Presented at the 2000 APIII Conference Return to 2000 Abstract Index
X-POSE™: A DERMATOPATHOLOGY TEACHING AND CONFERENCING PROGRAM AT MONTEFIORE MEDICAL CENTER
Montefiore
Medical Center
Division of Dermatopathology
Bronx, New York
Steve McClain,
MD
Victoria Saksenberg, MD, Steve A, McClain, MD
Division of Dermatopathology, Montefiore Medical Center,
Bronx, New York
Acquisition of Histopathologic Images: At Montefiore, dermatopathology slides are imaged at the time of diagnosis and reports printed with images. Via an intranet, resident trainees can access and print reports or take a quiz and enter a diagnosis. Congruency of resident diagnoses and those of the dermatopathologist were recorded and trended.
Clinical Images: The dermatology residents were provided with digital cameras and encouraged to image/photograph their cases. Using a web-based format, they could log on at specifically designated workstations, and upload their clinical images to the dermatopathology database server.
Dermatology residents could access their cases (with the pathology image once acquired). Upcoming conference cases, recent interesting cases and recent conferences were also available. For the weekly conferences, residents were asked to assess and prepare to discuss the cases based on the images.
They were also able to return to the case at a later date and add additional information (for example: clinical response to therapy at a subsequent clinic visit or a new image). Having reviewed a case, a resident collected his or her own image library.
Conferencing: Residents at selected outside institutions could participate in the conferences using teleconferencing, with a question and answer session available at the end for the other residents. The "Q and A" session was recorded and available on the intranet with its’ respective conference.
Teaching Image Sets: Residents (primarily dermatology and pathology) are able to review teaching image sets linked to histopathologic criteria. The sets include topics such as inflammatory diseases, neoplasms and hamartomas, cysts, and deposits.
Summary:
-
This adjunctive program proved valuable in expanding dermatopathology
teaching, by increasing resident access to the images.
- Bringing additional clinical patient data from conferences and adding images obtained at follow-up visits improved the accuracy of diagnosis in some cases.
