Original Publication
Open Access

Liver Biopsy Crash Course

Published: January 6, 2016 | 10.15766/mep_2374-8265.10318

Included in this publication:

  • Liver Biopsy Crash Course Instructor's Guide.docx
  • Liver Biopsy Crash Course.zip
  • Liver Biopsy Quiz.zip

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


Introduction: We recognized a need at our institution for a resource to facilitate self-learning of basic liver histology and pathology. An interactive, web-based learning module was determined to be an ideal type of educational tool. The Liver Biopsy Crash Course is a self-learning resource for mastering basic liver histology and pathology. It is a useful aid for hepatology clinical fellows participating in liver pathology biopsy rounds and preparing for their exams. It is also useful for off-service/clinical residents rotating through pathology and for junior-level pathology residents. Methods: The module includes an instructor’s guide, the web-based crash course resource, and a quiz. Results: We are beginning to implement the use of the Liver Biopsy Crash Course with hepatology clinical fellows participating in liver pathology biopsy rounds and with junior-level pathology residents going through their initial liver pathology rotations. After completion of the module, residents were surveyed and asked about the impact on their understanding of liver pathology and if they felt that the resource was of benefit to their training. Any additional feedback was also invited. The results from this pilot have been overwhelmingly positive. Samples of actual comments received are: “I wish I had these a couple years ago. . . I wish there were more such modules on other topics;” “. . . quite a good review of liver pathology and helped establish a good approach to separating the different entities. I found it very useful (and enjoyable) to work through;” and “. . . very helpful, especially for junior residents who (like myself) may not be very familiar or confident with looking at the liver.” Discussion: We plan to further assess the effectiveness of the module in a second phase, which will involve assessing the learning impact on gastroenterology/hepatology fellows and off-service residents participating in liver biopsy rounds.

Educational Objectives

By the end of this module, the learner will be able to:

  1. Review the normal histology of the liver.
  2. Review how to approach examining liver biopsies.
  3. Demonstrate features of some common liver diseases.

Author Information

  • Andrew Arifin: Western University
  • David Driman, MBChB, FRCPC: Western University
  • Jeremy Parfitt, MD, FRCPC: Western University

None to report.

None to report.


Arifin A, Driman D, Parfitt J. Liver biopsy crash course. MedEdPORTAL. 2016;12:10318. https://doi.org/10.15766/mep_2374-8265.10318