Renal & Genitourinary Pathology Fellowship

This renal and genitourinary pathology fellowship will introduce the fellow to a vast array of common and uncommon diseases that affect the kidney and genitourinary tract. This includes medical renal diseases, and both neoplastic and non neoplastic disorders of the kidney and genitourinary tract. The fellow will present at monthly Renal and Genitourinary Pathology Conferences.  Cases for those conferences must be reviewed with respective faculty members prior to presentation.

The renal biopsy service emphasizes quality diagnosis, rapid turn around time and direct nephrologist interaction. Most biopsies are received by overnight delivery, arriving by mid morning. Light microscopy with special stains and immunofluorescence microscopy are performed the day the biopsy arrives. The nephrologist is called with the results later that day. The following day electron microscopy is completed, and the report is finalized. Light microscopic evaluation is provided on Saturday for biopsies sent Friday, if there is urgent need for a diagnosis. Service is also provided during holidays if requested for emergency cases.

Genitourinary cases are examined initially using H&E stains. Special histochemical stains, immunostains, and other ancillary diagnostic techniques will be used when required.  Cases originate from LSU and Regional Urology. Images are captured and embedded within the biopsy report and a digital photograph display of the biopsy is generated and mailed to the nephrologist/urologist to provide a visual sense of the biopsy findings and for review with the patient.

Close interaction with urologists in all cases submitted is also part of the program.  The fellow must learn clinical substrates for cases to be able to fully understand their pathologic findings and clinical implications.  
 

Fellowship Goals

  1. Possess a thorough knowledge of diagnostic criteria for all common and uncommon medical renal diseases and genitourinary tract diseases and understand/appreciate clinical implications.
  2. Be conversant with, or familiar with, the current literature on all common and uncommon medical renal and genitourinary tract diseases.
  3. Have accepted at least one abstract and two peer-reviewed publications by completion of fellowship.
  4. Demonstrate average or above average proficiency in all ACGME Competencies as stated in the LSU contract and implemented at department level. Proficiency determined by faculty supervising Renal/GU Services as listed under “Resources” in this document.

Contact Us

Lisa LaChance, MBA
Program Coordinator
Email: llacha@lsuhsc.edu
Phone: (318) 675-7822
Fax: (318) 675-7966

 

Resources

1. Faculty

Judy King, MD, PhD

Judy King, MD, PhD

Professor of Pathology
Ashley Flowers, MD

Ashley Flowers, MD

Assistant Professor of Pathology
Xin Gu, MD

Xin Gu, MD

Professor of Pathology

II. Pathology Resources

  1. Renal biopsies – approximately 3,000 renal biopsies yearly
  2. GU cases – approximately 1,300 cases yearly (more than 1,000 biopsies per year)

III. Physical Resources

  1. Hitachi transmission electron microscope
  2. JEOL transmission electron microscope
  3. Microscope JEOL mounted immunofluorescence and digital camera
  4. Comprehensive immunohistochemistry menu and molecular pathology menu
  5. Space for research/research equipment

Fellow Service Responsibilities

FELLOW SERVICE RESPONSIBILITIES

I. Renal Biopsy Diagnostic Service

  1. Preview the immunofluorescence and light microscopy slides prior to sign out
  2. Preview the electron microscopy images prior to sign out.
  3. Dictate/write surgical reports
  4. Capture images for the surgical pathology report
  5. Discuss cases in renal conference with clinicians or via telephone with institution and outside referring physicians

II. Urologic Pathology Service

  1. Gross in or supervise residents on all GU resections.
  2. Preview all GU cases with the resident prior to sign out.
  3. Discuss cases in GU conference with clinicians
  4. Provide gross support for Regional Urology Laboratory

III. Weekend (Saturday) renal biopsy call

  1. Take call in rotation with Renal Pathologists (begins after 1 month of training) to attend/participate in reading of urgent biopsies and reporting results to clinicians.

Educational Responsibilities

Educational Responsibilities
  1. Prepare bimonthly “Interesting Case” for e-mail dissemination to house staff, LSU faculty and renal clients, and or for publication.
  2. Present cases at monthly Renal Biopsy Conference and Urology-Pathology Conference
  3. Give two resident didactic lectures
  4. Supervise resident on renal pathology service and when on call (minimum: 6 calls per year). Be familiar with levels of care appropriate for residents at all levels as stated on the GME Website.
  5. Attend all resident/fellow required sessions as it related to ACGME competencies, research, lab management topics, policies and procedures.
  6. Serve on LSU Hospital Committees
  7. Attend departmental hospital meetings 
  8. Complete all required department and hospital training including Safety, Compliance, BLS and ACLS, IRB, COI, Duty Hours, and any research related requirements prior to compliance dates indicated at the department level.
  9. Complete practice based learning and improvement assignments, including a portfolio by November and June. 
     

Research

Research
  1. Select a clinical research project that can be completed in time for an abstract submission
  2. Select a second research project in September for the remainder of Fellowship year and/or
  3. Participate in a basic research project 

Present results of research project at the annual research forum
NOTE: Projects must be GU or renal pathology/pathogenesis/basic research related 
 

Schedule

SCHEDULE:

10 months service – Both GU and Renal Pathology together
2 months – Research - GU or renal pathology/pathogenesis/basic research related/months assigned by Director.
 

Current Fellow

Carlina Madelaire, MD

Renal and Genitourinary Fellowship

Renal and Genitourinary Fellowship

Renal and Genitourinary Fellowship