Pathology Residency Program Curriculum

Program Goals & Objectives

The Pathology Residency Training Program at the University of Texas Health Science Center at San Antonio provides opportunities in postgraduate training in Anatomic and Clinical Pathology by utilizing the facilities of the University Hospital, Audie Murphy Veterans Hospital, and University of Texas Health Science Center for core rotations. This experience is augmented by rotations at South Texas Dermatopathology Laboratory, and the Bexar County Forensic Sciences Center. The main objective of the training program is to prepare medical and osteopathic doctorates for the practice of Anatomic and Clinical Pathology and to provide a setting in which teaching and research activities may be pursued. In addition, advanced fellowship training in Hematopathology, Transfusion Medicine, Cytopathology, and Surgical Pathology are also available. The varied patient population at our two main teaching hospitals and the activities at the research laboratories at the University of Texas Health Science Center at San Antonio provide an environment in which this goal may be accomplished so that all residents may be board eligible in Anatomic and Clinical Pathology with four years of post-graduate training for medical school graduates.

Our program is an outcomes-based training program based upon the ACGME and Pathology RRC six general competencies as listed below:

    Patient care: Residents must demonstrate a satisfactory level of diagnostic competence and the ability to provide appropriate and effective consultation in the context of pathology services.

    Medical knowledge: Residents must demonstrate knowledge about established and evolving biomedical, clinical and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to pathology.

    Practice-based learning and improvement: Residents must be able to demonstrate the ability to investigate and evaluate their diagnostic and consultative practices, appraise and assimilate scientific evidence and improve their patient care practices.

    Interpersonal and communication skills: Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with other health care providers, patients, and patients’ families.

    Professionalism: Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

    Systems-based practice: Residents must demonstrate an awareness and responsiveness to the larger context and system of health care and the ability to call on system resources to provide pathology services that are of optimal value.

For AP/CP trainees, the program is structured to meet ABP requirements of at least 18 months of training in both Anatomic and Clinical Pathology with additional elective time that may be customized dependent upon the trainees goals and needs as long as the electives meet both ABP and UTHSCSA requirements. In anatomic or clinical pathology, additional two to six week long electives are available, as well as advanced electives in other topics covered by core rotations. All electives must meet residency Program Director approval with written specific goals and objectives and faculty supervision. To see a sample rotations schedule for a resident through a full four years, click the link below. Note: This rotation schedule is an example; each resident will have a unique schedule that will cover the required and elective rotations. Also note that rotations in Anatomic Pathology and Laboratory Medicine occur throughout the four years of the curriculum, and the distrubution will vary for each resident.

Click here for the Sample Resident Rotation Schedule

All residents are encouraged to participate in clinical research with subspecialty oriented diagnostic pathologists in surgical pathology, cytopathology and clinical pathology. Additional opportunities for both basic and clinical research are available with faculty who have varied research interests.

The Resident conferences have been organized to provide a combination of didactic lectures in AP/CP, working conferences to review the most recent cases, and exposure to basic research and quality assurance. During residency, each resident is expected to undertake and complete a scientific project to be published as a peer-reviewed state or national abstract/paper. This is to give the residents exposure and experience in formulating hypotheses, working through a well-controlled project and organizing data suitable for publication.

Click here for the Sample Weekly Conference Schedule

Residents have opportunities for teaching experience in their interaction with fourth year medical students and residents from other fields while they are on pathology rotations. Residents also participate in the teaching of the small group lab sessions within the preclinical medical school pathology curriculum. PGY 3s and above are required to teach a minimum of 3-4 MS Labs per year.

At the end of the academic year all pathology residents and fellows will vote on the pathology faculty member that best exemplified a “teaching role model”. The “Peter Banks, MD, Teaching Award” is then presented to that elected pathology faculty at the June graduation ceremony.

The overall design of this residency training program has been accomplished after many hours of work by contributing faculty and the Program Effectiveness Committee. Click here to see the Current Required Rotations. The combination of structured core rotations and less structured, advanced level training should provide residents with a strong basic fund of knowledge while allowing pursuit of individual interests and career goals.