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ResidencyProgramManual
2013–2014
TheDepartmentofPathologyandCellBiology
MorsaniCollegeofMedicine
UniversityofSouthFlorida
AnneChampeaux,MD
ProgramDirector
NicoleEsposito,MD
AssociateProgramDirector
SallyLamar
ProgramCoordinator
PURPOSEOFMANUAL
Thismanualcontainsinformationwhichyouwillfindusefulas youbecomefamiliarwith
the Department, its multifaceted mission, and your role as a resident. It can serve as a
valuablereferencetoolforquestionsondepartmentalresidencypolicy.TheDepartmentof
PathologyandCellBiologyatUSFhasseveralprimaryobjectives.Theseinclude:
1)
Teachingof:
a. Medicalstudents
b. Graduatestudents
2)
Trainingof:
a. Residents
b. Pathologyfellows
c. Postdoctoralresearchfellows
3)
Patientcare
a. MedicalClinics
b. MorsaniCenterforAdvancedHealthCare
c. Affiliatedhospitals
4)
Research
a. Basic
b. Translational
2 | P a g e I.
WELCOMEANDINTRODUCTIONTOTHEDEPARTMENTOFPATHOLOGY
ANDCELLBIOLOGY
Welcome to the Department of Pathology and Cell Biology at the University of South
FloridaHealthMorsaniCollegeofMedicine.TheidentificationofPathologyasadiscipline
bridgingthebasicandclinicalsciencesisparticularlytruetodayaftertherecentmergingof
two departments (Pathology and Anatomy) within the newly created School of Basic
Biomedical
Sciences.
On
the
department
website
http://health.usf.edu/medicine/pcb/index.htm you will find information on our
educational,research,clinicalandacademicactivitiesincludingshortprofilesoffacultyand
theirareasofexpertiseaswellasalistofgraduateandpostgraduatetrainees.
Ourmissionistostriveforexcellenceinteaching,research,academicserviceandpatient
care. Through its academic components of Anatomy and Pathology, the Department
bridges basic and clinical knowledge and constantly pursues excellence in education,
training, individual as well as collaborative research, and in sophisticated diagnostic and
consultativeservices.
Educational and training programs include teaching of medical students, Pathology
Residency and Fellowship programs, training of clinical fellows, PhD and Postdoctoral
ResearchprogramsintheBiomedicalScienceswithconcentrationincancerbiology,andon
site and online Master of Science programs in Anatomy. Extramurally funded basic and
translational research isfocusedon ovariancancer developmental and molecular biology
with additional areas of interest in the neurosciences, Sertoli cell immunobiology and
virtualanatomy.
Clinical operations and training are based within the Department and at affiliated
institutions including the NCI‐designated H. Lee Moffitt Comprehensive Cancer Center,
Tampa General Hospital, the James A. Haley and Bay Pines Veterans Administration
Hospitals,AllChildren'sHospitalandtheHillsboroughCountyMedicalExaminer’sOffice.
3 | P a g e Our ACGME‐accredited residency training program is based at the University Of South
FloridaMorsaniCollegeOfMedicine,acommunity‐basedmedicalschoolwithaclasssizeof
120. Like the medical school, it draws from the educational opportunities at three major
Tampa hospitals: the James A. Haley Veteran’s Administration Hospital, Moffitt Cancer
CenterandResearchInstitute,andTampaGeneralHospitalaswellasattheHillsborough
CountyMedicalExaminer’sofficeandBayPinesVAHospital.Withfourresidentsaccepted
annually through ERAS, and eight fellowship positions, there are abundant opportunities
forexposuretoawidevarietyofcasetypes,patients,andteachingopportunities,aswellas
regionalemploymentinthegreaterTampaBayarea.Thefaculty:traineeratioandnumber
of pathology assistants at all institutions ensure adequate “scope time”, very reasonable
callpolicies,and,mostimportantly,amplestudyandresearchopportunities.Ouraimisto
fully prepare you for, and tailor your training to, either a career in academics or private
practicebasedonyourinterestsandaptitudes.
A.
MissionStatement
ThemissionoftheResidencyTrainingProgramistopreparephysiciansforacareerin
either academic or community pathology. Successful completion of this mission is a
complextaskrequiringanintensive4‐yeareffortonthepartofbothfacultyandindividual
residents. The Department's approach to this mission involves a combination of several
activeandpassivemodalitiesincluding:
1)
Participationinpatientservicewithsupervisedgraduatedresponsibility
2)
Attendanceatdidacticconferences
3)
Presentationandparticipationininteractiveconferences
4)
Independentstudy
5)
Teachingmedicalstudentsandresidents
6)
Participationinhospitalcommitteesandnationalpathologyorganizations
7)
Completionandpresentationofasupervisedresearchproject
Through these activities, which are described in detail throughout this manual, each
resident who successfully completes the program will acquire theknowledgebase, skills,
andjudgmenttocompetentlypracticepathology.Everyresidentwillcompleteanidentical
"core" curriculum providing a basic foundation for the practice of pathology. Through
protectedelectivetimeandindividualincentiveitishopedthateachresidentwilltailorhis
or her training toward academic or community practice with a particular subspecialty or
individualinterestinmind.
II.
PROGRAMDESCRIPTION
4 | P a g e TheresidencyprogramattheDepartmentofPathologyandCellBiologyattheUniversityof
South Florida Morsani College of Medicine is an ACGME‐accredited, integrated 4‐year
residency program in Anatomic and Clinical Pathology. The basic core curriculum is
complemented by a broad choice of electives allowing comprehensive preparation for
eithercommunityoracademicpractice.Ourprogramemphasizesgraduatedresponsibility
inpatientcareandteachinginavarietyofpracticesettings,aswellasampleopportunity
forsupervisedresearch.Activeparticipationinpatientcareservicesiscomplementedby
anextensivelectureandconferenceseriesinallaspectsofanatomicandclinicalpathology.
TheAnatomicPathologycurriculumincludestraininginautopsyandsurgicalpathology,
cytopathology,pediatricpathology,neuropathology,dermatopathology,forensicpathology,
andimmunohistochemistry.
The Clinical Pathology curriculum includes training in microbiology (including
bacteriology, mycology, parasitology, and virology), immunopathology, blood
banking/transfusionmedicine,chemicalpathology,cytogenetics,hematology,coagulation,
toxicology, medical microscopy (including urinalysis), molecular biologic techniques, and
laboratoryadministration.
A.
ACGMECoreCompetencies
All ACGME‐accredited residency programs are required to define specific learning
objectives for residents to demonstrate knowledge in six areas essential to becoming a
competent physician. Programs must define the specific knowledge, skills, and attitudes
required and provide educational experiences as needed in order for their residents to
demonstrate achievement of these “General Competencies”, which are defined below.
Thesecompetenciesareintegratedintotheresidencyprograminareasofbothclinicaland
didacticexperiences.Rotationevaluationswillincludeassessmentinalloftheseareas.The
sixareasdefinedare:
 PatientCare‐compassionate,appropriate,andeffectiveforthetreatmentofhealth
problems and the promotion of health. Residents must demonstrate a satisfactory
levelofdiagnosticcompetenceandtheabilitytoprovideappropriateandeffective
consultationinthecontextofpathologyservices.
 Medicalknowledge‐establishedandevolvingbiomedical,clinical,andcognate(eg,
epidemiological and social‐behavioral) sciences and the application of this
knowledgetopathology.
 Practice‐basedlearningandimprovement‐involvesinvestigationandevaluation
oftheirdiagnosticandconsultativepractices,appraisalandassimilationofscientific
evidence,andimprovementsintheirpatientcarepractices.
5 | P a g e  Interpersonal and communication skills – results in effective information
exchange and collaboration with patients, their families, and other health
professionals.
 Professionalism ‐ manifested through a commitment to carrying out professional
responsibilities,adherencetoethicalprinciples,andsensitivitytoadiversepatient
population.
 Systems‐basedpractice‐manifestedbyactionsthatdemonstrateanawarenessof
andresponsivenesstothelargercontextandsystemofhealthcareandtheabilityto
effectivelycallonsystemresourcestoprovidepathologyservicesthatareofoptimal
value.
B.
ScopeofPractice–PathologyAnatomic/Clinical
Thefour‐yearAP/CPcurriculumisachievedbyafixedcurriculumcomposedof48months
ofrequiredrotations(20monthsanatomicpathologyand19monthsclinicalpathology)as
wellas9monthsofelectiverotations.Thespecificgoalsandobjectivesofeachrotation,as
well as the manner in which progressive responsibility is achieved, are detailed in the
rotation descriptions. The following is a brief summary of the general duties of each
residentateachlevelofresidencytraining.
1.
AnatomicPathology
 PGY–1
o
o
o
o
o
o
o
o
Learntechniqueofautopsydissectionwithsupervision
Dictategrossautopsyfindingsindependently
Signoutgrossandmicroscopicfindingswithattendingsupervision
Grosssurgicalspecimenswithsupervision
Becomefamiliarwithperformingfrozensectiontechnique
Assesssurgicalslidesbeforesign‐outandpreparedifferentialdiagnoses
Introductiontoprinciplesofhistochemicalandimmunohistochemicalstaining
Introductiontoexfoliativecytology
6 | P a g e  PGY–2
o Performautopsydissectionwithoutsupervision,beproficientinautopsy
presentationskills
o Dictategrossandmicroscopicautopsyfindingsbeforesign‐outwithattending
o Grosssurgicalspecimensindependently
o Workingknowledgeofspecimenprocessing,cutting,andstaining
o FamiliaritywithIHCstainsandtheiruseindifferentialdiagnoses
o Interfacewithcliniciansinworkupofsurgicalspecimens/diagnoses
o Assesssurgicalslidesandbegintodevelopmoresophisticateddifferential
diagnoses
o LearntechniquesandperformanceofFNA’s,bodyfluidexam
o AttendCT‐guidedFNA’sandassessadequacyofspecimen
o PerformandstaintouchprepsandrapidIHCstainingoncytologysamples
o Assesscytologymicroscopicspecimensbeforesign‐outandbepreparedwith
differentialdiagnosis.
 PGY–3
o Completeentireautopsywithminimalsupervision
o Performanddiagnosefrozensectionwithattendingbackup
o Correctlycompletegrossandmicroscopicdictationonmostsurgicalsbefore
sign‐outwithattending
o Becomemoresophisticatedwithdifferentialdiagnosisofsurgicalspecimens
o Befamiliarwithtechniquesandinterpretationofimmunofluorescenceand
electronmicroscopicspecimens
o Independentconsultationwithcliniciansinwork‐upofsurgicals
o Presentsurgicalcasesinmultidisciplinaryconferences
 PGY–4
o Completeentireautopsywithminimalsupervision
o Perform,diagnose,andcallfrozensectionresultwithattendingbackup
o Correctlycompletegrossandmicroscopicdictation,includingorderingIHCand
specialstains,onmajorityofsurgicalsbeforesign‐outwithattending
o Havesophisticatedknowledgeofdifficultcases,withfrequentuseofliterature
forbackup
o Beproficientinuseandinterpretationofspecialdiagnostictechniques,including
molecularbiologictechniques
o Regularlyconsultwithcliniciansinmultidisciplinaryconferenceandinworkup
ofcases
o Supervisejuniorresidentsingrossandmicroscopicdiagnoses
7 | P a g e 2.
ClinicalPathology
 PGY–1
Performbonemarrowbiopsywithsupervision
Learnhowtoevaluateabasicbonemarrowbiopsy
Understandprocessingtechniquesforbonemarrowaspirateandbiopsy
Learnanemiaworkup
Introductiontoflowcytometrytechniques
Beresponsiblefornighttimeandweekendcoverageofclinicalpathologylab,
withattendingbackup
o ObservelaboratoryteachingsessionsinMSIIpathologycourse
 PGY–2
o
o
o
o
o
o
Evaluatepatientsforautologousdonation
Coverclinicallaboratorycalldayandnight,withattendingbackup
Learnmicrobiologiccultureandplatingtechniques
Learnbasicsofmicrobiologicspecimenidentificationandcorrectlyworkup
threeunknownbacterialspecimens
o Learnbasicsofparasitologyandfungalidentification
o AttendMSIIlaboratorysessionsandhelpattendingpresentgrossspecimens
 PGY–3
o
o
o
o
o Learnprinciplesofbloodbanking,includingevaluationofdonoreligibility
o Performhospitalconsultsonpheresispatients
o Learnprinciplesandtechniquesofcrossmatchandcompatibility,withbench
experience
o Chemistry
o Labadministration
o TeachMSIIlaboratorysessionswithattendingsupervision
 PGY–4
o Developsophisticatedknowledgeinthediagnosesofneoplastic
hematopathology,includingusesofflowcytometry,cytogenetics,andmolecular
biologictechniques
o Dictatehematologyconsultationcaseswithattendingbackup
o Virology
o CP‐2descriptions
o TeachMSIIlaboratorysessionswithattendingbackup
o Serveonahospitaladministrativecommittee
8 | P a g e III.
A.
EDUCATIONALFACILITIESANDTRAININGSITES
USFHealthScienceCenter
The Department of Pathology and Cell Biology at the University of South Florida Health,
College of Medicine is located within the Health Sciences Center on the main Tampa
campus.TheHealthSciencesCenterishometothemedicalschool,whichbeganin1971
and currently accepts 120 freshman medical students each year. Nearby the Health
Sciences Center sits the USF Health Morsani Center for Advanced Healthcare, a large and
active multidisciplinary outpatient clinical center, which includes a surgery center and
diagnosticimagingcenter.
TheShimbergHealthSciencesLibraryisalsolocatedhere.Withserviceasitshallmark,the
Hinks
and
Elaine
Shimberg
Health
Sciences
Library
http://health.usf.edu/library/home.html offers innovative technologies, educational
programs, reference services, research assistance, and access to electronic and print
resources in the biomedical sciences. Founded in 1971, the Library supports the
instructionalandresearchactivitiesoftheCollegesofMedicine,Nursing,PublicHealth,and
theSchoolofPhysicalTherapy.Thelibraryoffers3newlyremodeledconferencerooms,a
computer lab and a comfortable environment for study or research activities. The
Shimberg Library subscribes to 2,718 online journals, 265 print journals, 65 research
databases and a collection of 30,650 health science books including 938 e‐books. An
extensivecatalogofinformationisavailablefulltextonline,andaninterlibraryloanservice
offers researchers borrowing privileges from Universities nationwide. Professional
librarians offer group and individualized instruction in the use of print and electronic
resourcesandinformationmanagementskills.Forlibrarytrainingclassinformationorto
makeanappointmentforindividualinstructionpleasecontactJohnOrriolaat974‐2990.
http://hsc.usf.edu/nocms/library/usf_ill.html
B.
JamesA.HaleyVAMedicalCenter
TheJamesA.HaleyVeteransHospitalisa327bedtertiarycareteachinghospital,with300
authorized nursing home care beds (180 in Tampa, and 120 beds in Orlando) and is
dedicated to providing the highest quality of patient care and services to veterans in
Central Florida. The full range of inpatient and outpatient care services is provided
including Medicine (111 beds), Surgical (61 beds), Psychiatry (50 beds), Neurology (7
beds), as well as a 60‐bed Spinal Cord Injury Service, and a 42‐bed Comprehensive
RehabilitationCenter.
9 | P a g e Tampa is also responsible for three major Satellite Outpatient Clinics located in Orlando,
New Port Richey, and Viera, as well as two Readjustment Counseling Centers in Orlando
andTampa.CommunityBasedOutpatientClinics(CBOCs)arelocatedthroughoutCentral
Floridasuchas:Lakeland(Polk),Brooksville(Hernando);Sanford(Seminole),Zephyrhills
(Pasco)andinKissimmee(Osceola).TheTampaVAMCanditsfacilitiesserveveteransin
eightcountiesofCentralFlorida:Brevard,Hernando,Hillsborough,Orange,Osceola,Polk,
Pasco,andSeminolewithacombinedestimatedveteranpopulationof435,442.
TampaanditssatelliteclinicsmakeupthebusiestVAfacilitiesinthenation.Thehospital
wasactivatedin1972andisaffiliatedwiththeUniversityOfSouthFloridaMorsaniCollege
Of Medicine. Residency training programs are provided to 138 residents in most of the
medicalandsurgicalsubspecialties,aswellasPathology,Psychiatry,andRadiology.Other
training programs exist in Nursing, Audiology/Speech Pathology, Pharmacy, Social Work,
Dietetics,NuclearMedicine,PhysicalandOccupationalTherapy,andRadiology.
ThePathologyandLaboratoryMedicineServiceisstaffedbyfull‐timeandpart‐timefaculty
members.In2008,therewereapproximately35,700surgicalspecimens,82,000surgical
slides,277bonemarrowexaminations,19,000immunohistochemistryslides,21
autopsies,10,326regularcytology(GYN&NON‐GYN)and693fineneedleaspiration
specimens,1,593,932outpatientvisits,andapproximately7,326,824clinicallaboratory
tests.Therearefacilitiesforimmunohistochemistry,flowcytometry,andmolecular
pathology.
C.
MoffittCancerCenter
H. Lee Moffitt Cancer Center and Research Institute is a 162 bed, specialized NCI‐
designatedComprehensiveCancerCenteronthecampusoftheUniversityofSouthFlorida
adjacenttotheCollegeofMedicine.Comprehensivein‐patientandout‐patientservicesare
availablethroughmultidisciplinarygroupsinwhichpathologyplaysavitalrole.Eachyear
the laboratory accessions approximately 11,000 surgicals, 8,300 frozen sections, 8000
consultation/review cases, including approximately 829 cytology reviews, 8,418 cytology
specimens (including 3213 non‐gyn), 2095 bone marrow biopsies, 2281 fine needle
aspiration biopsies and 20 autopsies. The laboratory also offers a full range of clinical
pathology services and has facilities for immunohistochemistry, flow cytometry, and
fluorescentin‐situhybridization(FISH).
D.
TampaGeneralHospital
Tampa General Hospital is a 958‐bed, county‐funded institution located in downtown
TampathatservesasaprimaryteachingfacilityfortheCollegeofMedicine.Atotalof230
autopsies,includingapproximately150embryoandearlyfetalautopsies,21,770surgical
specimens, and 5,780 cytology samples are examined annually. The hospital has active
kidney, liver, lung, pancreas and heart transplant programs, a Level 1 Trauma Center, a
10 | P a g e RegionalCardiovascularCenter,andisthebaseforairborneadultandpediatricemergency
teams.Theclinicallaboratoryperformsmorethan3.5milliontestsperyear.
E.
OtherRotationSites
ResidentrotationsarealsodoneattheBayPinesVAMedicalCenter,TheHillsborough
CountyMedicalExaminer’sOffice,andtheMorsaniCenterforAdvancedHealthCare.
Pleaseseethecurriculumsectionformoreinformationaboutrotationsatthesesites.
F.
TampaCommunity
The Tampa campus of the University of South Florida and the College of Medicine are
located in the rapidly growing suburban area of northeast Tampa. Housing is affordable
and readily available in several pleasant local neighborhoods with easy access to the
University, the beaches, and cultural activities of the downtown area. Tampa is home to
Busch Gardens, the Florida Symphony, the world champion Tampa Bay Buccaneers, the
worldchampionTampaBayLightning,TheTampaBayStorm,theTampaBayDevilRays
and the American Board of Pathology. The Tampa Bay area, which includes Tampa, St.
Petersburg,andClearwater,isathrivingcommunityof2.39millionpeoplelocatedonthe
Gulf of Mexico. The climate and location allow year round outdoor recreational activity
includinggamefishing,sailing,boating,tennis,andgolfing.
IV.
CURRICULUMANDROTATIONS
A.
CoreCurriculum
Thefouryearsofcombinedanatomic&clinicalpathologytrainingaredividedasfollows:
20mos.AP(assignedasfollows)CoreCurriculum
19mos.CP(assignedasfollows)CoreCurriculum
9mos.electives(APorCPfreelychosen)
48mos.Total
PGY‐1
Rotation Surgical Pathology (AP) Cytology 1 (GYN) (AP) Forensic Pathology‐Autopsy (AP) Hematopathology (CP) Location JAHVA‐3; TGH‐4 Bay Pines VA County ME Office JAHVA‐2; TGH‐1 Duration 7 months 1 month 1 month 3 months 12 months total PGY‐2
Rotation Location Duration 11 | P a g e Surgical Pathology (AP) Cytology (Non‐GYN) (AP) Chemistry (CP) Hematopathology (CP) Moffitt Moffitt JAHVA Moffitt 3 months 3 months 3 months 3 months 12 months total Location JAHVA JAHVA VA/Moffitt/TGH JAHVA County ME Office TBD Duration 2 months 1 month 3 months 3 months 1 month 2 months 12 months total PGY‐3
Rotation Surgical Pathology (AP) Molecular Pathology (CP) Electives (AP/CP) Microbiology (CP) Forensic Pathology (AP) Blood Bank (CP) PGY‐4
Rotation Surgical Pathology (AP) Advanced Clinical Pathology‐Immunology (CP) Advanced Clinical Pathology‐Microbiology (CP) Electives (AP/CP) Surgical Pathology (AP) Location USF Moffitt Moffitt VA/Moffitt/TGH TGH Duration 1 month 2 months 2 months 6 months 1 month 12 months total The rotations encompass training in anatomic pathology, including autopsy and surgical
pathology, cytopathology, pediatric pathology, dermatopathology, forensic pathology,
immunopathology, histochemistry, neuropathology, cytogenetics, molecular biology,
aspiration techniques, and other advanced diagnostic techniques as required by the
AccreditationCouncilforGraduateMedicalEducation.
The CP rotations encompass training in microbiology (including bacteriology, mycology,
parasitology,andvirology),immunopathology,bloodbanking/transfusionmedicine,chemical
pathology, cytogenetics, hematology, coagulation, toxicology, medical microscopy (including
urinalysis),andmolecularbiologictechniquesassetforthbytheACGME.
12 | P a g e B.
RotationDescriptions
Atthebeginningofeachrotation,thesitedirectorordesigneeisresponsibleforproviding
the resident with a copy of the rotation description as well as the list of the required
competenciesforthatrotation.Theseimportantdocumentscontainrequiredinformation
suchasthegoalsandobjectivesoftherotation,thedurationoftherotation,thedutiesand
responsibilitiesofresidentsateachyearoftraining,theteachingstaffresponsibleforthe
supervisionandinstructionoftheresidentsduringtherotation,andthemannerinwhich
residentsaresupervisedandevaluatedduringtherotation.Theresidentwillacknowledge
receiptoftherotationdescription(seeattachedform).
Copiesoftheserotationdescriptionsarekeptonfilewiththeprogramdirector,residency
coordinator and electronic versions are accessible on the sharepoint site
(https://my.usfhealth.usf.edu/sites/com_pathology/residency/Goals%20%20Objectives/Forms/AllItems
.aspx)
C.
Electives
Rotation Neuropathology Pediatric Pathology Transplant Pathology Advanced Surgical and Autopsy Pathology Advanced Cytopathology EM/Renal Pathology Advanced Cytology and FNA Dermatopathology Hematology Elective Molecular Pathology Research Abbreviation
NP PP TP SP‐E Location TGH TGH TGH Any Duration 1 month 1 ‐ 3 months 1 ‐ 3 months 1 – 3 months CY‐E EM/R CY‐E DP HP‐E MP RS BP TGH MCC MCC or USF or JAHVA MCC MCC Any 1 – 2 months 1 month 1 – 3 months 1 month 3 months 1 month 1 – 6 months Note:Detailedrotationdescriptions(requiredandelective)areavailablethroughthe
programcoordinator.
13 | P a g e D.
ResearchRequirement
The Department considers research an integral part of preparation for the practice of
pathology. Residents interested in academic practice will have the opportunity through
elective time to pursue research projects in more depth than the required minimum.
Residents who wish to enter community practice may spend elective time refining
diagnosticskillsorbeginningtopursueasubspecialty.However,theDepartmentbelieves
thatallresidents,regardlessoftheircareerdirection,shouldactivelyparticipateinatleast
one research project. Through this activity, residents will learn to ask appropriate and
defined questions (hypothesis formulation), seek the best ways of answering questions
(experimentaldesign),judgethereliabilityofinformation(dataacquisitionandcontrols),
assess the relevance of information (statistical analysis), and weigh the validity of
conclusions (statistical inferences). Experience with this process is valuable in daily
practiceinbothcommunityandacademicpathology.
The following pages contain a list of faculty research interests. Each resident should
approachfacultymemberswhohavelistedprojectsthatmaybeofinteresttotheresident.
After discussion of the project and mutual consent, the resident under supervision ofthe
faculty member will be responsible for all phases of the project including hypothesis
formulation, literature review, experimental design, data acquisition, statistical analysis,
andconclusions.Aresidentmayalsopursueanoriginalprojectofhisorherowndesignby
collaboratingwithawillingfacultymember.Thescopeofprojectsthatwillbeconsidered
appropriate range from clinical/pathological correlation to basic bench research. The
individual faculty member will be responsible for securing space and funding for the
proposedresearch.Residentsmayalsobeabletoobtaindepartmentalfunding(p.17).
Each resident, during PGY‐3 or PGY‐4 year, will be required to present his/her research
projectatleastonceatthePathologyResidentsResearchDay.Thiseventwillbeheldeach
year and attended by current residents, Pathology faculty, alumni of the USF Pathology
ResidencyTrainingProgram,andallotherinterestedfacultyandresidentsintheCollegeof
Medicine.Eachpresentationwillbeapproximatelythirtyminutesinlength.Projectsmay
begin as soon as the PGY‐1 year but should be well in progress by the beginning of the
PGY3 year. Research activities may be pursued concurrently with required rotations
and/or during elective time. All other responsibilities of a required or elective rotation
mustbesatisfiedbeforearesidentmayspendtimedoingresearch.
14 | P a g e Inaddition,presentationatnationalmeetingsandpublicationinpeer‐reviewedjournalsis
encouraged and will be supported by the Department upon individual approval (see
EducationFunds).
E.
AmericanBoardofPathology
ResidentsareeligibletoapplyforcertificationbytheAmericanBoardofPathologyintheir
fourth year of training. As the application is extensive, the following materials, taken
directlyfromtheAmericanBoardofPathologyApplication,areprovided.Werecommend
thatresidentsbeginkeepingalogoftheseitemsfromthebeginningofresidency.Autopsy,
FNA and bone marrow biopsy numbers need to be exact and logged into the ACGME
website (www.acgme.org). Clinical pathology consultations include: SPEPs, UPEPs, flow
cytometry,hemoglobinelectrophoresis,reviewofsendoutlabs,etc.
While the volume and variety of procedures performed by pathology residents is quite
differentfrommostothermedicalresidents,itisnecessarytokeeptrackofproceduresyou
perform. This information will be required for credentialing by the American Board of
Pathology,isneededaspartoftheACGMEaccreditationprocess,andisrequestedyearlyby
theUSFGraduateMedicalEducationCommittee.Currently,theABPrequires50autopsies
to be performed per resident. The ACGME requires each resident examine at least 2000
surgicalcases,1500cytologycases,and200frozensections.Itishighlyrecommendedfor
residentstokeeptrackofthenumberandtypesofcasesseenduringeachrotationsothis
information can be queried. The pathology residency program director may request this
informationatanytime.
15 | P a g e **AmericanBoardofPathologywww.abpath.org
16 | P a g e F.
DidacticLectures,Conferences,andPresentations
The Department of Pathology and Cell Biology conferences are attended by pathology
residentsandfellows,graduateandpostdoctoraltrainees,facultyaswellasUniversityand
Communityphysicians.Speakersatconferencesincludedepartmentfacultyandresidents,
other university faculty, and distinguished pathology faculty and scientists from other
institutions.
Purpose:
1. Todisseminateknowledgeofallaspectsofpathologytoallattendees.
2. Tosupplementthetrainingresidentsreceiveonformalrotations.
3. To provide an opportunity for residents to gain public speaking and
presentationskills.
4. To expose the attendees to ongoing research and new developments in
pathologyandrelatedbasicsciencedisciplines.
Residentsareexpectedtoarrangetheirdailyschedulesinordertoattendrequired
departmentalconferences.Thefacultyateachoftheaffiliatedinstitutionsareaware
ofthisrequirementandwillworkwithresidentstoallowforattendance.
The weekly USF conference schedule, including topics, times, and locations are
postedontheSharepointsite.
Scheduleofrequireddepartmentalconferences:
TUESDAY
8:00a.m.‐12:00p.m.
Weekly
ShimbergLibrary
Room2215
WEDNESDAY
5:00‐7:00p.m.
LastWednesdayof FacultyOfficeBldg
eachmonth
Room5179
1.
ConferenceSeries
DIDACTICCOURSEINANATOMICANDCLINICALPATHOLOGY
Objective:
The didactic course is designed to present core material in anatomic and clinical
pathologynecessaryforthepracticeofpathologyandsuccessfulcompletionofthe
board examination. The course is taught in didactic fashion by core and clinical
faculty of the Department of Pathology and Cell Biology. Material is taught in 2‐4
week blocks based on organ system (anatomic pathology) or major disciplines
(clinicalpathology).
17 | P a g e Mechanism:
TheDidacticCourseusescoretextsinpathology(Robbins,Henry,McClatchey)for
resident review before conference. The conferences are presented in PowerPoint
format with handouts provided at the time of conference. The conference will be
most successful if all attendees have read the material and are prepared to
participate.
Residentsandfellowsarealsoexpectedtopresentatthisconferenceonthetopicof
theirchoice.Theyusuallywillpresent2‐3timesduringtheirtraining.Residentscan
signupforavailabledatesoncetheremainderoftheconferenceschedulehasbeen
determined.
PRACTICALANATOMICPATHOLOGY
Objective:
This didactic course is designed to present a variety of material in anatomic and
clinicalpathologynecessaryforthepracticalpracticeofeithercommunitybasedor
academic pathology. The course is taught in didactic fashion by core and clinical
facultyoftheDepartmentofPathologyandCellBiology.
Mechanism:
Attendings assigned to present at these conferences may select from a variety of
methods/topicsthatpertaintothecurrentpracticeofpathology.Theselecturesare
presentedinPowerPointformatting.
PATHOLOGYCASESTUDIES
Objective:
Case studies conference will increase residents' exposure to clinical pathology
topics and topics in anatomic pathology that are not part of required rotations.
These topics include, but are not limited to medical microbiology, blood banking,
chemistry, lab management, coagulation, hematology, neuropathology,
dermatopathologyandrenalpathology.
Mechanism:
Attendings assigned to present at these conferences may select from a variety of
methods including circulation of unknown cases among the residents prior to the
conference, unknown cases presented for the first time at conference or lecture
format.
18 | P a g e FORENSICPATHOLOGYLECTURESERIES
Objectives:
The lectures will expose the residents to the work of medical examiners and
increasetheirknowledgeandunderstandingofforensicpathology.
Mechanism:
Eachlecturewillbepresentedbyoneoftheforensicpathologistsemployedatthe
Hillsborough County Medical Examiner Department, including Drs. Mainland and
Chrostowski.Thematerialwillbepresentedusingprojectionofkodachromeslides
and discussion during the lecture is encouraged. Residents should familiarize
themselveswiththetopictobediscussedpriortothelectureusingoneofseveral
forensicpathologytextbooks.
GRANDROUNDS/TOPICSINPATHOLOGYPRACTICE
Objective:
Topresentcurrentinformationinthefieldsofbasicscienceresearchandpractical
diagnostic pathology to Pathology and cell Biology faculty, graduate students,
postdoctoral fellows, pathology residents and fellows as well as to interested
Universityfacultyandmedicalcommunity.
Mechanism:
ThePathologyandCellBiologydepartmentwillinviteexpertspeakersfromaround
the country and from within the department to speak on a variety of topics in
anatomic and clinical pathology, cancer pathobiology, neurosciences and
intercellularmatrix.
Whenpossible,speakersmayalsoconductamicroscopesessionspecificallyforthe
residentslaterinthedaywhereinterestingcaseswillbediscussed.
G.
ResidentIn‐ServiceExamination
ResidentsarerequiredtotaketheASCP’sResidentIn‐ServiceExamination(RISE)annually
inthespring.Theonlineexamisnotusedasadirectevaluationtool,butdoesgagethe
resident’sknowledgebase.
19 | P a g e H.
OtherEducationalOpportunitiesandScholarlyActivities
1.
TeachingOpportunities
 MedicalStudentTeaching:Thesecondyearmedicalstudentcurriculum
emphasizesbasicpathologicprinciples.Residentsarerequiredtoteachmedical
studentsduringtheirpathologylabs.
 ResidentConferences:Residentsarealsoscheduledtogivelecturesduring
Tuesdayconferencestofellowresidents.Chiefresidentsmakethelectureschedule.
2.
SeniorResidentCommitteeAppointments
IntroductionandObjectives:Residentparticipationascommitteemembersorcommittee
chairmen is an important aspect of Pathology training and practice. This involvement
providesaleadershiprolebyPathologistsinareasofUniversityandHospitalfunctions.
A portion of the management experience for senior level residents is participation on
committeesattheUniversityofSouthFloridaanditsaffiliatedhospitals.Thisexperience
willaccomplishthefollowingobjectives.
1.
Demonstrate the committee structure in the medical
environment.
2.
Show the interaction of pathology with other medical
specialties
3.
Provide a forum by which senior level residents will be
exposedtotheprocessofcommitteedynamicsandfunction.
Participating Residents: PGY‐3 and PGY‐4 pathology residents will participate on
committees. The appointments will be for a period of one year, July 1 ‐ June 30.
Appointments will be made with the recommendation of the Chief Residents, and the
DirectorsoftheResidencyTrainingProgram.Theirrecommendationswillbeforwardedto
theappropriatepersonforcommitteeappointment.Onceanappointmenthasbeenmade,
attendanceatallmeetingsismandatory.
20 | P a g e ApprovedCommitteeAppointment
MoffittCancerCenterSurgicalCase&BloodUtilizationReviewCommittee
MoffittCancerCenterQualityAssuranceCommittee
MoffittCancerCenterInfectionControlCommittee
JamesA.HaleyVeterans'HospitalTransfusionCommittee
JamesA.HaleyVeterans'HospitalTissueCommittee
JamesA.HaleyVeterans'InfectionControlCommittee
UniversityofSouthFloridaYear2MedicalStudentIntegratedPathologyCommittee
SENIORRESIDENTCOMMITTEEAPPOINTMENTS–
MoffittCancerCenterSurgicalCase&BloodUtilizationReviewCommittee
MoffittCancerCenterQualityAssuranceCommittee
MoffittCancerCenterInfectionControlCommittee
JamesA.HaleyVeterans’HospitalTransfusionCommittee
JamesA.HaleyVeteran’sHospitalTissueCommittee
JamesA.HaleyVeterans’HospitalInfectionControlCommittee UniversityofSouthFloridaYear2MedicalStudentIntegratedPathologyCommittee V.
A.
ADMINISTRATIONANDPOLICIES
Orientations
1.
GeneralOrientation
GeneralorientationisscheduledandconductedbyGME.Theorientationschedulefor
2013‐2014canbefoundattheofficialUSFGMEwebsite.
2.
DepartmentOrientation
OrientationforthedepartmentofPathologyandCellBiologywillbeheldatthefirst
Tuesdaymorningconferenceoftheacademicyear.
21 | P a g e B.
Personnel
1.
Departmental
PhillipMarty,PhD–InterimDepartmentChair,DepartmentofPathology&CellBiology
AnneChampeaux,MD–PathologyResidencyProgramDirector
JeanNixon–InterimDepartmentAdministrator
ChantelLeBlanc–FiscalandBusinessSpecialist
KarenKirchner–PathologyOfficeSecretary
SallyLamar–ResidencyProgramCoordinator
C.
SiteDirectors
Asitedirectorisassignedateachofthemajorinstitutionsthatparticipateintheeducation
andtrainingoftheDepartmentofPathologyandCellBiologyResidentsoftheUniversityof
SouthFlorida.Theyassurethatthereisanadequateandbalancededucationalexperience
attheirinstitution.
DutiesoftheSiteDirector
1.
2.
3.
4.
5.
6.
Oversee the educational experience of all residents at the institution with
whichthesitedirectorisaffiliated.
Assurethatthereisabalancebetweenserviceandteaching.
Protectallsegmentsofeachrotationattheinstitution.
Theyoradesigneeprovideon‐goingfeedbacktotheresidentthroughoutthe
rotation.Theyalsoreviewwiththeresidenttheirwrittenfinalevaluationat
theendoftherotation.
Ifresidentevaluationsareaccomplishedbyallfacultyattheinstitution,the
site director or a designee should chair the evaluation meeting and assure
theevaluationiscritical,constructive,andfair.
Maintain complete, current, and accurate documentation of the rotations at
theirinstituteincludinggoals,skills,objectivesandrequirements.
CurrentSiteDirectors
H.LeeMoffittCancerCenter
TampaGeneralHospital JamesA.HaleyVeteransHospital BayPinesVeteransHospital
MedicalExaminer'sOffice Dr.PrudenceSmith
Dr.JonFinan
Dr.L.BrannonThomas
Dr.RehanaNawab
Dr.MaryMainland
22 | P a g e D.
ResidentAdvisors/Mentors
TheResidentAdvocateisaFacultyMemberoftheUniversityofSouthFloridaDepartment
of Pathology and Cell Biology. Their responsibility is to assist the resident initially in
adaptingtotheprogramandlatertofunctionasamentorandadvisorfortheresident.
ProcessofAdvocateSelection
Initiallyresidentsareassignedtointerestedfaculty.Theresidentatanypointcanelectto
selectanotherresidentadvocatealthoughthisisgenerallydiscouraged.Thismaybedone
withtheassistanceoftheircurrentresidentadvocate.Inthisway,astheresident'sgoals
andobjectiveschange,theadvocatemaychange.
DutiesofResidentAdvocate
1.
The advocate should initially provide assistance in helping the resident
adjusttothispathologyprogram.Questionsshouldbeansweredandadvice
given. They should provide help with the transition of medical student to
residentorresidentinanotherprogramtotheUSFPathologyProgram.
2.
The advocate should provide counsel to the resident, assisting them with
problemsorissueswhichtheresidentoradvocatefeelsareimportanttothe
residents’ development. These include but are not limited to selection of
rotations, career selection, and assistance with positions after leaving the
program. Resident progress including rotation evaluations should be
reviewedaminimumoftwiceperyear.
3.
The advocate should provide a mentoring influence, encouraging the
residenttoexcelinallareasoftheprogram.
4.
The advocate should encourage residents to pursue a research interest,
shouldseekoutotherfacultymembersforsupport,andprovideguidanceto
achievethisgoal.
Implementation
Whentheresidentinitiallyjoinstheprogram,theadvocateshouldscheduleasessionwith
theresidentandassurethattheresidentisadjustingtotheprogram.Theyshouldmeeton
regular and initially frequent intervals to assure that the transition of the resident to the
USFDepartmentofPathologyandCellBiologyisproceedingsmoothly.
NOTE:Residentmentorswillbedecidedatthebeginningoftheyearandwillbe
announcedafterdecided.
23 | P a g e E.
ChiefResidentDuties
Eachyear,twoseniorresidentswillbeelectedtobechiefresidents.Thisyear’schief
residentsareJohnnyNguyen,MDandMaryamTahmasbi,MD.Dutiesaschiefresident
includethefollowing:




Serveasamentortojuniorresidents
Assistinschedulingandcoordinatingintra‐departmentalconferencesandother
departmentalevents.
Facilitatetherelationshipbetweenresidentsandfacultytomaximizelearningand
serviceefficiency.
Determinefromeachresidentduringeachrotationwhetherproblemsexist.
F.
HousestaffPolicies
GeneralPrinciples
These policies are complementary to the USF House Officer Personnel policies agreed to
when the contract is signed. The following policies reiterate and expand upon these
policies as they pertain to the Pathology Department. An official copy of the House Staff
Policy Manual can be viewed via the USF Graduate Medical Education website:
http://health.usf.edu/medicine/gme/index.htm All official matters regarding house staff
policiesaredelineatedthroughtheOfficeofGraduateMedicalEducationandfullydefined
intheUSFhousestaffmanual.
Vacation/SickLeave
 Each resident shall be credited with three (3) weeks or 15 working
days per year. Taking vacation during 1‐month rotations is
discouraged. Vacation leave days may not be carried over from one
appointmentyeartothenext,andnopaymentforunusedleavedays
willbemadeuponterminatingatrainingperiod.
 A total of 9 days of sick leave per year are allowed each resident; in
addition one day of sick leave per year is credited to the sick leave
pool. Unused sick leave will not be paid upon termination of a
trainingperiodforanycause.
 Thefollowingmethodwillbeusedtoreportvacation/sickleave:
24 | P a g e 1.
Thevacation/sickleaverequestformistobefilledoutandturnedin
assoonasvacationisplanned;duringSurgicalPathologyrotationsthisisto
benolaterthanthebeginningoftherotation.Thisformmustbeco‐signed
bytheattendingheadingtherotation.Aleaverequestformcanbefoundon
theSharepointsite.Nogreaterthanoneconsecutiveweekofvacationleave
inonerotationshouldbetaken,unlessitisapartofmaternityleave.
2.
Attheendoftherotation,theresidentevaluationformwillincludea
section on whether the resident has taken vacation/sick leave during the
rotation.
3.
Whenaresidentusessickleave,therotationdirectorattheassigned
hospitalandchiefresidentsshouldbenotifiedbytelephonethatday.Upon
returningtowork,thevacation/sickleaveformisfilledoutandturnedin.
Administrative(Professional)leave
Administrativeleaveisavailabletoresidentsforprofessionalactivitiesapprovedbythe
ProgramDirectorandtheGraduateMedicalEducationOffice.Professionalactivities
includeactiveparticipationandpresentation(s)atspecialtymeetings.
FamilyandMedicalLeave
The policies for family and medical leave are the same as stated in the House Office
PersonnelPolicybooklet,briefly:
o Parental. Each resident is allowed up to twelve (12) weeks of uncompensated
parental leave. Individuals must apply for parental leave in advance and obtain
approvalfromtheirProgramDirectorandtheGMEOffice.Individualsmayutilize
accumulated sick or vacation leave as continued compensation during parental
leaveundertheconditionsspecifiedforthosebenefits,plusanadditionaltwoweeks
ofcompensatedparentalleave.IfbothparentsareUSFresidents,acombinedtotal
of12weeksofparentalleaveisallowedasprescribedbyFMLA.
o AbsencesfromtheresidencyinexcessofthatallowedbytheRRCandBoardmust
be made up in order to fulfill the requirements for completion set forth by the
ACGME.
o Assoonasitisfeasible,thedepartmentshouldbenotifiedofaresident'spregnancy
so that a review of her remaining rotations and any necessary changes may be
made.Ingeneral,pregnantresidentsareexpectedtoperformtheusualdutiesofthe
rotationstowhichtheyareassigned,unlessexcusedformedicalorotherreasonsby
theirphysician.Residentsmaybeexcusedfromassignedrotationsandreassignedif
theattendingpathologistonthatrotationbelievesthedutiesoftherotationposean
unduerisktoapregnantwomanorchild.
o Child Care. Upon written approval of the Program Director and GME Office,
uncompensatedleaveforchildcarepurposesuptoamaximumofsixmonthsshall
be granted. The leave shall begin no more than two weeks before the expected
adoptionordeliverydate.Whencertifiedbyalicensedphysician,sickleavecredits
may be used for any illness caused or contributed to by pregnancy or delivery.
Vacation leave credits may also be used in conjunction with childcare leave. (See
sectionsonParental,Sick,andVacationLeave.)
25 | P a g e Leavewithoutpay
Upon written request of a resident, the Program Director may grant a leave of absence
withoutpayforaperiodnottoexceedsix(6)months,ifitisdeterminedthatgrantingsuch
leavewouldbeinthebestinterestoftheUniversityandHouseOfficer.
**All leave in excess of 4 weeks per year must be made up at the end of the resident’s
training.
DressCode
The purpose of the dress code is to maintain high standards of dress, hygiene, grooming
and the personal appearance of the staff members, which are essential elements in our
dailyrelationswithpatients,families,andvisitorsinassuringaprofessional,business‐like
representation. Without unduly restricting individuals’ tastes, it is our policy to require
personal cleanliness, good grooming and appropriate dress while staff members are on
duty every day of the week and to establish a mechanism by which uniforms will be
providedtoemployeesinpositionsmeetingdesignatedcriteria.Operationalneedswithin
adepartmentmayrequirespecificdepartmentalpolicies,butinallcasesstandardsmustbe
in compliance with infection control and safety guidelines. In departments where staff
memberswillhavecontactwithpatients,uniformsmayberequired.Indepartmentswhere
uniformsarenotrequired,staffmembersareexpectedtousegoodjudgmentinselecting
the clothes they wear on the job. Male staff members must wear neckties except where
specificuniformsdictateotherwise.
Extremestylesshouldbeavoided:
o Revealingclothingsuchasmidrifftops,tanktops,shorts,rompers,beachwear,flip‐
flops,cut‐offs,see‐throughclothing,oranystreetclothesthatexposethebodytoa
degreethatrepresentspoortasteorunprofessionalappearance.
o Workoutclothingsuchassweatsuits,spandexexercisewears,joggingsuits,sweat
pants,orotherathleticwear.
o T‐shirts,sweatshirt,oranyotherclothingwithcommerciallogos,slogans,orother
artordesignsthatmightbeoffensivetoothers.
o Any clothing that does not properly fit (excessively small or large for the wearer)
and/orexposesthewearertoanyaddedriskofinjury.
Licensure/Accreditation
AllresidentsmustbeACLS/BCLScertifiedpriortotheirstartdateofJuly1.
All residents must apply for licensure/registration with the Florida Department of
Professional Regulation as soon as they are eligible (after the first year of residency
training),accordingtothebylawsoftheHealthSciencesCenterTrustFund.Applications
areavailablefromtheHousestaffOfficeatTGH,orbywritingtheDPR.
26 | P a g e Salaryschedule
StipendsforhouseofficersattheUniversityofSouthFloridaHealth,CollegeofMedicine
arerevisedannuallyandaregenerallyabovethoseforthesouth.Thestipendlevelisbased
onPGYlevel.Stipendlevelsfor2013/2014yearcanbefoundintheHousestaffManualon
theUSFGMEwebsite.http://health.usf.edu/medicine/gme/index.htm
TheStateofFloridahasnoStateIncomeTax.Comprehensivehealthinsuranceandlimited
disability insurance are provided by the University. Professional liability insurance is
furnishedbytheStateofFloridafortrainingrelatedincidents.
Numerous child care facilities are available on and off campus. White lab coats are
providedfreeofcharge.OtherbenefitsanddiscountsareavailablethroughtheHouseStaff
Association.
G.
DutyHours
Residencytraininginvolvesbotharesponsibilityandacommitmentthatrequiresagreater
numberofhoursthanthetraditionaljob.Medicineisaprofession,andassuch,individuals
make commitments to patients that exceed those of most of modern society. This
pathology residency program has assigned duty hours, and it is the expectation that the
resident will be present at all assigned times. In general, AP rotators are expected to be
present8a.m.to5p.m.,exceptwhen:a)onfrozensectiondutywhentheyshouldarriveat
7:30a.m.anddepartafterthelastfrozensectioniscompleted;b)ongrossingdutywhen
they should depart after the last required specimen has been grossed, cassetted and
immersedinfixative.CProtatorsshouldbepresentfrom8a.m.to5p.m.Itisrecognized
thateventsandcircumstancesmayrequireadditionaltimespentinpatientcareactivities
overandaboveroutineworkhours.Thisisatthediscretionofeachrotationdirector,but
they are required to notify the residents in advance of the expectations regarding duty
hours over the above‐stated guidelines. It is understood that residents who agree to
participateintheprogramwillmeettherequirements.Absencefromclinicaldutyduring
anticipated duty hours is considered an unexcused absence and will be addressed.
Individuals with repeat absence during scheduled duty hours may be considered for
adverseaction.
Residents will not be scheduled for more than 80 duty hours per week, averaged over a
four‐weekperiod.Atleastone,andusuallytwodaysinsevenwillbefreeofpatientcare
responsibilities, averaged over a four‐week period. Residents will take call no more
frequentlythaneverythirdnight,alsoaveragedoverafour‐weekperiod.Whenresidents
take call from home and are called into the hospital, the time spent in the hospital is
countedtowardtheweeklydutyhourlimit.
27 | P a g e Each hospital maintains a schedule of on‐call activities for nights and weekends. Most
hospitalsallowresidentstotakecallfromhome.Ineithercase,individualswhoareon‐call
are expected to be immediately available and ready to work during the entire period of
assignedcall.
Individualswhobelievethatthetimerequirementsareexcessivehavetheopportunityto
questionthedutyhourassignment,eitherwiththeprogramdirectororwiththeAssociate
DeanforGraduateMedicalEducation.TheUniversityofSouthFloridaGraduateMedical
Education Committee supervises resident duty hours and night call but also recognizes
thatpatientneedscomefirst.Individualswhoarescheduledtotakenightcallandarenot
availableordonotexecutetheirresponsibilitiesaresubjecttoadverseaction.
DutyhoursaresetinaccordancewiththeACGMEmandatesandresidentsarerequiredto
logtheirdutyhoursinNewInnovationsonabi‐weeklybasis.
H.
Moonlighting
MoonlightingisnotallowedinthePathologyprogram.
I.
RotationChangesandRequests
Changesintheassignedrotationschedulemaybecomenecessarythroughouttheyearfora
variety of reasons including maternity leave. When a change is being contemplated, a
varietyoffactorsmayaffectitsapproval,mostimportantlybeingtheavailabilityoffunding
atthesponsoringinstitution.Otherfactorsincludetheavailabilityofspaceandwhetheror
notthereareotherresidentsonrotationatthesametime.
Ifyouhaveanyquestionsconcerningfundingofrotations,pleaseaskoneoftheProgram
Directors. If a schedule change becomes necessary, a ROTATION CHANGE REQUEST
FORM must be filled out by the resident, signed by one of the Program Directors, and
turnedintoSallyLamar.Pleaseturnthisinasearlyaspossible,butnolaterthantendays
beforethemonthinwhichthechangeistobemade.
J.
EducationFunds
RefertotheGMEwebsiteforpoliciesonusingGMEEducationFundsfortravel: http://health.usf.edu/medicine/gme/directors_coordinators/edu_funds.htm 28 | P a g e K.
GrievancePolicy
Thisgrievanceprocessisadepartmentalproceduretobeusedforaddressingissueswhere
aResidentfeelsthattheyhavebeentreatedunfairlyandseeksresolution.Thispolicyisin
accord with all University regulations, as defined by the House Office Policy manual for
residentsintheUniversityofSouthFloridaMorsaniCollegeofMedicine.
If a resident expresses a concernregarding theirtreatment, workload, assigned duties or
otherissues,theyhavetheabilitytocontactanyofthefollowingindividuals:
(1)
ChiefResidentsinPathology(Drs.JohnnyNguyenandMaryamTahmasbi)
(2)
ResidentAdvocate
(3)
SiteDirectorofthesitethattheyarecurrentlyassignedto
(4)
ResidencyDirectors(Dr.AnneChampeauxorDr.NicoleEsposito)
(5)
ChairmanoftheDepartmentofPathologyandCellBiology(Dr.PhillipMarty)
Theresidentcanusetheirjudgmentinwhomtheyfeelisappropriateandwhomtheyfeel
comfortablespeakingwith.Theprogramdoesnotdeterminewhomtheresidentneedsto
speakto,andismeanttoencouragedialoguewithanyoftheseindividualsandtheresident.
Aftertheissueispresented,thefactsregardingtheallegationaregathered,asmallgroupof
individuals are then convened to discuss the issues in further depth. At all times strict
confidentiality is maintained. It is the understanding that unless the resident gives
permission,otherindividualsarenotinvolved.Duringalldiscussionsanattemptismade,
if appropriate, to involve the Resident Advocate. At the end of these sessions, if the
resident is not satisfied with the outcome, they are free to proceed with the Residency
GrievanceProcessasoutlinedintheResidentHandbookCollegeofMedicineUniversityof
SouthFlorida.
L.
Evaluations
Thecontinuedsuccessofthedepartmentdependsoncontinuous,thorough,andfair
evaluationofallcomponentsoftheprogram.Thisincludesregularassessmentofthe
performanceofresidents,faculty,andindividualrotations.Thefollowingsummarizesour
currentevaluationprocess.Residentsareevaluatedatleastfourtimesayearthrough
formalevaluationattheendofeachrotation.Inaddition,theiroverallperformanceis
reviewedannuallybyoneoftheProgramDirectors.Wheneachresidentcompletesthe
program,afinalsummaryevaluationofhisorherperformanceiscompleted.Likewise,
facultyandrotationsshouldbeevaluatedbytheresidents.Theresident’sevaluationofthe
facultyisanessentialpartoftheiryearlyevaluationsbytheChairman,aswellasimportant
datarequiredforthefacultyPromotionandTenureprocess.
29 | P a g e