Monthly Gross Room Meeting

Surg Path Meeting 3-1-2017

PA/Tech Staffing

  1. The week of March 4th, Charlene is away from the 6-8th, and Mike is away 9-10th
  2. The week of March 20th, Sarah is away all week and Rebecca is away 23-24th
  3. The week of March 27th, Rachel is away all week and Mike is away 28-31st
  4. One the days that PAs are away, Cory will be here one hour earlier until 7:30 as opposed to starting later and leaving at 8:30 to provide more help during the day
  5. Techs support will return to Saturday grossing days starting March 11th; the first two Saturdays (11th and 18th), either Kelsey or Rebecca will be there along with the new tech in order to show them the ropes
  6. This month is the Kayla’s (PA student) last month with us

Resident Staffing

  1. USCAP is this month, during the week of March 6th
  2. Zhen and Shiraz will be away 6-8th; make sure you note the coverage changes in the schedule


The rotation order adopted last month will continue (the numbers denote the priority of gross room helpers)

  1. Triage
  2. Breast (1)
  3. Gyne (4)
  4. ENT/BST (2)
  5. GU/Thoracic (3)
  6. GI (5)


  1. Please do not dictate the patient’s age or gender into the clinical history anymore. Just "The patient has [-] and is undergoing [-]. The reason is to avoid errors and subsequent amending of information that is alredy present within the report elsewhere.
  2. Also, please use the phrase “The patient has a history of…” only if they have truly had a history of it. If it a new problem, please dictate as “The patient has..." (or something along those lines)
  3. New instruments/tools are being ordered.
  4. Cytology is moving into the gross room in two weeks.
  5.  Please be mindful of safety:
    1. Do not leave blades out
    2. Do not put blades into the enzyme cleaner
    3. Be careful using the cryostat
    4. Please be mindful of eye safety
  6. Please turn the Faxitron off on Saturdays when you leave
  7. The cassette printer in the back (add-on #8) is fixed now


  1. When you go back to help at 5pm, do routines first followed by biopsies at 6 if needed
  2. Update your dragon files if you haven’t already
  3. If updates are needed to the manual, email Nicole & Sarah 
  4. With subspecialty boxes, make sure cases are being assigned to the right service at the time of gross
  5. Continue to list unassigned bigs in your e-mails

Surg Path Meeting 2-1-2017

  1. Staffing
    1. Charlene has been on vacation for the last few weeks; she will be back on Monday
    2. The PA student (Kayla) was gone all last month and is back now
    3. Two new techs: Bianca and Hana
    4. One new-ish tech: Camila
    5. Still no tech on Saturday; continue following weekend protocol
    6. Cory (usually goes until 8:30) now leaves at 7:30 - will stay on this schedule until Charlene returns
    7. PAs are bio-banking and doing derm in evenings, so there will still need to be help
    8. Sarah will be out for a three days after Charlene gets back
  2. Residents
    1. We finished our last training month of the year! Phil is a full-fledged surgical pathology resident now and will be doing 2 bigs
  3. Schedule
    1. The order of rotations has changed (i.e. the order to be called back to help in evening)
      1. Gross room
      2. BR
      3. GYN
      4. ENT/BST
      5. GU/THOR
      6. GI
    2. While Phil is on Saturday, there will still be 3 people on
  4. Updates
    1. If you go back to help in evening, do routines first (Biopsies after 6pm if necessary)
    2. The cassette printer in the back (add-on #8) is still out, should be fixed by end of week
    3. Update your dragon files if you haven’t recently
    4. Let Nicole and Sarah know if the online manual needs updates
    5. If you need help identifying signatures for frozens, there’s a photo of all the signatures on the manual
    6.  With subspecialty boxes, make sure things are being assigned to the right people!
    7. Unassigned bigs should be put in the emails 

Surg Path Meeting 1-3-17

Happy New Year!

To catch up on changes and updates that took place since the last time you were on surg path, please review the blog posts from the last few months.

  • Welcome new techs Hana and Bianca (starting 1-11)
  • Charlene will be out 1-14 to 2-6
  • Phillip will be training in January-February

Gross Room Helpers: Helper residents that come in at 5 PM are instructed to focus on routines and bigs until 6 PM. Then, if necessary, they should grab any leftover biopsies that need to be on by 7 PM. Thursday and Friday are the exceptions: 1) Prostate biopsies on Thursdays and two Fridays a month; 2) no accessioning cut-off time on Friday.

In the daily email regarding bigs assignments, you do not have to list the unassigned/leftover bigs, but please group them separately on the bench for easier identification by the PAs and techs. Continue to include the evening helpers and the time they spent helping. Refer to the manual for bigs assignment guidelines:

Cases are now being distributed to subspecialty boxes. Double check subspecialty accessioning at gross (subspecialty field located in Accession, Histology Data, and Final Diagnosis). If there are errors in accessioning of cases, please provide case numbers to Charlene. If there are errors in placement of slides into boxes, please provide case numbers to Ryan

Update your Dragon templates. Refer to the manual for how to update your Dragon user files:

To give a better indication of the relative responsibiltiies of the grossers to a case, make sure the primary grosser's name is listed as the first grosser. The triager and/or grossers of "minor" parts such as lymph nodes / margins should follow the primary grosser. 

If you choose to triage into CoPath, put your name in as a grosser and make sure the numeric measurements are dictated correctly.