Revised February 18, 2008
GOALS AND OBJECTIVES
RESIDENT CURRICULUM FOR PATHOLOGY
Rotation Coordinator: Laura Bilodeau, M.D.
Department of Pathology
University Medical Center
It is important for specialists in internal medicine to have an understanding of clinical laboratory
medicine’s practice, powers, and limitations. It will be useful for the practitioner to understand
preventable problems in the collection and processing of laboratory specimens, and to understand
the process of sequential testing necessary to resolve clinical problems. The resident will also
become familiar with the processes of surgical pathology. There will also be the opportunity to
become familiar with common blood smear abnormalities.
The rotation will be under the supervision of the attending pathologist. The resident will
accompany the pathologist to obtain frozen section specimens. The resident will review
cases and pathology specimens with the pathologist. There will be regular blood smear
review as well.
Residents will be required to continue their regular morning report and noon conference
core curriculum. The resident and attending will review and discuss any required reading.
Mix of Diseases
Not applicable, as no direct patient care will occur.
Types of Clinical Encounters
There will be the opportunity to go to the operating room to obtain surgical biopsy
specimens. From time to time, the pathologist may review patient charts and visit
patients to enhance pathologic diagnosis.
Common Clinical Presentations
The resident may observe the pathologist perform cytological aspiration of subcutaneous masses
and lymph nodes.
Residents are supervised by the attending pathologist.
Residents are required to maintain greater than 60 % attendance at morning
report. Morning Report begins at 8 a.m. on Monday through Thursday and at
8:30 a.m. on Friday.
Residents are required to maintain greater than 60 % attendance at noon
conference. Noon conference occurs daily, Monday through Friday. These
sessions cover the basic core curriculum, and other curriculum topics such as
ethical issues, geriatrics, computer systems and informatics, health care systems,
occupational and environmental health issues, and other topics of concern.
Didactic discussions will be held regarding pathologic specimen consultation and
clinical laboratory testing.
Core Reading Materials
Harrison’s Principle’s of Internal Medicine, 16th ed., Kasper DL, ed. McGraw
Robbins & Cotran Pathologic Basis of Disease, 7th ed. Kumar J, ed. Elsevier
Ancillary Educational Materials
Subspecialty Texts of Neurology, Pulmonary Medicine, Nephrology,
Endocrinology, Infectious Diseases, Rheumatology as well as General Medical
References (Harrison’s Principles of Internal Medicine, Cecil’s Textbook of
Medicine) are available 24 hours a day, seven days a week in the resident lounge.
Savitt Medical Library On-Line
Residents have access to the on-line services of Savitt Library (the main library of
the University of Nevada - Reno) via their computer in the resident room, Suite
300 of the 2040 W. Charleston Building. Access to this room is available 24
hours a day, seven days a week.
Full text is available for many peer-review journals including, but no limited to:
ACP Journal Club
Annals of Internal Medicine
British Medical Journal
Journal of the American College of Cardiology
New England Journal of Medicine
Also available on-line:
Harrison’s Principle’s of Internal Medicine, 14th ed.
Merck Manual, 17th ed.
Guide to Clinical Preventive Services, 2nd ed.
The Cochrane Library
Medline and Grateful Med Databases
Pathological Material and Other Educational Resources
University Medical Center
Experience will occur in the pathology department, including clinical laboratories
Competency-based Goals and Objectives
Learning Venues Evaluation Methods Level Specificity
1. UMC Clinical Pathology A. Attending evaluation Not applicable, as
the rotation will
2. M&M Conference B. Self Evaluation occur once during
3. Self Study
Competency Patient Care Learning Evaluation Level
Not applicable – no direct patient care will
Competency : Medical Knowledge Learning Evaluation Level
Gain an understanding of clinical 1, 3 A, B NA
laboratory medicine rotating in
Hematology, Blood Bank, and
Correlate tissue biopsies, resections, or 1, 2, 3 A, B NA
blood smears with chart reviews.
Be able to identify normal histology and 1 A NA
WBC under the microscope.
Recognize typical, common diagnostic 1 ,2 A NA
biopsies (particularly GI).
Attend an autopsy (optional). 1 A NA
Competency: Interpersonal and Learning Evaluation Level
Communication Skills Venues Methods
Interact in an effective way with 1, 2 A NA
physicians, residents, nurses and medical
Maintain accurate medical records. 1 A NA
Communicate efficiently and effectively 1 A NA
with other consulting physician,
regarding diagnosis, treatment and
follow-up of seriously ill inpatients.
Competency: Professionalism Learning Evaluation Level
Treat laboratory personnel, primary care- 1 A, B NA
givers, and colleagues with respect
Understand, practice and adhere to a code 1, 2, 3 A, B NA
of medical ethics.
Attend and participate in all scheduled 3, 5 A, B NA
Competency: Practice-Based Learning Learning Evaluation Level
Incorporate case studies with relevant 1, 2, 3, 4, 5 A, B NA
research outcomes and report those
findings during didactic sessions and
Identify limitations of one’s medical 1, 2, 4, 5 A, B NA
knowledge in evaluation and
management of patients and use medical
literature (primary and reference) to
address these gaps in medical knowledge.
Competency: Systems-Based Practice Learning Evaluation Level
Understand need for effective 1, 3 A, B NA
communication between multiple
caregivers (i.e. primary physician,
surgeon, radiologist, and nursing staff).
Understand clinical trial design and the 1, 2, 3, 4, 5 A, B NA
statistical methods for evaluating
scientific studies, in cooperation with
attendings and research nurses/personnel.
A. Of Residents
At the completion of each rotation, all clinical faculty are required to complete the
standard ABIM resident evaluation form. All clinical faculty are encouraged to
provide face-to-face feedback with the residents. The night-float resident is
evaluated by one of the three service attendings. In addition, residents may
receive interim feedback utilizing the ABIM’s Praise and Early Warning cards.
B. Of Rotation and Preceptor
All residents are encouraged to evaluate the rotation, and the clinical faculty
member, at the completion of the rotation. This evaluation form is included at the
end of this document. These evaluations are then converted to type and shared
anonymously with the clinical faculty.
The program director also discusses the rotation with the residents to ensure
rotation quality and satisfaction.
Pathology Rotation Resident Check List
1. Evaluation reviewed at mid-month and end of rotation by the supervising faculty
member and resident.
2. Completed assigned readings
3. Attended all assigned activities (excluding scheduled time away, required clinics and
4. Completed required case report abstracts and/or posters if assigned by the supervising
5. Demonstrated understanding of the basic principals of pathology.
6. Receive verbal feedback from attending at end of rotation.
Intern/Resident Signature_________________________ Date___________________
Supervising Attending Signature___________________ Date___________________
All items must be completed for rotation credit and checklist returned to the
Department of Medicine by the rotation’s end.