Department Website: PAT
Course #: PAR 4100 Pathology Clerkship
Clerkship Objective: The objective of the pathology clerkship is to provide students with an opportunity to enhance their knowledge and obtain a greater understanding of the scope of a pathologist’s duties in the hospital setting. The specialty of pathology is divided into anatomic and clinical pathology. Anatomic pathology can be classified by three broad areas including surgical pathology, cytopathology, and autopsy pathology. Surgical pathology is the gross and microscopic examination of surgical resections and biopsy samples including intraoperative frozen section. Surgical pathology is divided into subspecialties based on body site/tumor type. Cytopathology includes of examination pap smears, needle aspirates, brushings, and fluid collection to provide minimally invasive diagnoses. Autopsy pathology is the examination of the deceased to clarify the physiologic derangements that caused death for the purposes of general medical knowledge (hospital autopsies) or medicolegal purposes (forensic autopsies). Clinical pathology includes lab medicine as well as oversight and administration of patient laboratories. It includes areas such as transfusion medicine (blood bank), hematology and coagulation, clinical chemistry, and microbiology. In addition to exploring a broad cross section of the pathology specialty, students will be expected to attend intradepartmental conferences (interesting case conferences) and interdepartmental conferences (tumor board).
Students interested in pursuing pathology as a career would benefit from a rotation in pathology at one of the primary sites listed below that maintain active pathology residency. The rotation should be designed to gain experiences in both anatomic and clinical pathology.
Students not interested in a career in pathology, but interested in an overview of laboratory medicine would benefit from a rotation at one of the teachings hospitals with their time divided between anatomic and clinical pathology.
Additionally, students may seek to tailor a rotation in pathology around their particular specialty of interest. For example students interested in…:
- orthopedic surgery could study bone pathology at the Joint Pathology Center,
- general surgery could focus on anatomic pathology and transfusion medicine
- Operational medicine could work with combat related death investigation at OAFME
- nephrology could examine renal biopsies at the JPC,
- dermatology could focus on skin biopsies and the subspecialty of dermatopathology,
- anesthesiology could focus on blood banking and transfusion medicine.
Description: Students and Clerkship director design a clerkship from the following pathology subspecialties:
1. Anatomic Pathology
(A) Surgical Pathology, frozen section diagnosis & immunochemistry
(B) Cytopathology with fine needle aspiration
(C) Autopsy Pathology (Medical and Forensic)
(D) Forensic Pathology
2. Clinical Lab Medicine
(A) Clinical Chemistry
(D) Blood bank
3. Other subspecialties such as dermatopathology, hematopathology, breast pathology, gyn pathology, urologic pathology, neuropathology, pediatric pathology, and more. Please contact the Pathology Dept Clerkship Coordinator for specifics.
Comments: Department approval is required prior to registering for any Pathology clerkship. Please contact the USUHS pathology department to confirm available space. You can then submit an application with the site directly. Please have USU Form 114, for rotation at a non residency site or civilian site, filled out and ready for approval when arranging a pathology clerkship. In addition to the primary pathology clerkship sites listed below, rotations can be arranged at most military hospitals and many civilian institutions. For further info, contact Dr. Arthur Clarkson Maj, MC, USAF, ( firstname.lastname@example.org ), (Clerkship Coordinator), Dr. Barbara Knollmann-Ritschel, CAPT,MC, USN, ( email@example.com), or Elizabeth White (Program Administrator) (firstname.lastname@example.org) at the USUHS Pathology Dept. at 295-3460.
Primary Pathology Clerkship/Residency Sites: WRNMC, SAMMC, MAMC, NMCSC
Other recent sites used: BRMC, DGMC, EAMC, JPC, PMMC, TAMC, USUB, WBMC, OAFME