The Department of Pathology Residency Program -
Clinical Pathology

The clinical pathology training program presents a solid foundation that exposes residents to all facets of laboratory medicine and teaches methods of inquiry that will allow each resident to develop in specialty areas of interest. For individuals seeking certification in clinical pathology only, three years of clinical pathology training plus an additional year within the clinical laboratory or in a research program are required. The core curriculum for clinical pathology includes clinical chemistry (three months), microbiology and virology (three months), immunopathology (two months), hematopathology (three months), blood banking and transfusion medicine (two months), cytogenetics (one month), and molecular pathology (one month).

During the core period, the resident is assigned to specific laboratories and is under the supervision of faculty members and senior technologists in each laboratory. This conglomerate of service laboratories is incorporated into one facility, Central Laboratory Services Incorporated (CLSI), which serves Presbyterian and Montefiore University Hospitals; Children's Hospital; and Magee-Womens Hospital.

The resident is exposed to the daily operation of the laboratories, which provide 24-hour, seven-day-a-week coverage. The clinical laboratories house the full complement of laboratory instrumentation, including large volume autoanalyzers, centrifugal analyzers, gas-liquid chromatography equipment, pediatric microchemistry equipment, automated microbiological analyzers, and the instrumentation for the full range of automated radioimmunoassay and immunopathologic studies. A centralized laboratory computer system handles the data at all times.

Residents learn the analytical procedures and quality assurance methods performed regularly. Familiarity with both theoretical and practical aspects of all procedures and instrumentation is expected, and active participation in computer integration of data is encouraged. The resident is expected to act as liaison between the laboratory and clinicians by solving problems that arise during the ordering and interpretation of laboratory tests.

Each trainee is assigned graded responsibilities for clinical laboratory operations, commensurate with the resident's expanding skills and expertise. Basic information concerning each of the many aspects of clinical pathology is presented to residents in a variety of modes beyond the daily activities that characterize the laboratory rotations. Appropriate staff members in each specialized area present didactic sessions, and a series of introductory lectures for each laboratory is offered before rotations begin. This material is augmented at regular conferences within the various laboratories. Finally, all residents attend weekly conferences on current patient care and laboratory problems and grand rounds presentations.

Since the clinical pathology laboratories support a broad program of basic and applied research, all residents are encouraged to undertake in-depth study in one or more areas of clinical pathology.

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