The combined AP/CP "core" curriculum consists of 108 weeks of AP, 76
CP, and 24 weeks of additional AP/CP electives. The first year of training
(PGY-1) is spent in AP during which each resident spends a total of 4 weeks in
Introduction to AP, 36 weeks in
surgical pathology (includes 4 weeks of Cytopathology) and 12 weeks in the autopsy rotation. Surgical
pathology consists of rotations in subspecialty areas including GI, GU, Breast, Gyn, Bone
Tissue/Thoracic, and Head & Neck. The residents participate in grossing of specimens by
subspecialty in the gross room every afternoon for 1-3 hours depending on the
specimen volume in their assigned subspecialty area.
Specimens are assigned based on level of experience and increasing degrees of
difficulty. Printed guidelines and dictation
templates are available for all standard specimens at each
one of the grossing stations. These serve as a handy guide for the first year
The recently created introductory AP four week block for first year
residents is a review of basic histology
and mechanisms of disease using virtual slides as well as learn the basics of
grossing specimens from different organ systems, performing frozen sections and
autopsies and familiarizing themselves with different information systems that
will be used throughout their residency.
The emphasis of the surgical
pathology rotation is mainly on exposure to glass slides. A teaching collection
of glass slides with examples of classical and rare entities in pathology is
available for the residents. Many slides are
also imaged on the Resident's web page including virtual microscopy.
Study sets are available from
the personal collections of various faculty members. The department
handles a heavy load of surgical specimens, with approximately
being accessioned per year. Because of the specialized nature of the
cancer center, residents are exposed daily to a wide variety of specimens
and cases that while considered “rare” at other institutions
are a commonplace occurrence for OSU residents. Conferences
in surgical pathology are held twice a week from 7:30 – 8:30 AM
to include didactic sessions, unknown slide conference and journal club.
Interdisciplinary conferences are held in various disciplines throughout the
week in the areas of dermatopathology,
gynecologic pathology, bone and soft tissue,
liver, as well as a general Tumor Board Conference.
second year (PGY-2) is devoted entirely to clinical pathology. The OSU
Medical Center Clinical Laboratories collectively perform more than
tests per year. OSU’s Critical Care Laboratory represents one of the few Total
Laboratory Automation systems operating in a US academic medical center.
It is one of the finest examples of macro-automation in the country, as
evidenced by regular tours of the facility by laboratory groups from all over
North America. Department of Pathology faculty also direct state-of-the-art laboratory facilities devoted to hematopathology, microbiology, transfusion
medicine, coagulation, flow cytometry, special chemistry/humoral immunology,
cytogenetics, molecular pathology, and toxicology. The molecular pathology
laboratory provides unique cutting edge cancer diagnostic and genetic disease
testing. The transfusion medicine service includes an active apheresis
unit. Blood donor
experience is provided at the American Red Cross Central Ohio Blood Service,
located in Columbus. Through its outreach arm, University Reference Labs,
Inc. (URL), OSU is one of the major suppliers of clinical laboratory testing
central Ohio. Pathology residents are actively involved in all
phases of this extensive and complex operation.
PGY-2 year residents rotate
on hematopathology/lymph nodes (14
weeks), transfusion medicine (8 weeks),
clinical chemistry (4 weeks),
medical microbiology (2 weeks), molecular pathology
(4 weeks), cytogenetics (4 weeks), flow cytometry (2
weeks), and AP/CP electives (8weeks). During this
time they are given individual instruction and introduced,
graded responsibility to sign out and management duties on each clinical
service. A regular two year cycle of didactic lectures covering all the
major topic areas in CP is conducted weekly, as well as
unknown case conference, a CP journal club, and a review of on-call cases.
There is also a regular two year cycle of Business and Laboratory Management
lectures covering legal, economic, ethical and social issues related to laboratory
The third and fourth years are composed of a mix of AP and CP
with time for electives/research. These two years consist of 16 weeks spent doing additional surgical pathology rotations, with similar duties
but increasingly difficult cases and higher expectations as well as supervision of first year residents on
subspecialty rotations. Anatomic pathology rotations include a gross room
rotation (4 weeks), cytopathology block (8 weeks with the option of rotating an
additional 4 week block or an AP elective), dermatopathology (8 weeks), forensic
pathology at the Franklin County Coroner's Office (4 weeks), neuropathology (4
weeks), renals/transplant pathology (4 weeks), pediatric anatomic pathology
at The Nationwide Children's Hospital (4 weeks), and AP subspecialty (4 weeks).
Rotations on clinical pathology include the completion of higher-level
structured rotations in hematopathology/lymph nodes (8 weeks), transfusion
medicine (8 weeks), pediatric clinical pathology at The Nationwide Children's
Hospital (4 weeks), chemistry/toxicology (4 weeks), chemistry (4 weeks), medical microbiology (4
weeks), flow cytometry (2 weeks) and AP/CP electives (12 weeks), which can be used to revisit any
rotation, or complete special projects and research.
responsibility is distributed as follows: Autopsy - once every 7 weeks for
second through fourth years. Frozen section evening call (Monday-Friday) -
on call approximately once in every 7 weeks for second through fourth year
residents. Call responsibilities begin approximately at 5:00 pm.
Clinical pathology call - second
through fourth year residents. Take night clinical pathology/frozen
section call about 2-3 times per month, take weekend clinical pathology/frozen
section call one weekend in about every six weeks. At the end of their training the residents will have gained a
tremendous amount of experience in dealing with many of the routine
and challenging clinical
pathology questions from clinicians as well as a breadth of
experience in frozen section consultations. Residents are always assigned with
a faculty member while on call.
PGY-1 residents are assigned to the Autopsy service for
weekdays, and for selected Saturday's and Holidays. NO autopsies are
performed on Sunday's, Christmas Day, Thanksgiving Day, or January 1st.
Monday through Friday the resident is located in the autopsy area.
For Saturday and holiday assignments, the resident must be available for any
case that is ready for autopsy by 1:00 pm. An attending pathologist will
be available to provide direct supervision or indirect supervision with direct
supervision immediately available for the duration of the resident's presence on
of residents’ performance are carried out at the end of each rotation
and are based on the competency standards set by the ACGME.
Evaluations are performed by the faculty
and staff, and are reviewed with the resident by
the Program Director or Associate Program Director for AP and CP
In addition to
the faculty evaluation, residents' performance and progress is also
objectively evaluated at the end of major rotations. A well-defined set of criteria for
remediation, disciplinary action or probation is delineated in the Residency
Program Statement and Resident handbook
which is provided to all residents at the
beginning of their training. The residents
evaluate the faculty, rotations and conferences anonymously.