Skin Pathology
FOR YEAR 3 TRAINEES
After the RITAs in your third year, if progress has been satisfactory, trainees will begin to take responsibility for reporting some skin specimens independently, after this has been agreed with the consultants using the following procedure:
-
Self select examples of biopsies from your routine workload that fall into the appropriate category for your year in the table.
-
Report these so that they are all ready to be authorized before checking them with your Consultant – cases will be checked by various Skin Consultants during this exercise.
-
Enter the histology number and diagnosis on your assessment list.
-
Inform your Consultant that this is one of your assessment cases.
-
After checking the diagnosis and report, the Consultant will add his/her signature and date to your list.
-
Once 20 requests have been signed for, you are ready to report independently at that level.
-
File the list in your log book, and send a copy to Dr Wyatt for the department’s records.
-
If the Consultant makes changes to your report, he/she will note the details on your list.
-
If there are any cases with major alterations (i.e. would affect clinical management), or >3 with minor alterations, more supervised training will be required before repeating this exercise. The list of 20 cases should be completed and retained by the trainee. The trainee plus educational supervisor will discuss when the exercise should be repeated.
The following is a list of cases that can be signed out at the appropriate stage.
Year 3
Sebaceous cysts Pyogenic granuloma Fibroepithelial polyp Squamous papilloma/viral wart Pilonidal sinus Seborrhoeic keratosis Dermatofibroma Lipoma, less than 3cm, subcutaneous
Year 4
Actinic keratosis Bowen's disease Post MRCPath
Atypical naevi Mailignant melanomas The following need double reporting:
Atypical naevi
Malignant melanomas
N.B.
It is mandatory to check a case with the following situations:
- All cases where clinical diagnosis is malignant.
- Recurrent benign lesions
- Any case where the trainee was in any doubt as to the diagnosis.
Evaluation of competence for independent reporting of Skin histology form (here)
