Appendix 1

NOTES FOR QUARTERLY SUBMISSION TO MEDICARE

7:30-7:40amDictate yesterday's diary
7:40-8:00Prepare for 8:00am resident conference
8:00-9:00Slide conference with residents
9:00-9:05Phone Dr. M. regarding Ms. R's skin slides
9:05-9:12Women's Health Initiative slides (patient Q)
9:12-9:21Dr. S. needs help with Tumor Board cases
9:21-9:28Check immunohistochemistry requests
9:28-9:36Chief medical resident regarding M&M conference.
9:36-9:38Try to reach Dr. D. (re patient R)
9:38-10:00Review immunohistochemistry request.
10:00-10:02Consult with Dr. R. (rectal biopsy)
10:02-10:15Review immunohistochemistry panel slides
10:15-10:27Doctors' Lounge
10:27-10:30Converse with Dean's office
10:30-12:02pmDaily Case Review Conference
12:02-12:12Dictate Case Review Conference
12:12-12:26Literature search on renal tumor
12:26-12:50Consult on Kaposi's sarcoma case with Dr. S.
12:50-1:00Phone messages
1:00-1:02Conversation with residency program director (shortage next month)
1:02-1:07Lunch
1:17-1:19Check incoming mail
1:19-1:24Request for FISH study. Obtain forms and tissue blocks
1:24-1:32Check incoming mail
1:32-2:00Meet with architect on construction project
2:00-2:15Prepare letter to WHO agency on cancer research
2:15-2:17Phone Dr. F. about Womens' Health Initiative
2:17-2:25Select slides for Womens' Health Initiative
2:25-2:28Dr. J. has problem
2:28-2:33Attend to WHI slides
2:33-2:50Consult with Dr. B. on breast biopsy
2:50-2:53Question for histopathology laboratory
2:53-2:57Continue with Dr. B.
2:57-3:30IRB examination
3:30-3:40Documentation of old reports (patient McH)
3:40-3:47Form for medical examiner
3:47-3:58Consult with Dr. L. on prostate lesion
3:58-4:00Converse with medical examiner about residency
4:00-4:05Phone call with Administrative Director
4:04-4:15Discuss gross room supplies with supervisor
4:15-4:44Conversation with Dr. O. regarding turnaround time
4:44-8:15Sign out late cases of three other pathologists
8:15Message light blinking