Pediatric Pathology Fellowship Curriculum

Pediatric pathology practice differs from adult pathology, and training requires exposure to high volume and diverse material. Residents are supervised, in rotation, by all staff members to get the benefit of the subspecialty expertise that is available in the department and be exposed to different points of view.

They participate in clinical consulting activities of the staff and in all teaching activities in which the department is involved. They are also required to do clinical research.

ONE-YEAR CLINICAL ROTATION SCHEDULE


6 months

Pediatric
Anatomical Pathology

1 month

Cytogenetics


1 month

Molecular
Pathology

1 month

Hematopathology

1 month

Virology

1 month

Elective 

1 month

Research

* Pediatric Anatomical Pathology – 6 months, done in 2 installments. Electron Microscopy is a concentrated 2-week course. Surgical, autopsy, embryofetal, placental and forensic pathology and neuropathology make up the rest of the rotation. Neuropathology is also available as a separate 4-week elective.

Fellows may remain in our program for a second year. However, ACGME only accredits pediatric pathology programs for one year.

Conferences and Other Educational Activities

Akron General and Summa Health System have several large training programs, including a pathology program at Summa that is affiliated with Akron Children's Hospital department of Pathology. Pediatric pathology fellows attend many conferences and seminars in the northeast Ohio region.

Teaching Materials

The EM suite includes a full digital imaging station. In addition to processing EM images, this station can acquire and process gross and light microscopic images and images obtained from scanning kodachromes, prints and radiology films. The computers in this station have Adobe Photoshop, Microsoft PowerPoint and other image processing software. The residents use this station to prepare their presentations.

Fellow Evaluations

Staff pathologists and other faculty interact with fellows extensively and have the opportunity to observe them in action, at conferences and other settings. Formal evaluations are done twice a year with input from staff, particularly directors of laboratories in which residents have rotated. Fellows are graded on a variety of parameters included in the six competencies scheme. The results of this written evaluation are shared with the fellows at a meeting with the program director. Informal discussions focusing on performance and suggestions for improvement are part of everyday interaction between faculty and fellows.

Performance and management issues are discussed weekly at the end of the Pathology Review Conference, which is attended by the resident. The director of anatomic pathology conducts a formal, quarterly review of performance improvement, focusing on diagnostic accuracy, turnaround times and other parameters.

The quality of educational experience, adequacy of educational materials, and other matters are occasionally discussed at staff meetings with participation of the fellow, and adjustments are made as needed. Throughout the residency, fellows grade the quality of their experience on a number of points, including facilities, quality of staff, time devoted to them, etc.

A measure of the effectiveness of any program is success of its trainees in Board Examination and in getting jobs. Pediatric pathology is not a popular subspecialty and full-time jobs in pediatric pathology are relatively scarce.


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