All residents taking anatomic pathology complete 4 blocks in autopsy pathology. The autopsy experience is divided between the East and West campuses. Upon starting the rotation, residents are provided with an autopsy handbook which provides detailed information on service responsibilities and expectations.Each resident learns to perform a complete autopsy, analyzes gross and microscopic materials, and prepares the autopsy protocol under the direct supervision of an anatomic pathology attending. Each case is presented and reviewed at a weekly/monthly Gross Review conference, which is attended by all residents and attendings. Selected cases are presented at interdepartmental pathology conferences, as well as at surgical, medical, pediatric, and perinatal morbidity/mortality conferences. Residents sign-out autopsies with the members of the AP faculty. Autopsy cases are to be signed out within 30 days.
Jacob Steinberg, MD
Kathleen Whitney, MD, PhD
The residents will spend 2 blocks in cytopathology during the residency. These rotations will take place at the Moses Division, which reviews 70,000 cytology specimens per year, including fine needle aspirations. The rotation insures exposure to gynecologic and non-gynecologic cytopathology with emphasis on aspiration biopsy (FNA). The cytology division interacts closely with surgical pathology and the resident will be involved in tissue correlation, as needed. There are a variety of regular conferences, including an interesting case conference presented by residents and fellows, Journal Club, Cytology-Histology correlation conference, and didactic lectures.Participation in these conferences as well as fellow teaching conferences is mandatory. An extensive library of teaching cases is available to the rotating resident. Additional elective time is available to interested residents.
Mark Suhrland, MD (Director, Division of Cytology)
Samer Khader, MD
Cytopathology Attending Staff
Residents on Dermatopathology rotation have the opportunity to participate in the work-up and sign-out of dermatopathology cases from the Moses and Weiler Divisions with Dr. Jacobson and the dermatopathology fellows. Review of dermatopathology cases with residents rotating in surgical pathology is strongly encouraged. Residents are expected to attend weekly dermatology grand rounds and dermatology clinic while on service. The residents are also expected to spend some time at the Dermatopathology Diagnostics laboratory located Port Chester where they are exposed to a large variety and number of dermatopathology specimens.
Bijal Amin, MD
Mark Jacobson, MD
All residents will spend one block in Forensic Pathology at the Bronx Medical Examiner’s Office located at the Van Etten Building on the campus of Jacobi Medical Center. The Bronx M.E.’s office is one of five borough offices of the New York City Medical Examiner’s Office. Residents will work each day with two medical examiners that are assigned to perform cases. The resident will initially observe and assist with cases, progressing to a more active role, under supervision. Opportunities will be available to view death scene investigations, observe forensic courtroom testimony, and to attend lectures and teaching conferences at the central office in Manhattan. Rotation objectives include: understanding the difference between hospital and medicolegal autopsies, learning how to perform a medico-legal autopsy (including methods of injury evaluation, specimen collection, and chain of custody handling), learning how toxicology and forensic biology aid the medical examiner in his/her work, and gaining a basic understanding of the field of Forensic Pathology. Additional elective time is available to interested residents. A series of lectures during the year will further acquaint residents with the medical examiner’s role.
James Gill, MD
Hematopathology is offered as 2 blocks in the Anatomic Pathology training program. It includes exposure to the major morphological classification schemes of lymph node based diseases, such as non-Hodgkin’s and Hodgkin’s lymphomas.Bone marrow biopsies are correlated with bone marrow and peripheral blood smears in the majority of cases, when evaluating the leukemias, as well as myelodysplastic and myeloproliferative disorders. Due to the nature of the diagnostic work-up for these diseases, there is additional emphasis placed on immunologic features, using flow cytometry and immunohistochemistry. Emphasis is also placed on molecular pathology abnormalities using Southern blot analysis and polymerase chain reaction. Teaching sets and a collection of original references are provided for study.
Howard Ratech, MD, Director
Christine McMahon, MD
During the four week block neuropathology rotation, residents are provided didactic and one-on-one instruction by the Neuropathology faculty. Residents participate fully in gross, microscopic, and teaching conferences. There is also an extensive collection of teaching materials, including glass slides sets, Kodachrome sets, and a collection of gross brain slices. The full curriculum for the Neuropathology rotation is available on the Departmental website: http://education.montepath.com.
Rotation objectives include:
- Participating in diagnosis of all brain, nerve, and muscle specimens seen in MMC
- Learning proper interpretation of diagnostic techniques (including electron microscopy, immunohistochemistry, muscle histochemistry, single teased fiber studies of peripheral nerve, frozen sections, and CSF cytology)
- Learning proper technique for removal of brain and spinal cord at autopsy and collection of post-mortem CSF
- Learning methods of handling tissue in neurodegenerative diseases (including cryopreservation) and precautions for infectious cases (e.g. Creutzfeld-Jacob and AIDS)
- Preparing conferences and other learning experiences for students, residents, and clinical faculty.
Karen Weidenheim, MD,
Director Christian Keller, MD
Most residents will spend 12 blocks in surgical pathology rotating through the Weiler and Moses Divisions’ of MMC. Upon starting the rotation, residents are provided with a surgical pathology handbook which provides specific and detailed information on service responsibilities and expectations. During the first year, residents acquire expertise in the basics of gross and microscopic pathology and become competent in describing and processing all types of routine surgical specimens. In addition, residents become competent in the technical and diagnostic aspects of intra-operative consultations (i.e., frozen sections). Second year and later residents, in addition to increasing their own skills and knowledge, also train and mentor junior residents, participate in interdisciplinary conferences, and teach medical students and residents from other subspecialty programs. Graded responsibility and accountability are key features that should develop as a resident progresses through the residency. Fourth year residents, AP only residents and chief residents may function as junior attendings and “sign out” cases with junior residents under supervision. The surgical pathology curriculum/guidelines are available at the Department of Pathology website: http://education.montepath.com.
Surgical Pathology Directors:
James Pullman, MD, PhD, Director Surgical Pathology
Kathryn Tanaka, MD, Associate Director
Kathleen D. Whitney, MD, Site Director, Weiler Division
The Surgical Pathology Attending Staff
Solid Organ Transplantation
This is a two week rotation offered at the Moses Division which is split between Surgical Pathology and the HLA/tissue typing laboratory. Residents are expected to work-up cases showing transplantation associated histology including kidney, liver and heart specimens. Montefiore Medical Center has an active solid organ transplantation service and residents may also have the opportunity to gross explanted organs and to be exposed to histology of diseases requiring transplantation.
James Pullman MD, PhD