DIVISION OF NEUROPATHOLOGY

UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
DEPARTMENT OF PATHOLOGY

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Division of Neuropathology
University of Pittsburgh
School of Medicine
Room A506 PUH
200 Lothrop Street
Pittsburgh, PA 15213
Tel: 412-647-9417

NEUROPATHOLOGY TRAINING MANUAL

Rotating Residents in Neuropathology
Goals and Expectations

  1. Residents will meet with Karen Weber to review the web site and be oriented to the service and Biosafety issues followed by meeting with the Fellow for further service orientation.
  2. Each resident is assigned a desk or study area in the Neuropathology Resident's Room (A511). The resident will also hand in a Curriculum Vitae to the Division Secretary, in Room A506. At this time the student will make an appointment to meet with Dr. Wiley for an intake interview.
  3. Each resident is expected to complete at least five (5) of the Neuropathology web-based quizzes per week.
  4. At the end of the rotation, the resident will complete a self evaluation and hand in case management forms. The attendings and NP Fellow will complete an evaluation of the resident. A meeting will then be scheduled with Dr. Wiley to discuss the evaluation.

Goals for Surgical Pathology Resident:

  1. Learn to compile clinical histories and laboratory data necessary to interpret neuropathologic material.
  2. Learn to organize and crisply present complete neurologic histories.
  3. Learn to evaluate and document histopathologic findings in neuropathology specimens.
  4. Learn principles of pathogenesis of neurologic disease.
  5. Learn fundamental methods of gross examination of the human brain.
  6. Perform clinicopathological correlations in a spectrum of neurologic diseases
  7. Learn how to dissect a human brain and describe gross findings.
  8. Learn how to prepare a human brain for microscopic analysis.
  9. Use current case materials to learn gross neuroanatomy of the developing brain.
  10. Review the pathology of ischemic injury in the premature and perinatal brain.
  11. Review major congenital malformations of the brain.
  12. Learn patterns of cortical and subcortical neurodegenerative changes occurring in major neurodegenerative diseases.
  13. Learn fundamental techniques for histopathologic assessment of muscle and nerve biopsy specimens.
  14. Learn the major pathologic processes affecting muscle and peripheral nerve through microscopic and didactic sessions.
  15. Learn pathogenesis of specific classifications of neurologic disease.
  16. Learn to recognize the histopathology of specific neuropathologic processes.
  17. Learn a conceptual framework in which to approach neuropathologic problems.
  18. Understand the clinical implications of histopathologic findings.
  19. Learn how to organize and clearly present a didactic neuropathology topic.
  20. Learn how to use primary research literature to identify important advances.
  21. Learn to present a topic review in a concise clear and efficient fashion.
  22. Place biomedical research findings in clinical and scientific context.
  23. Discover strengths and weaknesses of specific experimental design.
  24. Understand the clinical and scientific implications of research findings.

Goals for Neurosurgery Resident:

  1. Learn to compile clinical histories and laboratory data necessary to interpret neuropathologic material.
  2. Learn to organize and crisply present complete neurologic histories
  3. Learn to evaluate and document histopathologic findings in neuropathology specimens.
  4. Learn principles of pathogenesis of neurologic disease.
  5. Learn fundamental methods of gross examination of the human brain.
  6. Perform clinicopathological correlations in a spectrum of neurologic diseases
  7. Learn how to dissect a human brain and describe gross findings.
  8. Learn how to prepare a human brain for microscopic analysis.
  9. Use current case materials to learn gross neuroanatomy of the developing brain
  10. Review the pathology of ischemic injury in the premature and perinatal brain
  11. Review major congenital malformations of the brain.
  12. Learn patterns of cortical and subcortical neurodegenerative changes occurring in major neurodegenerative diseases.
  13. Learn how to use primary research literature to identify important advances.
  14. Learn to present a body of research in a concise clear and efficient fashion.
  15. Place biomedical research findings in clinical and scientific context.
  16. Discover strengths and weaknesses of specific experimental design.
  17. Understand the clinical and scientific implications of research findings.

Goals for Neurotology Fellow:

  1. Gain familiarity with normal appearance of brain, tumor and neural structures submitted to pathology.
  2. Learn to evaluate and document common histopathologic disorders of the brain, posterior fossa, temporal bone, and skull base.
  3. Learn importance of clinician-pathologist communication including achieving proper orientation for temporal bone specimens, and cranial nerves.
  4. Begin to appreciate the gross and histologic appearance of common and unusual intracranial, temporal bone and skull base tumors.
  5. Know the indications and recognize staining characteristics of benign and malignant tumors of the temporal bone and skull base.

Goals for Ophthalmology Resident:

  1. Gain familiarity with normal appearance of ocular structures submitted to pathology.
  2. Learn to evaluate and document common histopathologic reactions in the eye.
  3. Learn importance of clinician-pathologist communication, including achieving proper orientation for corneal and conjunctival biopsies.
  4. Begin to appreciate the gross and histologic appearance of important non-neoplastic corneal, conjunctval, and retinal vitreous diseases, and the major intraocular and conjunctival neoplasms.

Expectations

  1. Attend and participate in all conferences.
  2. Take five (5) quizzes/week.
  3. Manage at least one (1) surgical neuropathology case per day (OR Schedule, MARS, Stentor, CoPath, etc.) (2/day for senior residents).
  4. Present at least one (1) case per QA Session (2/session for senior residents).
  5. Manage at least one (1) autopsy per week.
Path Department