Curriculum
Residents may complete a 4-year curriculum in combined anatomic
and clinical pathology (AP/CP-4), a 3-year curriculum in anatomic
pathology (AP-3), or a 3-year curriculum in clinical pathology
(CP-3).
Residents in the combined program must fulfill the requirements
of a structured "core curriculum" consisting of introductory
and advanced rotations in both anatomic and clinical pathology.
Senior residents are allowed a greater degree of flexibility
in their schedules and have the opportunity to choose from
a diverse selection of electives at our participating institutions.
AP Rotations
CP Rotations
AP Rotations
Autopsy
The autopsy service covers both adult and pediatric cases at
Memorial Hermann Hospital and LBJ General Hospital. The LBJ
autopsies are performed at Ben Taub General Hospital. The service
performs an average of 150 autopsies every year.
Autopsies are performed as they come in, 7 days a week. There
is a 2 pm cutoff during the week, after which autopsies are
generally postponed to the next day. The cutoff for weekend
autopsies is 12 noon.
Memorial Hermann Hospital Surgical Pathology
This rotation, which is often the resident's first exposure to surgical pathology, has a 3 day cycle.
Day 1: The resident performs the gross examination and sectioning for everything that comes in except
pediatric specimens, placentas and fetuses. The resident is also responsible for
frozen sections all day on Day 1, and through the night until
7 am the next morning.
Day 2: The resident signs out biopsies with the faculty on service.
The biopsy signout is usually over by early afternoon, after
which the resident will have time to preview surgical cases
for the next day.
Day 3: The resident signs out surgical cases with the faculty on service.
The afternoon can be used to read up on the cases that have just been signed out.
The day 3 resident also covers the grossing for the UT outreach lab.
LBJ AP
The LBJ AP rotation covers surgical pathology and cytopathology
at LBJ General Hospital. The residents follow a 3-day cycle.
Day 1: The resident is responsible for the grossing of all surgical
specimens, including frozen sections.
Day 2: The resident covers the cytology service and previews
surgical cases grossed the previous day.
Day 3: The resident signs out all surgical cases and biopsies with the attending.
This day also gives the resident time to read up on recently signed out cases.
CP Rotations
Hematopathology
The heme path residents are responsible for performing and reading
bone marrow biopsies and reviewing peripheral smears and body
fluids. The Hermann heme path service performs over 150 bone
marrow biopsies every year.
Blood Bank
The blood bank residents' responsibilities include interpreting
antibody panel reports, working up transfusion reactions, investigating
blood compatibility/incompatibility issues and making sure that
the right components are used.
The blood bank service performs several therapeutic plasmapheresis
procedures every week. This gives the residents an opportunity
to interact with patients and provides valuable experience in
the use of TPE for various pathologic conditions.
Chemistry and Immunology
The chemistry and immunology rotations are combined because
of their similar applications to patient care. The residents
spend mornings in the chemistry lab, and also discuss various
topics with the pathology faculty. The immunology signout takes
place in the immunology lab in the afternoons.
Microbiology
Residents spend a significant amount of time observing bench
work in their early microbiology rotations. This is meant to
give the residents an insight into the use of various culture
media and the identification techniques used in the diagnosis
of various infective organisms. The residents also sit in on
ID rounds with the infectious disease team which begin at 11am.
Residents meet with the clinical faculty in the afternoons to
go over microbiology topics. Once a week, the residents have
a joint micro conference with the CP residents at LBJ.
LBJ CP
The residents on LBJ CP are responsible primarily for the heme
path service at LBJ General Hospital. The service performs over
150 bone marrow biopsies every year, and the residents are expected
to review the cases before signout with the pathology faculty.We
take pride in the level of proficiency which our residents attain
in the bone marrow biopsy procedure. In addition, the residents
review blood smears and body fluids and have additional responsibilities
in the rest of the clinical lab.
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