ASCP 2014

Free Pre-Meeting Workshops at USF Health CAMLS
Tuesday, Oct. 7

USF Health’s new, state-of-the-art Center for Advanced Medical Learning and Simulation (CAMLS) is the host site for 3 fantastic hands-on workshops, offered to you free of charge. CAMLS is located just a few blocks away from the Tampa Convention Center, home of ASCP 2014.

Free registration to these workshops will be offered via email following your registration for ASCP 2014. Spots are highly limited!

Tuesday, Oct. 7 | 1:00 PM - 4:30 PM
Thyroid FNA/Ultrasound Workshop

Maximum Spots: 21

This course will feature a didactic presentation reviewing the sonographic finings of malignant thyroid nodules, and an overview of ultrasound instrumentation and ultrasound-guided biopsy approaches, emphasizing the advantages and disadvantages of the varying techniques. Following the didactic session, there will be a live demonstration of the performance of the sonographic evaluation of the thyroid and cervical nodes and a hands-on ultrasound-guided biopsy demonstration with the opportunity for the participants to practice biopsy techniques on phantoms.

Learning Objectives:

  1. Describe the sonographic features that predict that a nodule is likely to be a thyroid carcinoma.
  2. Acquire skill in performing diagnostic sonography of the neck.
  3. Acquire skill in performing sonographically-guided FNA procedures.

Tuesday, Oct. 7 | 2:00 PM - 4:30 PM
Transfusion Reaction Workshop: Mayhem at Midnight
Maximum Spots: 20

This course will feature a presentation about blood transfusion reactions, along with a live interactive workshop featuring virtual patients that will model common transfusion reaction symptoms. Participants will develop a differential diagnosis, testing algorithm and suggested treatments for these common symptoms using audience polling software to record their recommended course of action based upon their evaluation of the clinical crisis. Follow-up discussion of each scenario will be provided with the expert faculty.

Learning Objectives:

  1. Create a differential diagnosis for transfusion reaction symptoms.
  2. Devise laboratory testing algorithms based on transfusion reaction symptoms.
  3. Recommend appropriate treatments to clinicians based on transfusion reactions symptoms exhibited by patients.

Tuesday, Oct. 7 | 12:00 PM – 6:00 PM
Comprehensive Workshop: Approaches for Examining and Identifying Congenital Heart Disease

Maximum Spots: 24

This 3-part afternoon workshop will use didactic presentations, video demonstration and hands on examination of specimens to convey the concepts of examining hearts with congenital heart disease, along with applying the use of anatomic features at autopsy to predict or recognize congenital heart disease. The workshop will finish with a discussion of some techniques to adequately document these findings photographically.

The first segment will concentrate on cardiac morphology and will employ video demonstration as well as hands on examination of cardiac specimens from the Van Mierop Archive at the University of Florida and the collection at All Children’s Hospital in St. Petersburg, Florida. Using the morphological method, normal cardiac anatomy will be the initial focus. Employing sequential segmental analysis along with these intrinsic morphological features will facilitate a better understanding of the more complex lesions. The segments of the heart, the atriums, the ventricles and the arterial trunks, can then be analyzed for the many possible combinations of atrioventricular and ventriculo-arterial connections. This discussion will allow participants to understand the usefulness and practicality of the sequential segmental analysis approach to the examination of the congenitally malformed heart. The different types of interatrial communications, atrial septal defects and ventricular septal defects will be discussed along with the criteria used to differentiate the defects within their respective groups. The hands on examination portion will help to cement the basic cardiac anatomy which is an important part of any practice. Identification of the normal morphological characteristics will allow for a better understanding of those hearts with congenital cardiac malformations. Upon completion of the workshop, those attending should be able to adequately describe any type of congenital cardiac malformation or combination of malformations in a simple and easily understood manner.

In the second segment didactic and video presentations will highlight some helpful anatomic hints for identifying or predicting congenital heart disease while performing fetal and pediatric autopsies. Many anatomic landmarks and their variation from the norm can be used as predictors or anatomic hints during the in situ examination and lead the prosector toward an appropriate diagnosis. This can be applied to both the thoracic and abdominal organs with external features contributing to the overall diagnosis. In fetuses of later gestation there are often ultrasound reports to help the prosector navigate through the gross anatomic findings. Cases with early fetal demise or those prior to obtaining an ultrasound are those cases where these techniques will prove the most beneficial. This is typically before 20 weeks gestation. The anatomy at this stage is basically the same as that of a child or an adult with a few subtle differences that will be discussed with reference to the in situ examination. Using basic anatomy and keen observation can lead to a correct diagnosis in these sometimes tiny fetuses with varying degrees of maceration. The techniques and anatomic landmarks will also be discussed with reference to dilatation and evacuation specimens. Actual specimens will be used in the demonstration.

The third and final segment will outline some useful techniques for photographing and documenting cases with congenital malformations and congenital heart disease. It should be helpful for beginners along with those who have photographic experience. Photographic documentation of a fetal or pediatric autopsy when there are multiple anomalies is sometimes more important than the microscopic sections. Expertly prepared images are especially important when seeking a consultation. Essentially, the submitted photographs will act as the eyes of the consultant and will provide them with the necessary information to make a diagnosis. When preparing to photograph a heart or any other organ system, whether normal or congenitally malformed, it must be placed in anatomic position. The proper display and staging of the specimen will improve the quality of the image. Images are now used as part of the final pathology report at many institutions and can be an impressive addition to the report.

Learning Objectives:

  1. The use of sequential segmental analysis and the morphologic method will aid in simplifying the examination of the congenitally malformed heart, allowing for a clear and concise description that is easily understood. The participants will be able to differentiate between interatrial communications and true atrial septal defects, as well as describe the different phenotypic features of ventricular septal defects.
  2. Participants will learn the subtle differences in the normal anatomy of a fetus and how to identify anatomic variations that can be predictive of different types of congenital heart disease. The techniques will be applied to the examination of the abdominal and thoracic organs. Observational skills will be enhanced, leading to a more complete and accurate diagnosis when examining fetuses on the surgical bench or infants in the autopsy suite.
  3. Participants will learn the proper way to display a specimen for photographic documentation with relationship to its anatomic position and how to incorporate important anatomic landmarks. Various helpful hints and techniques will provide for optimal images when documenting congenital malformations or congenital heart disease.
Special thanks to our collaborating societies: