QualificationsFellow in Lung Cancer Patholog, University of Colorado Health Sciences Center, 1996. University of Colorado Health Sciences Center, Anatomic and Clinical Pathologist, 1995. Universidad Nacional Mayor de San Marcos, Clinical Pathologist, 1979. Medical Doctor, Facultad de Medicina 'Hipólito Unánue', Universidad Nacional Federico Villarreal, 1975. Expertise and Research InterestsI am a very versatile physician, fully bilingual (English-Spanish), Board-Certified in Anatomic Pathology and Clinical Pathology, with more than 25 years of clinical, research and teaching experience in Surgical Pathology, Cytopathology and Immunology.
EARLY BACKGROUND I received my MD degree in 1975 at the Facultad de Medicina 'Hipólito Unanue' at the Universidad Nacional 'Federico Villarreal' in Lima, Peru. After this, I did a 3-year residency in Clinical Pathology (1977-79) at the Facultad de Medicina 'San Fernando' at the Universidad Mayor de San Marcos in Lima, Peru. Between 1975 and 1981, I created and operated two of my own pathology laboratories in Lima, Peru. I also practiced general medicine, and held the position of Assistant Professor in Microbiology and Immunology at the School of Medicine in Peru. Between 1979 and 1981, I served as a medical consultant for Ortho Pharmaceutical of Peru, traveling across the country and giving seminars and workshops on the diagnosis of hepatitis B. In 1981, Ortho invited me to visit their headquarters in Raritan, New Jersey, an experience that motivated me to further develop my medical career here in the United States. Between 1981 and 1992, I earned a fellowship followed by an appointment towork at the University of Colorado HSC, reaching the rank of Assistant Professor. Between 1992 and 1995 I did a second residency in pathology followed by a 1-year fellowship in lung cancer pathology. IMMUNOLOGY In the field of Immunology, I started my teaching activities when I was still a medical student in 1973. I re-organized and gave the first lectures for the Immunology chapters to medical, dental and medical technology students at my alma mater in Lima. In addition to teaching, I did some research in parasitic infections and autoimmunity. After I arrived to Denver in 1981, I did a 5-year fellowship in Immunology at the University of Colorado, HSC under the direction of Dr. David W. Talmage (candidate for the Nobel Prize in Medicine togetherwith Dr. Burnet for his work in the clonal selection theory). With him and later with Dr. Kevin Lafferty, I developed a very exciting line of research in transplantation immunology and Immunobiology of Type I Diabetes. During the next 12 years, I received several research awards plus a RO1-NIH grant for the study of the mechanism of rejection and tolerance of cultured allografts. In 1991, I worked as a medical consultant for a private company in Colorado in the research and development of ELISA testsfor the detection of antinuclear antibodies and IgA anti-cardiolipin antibodies; kits for both of these tests are now commercially available. CYTOPATHOLOGY In the field of cytopathology, I started my training in 1978 with Dr. Javier Arias-Stella (who famously described the Arias-Stella reaction in endometrium). With him I did my last year of pathology residency in Lima, which included intensive training in cervical cytology and GYN pathology in Lima's largest woman’s hospital. When I resumed my pathology training in the USA in 1992, I put special emphasis in cytopathology (GYN and non-GYN), having the opportunity to publish a paper describing the first case of breast lymph node pathology diagnosed by FNA in an HIV-1 positive patient. After my residency training, I did a 1-year fellowship in lung cancer pathology under the supervision of Dr. Wilbur A. Franklin, UCHSC through an NCI-SPORE award, with special emphasis on sputum cytology and molecular pathology. This training helped me to further develop my expertise in the field of cytopathology. When I took the Board exams in AP/CP Pathology (which I only had to take once) my highest score was achieved in cytopathology. Between 1996 and 2001 I have accumulated more than 70 hours of CME Category 1 and A1 credits by the College of American Pathologists, through the Inter-laboratory Comparison Program in Gynecological and Non-Gynecologic Cytopathology, achieving more than 98% accuracy in my diagnoses. GENERAL PATHOLOGY In 1992, after too many years of working with mice, I decided to carry on with my original vocation in the practice of medicine; I had to do, for a second time, a pathology residency in order to become eligible for board certification in the USA. Based on my previous experience in the field, the American Board of Pathology granted me two years of credit and I finished my residency in June 1995. In my last year, while working with Dr. Daniel Ambruso at the Belle Bonfils Memorial Blood Center, I received a grant from that institution for a study on platelet transfusions in cancer patients. During my residency, I managed to write a handful of articles on some original pathology cases. Nevertheless, returning to human pathology did not disrupt my focus in the field of basic research. After Dr. Talmage's retirement in 1991, I continued working part time at the Department of Immunology UCHSC and collaborating with Professor Dr. Kedar Prasad in the area of transplantation of neural cell lines. Our current research is focused on the development of neural cell lines for eventual transplantation procedures in humans and for the treatment of Parkinson's disease. My work in this group is specifically oriented to the immunological typification of neuronal cells through different markers. Here, I am able to combine my unique blend of expertise in immunology and cytology (see below) for the study of these cells. During my 20 years of research, I have published 40 papers in referee journals, most of them in the area of transplantation immunology, I have written a review article in transplantation immunology and have 6 book chapters in immunology and transplantation. As a general pathologist, I have performed more than two hundred bone marrow biopsies and fine needle aspirations from different body sites. I also have performed more than one hundred autopsy procedures, many of them forensic cases. In addition to my expertise in cytopathology and immunopathology, I have special skills in prostate pathology, microbiology, parasitology, molecular pathology, coagulation, and blood banking. I am very familiar with laboratory techniques in cellular and humoral immunology, including immunohistochemistry, ELISA, flow cytometry, cell and tissue culture, electrophoresis of proteins, production of monoclonal antibodies, and DNA analysis, including polymerase chain reaction (PCR), ligase chain reaction (LCR), in-situ hybridization (ISH) and fluorescent in-situ hybridization (FISH). I also have extensive experience in micromanipulation techniques, medical photography, and computing. As examples of my professional versatility, I have recently taken on some interesting projects. Between Nov. 2000 and Jan. 2001 I had the opportunity to work temporarily as interim Laboratory Director for Quest Diagnostics in Denver. In 2-1/2 months I single-handedly reviewed more than 1,200 abnormal Papanicolaou smears, including more than a hundred non-GYN cases, and more than 2,500 surgical pathology biopsy cases with a degree of accuracy of 98.5%.Since last July 2001, I have collaborated at the Prostate Cancer Prevention Trials at the Department of Pathology, UHSC. Until now, I have screened more than 1,000 prostate biopsy cases with accuracy greater than 99.5%. As an additional aspect of my experience as a pathologist, in the past four years I have successfully practiced as a locum tenens pathologist in the states of Colorado, Montana, New Mexico, Oregon and Wyoming. Excellent professional references available Other Expertise- Co-investigator in the Prostate Cancer Prevention Trials, Department of Pathology, UHSC (07/2001 to 12/01)
- Member of the Pathology Informatics Committee Department of Pathology, UHSC (07/2000 to date). - Interim Lab Director, Anatomic PathologyLab Quest Diagnostics of Colorado (11/01/00-01/10/01). - President Pathology Consultants, PC, Locum tenens in pathology (CO, MT, NM, OR, WY) (07/1996 to date). - Laboratory Director at Miners' Colfax Medical Center, Raton, NM 87740 (07/01/96-06/30/00). Future ResearchMy future research is oriented to the study of telepathology as a fast mean of consultation between pathologists and other physicians via the Internet. Telepathology includes the study of images from gross surgical pathology specimens as well as histopathology and cytology specimens.
Industrial RelevanceMy last enterprise has been the incorporation in the States of Colorado, New Mexico, Wyoming and Montana of the professional corporation TelePathology Consultants, PC. The final goal of this corporation is to provide clinical, research and educational consultation in human pathology through the World Wide Web (telepathology).
KeywordsCOS Keywords:Cytopathology, Family Medicine, Pathology, Telemedicine, Transplantation Immunology.Additional Terms:Pathology, Telemedicine, Telepathology.Languages(Reading, Writing, Speaking)English: (Fluent, Fluent, Fluent) Italian: (Basic, Basic, Basic) Portuguese: (Basic, Basic, Basic) Spanish: (Fluent, Fluent, Fluent) MembershipsAmerican Association of Immunologists American Medical Association American Society of Clinical Pathologists American Telemedicine Association (www.atmeda.org) College of American Pathologists Colorado Medical Society Colorado Society of Clinical Pathologists Denver Medical Society New Mexico Medical Society Peruvian American Medical Association - USA Peruvian Society of Clinical Pathology - Peru Peruvian Society of Immunology and Allergy - Peru Peruvian Society of Microbiology Spanish Society of Immunology - Spain The Transplantation Society Honors and Awards1996-1997,
'Ligase Chain Reaction to Detect K-ras and p53 Mutations in Lung Cancer',
National Cancer Institute,
Molecular Pathology of Lung Cancer
1994-1994,
'Concepts of Molecular Pathology',
College of American Pathology,
Molecular Pathology
1994-1995,
Excellence in Teaching Award,
University of Colorado, HSC Medical School Class 1997,
Teaching
1987-1988,
'Tolerance and Rejection of Pancreatic Islet Allografts in NOD Mice',
Diabetes Research and Education Foundation,
Transplantation and Diabetes
1986-1987,
'Graft Tolerance to Cultured Endocrine Allografts',
Juvenile Diabetes Foundation,
Transplantation and Diabetes
1983-1984,
'Rejection of Cultured Endocrine Allografts',
Krock Foundation Fellowship Awards (2 years),
Transplantation
1975-1975,
'Enrique Leon García Award',
Peruvian Pediatrics Society,
Best Thesis in Pediatrics
Previous Positions1987-1992, Assistant Professor,
University of Colorado Health Sciences Center,
Medicine,
Microbiology and Immunology
1981-1987, Instructor,
University of Colorado Health Sciences Center,
School of Medicine,
Microbiology,
Immunology
1979-1981, Assistant Professor,
Universidad Nacional Federico Villarreal,
School of Medicine,
Microbiology and Immunology
1973-1979, Instructor,
Universidad Nacional Federico Villarreal,
School of Medicine,
Microbiology and Immunology
Funding Received
Publications
Profile DetailsLast Verified: 8/30/2005 COS Expertise ID #431492 Reference this profile directly: http://myprofile.cos.com/pacolarosa Individual Expertise profile of Francisco G. La Rosa, Copyright Francisco G. La Rosa. © COS ExpertiseTM, 2008, ProQuest LLC All rights reserved. |