November 17th, 2016 -...
Transcript of November 17th, 2016 -...
This Webinar IS…
2017 Phase II Anatomic Pathology
Exam in Tampa
Website resources
Highlights of Tampa facility
Sample Questions (histology essays and
MC)
Q&A
This Webinar IS NOT…
Phase I exam
Phase II exam in Ames
Clinical Pathology exam (Nov 10 – find it
on the website)
This Webinar IS…
Being recorded
Webinar recording and powerpoint will be
posted on ACVP website for review
Website - Content
Information concerning
content or taking of a
specific exam
(facilities, schedules,
sample questions,
other resources)
Phase II Ames
2017 is the final year the traditional Phase II examination is
being offered in Ames, IA
Only certain (repeat) candidates are eligible for the
traditional examination in Ames in 2017
Phase II AP Exam in Tampa
One day exam (7.1 hours)
August 15th or 16th, 2017 (to be
assigned)
ABP Testing Center, Tampa, FL
Phase II AP Exam in Tampa
Day divided into 3 sessions
Histopathology essays
Interpretation MCQs
Knowledge MCQs
All sessions contain a mixture of topics,
conditions and species
Computers in Tampa
Computer-based
Very user-friendly
Cut and paste functions
Don’t count on Spell-check
You can move around within each section,
but not between sections
Coming to website: more computer details
Short practice test on exam day
Phase II Anatomic Pathology
Day divided into 3 sessions
But all scores are combined into a single
pass/fail result for the entire exam
What score do I need to pass?
New exam = new standard setting study
Will not know cut score (passing point) until
after the exam has been taken
Essay Logistics
Previous (Ames) = handwritten, page limit
1 page/glass slide (plus the back side if
desperate)
Going forward (Tampa) = character limit
8000 characters, including spaces
~ 2 full typed pages in Word
NOT an issue for glass slides
Essay Logistics
Solitary carrel
Will not share slide flat with neighbor
But cases will likely be divided into two
groups (A and B) and each candidate will
exchange group A for group B (or vice
versa) when ready
Essay Logistics
Microscope provided
But you may bring your own
No timers/watches allowed
“Time remaining” on computer
3:00 --- 0:00 4, 10, 40 and 100x
Histopathology Essay
Logistics Enter write-ups on computer
Only information entered electronically will be
graded
Glass Slides
Very little has changed in how these are
chosen, used in the examination, and
graded.
Only 12 slides now, not 18.
No “panels,” immunohistochemistry,
electron microscopy, or cytology
These will be covered in the Interpretative
section.
Case Selection
•Test value/quality of the lesion(s)
•Quality of the slide
•Diversification matrix for cases
-Process
- Tissue
-Cause
-Species
-Contributor
Case Selection
Pathologic Process
Infectious/inflammatory/immunologic
Degeneration/necrosis
Disturbance of growth (includes neoplasia)
Genetic/metabolic/nutritional
Chemical/toxic
Case Selection
Organ System
Cardiovascular
Digestive
Endocrine
Hemolymphatic
Liver
Eye/Special senses
Musculoskeletal
Reproductive
Respiratory
Integumentary
Urinary
Pancreas
Nervous
Case Selection
Etiology
Bacteria
Fungi
Parasite
Virus
Circulatory
Toxic/chemical
Deficiency
Genetic
Multiple etiologies
Other
Case Selection
Species
Small animal (dog and cat)
Large animal (ox, sheep, goat, pig and
horse)
Laboratory animal
Non-mammalian, exotic, wildlife and zoo
animals (NEWZ)
Organization/Clarity (OC) Points
Three specific categories of O/C points
Logical and clear description of the
microscopic features that leads to the
correct diagnosis
Appropriate use of anatomic pathology
and/or scientific terminology
Clear differentiation between a primary and
secondary process
Not used in every case
Determined by EC consensus
If used, typically one point; maximum of two
points
Tissue From a Cat: Skin Pyogranulomatous inflammation expands dermis
and panniculus, adnexal atrophy/loss
Tissue from a Cat: Skin
Morphologic Diagnosis (2 points):
Pyogranulomatous dermatitis and
panniculitis with intra-lesional yeast
Cause(es) (4 points):
Blastomyces dermatitidis
Tissue from a Baboon
Branching glands, variably size/ectatic, contents,
cuboidal to columnar cells, apical blebs
Tissue from a Baboon
Proliferative stroma, surrounding epithelium,
cellularity, organization, spindle shape, mitoses,
with eosinophils
Interpretation MCQs
50-70% gross images
20-50% microscopic images
○ histopathology,
○ IHC,
○ EM,
○ cytopathology,
○ hematology
0-10% clinical pathology/data items
These may be combined in a single
question
There may be multiple images
Knowledge MCQ
Similar to what were previously the
Veterinary Pathology sections –
NEWZ
Lab Animal
Large Animal
Small Animal
More textbook/literature based
Critical knowledge an entry level
pathologist should have available
Do not be surprised to see an image
Interpretation vs Knowledge MCQ?
Doesn’t matter very much
Equally weighted, P/F exam
2.5 vs 2 hours
More important
Is this something an entry-level (minimally
competent) candidate should know?