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  1. Specimen received in grossing room (6th Floor PUH)
    1. Accessioned, gross dictated initial special stains ordered by resident/fellow

  2. Slides prepared and placed in incoming box (A509-PUH)

  3. Clinical information, imaging studies/reports and previous surgical specimens/reports compiled by residents prior to signout

  4. Cases reviewed by resident/fellow
    1. Special stains ordered

  5. Case reviewed at signout by Neuropathologist
    1. Special stains ordered
    2. Communicate diagnosis to neurosurgeon/oncologist verbally/phone when necessary

  6. Report dictated by resident/fellow
    1. (Frozen section diagnosis, provisional diagnosis, final diagnosis is all to be signed out by the same attending except by special arrangements)

  7. Report transcribed:
    1. Electronic copy forwarded to Neuropathology Fellow

  8. Case reviewed by Neuropathology Fellow:
    1. Forwarded to Neuropathologist for electronic signout

  9. Report and images reviewed by Neuropathologist
    1. Signed out

  10. Case/images reviewed at subsequent signout sessions