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Cytology Program Syllabus
Department of Clinical Laboratory and Medical Imaging Sciences
MS Diagnostic Cytopathology Program
DCYT 5329 Clinical Practicum II
Course Description
This course provides clinical practice in diagnostic cytology with focus on non-gynecologic and fine needle aspiration cytologic specimens. Students will be involved in the microscopic examination and evaluation of conventional liquid-based cytology cases from various body sites along with ancillary stains cell block preparations. Students will assist with FNA procedures and Rapid-On Site Evaluation of samples. Students will also participate in observation sessions associated with companion diagnostics such as digital image analysis immunohistochemistry immunocytochemistry and molecular diagnostics. Students are assigned to various clinical affiliates by the Programs Education Coordinator/Program Director.
Credits/Modes of Instruction
4 credits/ Clinical Practice.
This course provides clinical practice in non-gynecologic cytology and fine needle aspiration screening and observation sessions in companion technologies. Students are assigned to clinical sites by the Education Coordinator/Program Director and report 7.5 hours/ 4 days per week for 390 hours and 3 to 4 hours for a 3-day observation session for a total of 402 clinical hours . Students are required to arrange their own transportation during the clinical rotations.
Prerequisites
DCYT 5239 Clinical Practicum I
Instructor
Clinical site supervisors serve as the primary instructors for the course. Contact information and preferred modes of contact with the clinical site supervisors will be provided to students at the start of the Clinical Practicum.
The MS Diagnostic Cytopathology Program faculty will serve as the overall instructors/contact persons for the course. Students may contact the course instructors by e-mail by telephone and in person during designated office hours.
Paul Chiou DrPH MPH SCT(ASCP)
Assistant Professor/Education Coordinator
GB01 Stanley Bergen Building
65 Bergen Street
Newark NJ 07107
Course Goals and Objectives:
Goals
The goal of the course is to provide students with clinical practice in diagnostic interpretation of non-gynecologic and fine needle aspiration cytologic material and observation of companion diagnostic technique preparation and interpretation in the cytology laboratory setting.
Objectives
Upon completion of this course the student will be able to:
1. Analyze and correlate patient data with visualized cytologic findings along with recognizing the need for additional clinical data.
2. Demonstrate proper use and care of microscopic equipment as well as slide scanning techniques such as proper overlapping.
3. Differentiate between unsatisfactory and satisfactory conventional and liquid based non-gynecologic and fine needle aspiration samples.
4. Evaluate cytologic samples including cell blocks and small tissue biopsies as to the degree of cellular abnormality utilizing all visualized cellular material.
5. Correlate diagnostic interpretation results with previous cytologic material ancillary techniques and histologic findings when applicable.
6. Demonstrate high statistical sensitivity and specificity while examining a minimum of 50 slides per day
7. Write an accurate report utilizing current non-gynecologic and fine needle aspiration terminology.
8. Understand proper procedures for companion diagnostic processing and interpretative guidelines
Course Requirements
Students are required to achieve and maintain an overall GPA of 3.0 to remain in good academic standing. Please refer to MS Diagnostic Cytopathology Program manual and SHP Policy 3.1.2 on Satisfactory Academic Progress. Regular attendance at lecture and laboratory sessions are required. The course requirements and evaluation are based upon achievement of the course objectives. The course requirements and their % weight in the determination of the final course grade are as follows:
Requirements for Completion
Requirements
Weight
Clinical Practical Slide Exam Non-Gynecologic and Fine Needle Aspiration Cytology
75%
Clinical Practicum Skills Checklist
10%
Clinical Practicum and Observation Session Affective Evaluation
15%
Total
100%
Special Enrollment Requirements
Students are required to secure their own transportation to and from clinical sites.
Evaluation Feedback and Grading
Student progress throughout the clinical rotation will be routinely evaluated by the clinical site supervisors and program faculty on a weekly basis. Additionally the students need to complete report (see Canvas for specific details)
Evaluation/Assessment Methods
1. Clinical Practical Non-Gynecologic and Fine Needle Aspiration Cytology-65%
At the end of the course on two consecutive days student must evaluate a minimum of 50 non-gynecologic/FNA cytology glass slides per day. Students are required to demonstrate a minimum of 85% sensitivity in detecting abnormal cells and a minimum of 70% specificity in diagnosing the degree of abnormality. Clinical site supervisors will grade the two days of testing at the clinical sites and review results with the students at the conclusion of each day. Final determination of the grade will be calculated by the Education Coordinator/ Program Director. The following rubrics and sensitivity and specificity tables are used to determine the scores of the two consecutive days of glass slide testing. Studnets are expected to score 80% or above on the clinical practical exam or receive a grade of F for the practicums. Students are allowed to repeat the clinical practical exam only once.
Requirements
Weight
Number of slides
45%
% Sensitivity
45%
% Specificity
10%
Total
100%
Sensitivity- 85% or more
% SENSITIVITY SCORE % SENSITIVITY SCORE
Specificity-70% or more
% SPECIFICITY SCORE % SPECIFICITY SCORE
100 99.75 82 84.45
99 98.9 81 83.6
98 98.05 80 82.75
97 97.2 79 81.9
96 96.35 78 81.05
95 95.5 77 80.2
94 94.65 76 79.35
93 93.8 75 78.5
92 92.95 74 77.65
91 92.1 73 76.8
90 91.25 72 75.95
89 90.4 71 75.1
88 89.55 70 74.25
87 88.7 69 73.4
86 87.85 68 72.5
85 87.0 67 71.7
84 86.15 66 70.85
83 85.3 65 70.0
Slides (50 slides/day)
# Slides Score
50 100
49 97
48 94
47 91
46 88
45 85
44 82
43 79
42 76
41 73
40 70
2. Clinical Practicum Skills Checklist- 10%
Clinical site supervisors will continuously monitor the clinical practice skills of students and evaluate skill competency in four key domains; microscopic skills diagnostic skills correlative skills and report writing. Students are assessed on the items within each domain as follows:
Unacceptable score of 0
Needs Improvement score of 1
Acceptable score of 2
There is a comment section where evaluators can indicate if skills demonstrated are not applicable and a comment section for providing additional information. A median score will be calculated for each the items in the four domains with each domain assigned the following weights:
Microscopic skills- 25%
Diagnostic skills- 50%
Clinical/Cyto-Histo Correlation skills- 10%
Report writing skills- 15%
Instructors have the discretion to adjust scores based on comments from clinical site preceptors.
A grade for the Skills Evaluation is calculated using the following rubric:
Score
Assigned Percentage Score
2.0
93%
1.5
87%
1.0
83%
0.5
77%
0.0
73%
3. Clinical Practicum and Observation Session Affective Evaluation- 15%
All students completing the clinical practical rotation will be evaluated on their professionalism using the MS Diagnostic Cytopathology Program Affective Evaluation Form. Clinical site preceptors will continuously evaluate students throughout clinical practice and provide a final evaluation of the students professional behavior on 8 key behavioral domains: attendance integrity communication cooperation self-confidence/self-reliance interest/initiative/motivation effectiveness/efficiency/response to work and professional decorum/empathy for patients. Students are assessed on the items within each domain as follows:
Needs Improvement score of 0
Meets Expectations score of 1
Exceeds Expectations score of 2
There is a comment section where evaluators can indicate if behaviors were not observed or applicable. For items in the attendance integrity communication cooperation and professional decorum/empathy for patients domain a median score will be calculated from all the scored items average and multiplied by 0.6.
For the items in the self-confidence/self-reliance interest/initiative/motivation and effectiveness/efficiency/response to work domain a median score will be calculated from all scored items averaged and multiplied by 0.40.
Instructors have the discretion to adjust scores based on comments from clinical site preceptors.
A grade for the Affective Evaluation is calculated using the following rubric:
Score
Assigned Percentage Score
2.0
93%
1.5
87%
1.0
83%
0.5
77%
0.0
73%
Feedback on Progress
Students will receive feedback from Clinical site supervisors continuously throughout the clinical rotation. Clinical site supervisors will contact the Education Coordinator/ Program Director with any concerns about student progress. Education Coordinator/Program Director will contact students personally by e-mail by telephone and/or via the Canvas Course Management system during clinical practice on a weekly basis.
Course Evaluation by Students
Students will complete the anonymous SHP course evaluation form available the Moodle course management system at the end of the course. Students completing clinical rotations will also complete a Clinical Site Evaluation form at the end of the clinical experience. Program faculty will encourage students to provide comments and feedback on quality of the course throughout the course. The quality of the course will also be monitored by post graduate employer and graduate surveys conducted by the Commission on Allied Health Education Professions along with passing rates and scores on the American Society of Clinical Pathologists Certification examination in Cytotechnology.
Grade Determination
The grade for this course will be letter grade as noted below.
Weighted Average of All Requirements
Letter Grade
Grade Quality Points
Grade Quality Description
93-100%
A
4.0
Pass
90-92.9%
A-
3.7
Pass
87-89.9%
B
3.3
Pass
83-86.9%
B
3.0
Pass
80-82.9%
B-
2.7
Pass
77-79.9%
C
2.3
Pass
73-76.9%
C
2.0
Fail
70-72.9%
C-
1.7
Fail
67-69.9%
D
1.3
Fail
63-66.9%
D
1.0
Fail
<63
F
0.0
Fail
Faculty/Student Honor Code
Refer to your SHP Student Handbook.
The faculty of Rutgers-School of Health Professions believe that students must observe and support high standards of honesty and integrity in all aspects of education practice and research. For this reason all matriculated and non-matriculated students in this course are expected to abide by the Schools Faculty/Student Honor Code and accept responsibility to help ensure that these standards are maintained by reporting violations of the Honor Code observed in others. All violations will be considered with gravest concern and may be punishable with sanctions as severe as suspension or dismissal.
Use of Plagiarism Detection Program (Turnitin)
Students agree that by taking this course all required papers may be subject to submission for textual similarity review to (directly or via learning management system i.e. Sakai Blackboard Canvas Moodle) for the detection of plagiarism. All submitted papers will be included as source documents in the reference database solely for the purpose of detecting plagiarism of such papers. Use of service is subject to the Usage Policy posted on . Students who do not agree should contact the course instructor immediately.
General Learning Resources
Required Textbook(s)
There are no textbooks required for this course.
Other Required Learning Resources
Recommended or Supplemental Learning Resources
Any required/supplemental learning course materials (syllabus assignments resource links and handouts) will be available in the Rutgers Canvas course management site ().
Program Online Examination Policy
Students taking the Online Courses are solely responsible for having a working computer and internet connection. Computer crashes and internet connection problems are not valid excuses for failing to complete any required course work within the course time limits; this applies to finishing a quiz or examination within the allotted time as well as submitting assignments before the deadline. It is highly recommended that students make arrangements to have access to a second computer to complete their course work in case of an emergency; either at their own residence a friends residence a local library or in one of the computer labs on campus.
Course Units/Schedule
Please note schedule is subject to change without prior notice.
Week
Dates
Topic
Readings
Assignments
Weeks 1 to 13
Observation Session
TBD
3 days (total 12 hours)
Clinical Practicum
Clinical practice at assigned clinical site. Screening and interpreting conventional and liquid based non-gynecologic and fine needle aspiration cases.
One week students will participate in observation sessions at their clinical rotation or another site.
Final glass slide exam:
Last two days of rotation
50 slides per day
Program Notification of Extenuating Circumstances: Student Responsibilities
Occasionally circumstances arise which are beyond the students control and which may affect the students ability to perform on a particular examination clinical experience assignment or other grading encounter. SHP programs are supportive of and invested in their students and will help them simultaneously navigate the required program exercises and deal with the exigent circumstances to the best of their ability. However as stated in SHP Academic Policy 3.1.1 Academic Decision and Grade Review it is the responsibility of the student to notify the program or faculty member of the exigent circumstance by email and before the examination or graded exercise begins. Notification by the student after the examination or graded exercise disallows that particular circumstance from being considered as a factor in the students performance or in the determination of the students grade. For a circumstance to be considered by a program it must have been notified of that circumstance by the student before the graded exercise begins and the notification must be by that way there is no question regarding what the student claimed and when that claim was made.
Information for Students with Disabilities
Rutgers University welcomes students with disabilities into all of the Universitys educational order to receive consideration for reasonable accommodations a student with a disability must contact the appropriate disability services office at the campus where you are officially enrolled participate in an intake interview and provide documentation: If the documentation supports your request for reasonable accommodations your campuss disability services office will provide you with a Letter of Accommodations. Please share this letter with your instructors and discuss the accommodations with them as early in your courses as possible. To begin this process please complete the Registration form on the Rutgers Office of Disability Services web site at: Weekly Hours:
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Employment Type
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