scholarly journals An Early Hands-On Introduction To Grossing And Frozen Section Technique For First-Year Residents

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S35-S35
Author(s):  
A B Owczarczyk ◽  
N Toth ◽  
S L Skala

Abstract Introduction/Objective First-year pathology residents begin their training with variable experience in anatomic pathology. At the University of Michigan, we have recently instated an introductory rotation (“Introduction to Surgical Pathology” [ISP]) all new residents experience prior to their core surgical pathology rotations. Methods For the first two weeks of ISP, residents learn to gross under the supervision of certified Pathologists’ Assistants. Residents gross biopsies to gain familiarity with dictation and grossing software prior to learning how to approach larger resections. Specific feedback about the content and organization of gross descriptions is provided by the rotation director, and residents are encouraged to review slides from complex specimens they grossed. After orientation, including a lab tour and simulated frozen sections, residents spend two weeks on-service learning to triage specimens (including breast resections and lymphoma work-ups), prepare and cut frozen sections, and participate in frozen reporting. We analyzed the effect of the experience on 8 residents with a 14-question (multiple choice and short answer) pre- and post-rotation quiz and through review of anonymous feedback. Results Overall, 7/8 residents improved on the post quiz, while one resident’s performance slightly decreased. Average scores improved by 5.1 (of 36) points or 14.2%. Scores markedly improved on questions related to cold ischemia time, lymphoma protocol, and frozen section documentation (1–4 residents correct pre- to all correct post- rotation). Residents had difficulty answering questions related to appropriate frozen section requests and mandatory specimen photography, but reported feeling somewhat confident about their ability to gross and to prepare frozen sections. Feedback revealed an appreciation of rotation organization, clear expectations, frozen section simulation, and rotation director availability for feedback and questions. Conclusion Overall, ISP is a subjectively and objectively valuable rotation. The quiz results and resident feedback have highlighted areas for future improvement, including more effective education about the role of frozen section in surgical management.

2017 ◽  
Vol 7 (8) ◽  
pp. 46
Author(s):  
Sophie R. Mintz ◽  
Chantal A. Low ◽  
Ian J. McCurry ◽  
Terri H. Lipman

The Community Champions program at the University of Pennsylvania School of Nursing provides motivated nursing students with opportunities to partner with the greater Philadelphia community and engage in hands-on learning. With several thriving initiatives, students participate in service learning outside of the classroom, which ultimately strengthens their nursing and leadership skills. Students work to improve health and health education for people of all ages. These experiences help nursing students better understand the social determinants of health and how they impact community members. Dedicated faculty members assist in guiding the students, who work collaboratively to exchange ideas and methods. This program not only has an effect on the community, but also has a profound impact on the students that participate.


Slavic Review ◽  
1964 ◽  
Vol 23 (1) ◽  
pp. 125-128
Author(s):  
Gleb Struve

When my co-editor, Boris Filippov, and I were preparing our threevolume edition of Boris Pasternak’s Collected Works (published in 1961 by the University of Michigan Press) we were aware that some texts scattered in not easily obtainable publications were bound to elude us. Since then we have been able to lay our hands on some of them. Among them was an interesting short article, a copy of which was recently received by me from Moscow. I had known of its existence but could not find it anywhere in the West. It was published in the Soviet magazine Chitatel’ i pisatel’ (The Reader and the Writer), in No. 4/5, dated February 11, 1928, apparently without a title (at least the copy received by me bore no title), and therefore probably as an answer to a questionnaire addressed to writers about their current work and their relations with their public.


2011 ◽  
Vol 21 (5) ◽  
pp. 639-646 ◽  
Author(s):  
Jason Sanders ◽  
Tina Marie Waliczek ◽  
Jean-Marc Gandonou

At Texas State University, a cafeteria-composting pilot program was established in which students source-separated their organic waste at one of the food courts while the program educated students on the value of organic waste and compost. Waste sorting bins were set up in a dining hall to direct students to sort trash into recyclables, compostables, and trash. Waste audit results demonstrated the value of the operation to the university in terms of savings in waste hauling expenditures, as well as showed the percent contamination, and percent waste diverted to the university's recycling and composting program. There was a significant difference between pre and post-test waste audits. The pilot site composting program resulted in a net loss of $3741.35 to the university during the first year, but was expected to produce a positive net return of $2585.11 in subsequent years. The pilot test showed the program was most successful when ongoing education at the dining hall occurred. Additionally, the student-run composting program resulted in hands-on training for students in producing a valuable horticultural commodity in an emerging waste management field. Results also indicated opportunities for further diversion such as the incorporation of compostable cups and utensils, as well as through expanding the operation to include more collection locations. With more collection sites and, therefore, more efficiency, the expanded composting program has the potential to become a self-supporting operation.


2018 ◽  
Vol 18 (2) ◽  
pp. 118-135 ◽  
Author(s):  
Allison White

A variety of assessment options utilizing high-impact educational practices have emerged to assist faculty in higher education with college student learning outcomes. High-impact practices are defined as teaching and learning designs which have been demonstrated to increase student engagement and persistence. Practices such as first-year seminars, tech-rich learning communities, collaborative projects, undergrad research, global/diversity learning, service learning, practicums, and internships are educational tools making it possible to assess the practices’ contribution to students’ cumulative learning. However, utilization of these practices is unsystematic due in part to the required investment of time, training, and money. This paper describes high-impact practices that support course and program level learning outcomes in conjunction with the investments for implementation. Exploration into why these types of practices are effective and which students have access to them emphasizes the need for this investment to meet accreditation standards and the mandates of our government’s “completion agenda” geared towards preparing America’s future workforce.


2002 ◽  
Vol 22 (2) ◽  
pp. 50-65 ◽  
Author(s):  
Alice G. Reinarz ◽  
Nathaniel J. Ehrlich

We highlight a study of an academic advising program at the University of Michigan. Students were surveyed via the Internet, and we summarize data obtained in 2001 and 2002. The majority of respondents reported taking actions that they would not have considered without interaction with an academic advisor. These data have been used for staff discussion and program development. By annually adding cohort data to the survey results, we will be able to assess the students as they move through the university and to compare first-year student responses in year-to-year data sets.


Author(s):  
Carol Hulls ◽  
Chris Rennick ◽  
Mary Robinson ◽  
William Melek ◽  
Sanjeev Bedi

In Mechatronics Engineering at the University of Waterloo, a joint project involving small, inexpensive fuel cells cars was introduced to show how courses in the first term relate to one another. Additionally, the project was designed to provide the students with hands on learning, to give the students a taste of what to expect in later years, and to start incorporating many of the CEAB's graduate attributes at an introductory level. The fuel cell car consists of two low-voltage cells, a low power microcontroller and several sensors mounted on a motorised platform. Students employed concepts from chemistry, programming and mechatronics systems throughout the project, submitting reports at key milestones. during the projet, students needed to make decision in a team environment on which strageties to implement to meet the goals of the project. The project culminated in a final competition and report. Students were surveyed at the start, and end, and the term to measure any changes in attitude with regards to the courses as well as their satisfaction with the project. The project was well recieved by students but significant challenges remain to be solved.


2011 ◽  
Vol 6 (4) ◽  
pp. 146
Author(s):  
Giovanna Badia

Objective – To determine the construct validity of a search assessment instrument that is used to evaluate search strategies in Ovid MEDLINE. Design – Cross-sectional, cohort study. Setting – The Academic Medical Center of the University of Michigan. Subjects – All 22 first-year residents in the Department of Pediatrics in 2004 (cohort 1); 10 senior pediatric residents in 2005 (cohort 2); and 9 faculty members who taught evidence based medicine (EBM) and published on EBM topics. Methods – Two methods were employed to determine whether the University of Michigan MEDLINE Search Assessment Instrument (UMMSA) could show differences between searchers’ construction of a MEDLINE search strategy. The first method tested the search skills of all 22 incoming pediatrics residents (cohort 1) after they received MEDLINE training in 2004, and again upon graduation in 2007. Only 15 of these residents were tested upon graduation; seven were either no longer in the residency program, or had quickly left the institution after graduation. The search test asked study participants to read a clinical scenario, identify the search question in the scenario, and perform an Ovid MEDLINE search. Two librarians scored the blinded search strategies. The second method compared the scores of the 22 residents with the scores of ten senior residents (cohort 2) and nine faculty volunteers. Unlike the first cohort, the ten senior residents had not received any MEDLINE training. The faculty members’ search strategies were used as the gold standard comparison for scoring the search skills of the two cohorts. Main Results – The search strategy scores of the 22 first-year residents, who received training, improved from 2004 to 2007 (mean improvement: 51.7 to 78.7; t(14)=5.43, P


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