Department of Pathology

Residency Program Description 2018

Combined Anatomic and Clinical Pathology Training Program

This program provides a strong foundation in both clinical and anatomic pathology which would prepare residents for either an academic- or community-based practice.  Such training includes two years of core anatomic and clinical pathology rotations, followed by a third year of advanced training with graduated responsibilities in both areas. Collaborative or intra-departmental research is encouraged as is the identification of an area of interest/expertise. The schedule is made in 4-week modules. Elective time can be used to further investigate an area of interest or for research. Many of the residents who finish the program continue their training with subspecialty fellowships either at MMC or at other distinguished programs.

Wide varieties of regularly scheduled teaching conferences are conducted in the various subspecialties of Pathology, as well as with relevant clinical departments. Dedicated, protected didactic time is built into the daily schedule. 

During both AP and CP rotations residents are exposed to and become involved in lab management and clinical consultative experience to excel in a position in an academic environment, community hospital setting, or commercial laboratory. Electives include Gynecologic Pathology, Ultrastructural pathology, Biopsy “Hot Seat,” “Junior Attending" sign out, Orthopedic pathology, Ophthalmic Pathology, Oral Pathology, Immunohistochemical and specialized Laboratory techniques, and Molecular Pathology, among others. 

Four weeks of vacation are provided each year.  Scheduling of the four years of residency is individualized; however, residents will spend time in both AP and CP during each year of training.

 

AP Division

The Anatomic Pathology Division is part of the Unified Department of Pathology, which provides service to Montefiore Medical Center (MMC) – including the Moses Division (West Campus), Weiler/Einstein Division (East Campus) and North Division (Wakefield Campus).  Residents and fellows rotate between the hospitals, which together comprise over 1,500 beds and annually process over 60,000 surgical specimens, 43,500 cytology specimens (including fine needle aspirations) and 250 autopsies.  In addition, the Department of Pathology has a molecular cytogenetics laboratory and a molecular diagnostics facility.  The Anatomic Pathology faculty have a wide range of subspecialty and research interests, are eager to teach, and are accessible to the pathologists-in-training.  Additionally, the Department of Pathology actively participates in teaching medical students at the affiliated Albert Einstein College of Medicine.  AP-CP and AP only residents must complete anatomic core rotations and electives which are divided into 4 week blocks. Residents are encouraged to become involved in research projects ranging from case reports to immunohistochemical studies, to translational studies.  Access to the Internet as well as comprehensive libraries is available at all campuses for literature reviews, Internet study sites, and case work-ups. 

 

CP Division

The objective of the CP Residency Division is to prepare the resident to ultimately function independently as a director of a clinical laboratory. In analyzing what directors actually do, it becomes clear that they utilize a broad knowledge base of information in their specialty to advise clinicians as to the choice of laboratory tests and significance of laboratory test results. Directors devise diagnostic strategies, interpret laboratory tests, troubleshoot procedures, choose among different methodologies in establishing new tests for the laboratory and evaluate instrumentation. They must also oversee quality management and performance improvement plans, prepare budgets and cost analyses, as well as teach technologists, Pathology residents and other clinicians. Although they rarely actually perform routine diagnostic testing, directors must have a comprehensive knowledge of the principles, methodologies and implications of each test to effectively carry out their duties. To achieve this level of knowledge we will pursue a system of training that begins with passive learning of each specialty and progresses to hands on experience in the activities that Directors are expected to perform.

Our clinical laboratories conduct around 10+ million tests per year. The division comprises laboratories in Microbiology, Clinical Chemistry, Transfusion Medicine, Molecular Pathology, Cytogenetics, Stem Cell Transplantation, HLA, Hematology and Biochemical Genetics, among others. 

 

Anatomic Pathology or Clinical Pathology Program Only

Residents who chose AP or CP only pathway, take required core rotations during their first two years, followed by a third year that is tailored to fit the specific needs of the resident.All residents come into the program on the AP/CP track. They have the opportunity to declare their intention to follow an AP or CP only curriculum early in PGY1.

 
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