THE NORTH CAROLINA SOCIETY HISTOTECHNOLOGY
PRESENTS: The 2018 NCSH Spring Meeting, April 12-14
DoubleTree Hilton, Durham, North Carolina
Once again, we have invited a variety of speakers who have a passion for our profession and represent a cross-section of medical, research, industry and veterinary fields. Build professional networks, earn CEUs, and socialize with your fellow members. Meet your vendor representatives and view the latest laboratory products and instrumentation. Join us for lunch at the hotel – Friday lunch, a gourmet buffet, features presentation of vendor-sponsored awards for the Lyle Baker Scholarship, Histologist of the Year, and the Lifetime Achievement Award. The Wine & Cheese Reception (Friday at 5pm) is included in your registration. We will hear remarks from our Region 3 Director, Sue Clark and you will have a chance to Meet & Greet your NCSH Officers and Volunteers. Members are strongly encouraged to participate. A vendor-sponsored raffle will take place Saturday morning at 10am.
NCSH Executive Committee / NCSH AppointeesPresident:Deborah Sawyer / Registrar: Brandy Cristante / CEU Coordinator: Ray Perry
Vice President: Tonia Crook / Webmaster: Aurel Alston / Membership Liaison: Teresa Heckman
Treasurer: Otis Lyght / Newsletter Editor: David Weil / Vendor Coordinator: Jacqui Thomas
Secretary: Aurel Alston / Nominations/Elections Coordinator: Cathy Mathis / Vendor Liaison: Rob Hutchinson
Schedule at a Glance
TH Apr12 5-7p Registration Opens
FRI Apr 13 / 7a-5p / Registration Open / SAT Apr 14 / 7a-11:30a / Registration Open (closed during Business Meeting)
8a-5p / Vendor Exhibits / 8-11:30a / Vendor Exhibits
8-9a / Histomorphology For The Histotechnologist / Montgomery / 8-9:30a / Safety In The Laboratory: Implement A Culture Of Recognizing Hazards And Reducing Risk / Tew
9:30-10:30a / Break-Refreshments/Vendor Exhibits / 8-9:30a / High Stakes Diagnoses: Pediatric Patients with Hepatobiliary Pathology / Clinton/
Mavis
10:30-12a / Digital Pathology / Perkinson / 9:30-10:30a / Break-Refreshments/Vendor Exhibits
10-11:30a / All Roads Lead To Rome; The Many Routes To Certification As A Histology
Professional / Walling
10-11a / Tubo-Ovarian High Grade Serous Carcinoma / Strickland / 10:30a-12p / Breast And Prostate Cancer: Pathology, Grossing And Processing / Vazquez
10:30a-12p / Customer Service In The Histology Lab / Heckman
11a-12p / The Names Of The Stains / Mitchell / 12-1:30p / Business Meeting Luncheon
12-1:30p / Awards Luncheon
1:30-2:30p / How To Hire The Best People For Your Team / Sterling / 1:30-4:30p / Think Like An Inspector: How To Prepare For A CAP Inspection Through Self Inspection / Dotson
2:30-3:30p / Break-Refreshment Service Open / 1:30-3:00p / Special Histochemical Stains In Histology / Reberry
3-4p / Mouthy Specimens / Gonzalez-Torres / 2:30-3:30p / Help! What Went Wrong? Come Help Us Fix Our Histology Problems / Zimmerman/Campbell
4-5p / Specimens That Make You Go Hmmmmmmmmmm…. / Bowden / 2:30-4:00p / Maintaining Histology Equipment / Da Silva
5-7p / Wine and Cheese Reception
Session Descriptions
Friday April 13, 2018
WS 1: Histomorphology for the Histotechnologist (1hr)
Dr. Stephanie Montgomery, PhD, DVM, DACVP, Director UNC Lineberger Animal Histopathology Core Center
This session will broadly review the Histomorphology of organ systems, including cardiovascular, respiratory, endocrine, musculoskeletal, digestive, urinary, hematopoietic, nervous, reproductive, and skin. In order to improve understanding of difficult material, numerous vivid images will illustrate concepts, and microanatomy will be linked to function. In reviewing the various organ systems, relevant special stains will be highlighted, including why they may be commonly requested for specific tissues. This session will serve as a valuable review for numerous attendees, from those new to the field and studying for certification, to those experienced but specialized and no linger receiving a varied caseload.
WS 2: Digital Pathology (1.5hr)
Kathryn Perkinson, BS, HTL(ASCP), Manager, Molecular Pathology, DUHS
The age of digital pathology is upon us. Many labs are converting some of all of their glass slides to digital images. Improvements in imaging technology have made this possible. We will review the uses of digital pathology including education, quality control, biomarker quantitative analysis, and primary diagnosis. There are many considerations in the implementation of digital pathology. We will discuss both the benefits and the challenges.
WS 3: All Roads Lead to Rome; The Many Routes to Certification as a Histology Professional (1hr)
Tracy Walling; BS, HT(ASCP), Histotechnology Program,
Carolinas College of Health Sciences
The demand for certification for laboratory professionals is increasing and necessary, yet the routes to obtaining these credentials can be difficult to navigate for people entering the profession of histology. This presentation hopes to answer many of the questions a young laboratory professional has about routes to certification. The education and experience requirements will be reviewed along with the best available study materials and resources. The benefits of on the job training vs attending a histology program will be compared along with a quick review of the types of histology programs available. An overview of the contents of the ASCP registry exam with be covered. Additionally, we will examine a historical perspective of histology credentials and how they align with advances in the field of histology.
WS 4: Tubo-Ovarian High Grade Serous Carcinoma (1hr)
Kyle C. Strickland, M.D., Ph.D.
This topic will cover the pathogenesis, clinicopathologic features, and molecular characteristics of high grade serous carcinoma (HGSC) of the fallopian tube and ovary. Particular consideration will be given to discussing the origin of this disease, and the change in paradigm that resulted from the discovery of serous tubal intraepithelial neoplasia. Molecular alterations in the genes involved in homologous recombination are present in approximately 50% of HGSC, which has offered insight into novel treatment strategies, such as the use of PARP inhibitors. However, not much is currently known about the clinicopathologic characteristics of HGSC that lacks HR gene alterations. Considerations about this HGSC sub-type and future research goals will be highlighted.
WS 5: The Names of the Stains (1hr)
Jean Mitchell, BS, HT(ASCP)
"The Names of the Stains" is an introductory lesson in histology history. Harris, Gomori, Van Gieson and many
others are common stains and names spoken on a daily basis by histologists in their every-day working
laboratory environment. But what do we really know about the names and these people we talk about every
day? I will explore a name, add a face and detail the history to "the names of the stains" that have been our
friends for many years but have never been introduced to. Isn't it about time we really got to know them better?
WS 6: How to Hire the Best People for Your Team (1hr)
Anne Marie Sterling, MLS, MHA
This presentation will address how you can make a positive impact on your organization by hiring the best possible candidates for your team. Have you brought on a new team member only to find, several months later, that the fit is just not right? I will present six key steps to make sure you select the right candidate, every time. Everyone claims to be a team player, but we will discuss interview questions that will help you assess whether the candidate actually is, or not, as well as other ways to evaluate capabilities and character. You will take away clear and simple techniques that you can implement now in your organization.
WS 7: Mouthy Specimens (1hr)
Dr. Karen GonzalezTorres, M.S., D.D.S
Dental medicine is inextricably related to general medicine. Oral and Maxillofacial Pathologists work closely with medical professionals to study the nature, cause and outcome of disease. The purpose of this lecture is to discuss the scope of practice in an oral pathology biopsy service. It will include grossing principles and the use of immunohistochemistry and special stains in oral pathology.
WS 8: Specimens That Make You Go Hmmmmmmmmmm…. (1hr)
Dr. LTC Lynden P. Bowden III, MD, MPH, FCAP, FASCP
This will be a review of working with non-routine specimens that may be encountered in the histology lab. These include skin, kidney, muscle, liver and other tissues that require additional studies beyond routine histochemical or immunohistochemical studies. Special studies include immunofluorescence microscopy, electron microscopy, flow-cytometry, instrumental and chemical analysis. We cover the collection, fixation, grossing, and other processing requirements for these special studies. We will also briefly discuss triaging tissue for molecular studies and tissue repositories.
WS 9: Safety in the Laboratory: Implement a Culture of Recognizing Hazards and Reducing Risk (1hr)
Deborah Tew, EH&S UNC-Wilmington
This session explores laboratory safety from a review of individual hazards to the development of safety values. It focuses on assessing risks associated with physical and chemical hazards, on limiting exposure potential, and on preparing for and responding to emergencies. It speaks to establishing and strengthening safety programs, meeting regulatory requirements, and gauging the progress of your efforts.
WS 10: High Stakes Diagnoses: Pediatric Patients with Hepatobiliary Pathology (1.5hrs)
Dr. Lani Clinton, M.D., Ph.D. / Dr. Alisha Mavis
Infants and children are a challenging and wonderful patient population; to mention a few, they are challenging in their more limited ability to describe their symptoms and they are wonderful in their ability to believe in magic and to heal in extraordinary circumstances. In many cases, the initial presentation of a pediatric patient with hepatobiliary disease is jaundice; in other words, Mom or Dad bring in their little one with a chief complaint of “Sally is yellow!”
After a potpourri of laboratory tests and imaging studies, if an answer remains elusive, the next step is often a liver biopsy. Tiny fragments of tissue are our key to selecting the right treatment. The clinical team may be deciding between a dietary change, surgical intervention, or watchful waiting. These cases sometimes require rapid, same day processing for those with acute, life-threating illness. As such, the importance of the histologic quality of these precious samples is paramount. The histology technician is a critical component of the clinical team. Without a pristine section of tissue to evaluate the bile ducts, hepatocytes, and pattern of injury under the microscope, our ability to help these verysick children is incredibly limited. On the other hand, a beautifully processed slide provides us the tools to unlock the mystery of the tissue, setting the child on a path towards recovery.
WS 11: Customer Service In The Histology Lab (1hr)
Teresa Heckman, HT(ASCP), AAS, CarolinaEast Medical Center
Customer service in histology is essential. Clients can be crucial to the success of the department. This presentation will cover expectations, standards, environment, service recovery and climate change in the histology department.
WS 12: Breast And Prostate Cancer: Pathology, Grossing And Processing (1.5hrs)
Melissa Vazquez, M.S., PA(ASCP)cm
Breast cancer and prostate cancer will occur in approximately 1 in 8 individuals each year. These are very common specimens in the surgical pathology laboratory and there are challenges in both the grossing and processing aspects. Within breast specimens, the location of lesions, clips and seeds can be difficult as well as the fresh dissection and whole mount processing of prostates. In this discussion we will be covering the following:
•Anatomy
•Pathology affecting these organ systems
•Challenges in the grossing aspect
•Prostate whole mount processing
•Locating clips and seeds in breast specimens
•Grossing challenges in providing adequate sections for proper processing of fibroadipose breast tissue
WS 13: Think like an Inspector: How to Prepare for a CAP Inspection through Self Inspection (3hrs)
Bert Dotson, MBA, HTL(ASCP), DUHS
This workshop is intended to help laboratory technicians, supervisors and managers prepare for a CAP accreditation inspection by understanding the inspection process and practicing inspection on their own lab. This method can be applied in preparation for an inspection or as part of the interim self-inspection process. It follows the same process and uses the same tools as CAP inspections. A thorough self-inspection is the best preparation for the real thing. This workshop focuses on CAP accreditation process but the concepts may be applied to any inspection process using the appropriate standards. FDA/GLP and CLIA or other inspections may be discussed for comparison but are not the focus of the presentation.
WS 14: Special Histochemical Stains In Histology (1.5hrs)
Dave Reberry, BS, HT (ASCP)
Although the development and advancement of new IHC antibodies plays a significant role in the diagnosis and treatment of malignancies, special histochemical staining continues to be an essential tool for pathologists in the evaluation and diagnosis of pathological conditions and diseases. This presentation is a review of the most common histochemical stains utilized in the pathology lab, recommended controls, and the correlation of staining results and associated disease conditions.
WS 15: Help! What Went Wrong? Come Help Us Fix Our Histology Problems (1hr)
Cynthia J. Zimmerman, A.A.S. / Justin Campbell, A.A.S
Many times we have issues with a histology process and we may not know where to turn to for the answers. It can be something as simple as a sectioning issue or it may be a more complicated staining problem that we just cannot figure out. Unless you have an experienced mentor in the business to turn to, finding the answers to your questions can be difficult. Our hope with this seminar is to help each other work out some of our more difficult issues and get the answers we have been looking for. We also hope that people will make contacts with others in the business so that when an issue arises, you will be able to turn to others for help.
We will start with 2 of our more complicated problems. We worked through the problems at the time but never were able to figure out what really caused the problem so we are not sure what fixed the problem or how to prevent it from happening again. The first problem is a staining issue that we trouble shot but we could never determine what caused it. We ended up getting the staining completed but it is still a mystery that shows up on occasion. The second problem is a sectioning problem that originated before the microtome. We will discuss what steps we took to trouble shoot these issues and what we learned and did not learn from that. Then we will open the discussion up for others to ask questions about some of the issues you have had in the past.
There are resources out there to help us. We will explore the resources you can use to find help. We are all here to help each other.
Disclaimer: We are a research lab so we will be discussing animal tissues.
WS 16: Maintaining Histology Equipment
Nate Da Silva
In this workshop, we will be discussing how to keep certain kinds of histology equipment well-maintained and how to properly troubleshoot them. The two types of equipment that we will be discussing are the cryostat and the microtome. Keeping these instruments well-maintained with regular preventative services is a vital key to ensure proper function at all times. The service technicians are here to help you through this process but proper cleaning starts with the histotech. We will discuss the right and wrong way to clean these machines. I'll walk you through how we troubleshoot over phone as a way to get these machines back up and running as quickly as possible. I'll also give you a list of steps to follow that might help rectify simple breakdowns without ever having to make a phone call. We will also address the common misconceptions in the histology field that a service technician faces daily. Then we will wrap up with a Q&A after the PowerPoint presentation.
MAIL-IN REGISTRATION FORM ONLYWorkshop Fees (per workshop) / NCSH Member / Non-Member
3.0-hr workshop / $45 / $60
1.5-hr workshop / $27 / $36
1-hr workshop / $18 / $24
Students (whole meeting, unlimited workshops) / $20 / $20
Check here if you are a current member for 2018
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CIRCLE YOUR WORKSHOP SELECTIONS: pricing is for NCSH Members, see above guide for non-members
WS 1 / $18 / WS 6 / $18 / WS 11 / $27 / WS 16 / $27
WS 2 / $27 / WS 7 / $18 / WS 12 / $27
WS 3 / $27 / WS 8 / $18 / WS 13 / $45
WS 4 / $18 / WS 9 / $27 / WS 14 / $27
WS 5 / $18 / WS 10 / $27 / WS 15 / $18
Awards Luncheon, Fri Apr 13 $20 (BUFFET)
NCSH Business Meeting Luncheon, Sat Apr 14$15
Registration Fee, which MUST accompany your form* / $15
Late Fee if after April 4, 2018 ($15)
Currently Enrolled Student $20
2018 NCSH Membership Dues (you can join at this time and register at member pricing) $20
* Registration fee includes seminars, breaks, exhibit hall access, and the Wine and Cheese Reception.
TOTAL
We strongly suggest returning your registration by April 4th to avoid the $15 late fee.
Don’t delay in reserving your room before MAR 29.