Juan Manuel Miranda

Core Responsibilities

During my residency in Anatomical Pathology at Hospital Italiano de Buenos Aires, I undertook a broad range of responsibilities aimed at developing diagnostic expertise and advancing patient care through laboratory medicine. The residency program at this institution maintains high standards of medical education, as the hospital is accredited by the Joint Commission International (JCI). Furthermore, the Department of Pathology at Hospital Italiano is the only laboratory in Argentina accredited by the College of American Pathologists (CAP), ensuring compliance with the most rigorous international standards.

• Histopathological Diagnostics: Analyzed and diagnosed biopsy and surgical specimens from a wide range of specialties, including oncology, dermatology, and gastroenterology.
  Provided intraoperative consultations through frozen section analysis, guiding surgeons in real time during procedures.
  
• Cytopathology: Performed and interpreted fine needle aspiration biopsies (FNA) and cytological smears from gynecological and non-gynecological specimens, including Papanicolaou tests.
  
• Autopsies: Conducted hospital autopsies to investigate causes of death, assess disease progression, and correlate clinical findings with pathology results.
  
• Quality Control and Reporting: Contributed to maintaining the laboratory’s high standards as part of the CAP accreditation process.
  Collaborated in internal and external quality control programs, ensuring diagnostic accuracy and compliance with international standards.
  
• Interdisciplinary Collaboration: Participated in tumor boards and multidisciplinary meetings, providing pathology insights to assist in treatment planning for oncology patients.
  Communicated diagnostic findings to clinicians through detailed pathology reports and direct consultations.
  
• Teaching and Mentoring: During my residency, I also worked as a Teaching Assistant at the Hospital Italiano’s medical school, where I taught pathology and histology to medical students.
  Mentored junior residents and medical students, guiding them in case analysis and pathology techniques to enhance their diagnostic skills.
  
• Laboratory Management and Continuous Learning: Developed skills in laboratory management, including workflow optimization and participation in administrative processes.
  Attended workshops, courses, and conferences to stay updated on advancements in pathology and maintain high diagnostic standards.
  

Responsibilities in the Anatomical Pathology Laboratory

• Reception, Identification, and Labeling of Histopathology Samples: Ensured the accurate intake, labeling, and documentation of all histological samples for proper processing and analysis.
• Dissection of Surgical Specimens: Performed detailed dissections of surgical specimens for microscopic evaluation.
• Processing and Analysis of Endoscopic Samples: Handled endoscopic biopsies with precision to ensure optimal sample integrity for diagnosis.
• Centrifugation and Preparation of Fluids: Conducted centrifugation of biological fluids, including urine, to create cytology slides and cytoblocks for further analysis.
• Urine Cytology: Managed the centrifugation and preparation of urine samples, creating smears and slides for microscopic examination.
• Operation of Roche Vantage Laboratory System: Utilized the Roche Vantage Laboratory Information System for efficient workflow management, sample tracking, and data entry.
• Immunohistochemistry Using Benchmark Systems: Operated the Benchmark platform for immunohistochemical staining, ensuring high-quality and accurate diagnostic results.

Simultaneously with my Residency in Anatomical Pathology (Monday to Friday, 8 AM to 5 PM), I also worked as the physician in charge of the general emergency department on weekends.

I completed 48-hour shifts every 15 days. As the head of the emergency department, I was responsible for triaging patients, admitting those who required hospitalization, and coordinating consultations with relevant specialists. I provided outpatient care for patients with minor conditions and, in the case of emergencies, worked closely with the physician responsible for the intensive care unit (ICU) to ensure appropriate management. Additionally, I was responsible for arranging patient transfers to higher-complexity hospitals when the severity of their condition exceeded the capacity of the facility.

Teaching Assistant – Department of Pharmacology

As a Teaching Assistant in the Department of Pharmacology, my responsibilities included:

• Guiding medical students through both Basic and Clinical Pharmacology, ensuring a strong understanding of fundamental concepts and their practical application.
• Instructing students on the rational use of medications, promoting safe and effective prescribing practices.
• Participating in and promoting the National Campaign for the Responsible Use of Medications, raising awareness about medication safety.
• Educating students on antibiotic resistance, emphasizing the importance of appropriate antibiotic use to combat this growing global issue.