Residency Training Program
The Vanderbilt University Medical Center (VUMC) Department of Pathology Residency Training Program is accredited to offer four years of education and training in combined Anatomic and Clinical Pathology (APCP-4), three years of education and training in Anatomic Pathology (AP-3) and three years of training in Clinical Pathology (CP-3). As stated by the Accreditation Council for Graduate Medical Education (ACGME), APCP-4 programs must include 18 months of formal education in Anatomic Pathology (AP) and 18 months of formal education in Clinical Pathology (CP). The remaining 12 months may be devoted to a continuation of structured AP or CP education, a specialized area of Pathology, or research in an area of Pathology.
AP Rotations and Expected Duration of Rotations:
Autopsy | 6 months (including 1 month of duty on Charge) |
Surgical Pathology at VU | 8 – 10 months |
Surgical Pathology at VA | 2 – 3 months |
Surgical Pathology at | 2 months |
Cytopathology | 2 – 3 months |
Renal Pathology/Electron Microscopy | 1 month |
Forensic Pathology | 1 month |
Pediatric Pathology | 1 month |
Dermatopathology | 1 month |
Cytogenetics | 1 month |
Neuropathology | 1 – 2 months |
CP Rotations and Expected Duration of Rotations:
CP Core Rotation | 1 month |
Clinical Laboratory Modules: Chemistry/Molecular Genetics Hematology/ /Thrombosis/Transfusion Medicine Microbiology/Virology Molecular ID | 2 months (twice each) |
Hematopathology | 4 months |
CP at | 2 months |
Immunopathology | 2 months |
Scheduling of Rotations:
Rotation and Call Schedules are generated for each academic year by the Chief Resident and the Program Director, with consideration for the PGY level and training requirements of each individual, as well as for the needs of the various services. Prior to finalization, the schedules are reviewed by the House Staff Committee and the Rotation Directors. Residents at the rising PGY2 level and above are asked to prioritize needed and desired rotations for the coming year. Senior residents have priority as needed for completion of training.
The program is constructed approximately as follows:
Anatomic Pathology | Clinical Pathology | |
PGY1 | Surgical Pathology at VU (3 months) | Clinical Pathology Core (1 month) |
Autopsy (5 months) | Hematopathology (2 months) | |
PGY2 | Surgical Pathology at VU/VA (4 months) | Clinical Laboratory Modules (4 months) |
Surgical Pathology at | CP at | |
Cytopathology (1 month) | | |
PGY3 | Surgical Pathology at VU (2 months) | Clinical Laboratory Modules (6 months) |
Surgical Pathology at VA (1 month) | Hematopathology (1 – 2 months) | |
Forensics (1 month) | | |
Cytopathology (1 – 2 months) | | |
PGY4 | Surgical Pathology at VU (1 month) | Clinical Laboratory Modules (4 – 6 months) |
Neuropathology (1 – 2 months) | Hematopathology (1 – 2 months) | |
Renal Pathology/Electron Microscopy (1 month) | Immunopathology (2 months) |
Call Schedule:
AP/CP residents are assigned to both Autopsy and CP call. Autopsy call covers weekends and holidays. CP call is taken during the week by the resident on the individual CP Module. The weekend CP call is covered by the same residents on autopsy call. AP only and CP only resident will take call only in the respective disciplines.
Call is distributed roughly as follows:
Autopsy (weekends) | Clinical Pathology (weeks) | |
PGY1 | 10 | 6-7 |
PGY2 | 5 | 2 |
PGY3 | 2 | 1 |
PGY4 | 1 | 1 |
Other Requirements:
Conferences
Conferences represent a significant teaching venue for both faculty and residents and are an important part of the curriculum. Considerable effort is expended by the faculty in preparation for these conferences and they are one of the best mechanisms to learn communication as well as the thought processes involved in making diagnoses. Residents and fellows also participate in the interdepartmental and intradepartmental conferences and the development of communication with clinical colleagues in both formal and informal settings becomes second nature.
Attendance by all residents is required at all conferences, unless the resident is on a Surgical Pathology rotation or an off-site rotation. Sign-in is required at indicated conferences*; while attendance is not managed at the other conferences, it is expected that residents will attend these conferences as well. The required attendance rate for each conference (excluding excused absences) is 75%.
Conference | Frequency Held | |
Interdepartmental | VUH Medical Mortality Conference | Bimonthly |
VA Medical Mortality Conference | Weekly | |
VA Surgical Mortality Conference | Weekly | |
Gynecologic Tumor Board | Weekly | |
Solid Tumor Board | Weekly | |
Breast Tumor Board | Weekly | |
Colposcopy Conference | Weekly | |
Benign Hematology Conference | Weekly | |
Hematology Tumor Board | Bimonthly | |
Intradepartmental | Surgical Pathology Unknown Conference | Weekly |
Laboratory Medicine Grand Rounds | Weekly | |
Seminars in Pathology | Weekly | |
Gross Surgical Pathology Conference | Weekly | |
Resident Anatomic Pathology Didactic/Journal Club | Weekly | |
Resident Clinical Pathology Didactic/Journal Club | Weekly | |
Surgical Pathology Case in Progress | Weekly | |
Hematopathology Case in Progress | Weekly | |
Autopsy Gross Conference | Biweekly | |
Clinical Pathology Interesting Case | Weekly | |
Muscle/Nerve Pathology Conference | Weekly |
Residents are expected to participate in Pathology Grand Rounds as appropriate.
Additionally, a series of lectures and seminars focused on Medical Management/Informatics is provided on a yearly basis during regularly scheduled conferences and at specially arranged times.
Teaching Opportunities
Residents participate in many and varied teaching conferences conducted by the department, as one of the main goals of the program is to provide residents with skills in communication, public speaking, and teaching.
Enthusiastic and effective participation by Pathology House Staff is crucial to the effectiveness and vitality of Pathology 501, our sophomore medical student course. The course provides an excellent teaching and educational opportunity for residents. Junior residents are encouraged to attend lectures. At least one resident will be assigned to participate in each week's laboratory sessions. The resident will be responsible for an in-depth familiarity with the week's Virgil lessons and lecture handouts so that he/she can effectively answer student questions. Senior residents/fellows will be called upon to conduct organ recitals and microscopic slide sessions. Friday group participation is required of residents; and their responsibilities include assisting students with case preparation, write-ups, and presentations. Resident evaluation of students is part of the experience. Additionally, participation in teaching the Medical Technology Course and the Physical Therapy students' pathology course is encouraged.
Research Opportunities
VUMC is among the leading research institutions in the
Publications
Residents are strongly encouraged to pursue pathology practice and training intellectually, with curiosity and imagination, and, as appropriate, to submit manuscripts for publication during residency training. Publishing is considered a valuable learning experience and an important part of the residency program, regardless of the eventual practice setting for the individual resident. Publications may be related to methods development, clinical or basic research, or reviews.
This page was last updated October 6, 2008 and is maintained by Andries Zijlstra