Instructions specific for NP fellow/pathology resident in italics.
See also:
Goals for Service 2 NP fellow
Goals and Responsibilities for Ophthalmology residents
1. Specimen received in grossing room (6th floor PUH). Consult cases will be accessioned by Christina or Karen and will already be on dissecting scope in Room A507.
a. PAs will gross routine specimens including eviscerations on the 6th floor.
b. Enucleations and oriented limbal/conjunctival biopsies are generally grossed by Dr. Chu at Gross Conference or by Frank Fusca.
c. At the beginning of each NP Fellow's rotation, Dr. Chu will request that a subset of cases (corneas, intraocular lens, eviscerations, etc.) be held for Gross conference.
2. Slides prepared by histology and placed in Dr. Chu's boxes (A509-PUH). Christina will print the Tuesday Ophthalmic conference case list on Monday.
3. Monday or at the latest, before 9 AM on Tuesday, the fellow or resident will review the list provided by Christina or print their own list using Specimens by Retrieval Flag and Accession Date Report - load Tuesday Ophthalmic Conference criteria.
a. Organize paperwork and slides for all pending cases.
b. For all pending cases without slides, identify reason (eyeball for Gross conference, gross only, slides lost, or needs grossing by PAs).
c. Obtain histories for gross conference and pick up eyeball cses from the 6th floor, if necessary.
d. NP fellow/pathology resident to review slides prior to signout, write down diagnoses and impressions, and order special stains as needed (discuss with Dr. Chu if specimen is tiny). See also Coverage when Dr. Chu is not available.
4. Tuesday 8 am - 12 pm. Gross Enucleation Conference followed by microscopic signout. A507 and A516 PUH.
a. Before 10:00 am on Tuesday, resident and fellow will independently complete external examination of the eye, through the transillumination step (Eye Gross Work Sheet)
b. 10:00 am - Gross conference, Microscopic signout and ordering of special stains. Resident assigned to obtain additional clinical history should make every effort to obtain this information by Wednesday am, and will report to Dr. Chu at that time even if no additional information can be obtained.
c. Weekly unknown slide review. Refer to spreadsheet.
5. Report dictated (link to EyePath Quick Text) by NP fellow/pathology resident, reviewed for corrections, and forwarded to Dr. Chu for signout by Wednesday at noon. Please bring paperwork to Dr. Chu's office when ready (both finalized cases and gross descriptions).
6. Before Thursday pm, the NP fellow will follow-up on cases held for consultation or special stains
7. Thursday 3-5 pm
a. Prepare final reports on all cases from Tuesday held for consultation/stains
b. Feedback on final report and images
c. Protected independent study time. Perform reading to go with unknown slide topic as per spreadsheet (Eyepath Assign Fall 06, Reading Assignments 2006).