Contact Information

Manon Levesque Departmental Secretary of Pathology and Laboratory Medicine
451 Smyth road,
Room 4155
Ottawa, Ontario
K1H 8M5

Telephone: 613-562-5422
Fax: 613-562-5442
Email: mlevesq2@uottawa.ca

Sheila Schnupp
Office and Residency Program Administrator (Anatomical)
Telephone: 613-562-5800 ext. 8342
Fax: 613-562-5442
Email: sschnupp@uottawa.ca

John P. Veinot, M.D., F.R.C.P.C (Canada)
Chairman, Department of Pathology and Laboratory Medicine
Tel: 613-562-5422
Fax: 613-562-5442
Email: sschnupp@uottawa.ca

Postgraduate Medical Education > Anatomical Pathology > Overall Goals and Objectives of the Program/Program Curriculum – Anatomical Pathology

Overall Goals and Objectives of the Program

Anatomical Pathology is that branch of laboratory medicine concerned with the study of the morphologic aspects of disease. It includes the subdomains of cytopathology, gynecological pathology, dermatopathology, gastrointestinal pathology, cardiovascular pathology, respiratory pathology, musculoskeletal pathology, renal pathology, genito-urinary pathology, endocrine pathology, ophthalmic pathology, head and neck pathology, neuropathology, pediatric pathology, forensic pathology, and certain laboratory methods including but not limited to immunohistochemistry, immunofluorescence, in-situ hybridization, flow cytometry, molecular pathology, and electron microscopy.

Goals
Upon completion of training, a resident is expected to be a competent specialist in Anatomical Pathology capable of assuming a consultant’s role in the specialty. The resident must acquire a working knowledge of the theoretical basis of the specialty, including its foundations in the basic medical sciences and research. Residents must demonstrate the requisite knowledge, skills, and attitudes for effective patient-centred care and service to a diverse population. In all aspects of specialist practice, the graduate must be able to address issues of gender, sexual orientation, age, culture, ethnicity and ethics in a professional manner.

At the completion of training, the resident will have acquired the following competencies and will function effectively as a:

Medical Expert

  1. Function effectively as consultants, integrating all of the CanMEDS Roles to provide optimal, ethical and patient-centred medical care
  2. Establish and maintain clinical knowledge, skills and attitudes appropriate to Anatomical Pathology
  3. Establish and maintain clinical knowledge, skills and attitudes appropriate to Anatomical Pathology
  4. Perform a complete and appropriate assessment of a case
  5. Demonstrate proficient and appropriate use of diagnostic and procedural skills.
  6. Seek appropriate consultation, recognizing the limits of their own expertise

Communicator

  1. Convey effective oral and written information about a case
  2. Develop rapport, trust, ethical and professional relationships with clinical colleagues
  3. Accurately elicit and synthesize relevant clinical and pathological information and perspectives of patients and families, colleagues, and other professionals
  4. Accurately convey relevant information and explanations to colleagues and other professionals, as well as patients and families when appropriate
  5. Develop a common understanding on issues, problems, and plans with patients, families, and other professionals

Collaborator

  1. Participate effectively and appropriately in an interprofessional health care team
  2. Work with other health professionals effectively to prevent, negotiate, and resolve interprofessional conflict

Manager

  1. Participate in activities that contribute to the effectiveness of their health care organizations and systems
  2. Manage their practice and career effectively
  3. Allocate finite health care resources appropriately

Health Advocate

  1. Respond to individual patient diagnostic needs and issues as part of patient care
  2. Respond to the health needs of the communities that they serve
  3. Promote the health of individual patients, communities, and populations

Scholar

  1. Maintain and enhance professional activities through ongoing learning
  2. Critically evaluate medical information and its sources, and apply this appropriately to practice decisions
  3. Facilitate the learning of other health professionals, residents, students, patients, families, the public, and others, as appropriate
  4. Contribute to the development, dissemination, and translation of new knowledge and practices

Professional

  1. Demonstrate a commitment to their patients, profession, and society through ethical practice
  2. Demonstrate a commitment to their profession, clinical colleagues, patients, and society through participation in profession-led regulation
  3. Demonstrate a commitment to physician health and sustainable practice

OVERVIEW OF THE PROGRAM

The University of Ottawa provides a 5-year comprehensive training in Anatomic Pathology (AP), leading to eligibility to write the Royal College specialty examinations and to practice as a competent pathologist. Following the PGY-1 year, which is designed to give broad-based clinical exposure, as well as 3 months in Lab Medicine, the residents start their 4 core years of AP training. Throughout the 5 years, there is a weekly academic day (whole day Monday) dedicated to formal lectures, seminars, and research: this is protected time for residents, i.e. no service duties. The department annually sponsors an active visiting professor program attracting world-class pathologists and scientists. A journal club is held monthly. Lab Medicine Grand Rounds are held three times a year at some of Ottawa’s finest restaurants for both faculty and residents. Residents attend a number of conferences throughout the year and are encouraged to make presentations at national and international meetings. Residents are required to play the role of a Champion of CanMEDS Roles and give a presentation at a social event followed by a dinner at a restaurant. The curriculum encompassing 4 years of core AP training has dedicated research time, electives and in-depth exposure to subspecialties. The program is based on a 13-block lunar calendar, the majority of the rotations being 1-3 blocks (each block is 4 weeks) in duration. The evaluations and programs are structured to conform to the Royal College training specialty requirements including the CanMEDS 2005 objectives. The residents’ progress is closely monitored during the various rotations with graded responsibilities and teaching sessions, and by a formal practice written & oral examination, once a year in addition to end of rotation practice texts. Residents are required to write the ASCP In-Service exam each year.

Anatomical Pathology PGY-1

Anatomical Pathology is that branch of laboratory medicine concerned with the study of the morphologic aspects of disease. It includes the subdomains of cytopathology, gynecological pathology, dermatopathology, gastrointestinal pathology, cardiovascular pathology, respiratory pathology, musculoskeletal pathology, renal pathology, genito-urinary pathology, endocrine pathology, ophthalmic pathology, head and neck pathology, neuropathology, pediatric pathology, forensic pathology, and certain laboratory methods including but not limited to immunohistochemistry, immunofluorescence, in-situ hybridization, flow cytometry, molecular pathology, and electron microscopy.

A typical year would be like this:

  • Hospital Autopsy - 3 blocks
  • Laboratory Medicine – 1 block
  • Medical Oncology – 1 block
  • GEM – 1 block
  • Radiation Oncology – 1 block
  • Pediatrics Emergency – 1 block
  • Diagnostics Radiology – 1 block
  • Gynecologic Oncology - 1 block
  • General Surgery – 1 block
  • Emergency – 1 block
  • Elective - 1 block

Anatomical Pathology PGY-2

The PGY-2 year is the foundation year and spent in surgical pathology with the first few days of orientation by a senior resident. Residents are introduced to grossing specimens, reporting on uncomplicated surgical, and participating in frozen sections all under appropriate supervision. There is one Forensic block. With time, there is a graduated increase in the complexity of assigned tasks. There is one dedicated research block.

Anatomical Pathology PGY-3

During this core year, there is heavy emphasis on solid training in surgical with subspecialty blocks in breast, gastrointestinal, genitourinary, gynecologic, dermatologic, thoracic and pediatric pathology (CHEO). The complexity and volume of material increases as the residents progress from PGY2 to PGY3. Residents are now expected to be proficient at routine surgical and autopsy pathology. Research electives can also be taken at this time for residents who are progressing adequately.

Anatomical Pathology PGY-4

This is the final core time when residents put more emphasis on subspecialty rotations, such as, neuropathology, cytopathology, forensics, renal pathology, lymph node and quality assurance and quality control. There is also a molecular pathology block (CHEO).

Anatomical Pathology PGY-5

The curriculum ensures that the resident has a solid grounding in AP, has attained a high level of expertise and is adequately prepared to take the Royal College examinations in May/June of that year and is ready to practice as junior staff pathologists. In the final year, in addition to perfecting their skills in all areas of AP including the subspecialty areas, there is a mandatory cytopathology and a molecular pathology at TOH. Time is available for research and electives as well as any remedial training that is deemed necessary. Block rotations during the final year allow the resident to function at an advanced level on different services.

Anatomical Pathology Research

Research is an integral part of the program. It is mandatory for all residents except PGY-1 and PGY-5 residents. There are 3 blocks allotted for research. If more time is needed, it needs to be approved by the PD. Residents are expected to develop an understanding of the principles of research methodology, and an ability to critical analyze the medical literature.

There is a large faculty with interest in basic, applied or clinical research. Other areas of interest include laboratory informatics, quality assurance, clinical trials, and caser reports as offered by the service experience.

There is an annual departmental Research Day. This is one of the avenues for residents to share their work with colleagues. The department supports the proceedings which include resident/graduate student research awards for clinical basic science projects. The department provides support and funding for residents who present papers and posters at national and international meetings.

Anatomical Pathology Seminars

There are regular seminars on general issues such as professional ethics, stress management, critical appraisal, research methodologies, financial planning, etc., as an integral part of the PGY-1 year. Protected academic teaching is a component of all rotations in AP (PGY-1-5). It currently is a full didactic day per week dedicated to sessions that may include formal lectures, CanMEDS roles presentations, unknown slide rounds, gross rounds, autopsy rounds, cytology teaching, and journal clubs. Special sessions in laboratory management informatics, bioethics, and communication skills are part of the didactic program.

Clinical Pathological Conferences occur weekly at the General and Civic campuses as well as at the Children's Hospital. These rounds are multidisciplinary, and cover virtually all the subspecialties.


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Last updated: 2016.11.07