Malcolm Potts MB, BChir, PhD, FRCOG
- Professor of the Graduate School, UC Berkeley School of Public Health
https://publichealth.berkeley.edu/people/malcolm-potts/
Viral meningoencephalitis cheap erectile dysfunction pills online uk order cheap zenegra, head trauma (child abuse) icd 9 code erectile dysfunction due diabetes buy genuine zenegra line, Treatment lead poisoning erectile dysfunction cream 16 zenegra 100 mg otc, brain abscess erectile dysfunction over 50 generic 100 mg zenegra with mastercard, acute bacterial meningitis, A. Specific Measures brain tumor, and disseminated fungal infections must be excluded in tuberculous meningitis. The skin test in the Most children with tuberculosis in the United States are patient or family contacts is frequently valuable in differenhospitalized initially. If the infecting organism has not been tiating these conditions from tuberculosis. Directly prevalence of tuberculosis, protective efficacy varies greatly observed administration of all doses of antituberculosis therwith vaccine potency and method of delivery. At the end of this time, a Mantoux test infection, duration is increased to 12 months or more, and a should be done, and therapy should be continued for an fourth drug (streptomycin or ethambutol) is added for the additional 7 months if the test is positive. In communities with resistance rates greater than 4%, initial therapy should usually include four drugs. Routine monitoring of liver function local health departments is essential for contact tracing. Children rifampin is never used alone owing to rapid development of with no personal risk for tuberculosis but who reside in resistance. Hepatotoxicity may occur but rarely with recomcommunities with a high incidence of tuberculosis should be mended doses. Children who immigrate into the United States from a Although pyrazinamide elevates the uric acid level, it rarely country with a high incidence of infection should receive a causes symptoms of hyperuricemia in children. Use of this skin test on entry to the United States or upon presentation drug is now common for tuberculous disease in children, to health care providers. Optic neuritis is rare and usually occurs in Taylor Z et al; American Thoracic Society; Centers for Disease Control and Prevention; Infectious Diseases Society of Amerthose receiving more than the recommended dosage of 25 mg/ ica: Controlling tuberculosis in the United States. Consultation Chronic bone lesion with draining sinus (chronic osteowith local experts in treating tuberculosis is important in myelitis). Often, four to six firstand second-line medicachest radiograph, and negative history of contact with tions are needed. Corticosteroids may be used for suppressing inflammatory reactions in meningeal, pleural, and pericardial tuberculosis and for the relief of bronchial obstruction due to hilar General Considerations adenopathy. The Various species of acid-fast mycobacteria other than M use of corticosteroids may mask progression of disease. Organisms enter the host by small abrasions in skin, oral mucosa, or gastrointestinal mucosa. With antituberculosis reagents prepared for routine nontuberculosis skin testing chemotherapy (especially isoniazid), there should now be are not available to clinicians. Without treatthe Runyon classification of mycobacteria includes the ment, the mortality rate in both miliary tuberculosis and following: tuberculous meningitis is almost 100%. Fistulization should not be a M chelonei) Within 1 week after inoculation they form problem because total excision is usually recommended for colonies closely resembling M tuberculosis morphologically. A submandibular or cervical node swells slowly and is firm and initially somewhat tender. Usually, combinations of two to four medications underlying chronic pulmonary disease. Presentation is clinically indistinethambutol (depending on sensitivity to isoniazid) will result guishable from that of tuberculosis. Adolescents with cystic in a favorable response in almost all patients with M kansasii fibrosis may be infected with nontuberculous mycobacteria. Susceptibility testing is necessary to lesions develops after minor trauma in infected swimming optimize therapy. Minor trauma in home aquariums or other aquatic involved tissue if possible and treatment with at least three environments also may lead to infection. Findings azithromycin and ethambutol is started, in addition to one or include swelling and pain over a distal extremity, radiolucent more of the following drugs: ethionamide, capreomycin, amidefects in bone, fever, and clinical and radiographic evidence kacin, rifabutin, or ciprofloxacin. Infection supportive care is indicated for the child with disseminated usually indicates severe immune dysfunction and is associdisease. Laboratory Findings the prognosis is good for patients with localized disease, In most cases, there is a small reaction (< 10 mm) when although fatalities occur in immunocompromised children Mantoux testing is done. A negative result on culture or direct fluorescent antibody staining of sputum or tracheal Severe progressive pneumonia in a child with comprosecretions does not rule out disease due to Legionella. A urine immunoassay for Legionella antigen Diarrhea and neurologic signs are common. Direct fluorescent antibody staining of respiratory secretions proves infection. Differential Diagnosis Legionnaire disease is usually a rapidly progressive pneumoGeneral Considerations nia in a patient who appears very ill with unremitting fevers. Other bacterial pneumonias, viral pneumonias, Mycoplasma Legionella pneumophila is a ubiquitous gram-negative bacilpneumonia, and fungal disease are all possibilities and may lus that causes two distinct clinical syndromes: Legionnaire be difficult to differentiate clinically in an immunocomprodisease and Pontiac fever. Pontiac fever is a mild, flulike illness Complications that spares the lungs and is characterized by fever, headache, myalgia, and arthralgia. L pneumophila causes most infecresult in extrapulmonary foci of infection, including pericartions. Legionella is present in many natural water sources as dium, myocardium, and kidneys. Legionella may be the cause well as domestic water supplies (faucets and showers). Hyperchlorination and periodic Few cases of Legionnaire disease have been reported in superheating of water supplies in hospitals have been shown children. Most were in children with compromised cellular to reduce the number of organisms and the risk of infection. In adults, risk factors include smoking, underlying cardiopulmonary or renal disease, alcoholism, and diabetes. Treatment L pneumophila is thought to be acquired by inhalation of a contaminated aerosol. The bacteria are phagocytosed but Intravenous azithromycin, 10 mg/kg/d given as a once-daily proliferate within macrophages.
Humans share some sequences with yeast that both humans and yeast must have received from a common ancestor erectile dysfunction non organic cheap 100 mg zenegra free shipping. An error in such a sequence might only cause slight variation of a parameter and only very mildly affect fitness erectile dysfunction natural treatment order zenegra 100mg. Finally erectile dysfunction 29 purchase zenegra 100 mg mastercard, some sequences (possibly more than 90 percent of the human genome) have no apparent biological purpose erectile dysfunction pills for diabetes best buy zenegra. Changes in such a sequence generally have no immediate effect on the organism and are putatively not selected against at all, thus apparently freely propagating to future generations. Since larger animals have trillions of cells, there are trillions of opportunities for mutations. However, for a mutation to be inherited it must occur in the sequence of cell division between the original egg cell and the subsequent egg or sperm cell. In modern electronic data systems, it is not unusual for errors to occur more or less frequently depending on the pattern of the data. Errors in both electronic and genetic systems can be caused by substitution of an incorrect letter in a sequence and can also be caused by deletion of a letter or insertion of an extra letter. In the genetic code, which is all about pattern and sequence, it is not surprising that it is also true that the chance for an error is pattern sensitive. Copying errors (insertion/deletion 71 the Evolution of Aging errors) which change the length of these repeats are thought to occur virtually every generation. Because of pattern sensitivity, the probability of particular errors varies enormously and is difficult to predict. Genes in the duplicated sections can have subsequent errors that sometimes result in new, useful genes. Presumably, this is the mechanism whereby a more complex and longer genome can evolve from a simpler one. In human genetic code there is a specific pattern of about 300 bases called the alu element. Alu appears about one million times in the human genome and is thought to have a significant role in affecting duplications, which in turn, have a significant role in genetic diseases as well as in implementing evolution of the genetic code. The human genome contains approximately 30,000 genes but the actual number is still unknown. The structure of the sequence of information representing a gene as seen reading sequentially along a chromosome typically includes regulatory regions at the beginning or end of the gene sequence that determine when and where the gene is activated. The coding region determines which protein will be produced by the gene, that is, the sequence of amino acid molecules which will be constructed to produce a particular protein molecule (often referred to as the gene product). The properties of a protein are determined not only by the number and type of the amino acid molecules used in its construction but also by the particular sequence in which the amino acids are assembled. There are therefore an essentially infinite number of possible different proteins. Since there are 20 possible amino acids and 64 possible codons, some errors in the third symbol of a codon have no biological effect. The regulatory regions determine when, where, and how much product will be produced. Although some genes produce proteins used in the construction of tissue, many, probably a majority, produce products that act as signals to activate or inhibit other genes thus allowing the construction of a very complex regulatory logic framework. In connection with anti-aging research, detecting the differences in gene activity between a caloric restricted animal and not, or between a progeria victim, and not (see next chapter) could produce valuable clues regarding aging mechanisms. Since all multi-cell organisms have a common basic cell design and function it should be no surprise that there are genes that are common to all such organisms. It is estimated that 99 percent of mouse genes have an equivalent human gene that produces a very similar product. A large proportion of the possible random changes to a gene result in its function being destroyed, that is, inactivation of the gene. The organization of the genes in the genome tends to be very different between even similar species. Mice have a different number of chromosomes from humans and the equivalent genes are generally in a different order on different chromosomes. Some genes are organized in groups or clusters that are conserved between mice and humans. The deletion is caused by patterns at the beginning and end of the intron that match in a particular way. They contain their own synchronization patterns and Figure 17 Genes and Chromosomes operate somewhat independently. The position (or locus) of a gene within a chromosome or on a particular chromosome generally does not appear to affect the functional operation of the gene. Methods for inserting new genes into chromosomes have been developed and are used in genetic engineering. Such a gene would be propagated during cell division and even possibly during reproduction of the organism. All normal humans are thought to have the same genes, specifying the same or nearly the same products, in the same order, on the same chromosomes. Genetic differences between humans are expressed in the exact digital content of their genes, generally minor differences such as single letter substitutions. Mendelian genetics considers that some genes in a particular species can have two different specific data contents or alleles such that two different results occur. Often one allele is represented by a gene that is disabled and therefore produces no functional product, while the other allele is represented by the functioning gene, a binary situation. In practice, some genes can have more than one functioning state and a single gene can therefore have more than two alleles. A complex gene having tens of thousands of bases could possibly have many alleles. An error in the regulatory region or an error that deletes the start codon or adds a stop codon could cause the gene to become disabled and produce no useful product. An insertion or deletion in a coding region is likely to disable the gene because all subsequent data would be misinterpreted. The insertion or deletion of exactly three contiguous letters might well have only a minor effect because it would only cause an extra amino acid molecule to appear in the resulting protein (or a single amino acid to be deleted). Other errors could have more minor effects such as changing the amount of product produced. Many of the more than 1000 known human genetic diseases as well as most of the normal variations between individuals are caused by such single letter differences in the genome. If the genes received from both parents are defective, then the child has the recessive genetic disease. Therefore, by far the most likely possibility in a mutation is a single letter error. It would appear to be ridiculously unlikely that an entire new functioning gene could be produced by a random mutation. Since the sequence of the human genome has been completed, it might seem a simple matter to have a computer program search through the genome, and identify genes by their characteristic data patterns such as start and stop codons, regulatory sequences, and intron patterns. In practice, although the start and stop codes are definite, the patterns involved in regulatory sequences and the patterns that denote the borders of an intron are often quite vague in that many different patterns appear to accomplish the same result. In addition, the genome contains pseudogene patterns that resemble genes but are not functional. However, they do have an apparent evolutionary effect in that they influence mechanisms that cause segments of code to be duplicated, copied to another part of the genome, or deleted.
Equally erectile dysfunction treatment doctor buy 100 mg zenegra with amex, all were agreed that every child had value in the eyes of God erectile dysfunction medicine bangladesh buy discount zenegra 100mg on-line, meaning that disability in itself was not a reason for discounting the value of a God-given life erectile dysfunction caused by guilt order zenegra visa. It seems possible that some reporting erectile dysfunction and diabetes a study in primary care purchase 100 mg zenegra free shipping, for example in the form of television programmes, could affect public perception of the medical problems. Research on the effects of the media on public perception in other health-related areas has been undertaken by the Glasgow University Mass Media Unit. The findings showed how ill-informed public beliefs on, for example, the association of schizophrenia with violence, could be traced directly to accounts in the media. Another study on coverage by the media on a range of scientific issues revealed that people were aware of the main themes but the knowledge that they had assimilated usually reflected those aspects that had received the most persistent coverage. This coverage tends to give a misleading impression that most babies born at the borderline of viability are healthy, whereas in reality, many do not survive and those who do often have disabling conditions ranging from mild to severe (Table 5. Reporting by the media of decision-making processes and the reasons for disputes may also be misleading. This is because those cases in which court proceedings are used as a means of resolving disputes between parents and doctors tend to make headline news, whereas those that are resolved privately do not. We have noted that the interests of a baby are bound up with those of his or her parents and that the availability of resources affect those interests (see paragraph 2. Although not universal, many neonatal units now have community liaison teams to give some support to parents and families when their baby is discharged home. The majority of babies who have required intensive care will have a discharge plan which is developed during their stay in the neonatal unit. Many will be discharged with complex medical requirements such as a continuing need for oxygen therapy or special feeding needs. Very premature babies who have been treated on a ventilator are at risk of chronic lung disease. Recovery sometimes takes several months and if a baby is otherwise well, he or she may be allowed to go home with an oxygen supply. Most babies with chronic lung disease gradually improve and no longer need oxygen by 12 months of age. We consider longer-term issues of health, education and social welfare in Chapter 7. Over the past decade there has been a growing interest in the experience and the politics of disability, including studies that challenge the distinctions drawn between impairment and disability (see Glossary). The Disability Rights Commission has actively promoted the rights (and potential) of disabled people to be equal citizens. Attitudes towards disability have changed markedly over the past decade and opportunities have increased. This concept remains an ideal given the current realities of discrimination and the lack of resources (see Chapter 7). Most of us are interdependent with other people, regardless of whether or not we or they have impairments. This was demonstrated by a survey which analysed over 1,000 national and local press cuttings covering disability and disabled people over an eight week period in 1999. Some of the existing definitions of disability can be particularly insensitive, especially when it is not clear whether the child will develop disabilities or what the longer-term future might be. The approach taken by professionals in conveying the prognosis and in particular, paying attention to attitude and language used, can help parents greatly. Honesty, understanding, tact and timing were considered to be crucial considerations. These parents wanted a sense of the future and how their child could reach his or her full potential. Critical care decisions will often have an impact on quality of life for both a baby and their family. However, it is very difficult to judge the quality of life experienced by a very ill, newborn baby for whom a long-term prognosis may be unclear. Evidence of the extent of physical disability may not begin to appear until a baby is a toddler, and the full extent of learning and behavioural problems may not be experienced until he or she is well into school age. Currently it is difficult to assess the quality and variety of support that is available for children and families who need it or the impact on the quality of life of the parents. Parents often experience real difficulties in obtaining information about the social care or support available to them in the community, and how to access it (Chapter 7). The resources available for healthcare are limited compared with demand, if not need. All healthcare systems, regardless of their financing and organisation, employ mechanisms to set priorities for finite resources. Increases in funding or the removal of inefficiencies in the healthcare system which improve access to treatment are likely be counterbalanced by other pressures on resources. Such pressures could, for example, arise from the introduction of new and more costly interventions resulting from medical advances, or from patients expecting healthcare services to do more to alleviate suffering. How should the lifetime costs of caring for a seriously ill newborn baby be taken into account when devising policies on whether to institute resuscitation or whether to continue treatmentfi Is it appropriate to invest heavily in caring for babies with poor prognoses when the resources might be directed to babies with better prognoses or elsewhere within the healthcare systemfi These questions are difficult to answer because there appears to be no consensus between philosophers, health economists and public health physicians about the moral basis for decisions on resource allocation. Health economists attempt to identify the human and material inputs that combine to maximise health benefits or other measures of social welfare. Cost utility analysis is a tool, developed by health economists, that allows all health interventions to be compared in terms of their costs and the health improvements they procure. However, numerous problems may be encountered when allocating finite resources in fetal and neonatal medicine by this method. Most notably, there is a well-recognised paucity of adequate data on the effects of fetal and neonatal interventions on survival and health-related quality of life for many conditions. In many cases, this information will also prove to be technically difficult and expensive to generate. Thus information on costs and health outcomes may be available for only a few of the range of interventions competing for priority. Important principles of justice may be ignored, for example if a treatment is available in one neonatal unit but not another. In addition, because neither ill health nor the distribution of healthcare resources are distributed randomly, a strategy aimed at maximising health outcomes within a limited budget may perpetuate inequalities or make them worse, and at best ignores them. In principle, this problem could be addressed by weighting the relevant data using agreed criteria for equity.
It is advisable for the resident to have a mentor all through his/her five-year training period erectile dysfunction drugs and high blood pressure cheap zenegra express. The mentor will follow up on the completion of required training during the five-year program and before the resident appears for the final exam erectile dysfunction following radical prostatectomy purchase zenegra pills in toronto. Leaves that are not utilized in due time within the year shall not be shifted to the following year erectile dysfunction blood flow discount 100 mg zenegra amex. Curriculum content and evaluation of resident competency in anatomic pathology: A proposal erectile dysfunction medications cost buy zenegra now. The model has been adapted around the world in the health professions and other professions. Objectives of Training in the Specialty of Anatomic Pathology (2013) the Royal College of Physicians and Surgeons of Canada. Definition Anatomic pathology is the branch of laboratory medicine concerned with the study of the morphologic aspects of disease. It includes the subdomains of cytopathology, gynecological pathology, dermatopathology, gastrointestinal pathology, cardiovascular pathology, respiratory pathology, musculoskeletal pathology, renal pathology, genito-urinary pathology, endocrine pathology, ophthalmic pathology, head and neck pathology, neuropathology, pediatric pathology, forensic pathology, and certain laboratory methods including but not limited to immunohistochemistry, immunofluorescence, in situ hybridization, flow cytometry, molecular pathology, and electron microscopy. The resident must acquire a working knowledge of the theoretical basis of the specialty, including its foundations in the basic medical sciences and research. In all aspects of specialist practice, the graduate must be able to address issues of gender, sexual orientation, age, culture, ethnicity, and ethics in a professional manner. Perform a complete and appropriate assessment of a case o Obtain a relevant clinical history o Identify and explore clinical issues to be addressed in the pre-analytical, o Analytical, and post-analytical handling of a case o Assess specimen adequacy in surgical and cytopathology specimens o Perform a pathological examination that is focused and relevant o Formulate a differential diagnosis based on the pathological examination o Select ancillary techniques judiciously in a resource-effective and ethical manner o Establish a final diagnosis that takes into account clinical correlations o Generate a clear, concise report that enhances patient management o Communicate the findings in a timely fashion, with appropriate documentation 4. Develop rapport and trust as well as ethical and professional relationships with clinical colleagues o Recognize that being a good communicator is a core clinical skill for pathologistsand that effective communication can foster patient satisfaction, physician satisfaction, and improved clinical outcomes o Establish positive professional relationships characterized by understanding, trust, respect, and honesty with clinical colleagues o Respect patient confidentiality and privacy o Listen effectively, and be aware of and responsive to nonverbal cues 3. Accurately convey relevant information and explanations to colleagues and other professionals, as well as patients and families when appropriate o Deliver information to patients and families as well as colleagues and other professionals in a humane manner and in such a way that it is understandable and encourages discussion and participation in decision making 5. Anatomic pathologists are central to quality management within the laboratory, and by extension, to the quality of healthcare. Participate in activities that contribute to the effectiveness of their healthcare organizations and systems o Work collaboratively with others in their organizations o Describe the structure and function of the healthcare system as it relates to anatomic pathology, including the roles of pathologists and other physicians o Describe principles of healthcare financing, including physician remuneration, budgeting, and organizational funding o Explain the principles of and participate in quality control, quality assurance, and quality improvement Identify and explore issues to be addressed in the pre-analytic, analytic, and post-analytic stage of specimen handling Demonstrate expertise in laboratory safety initiatives 2. Manage their practice and career effectively o Set priorities and manage time to balance clinical workload, practice requirements, outside activities, and personal life Describe the principles of workload measurement within the laboratory o Demonstrate an understanding of the principles of laboratory management, including but not limited to collaboration with technical managers and hospital and laboratory administration o Implement processes to ensure improvement of personal practice o Employ information technology appropriately 3. Allocate finite healthcare resources appropriately o Recognize the importance of just allocation of healthcare resources, balancing effectiveness, efficiency, and access with optimal patient care o Apply evidence and management processes for cost-appropriate care 4. Serve in administration and leadership roles, as appropriate o Chair or participate effectively in committees and meetings o Lead or implement change in healthcare as appropriate o Plan relevant elements of healthcare delivery. Respond to diagnostic needs and issues of individual patients as part of patient care o Identify opportunities for advocacy, health promotion, and disease prevention with individuals to whom they provide care 2. Respond to the health needs of the communities they serve o Describe the practice communities they serve o Identify opportunities for advocacy, health promotion, and disease prevention in the communities they serve and respond appropriately 3. Identify the determinants of health for the populations they serve o Identify the determinants of health of the populations they serve, including barriers to access to care and resources Evaluate laboratory practices and test selection regularly to ensure they meet community needs o Identify vulnerable or marginalized populations within the communities served and respond appropriately 4. Maintain and enhance professional activities through ongoing learning o Describe the principles of maintenance of competence o Describe the principles and strategies for implementing a personal knowledgemanagement system o Recognize and reflect on learning issues in practice o Conduct personal practice audits o Pose an appropriate learning question o Access and interpret the relevant evidence o Integrate new learning into practice o Evaluate the impact of any change in practice o Document the learning process 2. Critically evaluate medical information and its sources and apply it appropriately to practice decisions o Describe the principles of critical appraisal o Critically appraise retrieved evidence in order to address a clinical or laboratory question o Integrate critical appraisal conclusions into practice 3. Contribute to the development, dissemination, and translation of new knowledge and practices o Describe the principles of research and scholarly inquiry o Describe the principles of research ethics o Describe the principles of tissue acquisition for research o Pose a scholarly question and formulate a plan to answer the question o Conduct a systematic search for evidence o Select and apply appropriate methods to address the question o Disseminate the findings of a study o Complete a scholarly project Professional Definition: As professionals, anatomic pathologists are committed to the health and well-being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behavior. Demonstrate a commitment to their patients, profession, and society through ethical practice o Exhibit appropriate professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism o Demonstrate a commitment to delivering the highest quality of care and maintenance of competence o Recognize and appropriately respond to ethical issues encountered in practice o Recognize and manage conflicts of interest o Recognize the principles and limits of patient confidentiality as defined by professional practice standards and the law o Maintain appropriate boundaries with colleagues, other health professionals, laboratory staff, students, and patients 2. Demonstrate a commitment to physician health and sustainable practice o Balance personal and professional priorities to ensure personal health and a sustainable practice o Strive to heighten personal and professional awareness and insight o Recognize other professionals in need and respond appropriately this document is to be reviewed by: the Specialty Committee in Anatomical Pathology by December 31, 2014. Al Hussain Note: Lymphoma pathology and neuropathology sessions are conducted twice a month each as extra sessions. Cases received during the week are reviewed by the resident on duty and discussed by the participants if necessary. Activity is monitored by the consultant on duty and starts at 2:00 pm on two selected days of the week (Sundays and Tuesdays). Note: All residents must attend 75% of departmental and local educational activities before they can be guaranteed an outside educational leave. Yes No N/A Please comment on the weaknesses noted during this period of training: Do you see significant decline from previous encountersfi I am kept informed of issues within the training program (may include meetings of the Program Director with the resident body, meetings with chief resident(s), and other communications from the Residency Program Committee or from administrative staff). I can easily communicate my concerns, ideas, and/or suggestions to the Residency Program Committee. Resident Well-being Strongly Point Disagree Neutral Agree Strongly agree disagree Resident well-being is important in our program. The program allows residents to express their opinions and concerns without fear of retaliation. The educational experiences prepare residents well for their ongoing career development. Note: Aggregate data that will not identify respondents will be presented to training committees on an annual basis. Please rate the presenter 1 2 3 4 5 Topics Needs N/A Poor Good Very good Excellent improvement Enthusiasm Interaction with the audience Preparation of the topic 2. Please rate the content of the presentation 1 2 3 4 5 Topics Needs N/A Poor Good Very good Excellent improvement the volume and complexity of the information presented was appropriate the content was related to current evidence in the literature the content was relevant to your practice 4. The log sheet will be reviewedand signed off by your program director by the end of each rotation/year. Has been exposed to and is able to handle an adequate variety and volume of gross specimens b. Analyzes complex cases, performs thorough literature review, and makes necessary clinical and radiological correlations d. Interprets pathology findings and integrates clinical information to make accurate diagnoses Cytopathology a. Analyzes complex cases, performs thorough literature review, and makes necessary clinical and radiological correlations c. Frozen: Professionally discusses the reason for frozen sections with the surgeon if needed. Adequately dictates grossing descriptions Overall, shows proficiency in clinical and procedural skills Please comment on strengths and weaknesses of the candidate. Communicates efficiently with staff in the lab and clinical peers and colleagues; has a positive attitude. Speaks and writes English correctly and has reliable pathology-reporting skills d. Is able to convey equivocal findings or atypical findings in a clear and proper manner that is comprehensible to clinical colleagues Please indicate specific strengths and weakness of the candidate. Routinely communicates with clinical colleagues to formulate a narrow differential diagnosis b. Prepares for and presents during multidisciplinary case conferences with the presence of the pathologist Please comment on the strengths and weaknesses of the candidate and provide examples if applicable. During a busy service, efficiently grosses all specimens, reviews virtually all cases, teaches junior residents, and presents at tumor boards b.
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