Manager, Anatomic Pathology: Timothy St. John, CT (ASCP)
Supervisor, Autopsy, Surgical Pathology, and Lab Transcription: Michelle Schwartz, PA (ASCP)
The Surgical Pathology Department is supported by a staff which
includes 20 Anatomic Pathologists, 6 Pathologists’ Assistants,
4 rotating Pathology Residents - including the "Hot Seat" resident, 6 Laboratory
Assistants, 5.5 AP Support staff, and 14 Histologists. The
laboratory is open Monday through Friday from 4 am to 11 pm, and Saturday 5 am
to 1 pm.
Surgical Pathology provides specimen processing for
surgical/biopsy samples received at the UVM Medical Center. Our specimen
mix includes inpatient cases from across the UVM Medical Center Health
Network, Northeastern Vermont Regional Hospital, Littleton Hospital and Cottage
Hospital, and a large number of outpatient samples from a diverse referral
base. In 2016, approximately 43,000 surgical specimens were processed. An
average case generates 7 slides; but the number of slides can vary from 0
(gross only) to 100 slides for a complicated case.
Once specimens are received by laboratory assistants, they are
sent to one of 7 cutting stations. The cases are reviewed grossly by a Pathology
Resident or Pathologists’ Assistant
(overseen by an attending pathologist). Sections are taken and processed by
histology in an overnight/early morning procedure through
which glass slides of the tissues are produced.
Many of the slides are then previewed by the "Hot
Seat" resident who may provide clinicians with preliminary diagnoses. The
following day, these cases are reviewed by the Attending
Pathologist (with the Pathology Resident)
who renders the final diagnoses. The cases that are not reviewed by the
"Hot Seat" are typically signed out within 24-48 hours from receipt
by an Attending Pathologist.
The attending staff in Surgical Pathology have expertise in both
general anatomic pathology as well as specialty areas including
gastrointestinal pathology, dermatopathology, gynecologic pathology, breast
pathology, neuropathology, soft tissue pathology, pediatric pathology,
hematopathology, renal pathology, genitourinary pathology,
pulmonary pathology, and cardiovascular pathology.
The Histology Laboratory currently performs over 50 different
special stains, including 18 muscle histochemistries on all types of tissues.
The Immunohistochemistry (IHC) area utilizes over 170 different antibodies on
their state-of-the-art autostainers for IHC. Additionally ISH is performed for
Her2, EBER, and Kappa/Lamda.