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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