 Resident
Manual
Pathology Residency Training, Neuropathology
GENERAL
Goals and Objectives
The pathology resident by the end of AP training should know:
- How to remove and examine the brain and spinal cord.
- The histologic stains, histochemistry and other special preparation used in the
pathologic study of CNS, muscle and peripheral nerves.
- Basic pathologic alterations of neurons and glia.
- Pathology and pathogenesis of increased intracranial pressure, hydrocephalus and
cerebral edema.
- Pathology of common CNS and PNS tumors.
- Pathology of more common degenerative diseases of CNS (Alzheimer's disease, Parkinson's
disease, ALS, Huntington's Chorea, etc.), demyelinating diseases (e.g. multiple
sclerosis), strokes, hemorrhages and common CNS malformations.
- Muscle changes in neuropathic vs. myopathic disorders.
- Peripheral nerve changes in demyelinating vs. axonal diseases.
Duration
- During entire AP training (³18
months).
Duties and Responsibilities
- Remove at least 2 autopsy brains and one spinal cord.
- Examine gross and microscopy of neuropathologic cases (autopsies and surgicals) and sign
out with neuropathologist.
- All autopsy path residents attend brain cutting sessions (Mondays 2:00 p.m.).
- Attend the residents' neuropathology conference (didactic lectures,
microscopic slide reviews,
etc.).
- Teach the medical students in neuropathology laboratory.
Teaching Staff Responsible for Supervision and Instruction
- One resident neuropathologist
Manner in Which Residents Are Supervised and Evaluated
- Direct supervision by neuropathologist in: handling intraoperative consults; gross
description and sampling of complex surgicals; microscopic sign out of all in-house
surgicals; autopsy brain and spinal cord removal, gross and microscopic examination with
final sign-out of all in-house cases. Assist in selection and preparation of cases
for inter- and intra-departmental conferences, regional and national meetings. Also assist
in preparation of manuscripts to be published in medical journals.
- Periodic written evaluations and discussions among the teaching faculty.
ELECTIVE
Goals and Objectives
The pathology resident by the end of this elective should know (in addition to what is
learned in general neuropath training):
- Pathology of all CNS and PNS tumors.
- Pathology and pathogenesis of non-neoplastic CNS diseases.
- Pathology of more common neuromuscular diseases.
- Some of the techniques used in neuropathology.
Duration
Duties and Responsibilities
- Remove all autopsy brains and spinal cords.
- Examine gross and microscopy of all neuropathology consults and in-house cases
(surgical and autopsies) and sign out with neuropathologist.
- Present and discuss neuropathology of cases in conferences among
faculty and residents.
- Review neuropathology slide sets in neoplastic and non-neoplastic diseases of CNS and
PNS, and non-neoplastic muscle diseases.
- Review gross neuropathology museum specimens.
- Observe the
neuropathology techniques and get involved with a neuropath related
research project.
Teaching Staff Responsible for Supervision and Instruction
- One resident neuropathologist
Manner in Which Residents Are Supervised and Evaluated
- Direct supervision by neuropathologist in: handling intraoperative consults; gross
description and sampling of surgicals; microscopic sign out of all in-house
surgicals; autopsy brain and spinal cord removal, gross and microscopic examination with
final sign-out of all in-house and consults. Assist in selection and preparation of cases
for inter- and intra-departmental conferences, regional and national meetings. Also assist
in preparation of manuscripts to be published in medical journals.
- Periodic written evaluations and discussions among the teaching faculty.
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