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NEUROPATHOLOGY TRAINING MANUAL
Rotating Residents in Neuropathology
Goals and Expectations
- 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.
- 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.
- Each resident is expected to complete at least five (5) of the Neuropathology web-based quizzes per week.
- 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:
- Learn to compile clinical histories and laboratory data necessary to interpret neuropathologic material.
- Learn to organize and crisply present complete neurologic histories.
- Learn to evaluate and document histopathologic findings in neuropathology specimens.
- Learn principles of pathogenesis of neurologic disease.
- Learn fundamental methods of gross examination of the human brain.
- Perform clinicopathological correlations in a spectrum of neurologic diseases
- Learn how to dissect a human brain and describe gross findings.
- Learn how to prepare a human brain for microscopic analysis.
- Use current case materials to learn gross neuroanatomy of the developing brain.
- Review the pathology of ischemic injury in the premature and perinatal brain.
- Review major congenital malformations of the brain.
- Learn patterns of cortical and subcortical neurodegenerative changes occurring in major neurodegenerative diseases.
- Learn fundamental techniques for histopathologic assessment of muscle and nerve biopsy specimens.
- Learn the major pathologic processes affecting muscle and peripheral nerve through microscopic and didactic sessions.
- Learn pathogenesis of specific classifications of neurologic disease.
- Learn to recognize the histopathology of specific neuropathologic processes.
- Learn a conceptual framework in which to approach neuropathologic problems.
- Understand the clinical implications of histopathologic findings.
- Learn how to organize and clearly present a didactic neuropathology topic.
- Learn how to use primary research literature to identify important advances.
- Learn to present a topic review in a concise clear and efficient fashion.
- Place biomedical research findings in clinical and scientific context.
- Discover strengths and weaknesses of specific experimental design.
- Understand the clinical and scientific implications of research findings.
Goals for Neurosurgery Resident:
- Learn to compile clinical histories and laboratory data necessary to interpret neuropathologic material.
- Learn to organize and crisply present complete neurologic histories
- Learn to evaluate and document histopathologic findings in neuropathology specimens.
- Learn principles of pathogenesis of neurologic disease.
- Learn fundamental methods of gross examination of the human brain.
- Perform clinicopathological correlations in a spectrum of neurologic diseases
- Learn how to dissect a human brain and describe gross findings.
- Learn how to prepare a human brain for microscopic analysis.
- Use current case materials to learn gross neuroanatomy of the developing brain
- Review the pathology of ischemic injury in the premature and perinatal brain
- Review major congenital malformations of the brain.
- Learn patterns of cortical and subcortical neurodegenerative changes occurring in major neurodegenerative diseases.
- Learn how to use primary research literature to identify important advances.
- Learn to present a body of research in a concise clear and efficient fashion.
- Place biomedical research findings in clinical and scientific context.
- Discover strengths and weaknesses of specific experimental design.
- Understand the clinical and scientific implications of research findings.
Goals for Neurotology Fellow:
- Gain familiarity with normal appearance of brain, tumor and neural structures submitted to pathology.
- Learn to evaluate and document common histopathologic disorders of the brain, posterior fossa, temporal bone, and skull base.
- Learn importance of clinician-pathologist communication including achieving proper orientation for temporal bone specimens, and cranial nerves.
- Begin to appreciate the gross and histologic appearance of common and unusual intracranial, temporal bone and skull base tumors.
- Know the indications and recognize staining characteristics of benign and malignant tumors of the temporal bone and skull base.
Goals for Ophthalmology Resident:
- Gain familiarity with normal appearance of ocular structures submitted to pathology.
- Learn to evaluate and document common histopathologic reactions in the eye.
- Learn importance of clinician-pathologist communication, including achieving proper orientation for corneal and conjunctival biopsies.
- 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
- Attend and participate in all conferences.
- Take five (5) quizzes/week.
- Manage at least one (1) surgical neuropathology case per day (OR Schedule, MARS, Stentor, CoPath, etc.) (2/day for senior residents).
- Present at least one (1) case per QA Session (2/session for senior residents).
- Manage at least one (1) autopsy per week.
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