Senior Clinical Electives

The Department of Pathology & Immunology offers the following electives for medical students in their senior year:

Autopsy Pathology

Instructor

Louis P. Dehner, MD
Phone: (314) 362-0150
Email: dehner@wustl.edu


Location

West Building


Elective Contact

Louis P. Dehner, MD,  314-362-0150
Julie Gutierrez, 314-362-0143
Linda Hankins 314-362-8750


Other Information

Students should contact Dr. Dehner prior to scheduling this elective.

Enrollment limit per period: 2

Valid start weeks for four-week blocks are: Weeks 13, 17, 21, 25, 29, 33, 37, and 41.


Overview

This full-time elective is designed to introduce students to autopsy pathology. Students will assist in performing autopsies, and together with the first-year pathology residents, will participate in all of the activities of the Autopsy Service including brain cutting, specialty microscopic conferences, and weekly autopsy case conferences.  Students will be under the direction of senior pathology faculty.

Student time distribution: Autopsy Activities 75%; Conferences/Lectures 25%
Major teaching responsibility: Attendings and residents
Patients seen/weekly: N/A
On call/weekend responsibility: None

Clinical Laboratory Medicine

Instructor

Mitchell Scott, PhD
Phone: (314) 362-1503
Email: mgscott@wustl.edu


Location

Barnes-Jewish Hospital, South Campus


Elective Contact

Mitchell Scott, PhD, 314-362-1503


Other Information

Students meet in chief resident’s office, BJC Institute of Health, 3rd floor, 8:30 a.m. first day of elective.

Enrollment limit per period: 2

Valid start weeks for four-week blocks are: 13, 17, 21, 29, 33, 37, and 41.


Overview

This elective is designed to teach the student how clinical laboratory assays are used in the diagnosis of disease and to understand the quality assurance tools the laboratory utilizes to assure the reliability of tests. The four-week elective includes rotations through laboratories in clinical chemistry, clinical microbiology, transfusion medicine and hematopathology. During the elective the student will have a daily schedule, which includes didactic sessions with senior staff and house staff.  Particularly useful clinical skills to be acquired include: morphology of peripheral blood smears and bone marrow biopsies; interpretation of coagulation tests, biomarkers of cardiac damage and serum protein electrophoresis patterns; appropriate use of blood component therapy and therapeutic apheresis; and identification of infectious organisms. Students will attend quality assurance meetings with senior staff, participate in microbiology rounds and present case discussions during this elective.

Student time distribution: Inpatient 25%; Conferences/Lectures 75%
Major teaching responsibility: Attendings and residents
Patients seen/weekly: 5
On call/weekend responsibility: None

Dermatopathology

Instructor

Ilana Rosman, MD
Phone: 314-362-5133
Email: irosman@wustl.edu


Location

Dermatopathology Center


Elective Contact

Ilana Rosman, MD, 314-362-5133


Other Information

Students will meet at the Dermatopathology Center Signout Room, CORTEX building, 4320 Forest Park Avenue, Room 212M at 8:00 a.m. on the first day of the elective.

Enrollment limit per period: 1

Valid start weeks for four-week blocks are: Weeks  9, 13, 17, 21, 25, 29, 33, 37, and 41


Overview

Medical students at Washington University School of Medicine have the opportunity to complete a 4-week elective clerkship in dermatopathology during their fourth year. The medical student will work closely with the fellow, dermatology and pathology residents and attending dermatopathologists during signout, consensus conferences and unknown slide sessions. In addition, at the completion of the rotation, the medical student will present a topic of interest at the monthly pathology medical student conference.

The educational objectives of the rotation are:

  • To become proficient in the gross examination, description and processing of cutaneous specimens;
  • To be able to recognize and discuss a wide variety of inflammatory and neoplastic skin conditions;
  • To be conversant in the special stains and ancillary tests used in the daily practice of dermatopathology, including routine histochemical stains, immunohistochemical stains and immunofluorescence.

We also offer research opportunities to medical students with a special interest in dermatopathology.

In addition to the rotation in dermatopathology for fourth-year medical students, we participate in the second-year medical school curriculum, presenting introductory lectures to the study of dermatopathology.

The Washington University Dermatopathology Center is pleased to offer visiting rotations for medical students from outside institutions. More information can be found through the Washington University School of Medicine Curriculum Office.

Student time distribution: Inpatient 5%; Outpatient 80%; Conferences/Lectures 15%; Subspecialty Care 100%
Major teaching responsibility: Dr. Ilana Rosman
Patients seen/weekly: Average number of specimens per week is 300; percentages above reflect specimens not patients.
On call/weekend responsibility: None

Diagnostic Hematopathology

Instructor

Anjum Hassan, MD
Phone: (314) 747-1120
Email: ahassan22@wustl.edu


Location

BJC Institute of Health, Room 3436


Elective Contact

Kevin Hutchinson, Heme Path Division Secretary, 314-362-1329, khutchinson@path.wustl.edu


Other Information

Students will meet on the 2nd Floor, Kingshighway Building Room 2303, 10:00 a.m. first day of elective.

Enrollment limit per period: 2

Valid start weeks for two- or four-week blocks are: Weeks 9, 11, 13, 15, 17, 19, 29, 31, 33, and 35.


Overview

Student  electives in diagnostics of diseases of hematopoietic cells aims to foster understanding of  acute and chronic leukemias, reactive conditions mimicking malignancies,  and lymphomas affecting adults and pediatric populations. This diverse field involves multiple ancillary diagnostic tests such as immunohistochemistry, flow cytometry and genetic testing. This elective will offer medical students an in-depth insight into what goes behind the final pathologic diagnoses in hematologic malignancies before a treatment plan can be executed. This insight is crucial to understand the importance of correct diagnosis (the answer to the usual “what’s taking pathology so long” comment) and accurate, timely communication of preliminary and final diagnosis to the clinicians. Under general faculty and fellow supervision, the students will be primarily responsible for handling of their own cases such as bone marrow biopsies, simple lymph node biopsies, ordering the required tests, dictating the final reports and communicating with the clinicians. They will also participate in several conferences per week including Hematopathology consensus conference, weekly cytogenetic/molecular correlation conferences, journal club and interdepartmental bone marrow transplant and lymphoma conferences.

Student time distribution: Bench Signouts 60%; Conference/Lectures 40%
Major teaching responsibility: Anjum Hassan, MD
Patients seen/weekly: 60-70 bone marrow biopsies; 50 consults and in-house cases
On call/weekend responsibility: None

General Cytopathology

Instructor

Brian Collins
Phone: (314) 747-1397


Location

BJC Institute of Health, 3rd Floor, Room 3430


Elective Contact

Kim Green, 314-747-8159, greenk@path.wustl.edu


Other Information

Please call or e-mail Kim Green at greenk@path.wustl.edu one week before the rotation to receive clerkship information and password access forms.  Students report to the Cytopathology fellow in the Resident’s Room, 3rd Floor IOH Building, Room 3202, 9:00 a.m. first day of elective.

Enrollment limit per period: 2

Valid start weeks for two- or four-week blocks are: Weeks 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25, 27, 29, 31, 33, 35, 37, 39, 41, and 43.


Overview

This elective is designed to familiarize students with the discipline of cytopathology and to encourage the development of basic skills. Cytopathology impacts many different areas of patient care and medical practice. The cytopathology laboratory at Barnes-Jewish Hospital receives a broad range of medical cytology material involving fine needle aspiration biopsies (FNA), body fluids and Pap tests. As a result, the elective is beneficial for students considering a career in pathology and for students planning careers in internal medicine, surgery, OB-GYN, ENT, and radiology. The focus of the experience can be customized based on the interest of the student. Desk space and a microscope are provided.

Students on the elective will (1) learn how patient specimens are received and processed (2) acquire skills in the microscopic diagnosis of disease through active participation and (3) learn the role of the cytopathologist in the care and management of patients. Students will have the opportunity to function as junior house staff managing their own cases with supervision from residents, fellows, and attending cytopathologist. There are text books and extensive study sets to permit students to focus on specific areas of interest.

The daily schedule for student begins previewing the cytology cases at 8:00 a.m. The student will attend the cytology conference on Wednesday and Thursday. In general, the student will be able to complete sign-out activities by 4:30p.m.

Student time distribution: Clinical Duties 85%; Conferences/Lectures 15%; Subspecialty Care 100%
Major teaching responsibility: Attending staff, residents and fellows
Patients seen/weekly: N/A
On call/weekend responsibility: None

Molecular Pathology

Instructor

Jacqueline Payton, MD, PhD
Phone: (314) 362-5935
Email: jpayton@wustl.edu


Location

BJC Institute of Health, 5th Floor


Elective Contact

Jacqueline Payton, MD, PhD, 314-362-5935, jpayton@wustl.edu


Other Information

Students should contact Dr. Payton at least two weeks prior to beginning this elective to learn the details of their schedule.

Enrollment limit per period: 1

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.


Overview

This elective is designed to introduce students to the field of molecular pathology, including established molecular diagnostics and Next Generation Sequencing clinical assays. Students will learn through observation in the laboratory, didactic sessions, resident and fellow presentations, sign out with attending pathologists, and clinical informatics workshops. Students will work with residents/fellows on the rotation and participate as part of the team.

Student time distribution: Preview/Signout 25%; Conferences/Lectures 25%; Lab Observation and Informatics Training 50%
Major teaching responsibility: Attendings and residents/fellows
Patients seen/weekly: 200 assays
On call/weekend responsibility: None

Ob-Gyn Pathology Sub-Internship

Instructor

Hannah Krigman, MD
Phone: (314) 747-7842
Email: hkrigman@path.wustl.edu


Location

Barnes-Jewish Hospital, South Campus


Elective Contact

Hannah Krigman, MD
Julie Gutierrez, 314-362-0143


Other Information

Students report to Julie Gutierrez’s office, 3405 BJCIH, Barnes-Jewish Hospital, South Campus, 9:00 a.m. first day of elective.

Enrollment limit per period: 1

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.


Overview

The elective stresses the principles of anatomic pathology when applied to operative material in obstetrics and gynecology. The subintern will examine gross and microscopic specimens in the Ob-Gyn Pathology Lab and review pertinent literature with a senior pathologist. Ample time will be available for attending regular conferences in ob-gyn and pathology..

Student time distribution: Inpatient 90%; Conferences/Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Attendings and residents
Patients seen/weekly: N/A
On call/weekend responsibility: None

Introduction to Neuropathology

Instructor

Robert Schmidt, MD
Phone: (314) 362-7429
Email: reschmidt@wustl.edu


Location

West Building


Elective Contact

Robert E. Schmidt, MD, PhD, 314-362-7426


Other Information

Students report to BJC Institute of Health, Room 3407, 9:00 a.m. first day of elective.

Enrollment limit per period: 2

Valid start weeks for four-week blocks are: Weeks 13, 17, 21, 29, 33, 37, and 41.


Overview

The course is structured to give the student a full-time immersion in the specialty of neuropathology including both neurosurgical and neuroautopsy derived material. There are daily didactic sessions that cover the spectrum of neurological diseases, review gross and microscopic neuro-anatomy, discuss approaches to the diagnosis of nervous system disease, and point out the interrelationships of research to clinical problems. Multiple clinical conferences and diagnostic working sessions complement reading, use of a large microscopic Divisional study set and project work. Time: 35 to 40 hours per week.

Student time distribution: Conferences/Lectures 100%; Subspecialty Care 100%
Major teaching responsibility: Attendings and fellows
Patients seen/weekly:  N/A
On call/weekend responsibility: None

Surgical Pathology

Instructor

Samir El-Mofty, DMD, MS, PhD
Phone: (314) 362-2681
Email:elmofty@wustl.edu


Location

Division of Surgical Pathology, 3rd Floor, BJC Institute of Health, Barnes-Jewish Hospital, South Campus


Elective Contact

Samir El-Mofty, DMD, PhD, 314-362-2681, elmofty@wustl.edu
Julie Gutierrez, 314-362-0143, jgutierrez@path.wustl.edu.


Other Information

If you need to discuss individual goals and interests, please call or e-mail Dr. Samir El-Mofty at least one week prior to the elective.

Enrollment limit per period: In order to permit maximum interaction with the surgical pathology staff and house staff, the elective is limited to four students per four-week block. For the initial round of scheduling the available slots are allotted to accommodate two 4th year students and two 3rd year students. Any open slots after the original scheduling period are then made available to either 3rd and 4th year students on a first-come, first-serve basis. Contact your scheduling office for details.


Overview

This elective is designed to familiarize students with the discipline of surgical pathology and to encourage the development of basic skills in gross pathology and histopathological interpretation. The Laboratory of Surgical Pathology at Barnes-Jewish Hospital receives a broad range of medical biopsy material in addition to specimens derived from the busy surgical subspecialty practices. As a result, this elective is beneficial not only for students considering a career in pathology, but also for students planning careers in internal medicine, surgery, obstetrics-gynecology, pediatrics, radiology, radiation oncology and dermatology. Students on this elective will (1) Learn how patient specimens are received and processed, (2) Acquire skills in the gross examination and microscopic diagnosis of disease through active participation and (3) Learn the role of the pathologist in the preoperative, intraoperative, and postoperative care and management of patients. Students will function as junior house staff managing their own cases with supervision from residents, fellows and attending pathologists. Students may also wish to participate in ongoing research projects within the Department as time, and interest, allows. At the end of the rotation the students are required to do a formal case presentation for the residents, fellows and attending staff.

The daily schedule for students begins at 8:00 a.m. with morning conference. In general, the student will be able to complete all gross examination and sign-out activities by 4:30 p.m. Students are welcome to stay beyond 4:30 p.m. to participate in any of the academic or other working activities of the Division.

Student time distribution: Clinical duties 85%; Conference/Lectures 15%
Major teaching responsibility: Attending staff, residents and fellows
Patients seen/weekly: N/A
On call/weekend responsibility: None

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