The curriculum consists of a basic core of mandatory rotations in Anatomic and Clinical Pathology during the first three years and elective time during the fourth year. The basic core, which alternates rotations in AP and CP, satisfies the minimum of 18 months of formal training in each AP and CP required by the American Board of Pathology.
Anatomical Pathology Rotations
Gustavo de la Roza, MD, Director of AP and Vice-Chair of Pathology
General and Common Goals in Anatomic Pathology
While the following goals are flexible and certainly should not be considered final, the context of these goals is defined by the time and resource constraints of pathology practice and by the fundamental principle that our efforts must always serve the patient.
- Learn to use gross inspection, routine histology, cytopathology
andspecial investigations to formulate differential diagnoses, arrive at diagnoses, and solve clinical problems.
- Learn to communicate your findings and conclusions clearly, in a manner useful to all appropriate audiences, especially clinicians. Skill in both oral and written communication is critical.
- Learn to constantly update and expand your knowledge of facts, terminology, and classifications of disease. Clinical correlations are often key to meaningful diagnosis,
problem solving, prognostication and thus effective pathology consultation. Furthermore, understanding limitsof knowledge isessential to obtaining assistance in difficult situations.
- Maintain enthusiasm for continued learning. Nurture your familiarity with bibliographic resources. Learn how to critically evaluate literature. Recognize and apply self-motivation in your work. Prepare yourself for
assumptionof major responsibility.
- Explore the possibility of being involved in a research project with a faculty member and/or other residents.
Autopsy/Forensic Pathology Rotation
Length of Rotation: 4 months
Faculty: Robert Stoppacher, MD, Director Autopsy Service Chief Medical Examiner
The autopsy service is run by the Medical Examiner's Office (MEO) at the Wallie Howard Jr. Center for Forensic Science. As part of University Hospital, it provides a medical service to the physicians who refer their patients, as well as to members of the patient's family. It is also an educational component of the Medical Center, providing opportunities for learning not only to pathology
The overall goal of the autopsy rotation at the Medical Examiner's Office is to develop a competent pathologist who can perform a complete autopsy procedure independently and has a basic skill set to understand the pathology observed in the context of the circumstances of death and the clinical history. This competency includes dissection, retrieval of specimens for specialized testing, and microscopic analysis.
Length of Rotation: 3 months
Faculty: Kamal K. Khurana, MD, Director, Qun Wang MD, Rana Naous, MD, Ola El-Zammar MD
The main goal of this rotation is to provide residents with the necessary tools to deal effectively with most cytopathology cases encountered in a general pathology practice. This rotation will also serve as a basic foundation for those interested in pursuing cytopathology as a subspecialty. This rotation provides an intense and diverse exposure to gynecological and non-gynecological exfoliative cytology and fine needle aspirations (FNA). The latter includes aspirations from superficial and palpable lesion performed by the Cytopathologist Team (attending, fellow, and rotating resident) at the FNA Clinic or at the bedside and aspirations from deep-seated lesions obtained under imaging guidance (percutaneous CT or
Surgical Pathology Rotation at University Hospital
Length of Rotation: 12 months
Faculty: Gustavo de la Roza, MD, Ola El-Zammar, MD, Co-Director, Christopher Curtiss, MD, Co-Director, Alfredo Valente, MD, Shengle Zhang, MD, Rana Naous, MD, Kerry Whiting, MD
The goal of this rotation is for the resident to develop into an outstanding surgical pathologist with strong skills in gross and microscopic diagnosis and the knowledge and ability to utilize ancillary immunohistochemical and molecular techniques as well as current literature in formulating diagnoses. Our surgical pathology laboratory sees a great diversity of common and highly complex specimens from all specialties with a significant number of cases in the following areas: gastrointestinal pathology, neoplastic and non-neoplastic lung disease, head and neck pathology, endocrine pathology including thyroid, parathyroid, and adrenal gland, musculoskeletal pathology with great emphasis on bone and soft tissue tumors, and pediatric pathology with a significant number oncologic cases. This division houses a comprehensive immunohistochemistry laboratory with two daily runs of tests and a complete molecular diagnostic section dedicated to solid tumors. There is a general, non-specialized signout with attending pathologists with special interests in most subspecialty areas. The surgical pathology service is divided into a Biopsy Service and Routine/Frozen Section Service covered by three residents and three attending pathologists. A same-day service using a microwave-based system is available for rush biopsies. The biopsy cases are usually available from the lab at about 8:00 AM the morning after they are grossed, and the biopsy resident is expected to review them before signing out with the attending, usually starting by 10:30-11:00. The routine slides are available before noon, and the routine resident has the rest of the day (between frozen sections) to review them and prepare for signout the next day in the morning right after the morning teaching conference.
Surgical Pathology Rotation at the VA Hospital
Length of Rotation: 5 months
Faculty: Yiran Dai, MD, Director, Henry Friedman, MD, Seena Kumar, MD, Shridevi Karikehalli, MD
The rotation at the VA gives residents the opportunity to experience a general pathology practice. Residents are exposed to a variety of scenarios that integrate anatomic pathology, clinical pathology, and laboratory administration. While residents mainly concentrate on surgical pathology, they are also exposed to hematopathology and cytology, including a fine needle aspiration service. Since there is only one resident rotating at the VA at a time, residents benefit from working with three different pathologists in a short period of time and are able to participate in daily departmental consultation conferences and interdepartmental conferences. The relatively smaller and less complex
Clinical Pathology Rotations
Clinical Chemistry and Microscopy
Length of Rotation: 2 weeks plus one month in a combined Special Hematology/Chemistry rotation.
Faculty: Mahesheema Ali,
Our Clinical Pathology Core Laboratory is a comprehensive and fully-automated lab with rapid turn-around that operates 24 hours a day 7days a week.
Length of Rotation: 2 weeks
Faculty: Shiphali Gupta,
This Cytogenetics rotation provides the residents with an overview of Medical Genetics, including exposure to standard karyotype analysis, prenatal diagnosis, cancer genetics, and molecular cytogenetics (FISH). The resident will gain an appreciation for the basic techniques in cytogenetics including tissue culture, cell harvest, slide preparations, banding, special staining, microscopy, and
Length of Rotation: 6 months
Faculty: Robert E. Hutchison, MD - Director, Katalin Banki, MD, Sylva Bem, MD, Elizabeth Ruckdeschel, MD,
There are 3 different rotations in Hematopathology: Bone Marrow Service, Hematopathology Consultations and Flow Cytometry Service, and Special Hematology. Residents rotate one month in each service in their first year (3 months total), two months in the second year (one in Bone Marrow and one in Consultation/Flow Cytometry), and one month (Bone Marrow only) in the third year. During the third year, they also spend two additional months in a combined Special Hematology/Chemistry rotation.
These rotations prepare residents to interpret a wide range of hematologic abnormalities; to communicate findings and serve as a consultant to clinicians
Immunopathology & Flow Cytometry
Length of Rotation: 2 weeks
Faculty: Elizabeth Ruckdeschel, MD,
Laboratory Management/Laboratory Informatics Services
Length of Rotation:
During this rotation residents are exposed to, understand and utilize the basic management principles required to function in the role
Length of Rotation: 2 months
Faculty: Scott Riddell,
The major objectives of this training rotation are to provide residents with experience in the detection, isolation, and identification of medically important microorganisms and the interpretation and application of microbiology laboratory results. The rotation is designed so that the resident receives hands-on experience in each of the various microbiology disciplines in order to gain the scientific knowledge, bench-level skills, and other resources necessary to understand the operation of a clinical microbiology laboratory. The later stages of the rotation serve to complete, expand, and solidify the resident's knowledge base in diagnostic microbiology and to expose and involve the resident in laboratory management practice, including the methods used for quality control and quality assurance. While Bacteriology represents a large
Faculty: Antony Shrimpton
During this rotation, residents familiarize themselves with the principles and performance
Faculty: Matthew Elkins, MD,
Residents are in involved in all three areas of this section of the clinical pathology: blood bank, HLA/tissue typing, and
The following is a list of electives avaliable for 4th year residents:
- Advanced Surgical Pathology
- Advanced Molecular Pathology
- Advanced Forensic Pathology
- Advanced Hematopathology
- Advanced Cytology
- Environmental Pathology
- Eye Pathology
- Gynecological Pathology
- Pulmonary Pathology
- Renal/Transplant Pathology