciated within the confines of
the standard medical school curriculum. The traditional basic pathology
course, as well as the pathology instructional content in subsequent
integrated blocs, however educationally important and interesting, do not
adequately represent the enormously gratifying field of Diagnostic
Pathology as it exists in real life.
The elective will take place in the
intraoperative surgical pathology suite which is within the operating room
complex of the hospital (Beth Israel Medical Center-The Manhattan Campus
for the Albert Einstein College of Medicine). This location allows for
intended real-time/real-life interaction with surgeons and numerous other
physicians and house officers. It also provides for the opportunity for
students to participate in the intraoperative frozen section consultations
and see patients within the operating rooms. Students will review current
surgical and medical diagnostic pathology cases with pathologists and
fellows, which will be studied in the context of gross (macroscopic),
ultrastructural, immunopathologic, molecular pathologic, radiographic and
clinical evaluation. Participants will be exposed to cutting edge
information and automation advances that allow Diagnostic Pathology and
Laboratory Medicine to flourish by increasing costs during these
challenging managed care times.
Dr. Bruce Wenig (212) 420-4031
All Modules
Full Time
Maximum 1 Module
Students are to call prior to the onset of elective for time and place of
meeting.
