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:
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 – 3 months
Renal Pathology/Electron Microscopy
1 – 2 months
CP Rotations and Expected Duration of Rotations:
CP Core Rotation
Clinical Laboratory Modules:
Hematology/ /Thrombosis/Transfusion Medicine
Microbiology/Virology Molecular ID
2 months (twice each)
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:
Surgical Pathology at VU (3 months)
Clinical Pathology Core (1 month)
Autopsy (5 months)
Hematopathology (2 months)
Surgical Pathology at VU/VA (4 months)
Clinical Laboratory Modules (4 months)
Surgical Pathology at
Cytopathology (1 month)
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)
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)
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:
Clinical Pathology (weeks)
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%.
VUH Medical Mortality Conference
VA Medical Mortality Conference
VA Surgical Mortality Conference
Gynecologic Tumor Board
Solid Tumor Board
Breast Tumor Board
Benign Hematology Conference
Hematology Tumor Board
Surgical Pathology Unknown Conference
Laboratory Medicine Grand Rounds
Seminars in Pathology
Gross Surgical Pathology Conference
Resident Anatomic Pathology Didactic/Journal Club
Resident Clinical Pathology Didactic/Journal Club
Surgical Pathology Case in Progress
Hematopathology Case in Progress
Autopsy Gross Conference
Clinical Pathology Interesting Case
Muscle/Nerve Pathology Conference
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.
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.
VUMC is among the leading research institutions in the
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.