ORAL AND MAXILLOFACIAL PATHOLOGY

Supervisor:

F. James Kratochvil, DDS

Location:

Department of Pathology & Radiology
School of Dentistry, OHSU

Duration:

Four weeks

Goals and Objectives:

    The main goal of this elective rotation is to train residents in the interpretation and differential diagnosis of oral and maxillofacial disease. Residents will also spend time on this rotation reviewing study sets of glass slides which are related primarily to oral and maxillofacial pathology. They will be expected to observe and then participate in grossing and microscopic evaluation of specimens from the oral pathology laboratory service in addition to attending the weekly case conference. Specific goals and objectives are organized around the following core competencies.
  1. Patient Care
    Residents are expected to demonstrate a thorough understanding of pathologic diagnosis and differential diagnosis and its impact on patient care.
  2. Medical Knowledge
    Residents must demonstrate a basic understanding of applied anatomy and histology, and knowledge of odontogenic, salivary, soft tissue and bone pathology of the head and neck.
  3. Practice-Based Learning And Improvement
    Residents are expected to make use of on-line information (both internet and local network) in gathering information relevant to oral and maxillofacial cases. This includes gathering published references and relevant images, as well as preparing documentation and presentation materials. Residents will also be using the text and reference books to learn about the differential diagnosis.
  4. Interpersonal And Communication Skills
    Residents are expected to be able to understand how prepare clear and concise final reports, and to communicate and discuss results to clinicians, both physicians and dentists.
  5. Professionalism
    Residents are expected to be dedicated to the completion of all cases and other assigned tasks while they are on the service. Furthermore, residents must be cooperative, courteous, and dependable. They are expected to adhere to hospital regulations regarding patient confidentiality.
  6. Systems-Based Practice
    Residents must learn about cost-effective approaches to the practice of surgical pathology. They are also expected to learn about laboratory costs and professional billing issues.
Duties & Responsibilities:
  1. Residents will participate in managing cases everyday. They will review microscopic sections, order relevant immunohistochemical stains and prepare the final diagnostic report. In addition, the resident should gather necessary clinical and/or radiologic data that are important for rendering a diagnosis on an assigned case.
  2. Unless excused for a conference or other assignment, residents are expected to sit with the staff while cases are reviewed and diagnoses rendered.
  3. Read current articles and updates on Soft tissue tumor and bone pathology. Present interesting cases at one of the surgical pathology conferences.
  4. Review interesting cases in the oral and maxillofacial slide collections.
Supervision & Evaluation:
  1. The resident will be observed closely while working at the microscope.
  2. The performance during case management and conference participation by the resident will be monitored throughout the rotation.
  3. Residents are evaluated at the end of rotation with regard to the following core competencies:
    1. Patient care
    2. Medical knowledge
    3. Practice-based learning and improvement
    4. Interpersonal and communication skills
    5. Professionalism
    6. Systems-based practice