The Department of Pathology at Rush University Medical Center is accredited by the ACGME for up to 16 residency positions, all of which are for combined training in anatomic and clinical pathology.
The department provides services for Rush University Medical Center, a large tertiary care medical center that is ranked as one of the best hospitals in the country. The medical center provides care for adult and pediatric patients with a vast array of medical conditions, which is reflected in the diversity of pathological specimens, types of tests, and ensuing resident educational experience.
Rush's training program in pathology considers applications from students applying directly from medical school and from those who have already completed one or more years of postgraduate training in other clinical specialties or research. International medical graduates are welcome to apply.
The four year pathology training program fulfills the requirements of the American Board of Pathology and of the Residency Review Committee of the ACGME. The six core competencies of medical education are emphasized for training and for evaluation. Our program places a strong emphasis on skills in anatomic pathology, but also provides structured didactic and practical training in all areas of clinical pathology. Residents are an intrinsic part of patient care activities and are relied upon for daily activities. As they progress through the program, residents are given graded responsibility in anatomic pathology in their case grossing and management, clinician interaction and report writing, and in their presentations at departmental, intradepartmental and local conferences. Likewise, in clinical pathology we have a full expectation that our graduates will go on to function as clinical laboratory directors. Accordingly, as they gain more experience in the fundamentals while on clinical pathology services, residents are expected to take on projects in management, quality improvement, instrumentation implementation and validation, and preparation for inspections. Two months in the fourth year are devoted to laboratory management. During the course of their practice, our residents are encouraged not only to learn the basics of pathology practice, but also to engage in research, and to present their findings at national pathology meetings and in journal publications. We encourage senior residents to function at the level of junior faculty members when their skills permit them to assume a high level of responsibility.
The responsibility for night and weekend calls for residents involves the performance of frozen sections from kidney/liver transplant cases, emergency surgeries, and stat readings of cytology specimens and stat consultations in clinical pathology. We have recently implemented telepathology to allow remote diagnoses of kidney donor biopsies through the internet. Weekend autopsies are done by the resident(s) on the Autopsy/Neuropath service.
Residents are evaluated in writing by their supervising attendings after each rotation, by attendees of departmental conferences they present, and semiannually for overall progress. Residents take the ASCP in-service examination annually. This standardized exam is used as an evaluation tool for residents to identify areas of weakness and strengths. Twice a year resident performance is reviewed in person by the program director to help residents develop a personalized learning plan and career goals.