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Department of Pathology, Microbiology, and Immunology

Core Curricula

 

The Vanderbilt Pathology Residency Program has adopted a Core Curriculum for the four-year program in Anatomic and Clinical Pathology (APCP4) and the three-year programs in Anatomic Pathology (AP3) or Clinical Pathology (CP3), as follows:

 

Vanderbilt Pathology Residency

            Core Curriculum

APCP4 Program

AP3 Program

CP3 Program

Required Rotations:

weeks

weeks

weeks

 

Required Autopsy Sequence:

 

 

 

 

 

Autopsy

16

16

 

 

 

Forensics

4

4

 

 

 

Autopsy Charge

4

4

 

 

 

 

 

 

 

 

Required Surgical Pathology Sequence:

 

 

 

 

 

Surgical Pathology Vanderbilt University Hospital

24

24

 

 

 

Pediatric Pathology

4

4

 

 

 

St. Thomas Hospital Anatomic Pathology

8

8

 

 

 

Surgical Pathology Veterans Administration

16

16

 

 

 

 

 

 

 

 

Required Dermatopathology Sequence:

 

 

 

 

 

St. Thomas Hospital Dermatopathology Required

4

4

 

 

 

Dermatopathology at 100 Oaks

4

4

 

 

 

 

 

 

 

 

Required Hematopathology Sequence:

 

 

 

 

 

Bone Marrow

8

8

12

 

 

Hematopathology

8

8

12

 

 

 

 

 

 

 

Required Rotations-Not in Sequence

 

 

 

 

 

Blood Banking

8

 

8

 

 

Clinical Chemistry

4

 

8

 

 

Coagulation

4

 

8

 

 

Cytogenetics

4

 

8

 

 

Cytopathology

8

8

 

 

 

Microbiology

12

 

12

 

 

Molecular Genetics

4

 

8

 

 

Neuropathology

4

4

 

 

 

Renal/Electron Microscopy

4

4

 

 

 

St. Thomas Hospital Clinical Pathology

4

 

4

 

 

 

 

 

 

Common Elective Rotations:

 

 

 

 

 

Capstone Elective in Surgical Pathology at Vanderbilt

 

 

 

 

 

Immunopathology

 

 

 

 

 

Molecular Infectious Diseases

 

 

 

 

 

St. Thomas Hospital Dermatopathology Elective

 

 

 

 

 

Virology

 

 

 

 

 

 

 

 

 

 

 

Total Required Weeks

156

116

80

 

 

Total Elective Weeks

36

28

64

 

 

Total Weeks on Duty:

192

144

144

 

 

 

 

 

 

 

 

Total Weeks Paid Vacation

12

9

9

 

 

Program Director Discretionary Weeks Leave

4

3

3

 

 

 

 

 

 

 

 

Total Weeks

208

156

156

Each academic year is divided into thirteen blocks of four weeks, each week and block usually beginning on a Monday. In the APCP4 program, the first year of residency training is centered in AP and two of its three major services, Surgical and Autopsy Pathology.  House Staff may anticipate the performance of approximately 30 – 35 autopsies during the first year. Each autopsy case is reviewed by a member of the faculty and the case is completed by the resident with faculty supervision. Currently, first year House Staff spend approximately five blocks on the Autopsy service and three blocks in Surgical Pathology at Vanderbilt rotating on each of the six specialty services. The remaining blocks serve as an introduction to CP, with rotations in some of the core clinical laboratory modules (Chemistry, Molecular Genetics, Bone Marrow, Coagulation, Transfusion Medicine and Microbiology.  Another major facet of the first year training is the role of the residents as laboratory and autopsy instructors for second year Vanderbilt medical students during the fall semester.

The second and third years of training extend the resident's diagnostic capabilities in both AP and CP, with additional training and increasing responsibility in Laboratory Medicine and Surgical Pathology. The rotations, especially those in Clinical Pathology, have adopted a Diagnostic Management Team model that involves residents as consultants for complex testing that may cross traditional laboratory boundaries.  Residents rotate in Surgical Pathology at the VA, to experience general signout practice.  Rotations in Cytopathology, EM/Renal Pathology, Molecular Pathology, Immunopathology and Hematopathology complete the experience.  Each third year resident typically functions in a supervisory capacity on the Autopsy service for one block, providing experience as a service director, as well as exposure to a wide range of pathologic material.  Residents spend up to four blocks training at St. Thomas Hospital, typically with two months in AP and one month in CP and one month of introductory Dermatopathology. The AP experience at St. Thomas is based on a wide variety of surgical pathology and cytopathology specimens as well as on autopsy pathology. The clinical laboratory experience is an integrated experience, which provides residents the opportunity to focus on a specific area of interest. Additionally, the clinical laboratory experience also provides an opportunity to learn principles and applications of instrumentation, stat laboratory management, radioimmunoassay and toxicology, and the performance of bone marrow biopsy and aspiration.  In Dermatopathology, residents are exposed to clinical signout of active cases and the opportunity to take advantage of teaching resources compiled by the St Thomas faculty.  Some clinical pathology activities are continued in the Dermatopathology month. The training experience at St. Thomas also provides residents with a clear understanding of community-based pathology practice.

By the fourth year of training, most residents have established well-developed career goals.  At this point in residency training, the program provides flexibility to allow elective concentration in one or several areas of special interest. Additional required rotations include Neuropathology, diagnostic Electron Microscopy/Renal Pathology, and Forensic Pathology.  For residents with demonstrated interest in research and/or academic careers, the department may offer a research year under the supervision of faculty with active investigative programs.