NP Fellowship: Advancement policy

This is a two year fellowship program. Advancement to the second year is contingent upon satisfactory performance in the first year. If a resident fails to fulfill any of the advancement requirements, remedial work or appeal to the Residency Committee may be necessary. When a resident's performance is judged to be unsatisfactory, a remediation program will be developed and must be satisfactorily completed.

  1. Stage 1. By the end of the first six months, the fellow should demonstrate competence in gross description of surgical Neuropathology specimens, handling and interpretation of frozen sections, and should also be able to formulate microscopic diagnosis/differential diagnoses of common neuropathology surgical pathology specimens. The fellow should be able to remove the brain at autopsy and competently examine, dissect and sample the brain without assistance and prepare a complete neuropathology autopsy. The fellow should be familiar with the enzyme histochemical and immunohistochemical stains used to evaluate muscle biopsies and be able to appropriately interpret common muscle diseases.
  2. Stage 2. By the end of the first year of training, the fellow should demonstrate competence in special autopsy techniques, including removal of the spinal cord, ganglia, eyes and CSF. He or she should have attained the detailed educational objectives in neuroanatomy/histology and be prepared to teach medical student neuroanatomy labs. The fellow should demonstrate competence in selecting and preparing appropriate photomicrographs for interdisciplinary conferences without supervision.
  3. Stage 3. The fellow should demonstrate competence in surgical neuropathology and should be able to generate accurate diagnoses of both common and rare neurosurgical specimens. He or she should have attained all detailed educational objectives, including those in ophthalmic pathology.

    These competencies will be assessed through 1) personal observation by the neuropathology faculty of fellow performance on service and during conferences, 2) faculty sign-off on case logs and procedure check lists, and 3) observation of resident teaching activities.
  4. ACGME General Competencies. Advancement in the residency program also requires attainment of training-year appropriate compliance with the six general competencies defined by the ACGME pathology RRC (see attachment), and included on the rotation evaluation form. Assessment of conformance with the ACGME general competencies will be judged by evaluating a combination of factors to include, but not be limited to: performance on clinical service (as indicated on evaluations), adherence to residency training program and GME policies, performance in intra- and inter-departmental conferences, journal club attendance and performance, quality of formal presentations, and performance on competency exams, as well as general performance criteria listed in the Department of Pathology Resident Evaluation Policy.
  5. All fellows who have not yet passed the AP or AP/CP Board examination will be required to take the annual resident in-service exam (RISE). Trainees will be required to take any examinations developed to meet the ACGME and ABP requirements for competency-based training in graduate medical education. Performance on competency exams will be one of many factors evaluated when assessing competency to advance in the program.