Cytopathology Rotation

During the second year of training, three months are spent on the cytology service at Parkland Health and Hospital System. Here, the requirements for maintaining a certified cytology laboratory are taught. Daily interactive sessions with the cytopathology faculty lead the resident from a consideration of basic cell types to the appreciation of cytologic abnormalities in a wide variety of gynecologic and non-gynecologic materials.

Experience is in CT-directed fine needle aspirates in conjunction with the Radiology Department and the performance and interpretation of superficial fine needle aspirates in the Fine Needle Aspiration (FNA) Clinic conducted twice weekly by the Department of Pathology at Parkland Hospital. Extensive additional experience with FNA technique and interpretation is gained during the Dallas VA Medical Center rotation.

Faculty

Duration

Level I: Two months

Level II: One month

Prerequisites

Level I: Residents on first cytology rotation.

The cytopathology rotation is offered to residents following the completion of their first year in residency. This requirement is put in place to ensure some morphology exposure for the residents prior to their Cytopathology rotation.

Level II: Level II residents are required to have greater proficiency in their FNA performance and interpretive skills. Additional senior residents will be expected to assist with training of Level I residents and provide a higher level coverage for the cytopathology rotation.

Objectives

Conferences

  • FNA conference
  • Cytopathology conference
  • Cytopathology teleconferences

Basic Reading

  • The Bethesda System for Reporting Cervical Cytology: Definitions, Criteria, and Explanatory Notes
  • Practical Principles of Cytopathology by DeMay
  • Orientation materials (review objectives, rotations, responsibilities, and basic reading material regarding GYN & Non-GYN cytology practice guidelines)
  • A diverse collection of cytopathology textbooks is available for reference in the cytopathology divisional library