FNA Service Active at Geisinger
The Fellow in Cytopathology at Geisinger receives a substantial opportunity to learn the technique of fine needle aspiration. The fellow actually performs approximately 600 FNAs during the year of training.

The fellow also participates in the support of radiographic or sonographic guided biopsies with on-site evaluation of material obtained.  A large file of FNA teaching packets is also available for review. Fine needle aspiration is the future of anatomic pathology and is the centerpiece of training in this program.

AutoCyte Thin-Layer Preparation installed in cytopathology laboratory
AutoCyte Thin-Layer Preparation installed in cytopathology laboratory. The cytopathology laboratory has recently introduced AutoCyte Thin-layer Preparation. This automated process results in beautiful thin layer cervical cytologic preparations.The false negative rate of the cervical cytologic screening is reduced by this procedure. Blood, inflammation, mucus and thick cell layering are eliminated as causes of unsatisfactory or limited specimens. The cellular morphology is crisp and clearly presented. This improves the detection rate of squamous intraepithelial lesions. Such technology is rapidly becoming the standard of care for cervical screening. The Fellow in Cytopathology at Geisinger will receive hands-on experience with both the procedure and its interpretation.
The cytopathology laboratory has recently introduced AutoCyte Thin-layer Preparation. This automated process results in beautiful thin layer cervical cytologic preparations. The false negative rate of the cervical cytologic screening is reduced by this procedure. Blood, inflammation, mucus and thick cell layering are eliminated as causes of unsatisfactory or limited specimens. The cellular morphology is crisp and clearly presented. This improves the detection rate of squamous intraepithelial lesions. Such technology is rapidly becoming the standard of care for cervical screening. The Fellow in Cytopathology at Geisinger will receive hands-on experience with both the procedure and its interpretation.

Pap smears screened by AutoPap computerized screener
Pap smear screening has gone high tech at the Geisinger cytopathology laboratory. The AutoPap computerized screener is used in a primary screening mode to triage smears for manual review and to identify smears for QC review. This algorithm significantly improves the detection of squamous intraepithelial lesions occurring in conventional pap-smears. 

The machine has been approved for use in screening thin-layer preparations thus offering the combined enhancements of improved preparation and improved detection. These technologies will likely become the future standard of care in cervical screening exams. The Cytopathology Fellow will receive training in both the theory and application of this technology.