Society for Pediatric Pathology

Slide Survey Online


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Slide Survey Program and Slide Survey Online (SSO) 2017


 It is critical for all pathologists to maintain and expand our diagnostic skills in diseases of infancy (including placental pathology), childhood and adolescence. Many diagnostic entities in pediatric pathology are infrequent in practice, such as orphan diseases, rare tumors and complex syndromes.  Underlying genomic etiologies or associated molecular alterations are discovered with increasing frequency, and their detection is driven by rapid advancement of technology.  Smaller specimen size and tissue sampling at earlier stages of disease add to the diagnostic challenge.  These and related factors lead to increasing complexity and difficulty in making diagnoses, with greater utilization of ancillary testing and consultation. The ability to recognize the diversity of clinical, gross, microscopic and molecular features of a disease is essential to arrive at an accurate diagnosis and serve as medical consultants.

Needs Assessment:

To meet participants’ educational needs as evident from comments on program evaluations, survey responses, and discussions on the Pediatric Pathology Forum (, the Slide Survey is designed to enhance participants’ knowledge and competence as relevant to the practice of pediatric pathology.

Needs for enhanced knowledge range from knowledge of the nature and etiology of specific disease entities, through diagnostic workup with incorporation of molecular or other new testing, to their prognostic relevance in clinical management.  Cases selected for this activity are exemplary of entities in the spectrum of participants’ educational needs.  Post-test review-type discussions provide a broader context and further refine relevant knowledge.

The needs for competence in diagnostic work-up span from formulating relevant differential diagnoses on a basis of clinical history/presentation, gross exam and microscopic exam, through identifying, performing and interpreting appropriate ancillary testing, to making the correct diagnosis.  This activity follows this format and fulfills a unique need especially for demonstrating competence in a range of surgical pathology and cytology specimens obtained from pediatric patients. This activity fulfills requirements for part IV of Maintenance of Certification by the American Board of Pathology. 

Slide Survey:

The Slide Survey Program of the SPP is intended for all pathologists and pathology trainees.  New for 2017: the slide survey will be offered in online version only.  The slide survey online (SSO) consists of 18 cases per year (3 sets of 6 cases each) which include virtual microscope slides, digital versions of the booklets and the electronic answer-submission sheets, as well as survey analysis, case discussion, and case archives. Participants can expect to spend approximately one hour on each case, including reviewing the history and slide, arriving at a diagnosis, answering the questions, and reviewing the contributor’s summary and case discussion. 

Program Objectives:

By reviewing the case material, formulating a differential and arriving at a diagnosis, answering the submitted questions, and reviewing the contributor’s summary and post-test discussion, the participant will gain competence in diagnostic skills and understanding of the conditions submitted for evaluation.  Individual evaluation is not provided and the program is not approved as or meant to be a formal proficiency program.

Technical Requirements:

Operating Systems:

PC: Windows 2000, XP, 7 or later
Mac: OS X 10.4 (Tiger) or later

Supported Browsers: Firefox, Internet Explorer

To download and view documents:

PC or Mac: Adobe Reader or Acrobat  
Virtual Slides: Aperio virtual slides may be viewed using the web-based viewer or the Aperio ImageScope program.

To use web-based viewer:

PC or Mac: Adobe Flash Player

To install ImageScope on a PC:

Operating System: Windows Pro 7 or higher

Memory: 2GB or more recommended

Hard Disk: Must have at least 40GB of free hard disk space

Network Card: 1 GB network card or faster

CPU Speed: 2GHz or faster

Video Card: Must support at least 24-bit color resolution

Monitor: Resolution should be at least 1680(h) x 1050(v)

To install ImageScope on the Mac:

NOTE: There is no Mac version of ImageScope. In order to install and run ImageScope on a Mac, the user will need to emulate Windows.

Operating System: Mac OS X (Lion) 10.7.5 or higher running on Intel powered Mac

Memory: 4 GB or more recommended

Hard Disk: Must have at least 40GB free hard disk space for ImageScope, plus sufficient space for Parallels Desktop 10 (850MB), and Windows 7 Pro operating system (15GB).

(Software Required: Parallels Desktop 10 License (or other virtual machine program), Windows 7 Pro License)

Instructions for On-line Responses

Log on to  Click on the ”Start” button under “Slide Survey Online” in the middle of the homepage. On the new page, click on the “Sign In” button in the middle of the page to access the current cases and the archived cases. Enter username and password at the prompt. Select the current cases, proceed to review the content of each case, and answer questions. The percent correct will be displayed when all responses are submitted. If less than 80%, you may re-submit answers until a “passing score” of 80% is achieved, a requirement to claim CME credits (see details below).

CME Credit/Certificates of Participation

Accreditation Statement:  The Society for Pediatric Pathology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA Credit Designation Statement:  The Society for Pediatric Pathology designates this enduring material for a maximum of 18 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Canadian Physicians: This program is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the Canadian Association of Pathologists on November 4, 2015. The program expires December 31, 2018. Remember to visit MAINPORT to record your learning and outcomes. You may claim a maximum of 6 hour(s). (18 credits are automatically calculated).

International Physicians:  The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA Category 1 Credits™.

Health Professionals:  Health Professional participants (including residents and fellows-in-training) may claim hours to receive a Certificate of Participation for an activity designed for AMA PRA Category 1 Credits™.

CME Credits:  Certificates of continuing medical education AMA PRA Category 1 Credits™ will be issued through the Society for Pediatric Pathology. CME credits will only be awarded after 1) completion of an online evaluation form and 2) achieving a passing score of 80% on an online learning assessment. A maximum of 18 CME credits can be earned (6 CME credits per mailing). The actual number of CME credits earned by a participant will be based on responses meeting these requirements for each mailing. If a passing score is not achieved on the first attempt, the participant will be given the option to answer the questions repeatedly until a passing score is achieved. Participants may also opt out of CME credits. The participant will then be directed to the on-line evaluation and cumulative data from all participants.  Earned CME credits for subscribers are tracked online. After completing the learning assessment and online evaluation form, the participant will be directed to the online CME claim form. Participants can claim CME credits until December 31, 2017.

If you have questions regarding CME, please contact Patricia Ferchland-Bingham at: the SPP office or 212-297-2196.

ABP - Maintenance of Certification (MOC):  The slide survey program is approved by the American Board of Pathology (ABP) for Part IV (Performance in Practice) Maintenance of Certification. Therefore, diplomates of the ABP may use this program to demonstrate laboratory and/or individual participation in a laboratory / interlaboratory performance improvement and quality assurance program.

ABMS competency this activity addresses: Medical Knowledge.

Comments and Case Submissions:

Anita Sengupta MD, Slide Survey Subcommittee Chair
Department of Pathology, B2.279
Children’s Medical Center
1935 Medical District Drive
Dallas, TX 75235

Disclosure of Conflicts of Interest:

The Society for Pediatric Pathology (SPP) is committed to providing unbiased, balanced and objective educational programs and does not receive commercial support for any CME activity. In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Guidelines, the SPP requires that anyone in a position to influence or control the content of CME disclose any relevant financial relationship(s) which they or their spouse/partner have, or have had within the past 12 months, with a commercial interest(s) that relate to the content of this educational activity and create a conflict of interest. Any identified potential conflicts will be reviewed and resolved prior to the presentation. Relevant information will be published in the appropriate publications and/or on the SPP website. The SPP CME Mission and Policy Statement is posted at

Copyright Information:

All materials posted on this website, including online educational programs, are subject to copyrights owned by the Society for Pediatric Pathology (SPP) and other individuals or entities. Any reproduction, retransmission, or republication of all or part of any document found on this site is expressly prohibited, unless the SPP or the copyright owner of the material has granted prior written consent to reproduce, retransmit, or republish the material. All other rights reserved.

Inclusion of material in the Slide Survey does not necessarily preclude its publication in other forums; however, authors wanting to publish the same photographs or text elsewhere are here advised that alternate publishers often require transfer of the copyright to them, and would need to be informed that the material is already published on-line. We recommend that when publishing the case elsewhere, to help alleviate such concerns, authors use different photographs and text than the material provided for Slide Survey programs.

SPP Privacy and Confidentiality Policy:

See (contact us section) for details of policy. Contact  with any concerns.

Subscribing:  Please sign-up online or complete the form, and submit it to the SPP office by e-mail, mail, or fax.

Subscription deadline: April 3, 2017.

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