Stanford Neuropathology Rotation

The resident(s) on the neuropathology rotation will be responsible for handling all the neuropathology cases that come through the service. The cases include all in-house neurosurgical cases, outside neuropathology consults, inside review of outside neuropathology cases (I/Os), an all muscle/nerve biopsies. Additionally, the resident is required to be on site in the event of a frozen section between the hours of 8 am – 6 pm, though residents will be exempt from frozen section call during morning (8-9am) teaching conferences. Dory Palacio, the neuropathology Office Assistant, will provide all materials for any I/O and consult cases. Paperwork and slides for in-house cases should be picked up from the hotseat and histology, respectively, after 9:30 for sign-out at 11:00. Before sign-out, it’s necessary to obtain clinical history and radiology results to aid in the interpretation of your cases.

Prior to any day on service, the rotating AP resident must check the OR schedule for any neurosurgical cases with a possible frozen section. Doing so requires logging into Epic and selecting “surgical cases” from the “OR reports option” under the “Reports” menu in the main window. Neurosurgical cases with possible frozen sections will have the word “tumor” or “biopsy” in the description. Neurosurgical cases tend to marked by the words “back”, “neck”, “cranium”, and “transsphenoidal”, and we can provide a list of neurosurgeons. After identifying the cases that will result in a neuropathology specimen, please look up the clinical histories and radiology for these patients. This effort is doubly useful, as this information will serve as the “clinical history” when it is time to write the final report. A more detailed document will be provided to you immediately before your rotation in neuropathology begins.

Following sign-out at 11:00, the resident is expected to work on completing reports, ordering special stains and IPOX, and communicating with clinicians when necessary. The neuropathology attending will not expect the rotating resident to do this in all cases, particularly difficult consult cases. There is a second sign-out at 4 pm to review any stains and any new cases that have arrived during the day. 

Additional responsibilities on the rotation include presenting slides and photographs at adult tumor board (every Friday at 12:15 – 1:15 pm) and pediatric tumor board (Monday at 7:30 – 8:30 am), as well as attending interesting neuropathology case conference (first and third Monday at 5 – 6 pm) and interesting muscle/nerve case conference (third Tuesday of every Month at 5 – 6 pm). The resident will also participate in autopsy brain cutting once a week with Dr. Plowey (Tuesdays at 1:30 – 3 pm or possibly later). Finally, the resident is also expected to bring a neuropathology or neuroscience-related article to journal club at Tuesday at noon, when it does not conflict with other conferences; lunch is provided). Supplemental reading is encouraged, a teaching slide set is also available,

Stanford Neuropathology

Donald Born, MD, PhD
Ed Plowey, M.D., Ph.D.
Hannes Vogel, M.D.

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