Neuropathology Fellowship Goals and Core Competencies

Competency

Required Skills

(Objectives)

Methods for Teaching

(Curriculum)

Evaluation Method

Evaluation timing & Feedback Intervals*

Compassionate Patient Care

Provide professional clinical NP consultations of high quality.

  1. Obtain and summarize clinical history and imaging findings.
  2. Competently, efficiently and thoroughly evaluate surgical NP cases.
  3. Competently and thoroughly evaluate gross skull and brain findings (autopsy).
  4. Complete and thorough identification of microscopic features.
  5. Be able to summarize all components of a case and provide differential diagnosis and clinical correlation.
  • Daily Case sign-out
  • Weekly QA conference
  • Weekly autopsy brain conference
  • Performance of procedures
  • Preparation of photomicrographs for conferences
  • Journal Clubs
  • Formative evaluations (faculty review of presentation at sign-out, case conferences, QA conference)
  • Global faculty evaluations
  • Semi-annual evaluations
  • Case log
  • D (formative)
  • W (formative)
  • Q (global)
  • S (semi-annual)

Medical Knowledge

Demonstrate knowledge about established and evolving biomedical, clinical, and cognitive sciences and application to NP.

  1. General: Develop knowledge base to competently perform clinical duties as a neuropathologist. Develop comprehensive knowledge of medical principles and pathogenesis of neurological disease.
  2. Autopsy: Use clinical history to appropriately design NP evaluation.
  3. Autopsy: Perform autopsy NP evaluation, including remove brain, inspect skull, dissect and identify PNS structures.
  4. Autopsy: Perform appropriate gross examination, dissection and sampling of fresh and fixed tissue (brain and spinal cord).
  5. Autopsy: Perform appropriate microscopic examination, identifies diagnostic features, plans special stains.
  6. Autopsy: Prepare and present complete NP autopsy analysis, including clear, organized, accurate and concise clinical summary, interpret laboratory data, describe gross and microscopic findings, interpret and discuss findings.
  7. Surgical NP: Prepare for intraoperative consultations, including review clinical history and imaging studies.
  8. Surgical NP: Perform intraoperative consultations, analyze findings, render correct diagnosis, communicate with surgeon.
  9. Surgical NP: Appropriately gross NP specimens, submit for appropriate studies.
  10. Surgical NP: Perform appropriate microscopic analyses.
  11. Surgical NP: Design and perform NP report, documenting gross and microscopic features. Create error-free report to ocommunicate to referring physicians.
  12. Neuromuscular: Understand how muscle and nerve biopsies are performed, and how to choose site for biopsy.
  13. Neuromuscular: Know how to differentiate artifact from true pathology and trouble-shoot problems in processing.
  14. Neuromuscular: Know which enzyme histochemistry and immunostains are useful in evaluating muscle and nerve biopsies.
  15. Neuromuscular: Identify histopathological changes of myopathies and neuropathies.
  16. Research: Design, propose and perform investigation of NP topic. Identify strengths and weaknesses of experimental design, gather appropriate data.
  17. Research: Present and publish scientific investigation.
  • Daily case sign-out
  • Intraoperative consultations
  • Weekly autopsy brain conference
  • Twice weekly muscle sign-out
  • Independent reading of texts and medical and scientific literature
  • Procedure performance
  • Proficiency test samples
  • Case conferences
  • Interdisciplinary conferences
  • Grand rounds-resident presentations
  • Journal clubs
  • Attendance and presentations at professional meetings
  • Preparation of abstracts and manuscripts
  • Formative evaluations(faculty review of case presentations and reports)
  • Global evaluations
  • Semi-annual evaluations
  • RISE reviews
  • D (formative)
  • W (formative)
  • Q (global)
  • S (semi-annual)

Interpersonal Communication Skills

Demonstrate interpersonal and communication skills that result in effective information exchange and teaming with colleagues.

  • Deliver effective instruction to medical students, residents and other learners.
  • Encourage students through appropriate balance of challenges and rewards.
  • Communicate with external and internal clinicians; effectively transmit specialty NP results.
  • Effectively communicate case processing with technical personnel.
  • Involvement in medical school teaching
  • Intra- and inter- departmental case presentations
  • Content and completeness of reports
  • Journal clubs
  • Formative evaluations (as above)
  • 360 evaluation
  • Global evaluations
  • Semi-annual evaluations
  • D (formative)
  • Q (global)
  • S (semi-annual)

Professionalism

Demonstrate a commitment to carry out professional responsibilities, adherence to ethical principles and sensitivity to a diverse patient population.

  • Develop effective and respectful relationships with allied professionals and ancillary staff.
  • Fully integrate and contribute to the health professional team.
  • Punctual attendance to patient care responsibilities; complete diagnostics in a timely fashion and communicate results to medical team.
  • Appropriately interact with staff, trainees, and attendings.
  • Develop professional reputation. Actively participate in national and international conferences, maintain current CV.
  • Recognize professional limitations and seek appropriate consultations with literature and peers. Accept criticisms and suggestions for improvement.
  • Faculty mentors
  • Lectures on ethics sponsored by University
  • Audio conferences (CAP & ASCP)
  • Formative evaluations (as above)
  • 360 evaluation
  • Global evaluations
  • Semi-annual evaluations
  • D (formative)
  • W (formative)
  • Q (global)
  • S (semi-annual)

Practice based learning

Demonstrate ability to investigate and evaluate their diagnostic and consultative practices, assimilate scientific evidence and improve patient care practice.

  • Understand and practice evidence-based medicine.
  • Critically analyze microscopic findings and review the pertinent literature.
  • Resident case presentations
  • Professional meetings
  • CAP Resident Forum
  • Didactic Lectures
  • Interim and outside CAP laboratory inspections
  • Audio conferences (CAP & ASCP)
  • Formative evaluations (as above)
  • 360 evaluation
  • Global evaluations
  • Semi-annual evaluations
  • D (formative)
  • Q (global)
  • S (semi-annual)

Systems based practice

Demonstrate awareness and responsiveness to the health care system and have the ability to call on the system resources to provide optimal Pathology services.

  • Coordinate effective diagnostic workup of NP cases.
  • Interact with hospital-based services to timely and efficiently process cases.
  • Perform detailed and complete grossing and dictation.
  • Handle minor issue with regard to proper specimen processing and turn-around time. Order special stains.
  • Prepare for and participate in interdisciplinary conferences.
  • Daily cases
  • Involvement in departmental and hospital QM activities
  • Interdisciplinary conferences
  • Audio conferences (CAP & ASCP)
  • CAP inspector training seminars
  • Intradepartmental and outside CAP laboratory inspections
  • Formative evaluations (as above)
  • 360 evaluation
  • Global evaluations
  • Semi-annual evaluations
  • D (formative)
  • W (formative)
  • Q (global)
  • S (semi-annual)
  • As available (CAP)