Pearls in Pathology

American Osteopathic College of Pathologists

Spring 2024 Conference

April 12-13, 2024

Westin Kierland

Scottsdale, Arizona  85254

Friday April 12, 2024  6 CME

TIME

Pathology

10:30am-11:00am

BREAK

11:00am-12:00pm

Review of Blood Transfusions 2024

Randall McGivney, DO

12:00pm-1:00pm

 

1:00pm-2:00pm

Neuropathology – Trauma and Non-traumatic

Randall McGivney, DO

Robert Kurtzman, DO

2:00pm-3:00pm

Neuropathology – Trauma and Non-traumatic

Randall McGivney, DO

Robert Kurtzman, DO

3:00pm-3:30pm

BREAK

3:30pm-4:30pm

Forensic Photography: From Scene to Autopsy

Robert Kurtzman, DO

4:30pm-5:30pm

The Many Faces of Vasculitis: A Review of Pathology and Clinical Manifestations

John N. Kasimos, DO

5:30pm-6:30pm

Review of Postmortem Changes and Time of Death

Gregory Mc Donald, DO

7:00 pm

Reception

Saturday April 13, 2024  7 CME

TIME

Pathology

8:30am-9:30am

Small Bowel Pathology: Celiac Disease and More

Aaron Huber, DO

9:30am-10:30am

Current and Future Biomarkers in Gastric/Gastroesophageal and Colorectal Adenocarcinoma

Aaron Huber, DO

10:30am-11:00am

BREAK

11:00am-12:00pm

AOCP MEETING/LUNCH

12:00pm-1:00pm

AOCP MEETING/LUNCH

1:00pm-2:00pm

Histologic Mimics of Melanoma

Bruce Smoller, MD

2:00pm-3:00pm

How We Teach, How They Learn, How We Practice

Bruce Smoller, MD

3:00pm-3:30pm

BREAK

3:30pm-4:30pm

Pediatric Pathology/Joint with AOCD

Steven Gustafson, DO

4:30pm-5:30pm

Interesting Cases in GI

Laura Michael, DO

5:30pm-6:30pm

Lifestyle Medicine and the Medical Profession

Chaya Prasad, MD

7:00pm-9:00pm

Ticketed Event to Benefit the Foundation for Osteopathic Dermatology

Our Speakers

Dr. Steven A. Gustafson is board certified in Clinical Pathology and Hematopathology.

In 1996, Dr. Gustafson earned his Doctor of Osteopathic Medicine degree from Des Moines University College of Osteopathic Medicine. He then went on to complete his residency in Anatomic Pathology and Clinical Pathology at University of Missouri, Kansas City School of Medicine, followed by a numerous fellowships in Hematopathology, Surgical Pathology, Chemical Pathology, and Pediatric Pathology.  He has lectures and conducted research on national and international levels, as well as authored and co-authored multiple peer-review publications.  He is a reviewer for the Journal of Histotechnology.  He currently serves on the faculty of Kansas College of Osteopathic Medicine.  In his spare time, he volunteers for USA boxing as a ringside physician.

In the past 24 months, the speaker reports no financial relationships with any ineligible companies.

Dr. Randall K McGivney DO, MBA is a 1980 graduate of Oklahoma State University with BS degree in Physiology.  He received his DO degree in 1983 from Oklahoma State University College of Osteopathic Medicine and Surgery (the last of the 3-year medical programs).  Dr. McGivney did a transitional internship in 1983 at William Beaumont Army Medical Center in El Paso Texas followed by a residency in an Anatomic and Clinical Pathology from 1984 – 1988. 

Dr. McGivney served in the US Army as teaching chief at WBAMC and worked at Medical Arts Lab in Oklahoma City before joining Mac Neal Hospital in the fall of 1991. He helped build Genesis Clinical Laboratory which Tenet Health sold to Lab Corp in 2015. 

In 2011 he created Illinois Pathology Associates in which currently employs 8 pathologists and serves 3 suburban hospitals in Chicago.  Dr. McGivney is board certified in Anatomic and Clinical Pathology from the American Board of Pathology and holds a Masters of Business Administration from the Booth School of Business at the University of Chicago.  Dr. McGivney serves as Chair of the Department of Pathology & Laboratory Sciences for West Suburban Medical Center.  Dr. McGivney has served as an adjunct professor at Midwestern University in the Department of Pathology and he does private autopsies for Chicago Area Autopsy Services. 

In the past 24 months, the speaker reports no financial relationships with any ineligible companies.

John Kasimos, DO is board-certified in anatomic pathology, clinical pathology and family medicine. He completed his residency training in all areas at Midwestern University – Chicago College of Osteopathic Medicine. He received his BS in Biology at Loyola University of Chicago and his MS in Biology with specialization in Microbiology from the Illinois Institute of Technology. He is primarily based at Franciscan Health Olympia Fields. Dr. Kasimos currently serves as Chair and Professor of the Department of Pathology, Midwestern University where he is extensively involved in the education and training of osteopathic medical students and is a SOMA Foundation’s Northup Educator of the Year Award Recipient.

In the past 24 months, the speaker reports no financial relationships with any ineligible companies.

Dr. Huber is a surgical pathologist who specializes in gastrointestinal, liver, pancreaticobiliary, bone, and soft tissue pathology.

He is Board Certified in Anatomic Pathology and Clinical Pathology – American Board of Pathology

He received his DO degree in 2004 from Univ. of Health Sciences-College of Osteopathic Medicine

He completed his Residency in Pathology at Naval Medical Center San Diego07/20/2005 – 07/19/2009

His Post-doctoral Training & Residency training was completed 07/01/2013 – 06/30/2014 with a

Fellowship in Gastrointestinal & Hepatobiliary Pathology at University of Rochester Medical Center.

In the past 24 months, the speaker reports no financial relationships with any ineligible companies.

Dr. Smoller currently serves as Professor of Pathology and Laboratory Medicine for the University of Rochester Medical Center, Rochester, NY. He began his career in pathology as a resident in anatomic and clinical pathology at Harvard’s Beth Israel Hospital. From there, he did a dermatopathology fellowship at Cornell Medical School/ New York Hospital under the tutelage of Dr. Scott McNutt. He remained on faculty at Cornell for several years before relocating to Stanford University in 1990 to assume the position as Director of Dermatopathology and rose through the ranks to become a Professor of Pathology and Dermatology. In 1997, he relocated to the University of Arkansas where he became Chair of the Department of Pathology, in addition to his role as the Director of Dermatopathology. He remained there until 2011 when he was appointed to the position of Executive Vice President of the United States and Canadian Academy of Pathology. He spent nearly three years in that position before accepting the position as Professor and Chair, Department of Pathology and Laboratory Services and Professor of Dermatology at the University of Rochester School of Medicine and Dentistry.

Dr. Smoller has published more than 235 original articles, 39 book chapters and 13 textbooks of dermatopathology. He has served as the Editor-in-Chief of the Journal of Cutaneous Pathology and as the President of the American Society of Dermatopathology. He is proudest of the Nickel Award he received from the American Society of Dermatopathology in recognition of lifetime excellence in teaching.

Post-doctoral Training & Residency

07/01/1987 – 06/30/1989

Fellowship in Dermatopathology at Cornell University Medical College

07/01/1984 – 06/30/1987

Residency in Pathology, Anatomic Pathology & Clinical Pathology at Beth Israel Deaconess Medical Center-Main Campus

Dr. Prasad hails from Bangalore, India where she completed her medical school. She then went on to complete her pathology residency at OHSU, Portland Oregon and a 2-year fellowship in Ob/Gyn pathology at Harvard Medical School. At Harvard she was the recipient of several American Cancer Society and NIH research awards. In 1995, she went onto receive the prestigious National Physician Scientist award from NIH, an award that is given to few select physicians a year. She then continued to work at Kaiser Permanente for over 2 decades where she wore many administrative hats. Dr. Prasad joined Western University in 2016, where she is an associate professor and chair of the Clinical Sciences Dept.

In the past 24 months, the speaker reports no financial relationships with any ineligible companies.

ROBERT A. KURTZMAN, D.O., FCAP

Forensic Pathologist, Retired Montana State Chief Medical Examiner

Rocky Mountain Forensic Services, PLLC

Dr. Kurtzman received his Doctor of Osteopathy from Des Moines University, College of Osteopathic Medicine, Des Moines, Iowa. Attended 1977-1980.  He is Board certified by the American Osteopathic Board of Pathology, Anatomic Pathology, July 1989, Laboratory Medicine, July 1991, Forensic Pathology, May 1994.  He previously served on AOCP Board of Governors from 1989-1997 in various positions with having served as President 1996-1997.

In the past 24 months, the speaker reports no financial relationships with any ineligible companies.

 

Gregory McDonald, DO, graduated from the Philadelphia College of Osteopathic Medicine in 1989. He
went on to complete a residency in anatomic pathology at the Lankenau Hospital followed by a
forensic pathology fellowship at the University of Pennsylvania and the Medical Examiner’s office
in Philadelphia, Pennsylvania. After completion of this fellowship, he served for 14 years as an
assistant medical examiner in Philadelphia, Pennsylvania.

Dr. McDonald currently serves as Dean of the School of Health Sciences and is a professor and
chairman of the Department of Forensic Medicine and Pathology at the Philadelphia College of
Osteopathic Medicine. His work at PCOM also includes serving as the program director of the Master
of Science (MS) in Forensic Medicine program. Dr. McDonald lectures extensively to DO, physician
assistant and forensic medicine students as well as providing residents and attending physicians
with continuing education programs. He has been the recipient of multiple awards for outstanding
teaching.

In addition to his teaching duties at PCOM he has lectured regionally and nationally in subjects
including post mortem changes, determination of cause and manner of death, blunt and sharp force
injury, asphyxiation and child abuse. Dr. McDonald is also the chief deputy coroner of Montgomery
County Pennsylvania.
He has served as the Vice Chairman and Chairman of the American Osteopathic Board of Pathology
where he also is the Chairman of the subcommittee on Forensic Pathology. Certified in both anatomic
pathology and forensic pathology, he has completed more than 8,000 autopsies and has testified in
more than 800 court cases

In the past 24 months, the speaker reports no financial relationships with any ineligible
companies.

Dr. Laura Michael is currently Medical Director of Vizia Diagnostics, formerly Boston Scientific Pathology since November 2022. She has been an AOCP board member since 2004, and past president 2008-2010, and 2014-2015, 2020-2021. She presents at many AOCP conferences, speaking on GI Pathology. She is a GI Pathologists who trained at the University of Florida and the first fellow of Dr. Gregory Lauwers, who is now at Moffitt Cancer Centre, after many years at Massachusetts General and Harvard University.

After residency, Dr. Michael spent over five years at Citrus Memorial Hospital as a staff pathologists before accepting the Medical Directorship of Gastrocor, Florida position at Bostwick Laboratories. Ten years later, she moved to Alpharetta Georgia to a GI Pathology laboratory, Endochoice, which became Boston Scientific a few years later. She is a fellow of the College of American Pathologists, Gastrointestinal Pathology Society member and Board certified American Osteopathic Board of Pathology and American Board of Pathology

Needs Assessments

Objectives:

  1. Understand the current biomarker landscape in gastric/gastroesophageal and colorectal cancer
  2. Understand the implications of biomarker studies on the prognosis and treatment of gastric/gastroesophageal and colorectal cancer
  3. Understand what biomarkers will be available in the future and their implications on gastric/gastroesophageal and colorectal cancer

 

Needs:

  1. New advances in pathologic analysis
  2. New methods of diagnosis or treatment
  3. Development of new technology
  4. Advances in medical knowledge

 

References:

  1. Nakamura Y, et al. Biomarker-targeted therapies for advanced-stage gastric and gastro-oesophageal junction cancers: an emerging paradigm. Nat Rev Clin Oncol. 2021;18:473-487.
  2. Ivanova M, et al. HER2 in metastatic colorectal cancer: pathology, somatic alterations, and perspectives for novel therapeutic schemes. Life. 2022;12:1403.

 

Core Competencies: 2,3,6,7

Objectives:

  1. Be familiar with the morphologic, serologic, and endoscopic findings of gluten-sensitive enteropathy
  2. Be familiar with the morphologic, serologic, and endoscopic findings of some of the mimics of gluten-sensitive enteropathy
  3. Be familiar with the morphologic, serologic, and endoscopic findings of other small bowel diseases that do not have similar features to gluten-sensitive enteropathy

 

Needs:

  1. New advances in pathologic analysis
  2. New methods of diagnosis or treatment
  3. Development of new technology
  4. Advances in medical knowledge

 

References:

  1. Bao F, et al. An update on celiac disease histopathology and the road ahead. Arch Pathol Lab Med. 2012;136:735-745.
  2. Villanacci V, et al. Coeliac disease: the histology report. Dig and Liver Dis. 2011;43(s):S385-S395.

 

Core Competencies: 2,3,6,7  

Objectives:

  1. How to Evaluate Primary CNS Disease
  2. Differential of nontraumatic disease of CNS
  3. How to difuse significant risk for families

 

Needs:

  1. New advances in pathologic analysis
  2. New methods of diagnosis or treatment
  3. Advances in medical knowledge

 

References:

Greenfields Neuropathology Journal of AANP

Core Competencies: 2,3,4,5,6,7

Objectives:

  1. Describe the pathologic and clinical features of the most common forms of non-infectious and infectious vasculitis
  2. Know the patient populations most affected by each type of vasculitis
  3. Know the type and size of blood vessels most associated with each type of vasculitis

 

Needs:

  1. Advances in medical knowledge
  2. New advances in pathologic analysis

 

References:

Vasculitis: What Have We Learned in the Last 50 Years? Simon Carette The Journal of Rheumatology Jul 2022, 49 (7) 848-852; DOI: 10.3899/jrheum.220207

Expert perspectives on pathological findings in vasculitis Ishizu, A. et al., Modern Rheumatology, Volume 33, Issue 1, January 2023, Pages 1–11, https://doi.org/10.1093/mr/roac043

Histopathology of Vasculitis: Classification, Controversies, and Concepts, Mysore, V., Jindal, A. Indian Journal of Dermatopathology and Diagnostic Dermatology 9(1):p 1-9, Jan–Jun 2022. |DOI: 10.4103/ijdpdd.ijdpdd_22_21

Core Competencies: 1,2,3,4,5,6

Objectives:

  1. An awareness of the methods used to teach pathology.
  2. Insights into how we practice diagnostic pathology and how that is reflected in the methods used to teach.
  3. Ideas about how to improve teaching skills around the microscope and during lectures.

 

Needs:

  1. Advances in medical knowledge

 

References:

Wells A, Patel S, Lee JB, Motaparthi K. Artificial intelligence in dermatopathology: Diagnosis, education, and research. J Cutan Pathol. 2021 Aug;48(8):1061-1068. doi: 10.1111/cup.13954. Epub 2021 Jan 26.

Ibraheim MK, Gupta R, Gardner JM, Elsensohn A. Artificial Intelligence in Dermatopathology: An Analysis of Its Practical Application. Dermatopathology (Basel). 2023 Feb 16;10(1):93-94. doi: 10.3390/dermatopathology10010014.

Core Competencies: 4,5,6

Objectives:

  1.  
  2.  
  3.  

Needs:

  1. New methods of diagnosis or treatment
  2. New advances in pathologic analysis

 

References:

Core Competencies: 2,3,6,

Objectives:

  1. Current Standards and Objectives for Transfusions
  2. FFP
  3. Platelets

 

Needs:

  1. New advances in pathologic analysis
  2. New methods of diagnosis or treatment

 

References:

AABB Journal of Internal Medicine

Core Competencies: 2,3,5,6,7

Objectives:

  1. Update on current pediatric tumor pathology.
  2. Diagnostic criteria for common pediatric tumors.

 

Needs:

  1. New methods of diagnosis or treatment
  2. Advances in medical knowledge

 

References:

Diagnostic Pathology of Pediatric Neoplasms. 2012. Amirsys Inc. ISNB: 9781931884-54-9.

Stocker and Debner’s Pediatric Pathology. 4th Ed. 2016. ISBN: 978-1-4511-9373-2.

Core Competencies:2,3

Objectives:

  1. Recognize an Abnormality
  2. Assess what immunostains will help in the diagnosis
  3. Develop a differential, when to send to an expert GI path for consultation

 

Needs:

  1. New advances in pathologic analysis
  2. New methods of diagnosis or treatment
  3. Advances in medical knowledge

 

References:

Metastatic Malignant Melanoma of GI Tract, Liang et al, Mayo Clinic Proc April 2006 81(4) 511-516

Carcinoma of the Stomach: A Case Report, JGastic CA 2013, Mar 13(1) 69-72

Core Competencies: 1,2,3,4,5,6,7

Objectives:

  1. Background of Lifestyle Medicine
  2. Applicability to physician wellness
  3. Applicability to quality patient care

 

Needs:

  1. Advances in medical knowledge

 

References:

Murphy, SL., Kochanek, KD., Xu, J., & Arieas, E. Mortality in the United States, 2020. NCHS Data Brief, No 427, December 2021. https://www.cdc.gov/nchs/data/databriefs/db427.pdf

Mokdad, AH, Marks, JS, Stroup, DF, & Gerberding, JL. Correction: Actual Causes of Death in the United States, 2000. JAMA. 2005; 293 (3): 293-294 doi:10.1001/jama/293.3.293 https://jamanetwork.com/journals/jama/fullarticle/200177 5. Lianov L, Johnson M. Physician competencies for prescribing lifestyle medicine. JAMA. 2010;304(2):202-203. Do

Merlo G, Rippe J. Physician Burnout: A Lifestyle Medicine Perspective. Am J Lifestyle Med. 2020;15(2):148-157. Published 2020 Dec 29. doi:10.1177/1559827620980420

Olson KD. Physician Burnout-A Leading Indicator of Health System Performance?. Mayo Clin Proc. 2017;92(11):1608-1611. doi:10.1016/j.mayocp.2017.09.008

Core Competencies: 3,5

Objectives:

  1. Identify the importance of rigor mortis, livor mortis and algor mortis in determining the time of death
  2. Recognize the importance of forensic entomology in determining the time of death
  3. Identify common post mortem artifacts that can mimic trauma

 

Needs:

  1. New advances in pathologic analysis
  2. Advances in medical knowledge

 

References:

Sens,MA,Hughs R:Diagnostic Pathology Forensic Pathology Philadelphia PA,Elsevier 2021

Spitz,WU et al:Spit’z and Fisher’s Medicolegal Investigation of Death:Guidelines for the Application of Pathology to Crime Investigation. 5th ed.

Springfield,Ill:Charles C. Thomas,2020

Core Competencies: 2,6

Objectives:

  1. Awareness of difficult melanocytic lesions
  2. Awareness of difficult melanocytic lesions
  3. New molecular tests that may be helpful in resolving boderline cases

 

Needs:

  1. Advances in medical knowledge
  2. New advances in pathologic anaylsis

 

References:

Huang C, Lau TW, Smoller BR. Diagnosing cutaneous melanocytic tumors in the molecular era: updates and review of literature. Dermatopathology 2024; 11: 26-51.

Martin-Gorgogo, A, Requena C, Garcia-Casado Z et al. Acta Derm Venereol 2018; 98: 556-562

Zarabi SK, Azzato EM, Ni Y et al. J Cutan Pathol 2020; 47: 691-704.

Core Competencies: 2,3