Development of Peer Reviewed Standardized Video-Tutorials on Grossing Techniques To Improve Resident Training in Surgical Pathology
Pawel Mroz, Paul Weisman, Rajen Goyal, Elizabeth Gersbach, Megan E Sullivan, Kalliopi Siziopikou, Stephen M Rohan. Northwestern University, Chicago, IL
Background: The routine work associated with a surgical pathology specimen includes gross and microscopic examination. Surgical pathologists deal with many types of tissues and numerous specimens on a daily basis and each of these specimens must be evaluated carefully. The dissection, gross description and selection of sections for microscopic study is a crucial part of pathologic examinations. It is therefore of utmost importance to develop and standardize the grossing approach to specimens encountered by residents during training. To help facilitate accurate gross evaluation and provide trainees with specimen specific guidelines we initiated a pilot project that aims to provide a series of web-based video-tutorials on gross examination of routine as well as difficult specimens.
Design: We utilized high-definition video technology to record audio-video-tutorials that will guide the viewer through the gross preparation of the following specimens: radical prostatectomy, radical nephrectomy, partial nephrectomy, radical cystoprostatectomy, breast lumpectomy for mass, breast lumpectomy for non-mass forming lesions, simple mastectomy for mass, and mastectomy status post neoadjuvant therapy. Each video-tutorial is accompanied by figures detailing the anatomical structures and surgical approach relevant to each specimen.
Results: Step-by-step narrated grossing videos of the specimens outlined above were created. Techniques for avoiding specimen contamination, avoiding creation of false positive margins, finding of lymph nodes, and proper sampling after neoadjuvant therapy were emphasized. The completed videos will be submitted for peer revision and subsequently for publication in an online journal of scientific videos. Subsequently a video-library will be created and made available oncomputers at each grossing station at our institution to facilitate use in real time.
Conclusions: Grossing is a critical part of the diagnostic process and resident training. However, in reality trainees are often semi-supervised for most of the grossing day. The accessibility of a video-library of grossing techniques on computers at grossing stations will provide residents with additional aid as well as help streamline specimen processing. To our knowledge this is the first time that video-technology will be used to provide peer reviewed standardized tutorials on grossing techniques. We believe that these videos will be a tremendous educational resource for residents and students alike.
Tuesday, March 20, 2012 9:30 AM
Poster Session III # 123, Tuesday Morning