Core Curriculum / Rotations

The curriculum is organized as 13 4-week periods per year.  The core curriculum involves 26 4-week periods of required AP rotations, 18 periods of required CP rotations, 2 required AP/CP rotation, and 6 periods of elective time. Elective time may be spent performing additional months of core rotations, free-standing elective rotations, or research (up to 6 periods).

The 4-year rotation schedule entails 9 periods of required AP and 4 periods of required CP in PGY-1, 4 periods of required AP and 9 periods of required CP in PGY-2, and a more flexible and balanced mixture in PGY-3 and PGY-4.

Chemistry, microbiology, and hematopathology are organized as 3-period blocks during the PGY2 year, in order to provide an opportunity for intensive, longitudinal exposure to core CP areas, with one additional advanced rotation period in each area as a senior resident.

Surgical pathology rotations are similarly organized as 3-period blocks to the extent possible.

Required Anatomic Pathology Rotations (26 periods)

3 periods
3 periods
Surgical Pathology
14 periods
Pediatric Pathology
2 periods
Forensic Pathology
2 periods
2 period
AP Molecular
1 period

Required Clinical Pathology Rotations (18 periods)

4 periods
4 periods
4 periods
Transfusion Medicine
3 periods
1 period
1 period
CP Molecular
1 period

Required AP/CP Rotations (2 periods)

AP/CP Boot Camp
1 period
AP/CP Molecular
1 period

Elective Time (6 periods)

In addition to extra months in core rotations, available electives include: flow cytometry, frozen sections, and research.

General Goals and Objectives for Pathology

Patient Care
The resident will acquire competency in the technical methods of production, interpretation, and effective delivery of laboratory results across the following areas: surgical pathology (including all subspecialty areas), autopsy pathology, cytopathology, forensic pathology, hematopathology and hematology, microbiology, clinical chemistry, cytogenetics, molecular diagnostics, immunopathology, coagulation, and transfusion medicine. The resident will be proficient in the synthesis of data from diverse sources, including the electronic medical record, verbal communication with clinicians, other extant laboratory data, and targeted ancillary studies, to generate complete, accurate interpretations. The resident will also learn to produce concise, well-organized, and accurate reports that convey salient diagnostic information in a format that enables clinicians to efficiently deliver quality patient care. The resident will appreciate the pathologist’s role in rigorously assuring the quality of all laboratory results, in order to safeguard patient welfare. The resident will learn to work collaboratively within a multidisciplinary health care team, participating as clinical consultant and informing evidence-based decision-making and clinical management. In those situations where the resident has direct interaction with patients, families or donors, the resident will perform such interviewing, examination and counseling as may be required in a caring and respectful manner.

Medical Knowledge
The resident will acquire knowledge of established and evolving biomedical, clinical, and epidemiologic sciences as applied to and relevant to the practice of pathology, understand their relationship to basic pathologic processes, and apply this knowledge to patient care. This includes specific knowledge of the current state of the art in pathology (e.g., detailed knowledge of the histopathology across the spectrum of human disease) and laboratory medicine practice, and also general medical knowledge in various clinical and basic disciplines that informs consultative pathology practice. Residents must also be familiar with management principles relevant to the operation of clinical laboratories, including quality assurance, regulatory and compliance issues, patient safety, and pathology informatics.

Practice Based Learning and Improvement
The resident will develop skills and habits of continuous self-evaluation and improvement that will ultimately enable effective life-long earning. This includes developing an ability to critically evaluate and assimilate literature data, and incorporate this into practice to facilitate evidence-based care; effectively use information technology for managing data; apply research and statistical methods to laboratory data; analyze his/her practice using quality improvement methods; effectively internalize evaluation and criticism to improve practice; realistically appraise one’s strengths and weaknesses; and appropriately identify learning opportunities to remediate gaps in knowledge and skills.

Interpersonal and Communication Skills
The resident will develop interpersonal and communication skills, both formal and informal, written and oral, that result in the effective exchange of information and expertise with other health care providers, patients, patients’ families, and the public. Residents will learn to behave and interact with others in ways that promote a team approach to patient care and create a pleasant and productive working environment. Residents will learn to be willing, available, and informed clinical consultants.

The resident will develop a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse population of patients and health care providers. He/she will learn to behave in a patient-centric fashion, putting the welfare of patients above personal concerns, and develop a work ethic appropriate to a profession that exists to serve others. Residents will learn the importance of accountability, transparency, altruism, and self-regulation as components of professionalism.

Systems Based Practice
The resident will develop knowledge and experience in laboratory management, in order to develop operational systems that deliver optimal patient care in an economic fashion. The resident will cultivate an awareness and responsiveness to the place of the laboratory in the larger context and systems of health care, and the ability to call on resources within the system to provide pathology services that are of optimal value. The resident will become aware that for healthcare processes to function properly, individuals must learn to work within and through the system to achieve goals.

Rotation Specific Goals and Objectives

Each rotation has a set of rotation-specific goals and objectives organized around the core competencies, including training level-specific competencies.

All residents will receive the entire complement of rotation documents at the beginning of each academic year.

Additionally, at the beginning of each rotation, the rotation director will provide the goals and objectives to the resident and discuss them face-to-face in order to clearly establish expectations for the rotation.

A sign-off process ensures that this process occurs consistently.