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  CAP Foundation Grant for Telepathology

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Updated December 10, 2007

The CAP Foundation, Nikon Instruments, and Olympus America are pleased to offer an exciting new grant program on telepathology that is designed to expose pathology residents and residents doing fellowships to further developments in and use of information technology for the practice of pathology. Up to three institutional grants will be awarded.

Telepathology is the practice of pathology using telecommunications to transmit data and images between two or more sites remotely located from each other.

The grant is for education and training purposes for residents and residents doing fellowships.

Eligibility
Applications will be accepted from residents and residents doing fellowships who are still in training and who meet the CAP Junior Member* status.

* Note: Applicants must be a CAP Junior Member or have an application pending.

DEADLINE
Applications (PDF, 56 K) (Word, 34 K) must be received in the CAP Foundation Office by June 1.

Funding
Up to three (3) grants for a maximum of $5,000 each will be funded.

After technical requirements are met and the telepathology technology is functional, the grant opportunity is meant to facilitate a 6-month study.

Funds are intended to cover expenses incurred during the grant period and for travel expenses to attend a national meeting to present an abstract/paper summarizing study results.

Please note, indirect organizational charges are not allowable.

Grant Description and Learning Objectives
The grant is for education and training purposes and not to be used for any type of patient diagnosis.

The applicant(s) will investigate various elements of telepathology by implementing and utilizing software provided by the grant in real-time situations with a slide accessed and imaged at the server site and viewed at a remote site using a web-browser interface on the remote computer.

The software has the capacity to capture images, and image capture should be employed to document sessions.

At the end of the grant period, the grant recipient(s) will:

  1. Develop an understanding for the use of telepathology in the practice of anatomic pathology, clinical pathology, and education.
  2. Have an increased understanding of telepathology implementation, uses, and limitations.
  3. Be positioned to present data obtained during the study at a national meeting and/or submit a manuscript summarizing the study to Archives of Pathology and Laboratory Medicine or other pathology or informatics journals.

Study Questions (to be addressed during the grant period)
During the project, grant recipients will:

  • Determine which anatomic pathology, clinical pathology, and educational applications are suitable/appropriate for telepathology in applicant's institution/practice.
  • Evaluate the utility of telepathology implementation by comparing concordance of diagnoses made at the microscope with those viewed on the monitor. [Specific examples of comparison should be explained in detail.]
  • Investigate components of a minimal data set that can be shared during diagnostic sessions to allow for accurate case discussion and meet HIPAA or military regulations and requirements.
  • Assess the cost-effectiveness and efficiency of telepathology (amount of time and efficiency) as compared to a pathologist traveling to a remote location.
  • Determine usefulness and practicability to capture images for use in pathology reports and to store images for later use.

APPLICATION Process
Applicant submission is intended to be the Server Location. The following needs to be submitted:

  1. Grant applications (PDF, 24.5 K or Word, 43K) form that will include identification of remote user location(s) and key contact staff at location(s)
  2. Letter of recommendation from either the residency director, department chair, or medical director indicating willingness to comply with requirements to fulfill the grant and need/use of technology with the department/program/ or group.
  3. Essay of no more than 1500 words that includes a brief statement of :
    • Explanation of how and what kind of cases will be selected for comparison viewing
    • Explanation of how data will be collected to document comparison results when viewing images on a monitor versus a microscope
    • View of applications, benefits, and limitations of telepathology in pathology practice to improve (a) diagnosis and (b) education
    • Applicant’s interest in pursuing the grant
    • Applicant’s level of knowledge and experience in informatics
    • Applicant’s anticipated use of new experience and knowledge after grant is completed
    • View of clinical and/or scientific merit of telepathology in pathology practice
  4. Letter of agreement from IT representative outlining support available and willingness to comply with network-related requirements
  5. Copy of PI’s Curriculum Vita

Technical Requirements
Download the technical requirements for Nikon (Word, 20 K) and Olympus (Word, 21 K).

Selection Criteria The following criteria will be considered when reviewing applications:

  1. Organization’s/institution’s and/or applicant’s explanation of need and value of the technology
  2. Scientific validity and merit of proposed study
  3. Explanation of the best future use of information technology in the laboratory
  4. Practical application/value to applicant and her/his institution
  5. Director/Chair's recommendation. Did the program director or laboratory medical director provide support to the applicant involved, and to what extent?

Grant Completion Requirements The PI agrees to submit a deliverable of the grant experience:

  • Completion of an evaluation form,
  • A brief summary essay of the experience, and
  • Abstract or manuscript that summarizes the study questions and compares telepathology to current practice at the involved institution(s). Archives of Pathology and Laboratory Medicine and CAPTODAY have first right of refusal to accept and publish manuscript or a story on the completed study. An abstract should be submitted for presentation at a national pathology meeting (e.g., CAP’06 or CAP’07, Lab InfoTech Summit, APIII).

Disclaimer
The study is not an endorsement of Olympus or Nikon or their products. There are other options or applications available; this study is intended to validate the technology.

2007 Recipients

Steven Catinchi-Jaime, MD
Conemaugh Valley Memorial Medical Center, Johnstown, PA.
The research project is to study the utility and practicality of remote consultation in difficult pigmented skin lesions using telepathology.

Curtis Goldblatt, MD, and Steven Catinchi, MD, accept the Foundation grant check
Curtis Goldblatt, MD, and Steven Catinchi, MD, accept the Foundation grant check for Conemaugh Valley Medical Center from Diana Kelker, CAP Foundation Executive Director, as Alex Czernik and Patty Anderson with Olympus look on.

Detailed study (PDF, 175 KB) description as prepared by Dr. Catinchi.

Amy Deeken, MD
Summa Health System-Akron, Ohio
This project involves residents and staff pathologists using the telepathology equipment to evaluate the utility and accuracy of the technology in assessing cytology adequacy determination and diagnosis of CT guided FNA specimens.

Raymond Clarke, MD, Program Chair and Residency Program Director, and Amy Deekin, Principal Investigator, accept Foundation grant check
Raymond Clarke, MD, Program Chair and Residency Program Director, and Amy Deekin, Principal Investigator, accept Foundation grant check for Summa Health System. Pictured left to right: Patty Anderson, Olympus; Raymond Clarke, MD; Diana Kelker, CAP Foundation Executive Director; Amy Deekin; Mark Nelson, MD; Alex Czernik, Olympus.

Detailed study (PDF, 34 KB) description as prepared by Dr. Deekin.

Di Wang, MD
St. Barnabas Medical Center, Livingston, NJ
This project will be used to implement a telepathology teaching system (with our existing teleconferencing system) for residents in satellite hospitals. The system will be used to compare elements between a pathology diagnosis made with the telepathology system and the diagnosis made with real microscopic slides, thus establishing the key issues in implementing imaging diagnosis and the pathologists’ practical concerns in using imaging/telepathology system for pathology diagnosis.

Di Wang, MD, second from left, accepts the Foundation telepathology grant check
Di Wang, MD, accepts the Foundation telepathology grant check. Pictured left to right: Jonathan Lara, MD; Di Wang, MD, Selwyn Baptist, MD; Steve Drury, MD, CAP Foundation Board member; Stan Schwartz, Nikon.


2006 Recipients

Drexel University
Philadelphia, PA
Principle Investigator: Tesfu Lisanework Hailu, MD

Cleveland Clinic Foundation
Cleveland, OH
Principle Investigator: Nikolaj Paul Lagwinski MD

 

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