GI Pathology
Basic level
Post part 1 MRCPath: collect 20 cases from this list, including at least 2 of each specimen type (RCPath levels 1&2):
Appendix
- Normal
- Acute appendicitis
- Enterobius infestation (excluding granulomatous appendicitis, serosal inflammation without mucosal inflammation, tumours)
Gallbladder
- Normal
- Chronic/acute cholecystitis, Cholelithiasis
GI Biopsies
- Normal mucosal biopsies (oesophagus, stomach, duodenum, large bowel)
- Haemorrhoids
Once confident at reporting these independently, start collecting 20 cases from the level 3 list:
Level 3
Oesophageal biopsies
- Acute/chronic inflammation (excluding cases of immuno-compromise and Barrett’s oesophagus)
Gastric biopsies
- Bacterial/non-bacterial gastritis (excluding eosinophilic or granulomatous gastritis)
- Intestinal metaplasia
- Fundic glandular cysts
Colonic biopsies
- Metaplastic polyp
Adenomas
- Anal skin tags (non-viral/AIN)
Colonic/ileal resections
- Diverticular disease
- Acute ischaemia/infarction
- Sigmoid volvulus
- Colostomy/ileostomy closure
- Meckel’s diverticulum
Liver biopsies
Level 4 cases can be reported independently by trainees who have passed the final MRCPath exam:
Level 4
Oesophageal biopsies
- Barrett’s oesophagus (excluding dysplasia)
Colonic biopsies
- Confirmation of IBD in patients with known history (excluding dysplasia)
- Oesophagectomy for cancer – according to protocol
- Gastrectomy for cancer – according to protocol
Colectomy
- for cancer – according to protocol
- for known inflammatory bowel disease
Specific exceptions
All primary diagnoses of malignancy are to be reported only under supervision
Competence form for GI Pathology (here)
