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Grossing and Sign-Outs on Weekends


July 2013

Requested by Sui Y. Zee, MD
Total # of respondents: 37


  1. Are residents and/or pathologists’ assistants grossing specimens on Saturdays or Sundays on a routine basis?

A.     21/34 (62%) do routine grossing mostly by residents

B.     13/34 (38%) do not routinely gross specimens on weekends

  1. Do attendings sign out on the weekend on a routine basis?

A.    Almost all attendings do not do routine sign-outs; only 1/34 routinely sign out biopsies on Saturdays

B.    14/34 (41%) do sign out stat and rush cases, such as renal, liver, and cardiac transplants, bronchial washings, organism stains, and requested rushes.

   

Institution Weekend
grossing
Routine
weekend
sign-out
Stat weekend
sign-out

1

no no  

2

yes, 1 resident 1 PA
 (Saturday)
no yes- transplants,
 emergency cases

3

yes, usually 1 PA
 occasionally
 residents (Saturday)
no  

4

no no  

5

yes, experienced
 resident (Saturday)
no yes- cardiac, liver
 transplant, renals,
bronchial washings

6

no no  

7

yes, residents
 (Saturday)
no yes

8

yes, residents and
 Pas (Saturday)
no (does it on
 Friday
 evenings)
of Friday am
 Bxs
 

9

no no  

10

yes- 1 or 2 residents
  PA gross bxs
 (Saturday)
no yes -rush cases --few

11

yes- residents or
 fellows (2 per
 Saturday)
no  

12

yes- 1 resident and 1
 fellow (supervise)
 (Saturday)
no yes- H&E's and
 organism stains

13

yes- resident
 (Saturday)
no yes- rush cases

14

yes- residents and
 Pas (Saturday)
no  

15

yes- residents and
 fellows (Saturday
 and Sunday)
no yes- rush cases, liver,
kidney lung
transplant cases

16

yes- residents and
 PAs (Saturday)
no yes- renals and liver
 transplants,
organisms stains,
 cardiac

17

yes- residents
 (Saturday)
no  

18

yes- residents no yes

19

yes-residents with
 fellow supervision
 (Saturday)
no yes-rush cases

20

yes- residents and
 PAs (Saturday)
no  

21

no no  

22

no no  

23

no no  

24

yes-residents
 (Saturday)
no but
 supervise
 grossing 
yes- rush cases

25

yes-residents
 (Saturday)
yes- biopsies  

26

no no  

27

yes no  

28

yes- Saturday no yes-kidney bx or
 temporal
arteritis, etc

29

no no  

30

no no yes

31

yes- residents gross
 specific cases
(Saturday and
 Sunday)
no yes- upon request
 rushes

32

no no  

33

no no  

34

no no  

35

no no  

36

yes - one PA and 2
 residents
no yes-transplant

37

yes- residents  no- but some
 choose to