SHORT COURSE

Friday Morning - March 4, 8:00 AM - 12:00 Noon





28. Pediatric Medicolegal Issues for the Practicing Pathologist

Aliya N. Husain, M.D., University of Chicago Medical Center, Chicago, IL, Raymond W. Redline, M.D., University Hospitals Case Medical Center, Cleveland, OH, and J. Thomas Stocker, M.D., Uniformed Services University of the Health Sciences, Bethesda, MD

This course is intended for general pathologists, residents, and fellows who have the responsibility for pediatric cases.

At the end of the course the attendees should be able to: 1. Identify potential pitfalls in the practice of surgical pathology; 2. Be familiar with the use and limitations of clinicopathologic correlations; 3. Appropriately interpret pathologic findings relative to etiology, pathogenesis and diagnosis of cases commonly litigated; and 4. Include pertinent negative findings in the pathologic report.

Pre-registrants will receive a website address to view cases (including gross and microscopic pictures) that will be used in the course. A text handout will be made available at the course. After the meeting, all registrants will receive web access to the PowerPoint presentation given at the Annual meeting along with the text portion of the syllabus.

This course will benefit all pathologists, residents, and fellows who have the responsibility for pediatric cases. Hospital based pathologists often become involved in medico-legal issues based on their surgical and autopsy practices. Pediatric patients comprise a challenging portion of these cases, whether the case is a neonatal autopsy or examination of a placenta following a complicated delivery or a frozen section for Hirschsprung's disease. While a majority of adult cases involve misdiagnoses of malignancy, the pediatric cases are more likely to include evaluation of maternal-fetal-obstetrical complications, misadventures of neonatal resuscitation, misinterpretation of gastro-intestinal motility disorders, misdiagnosis of infectious or metabolic diseases or malformations that have genetic implications.

The course will be based on a series of cases that will illustrate 1) potential pitfalls in the practice of surgical pathology, 2) the use and limitations of clinico-pathologic correlations, 3) appropriate interpretation of pathologic findings relative to etiology, pathogenesis and diagnosis and 4) inclusion of pertinent negative findings in the pathologic report. The course will be taught in three sections, an hour each including time for questions, as follows: 1. Examination and interpretation of placental lesions - Dr. Redline; 2. High risk areas of pediatric surgical pathology - Dr. Husain; and 3. Interpretation of findings in the neonatal and infant autopsy - Dr. Stocker.

(LAST SCHEDULED PRESENTATION) This course may be used for CME credits or SAM credits.