Curriculum

The general structure of our residency curriculum is outlined below by PGY year. All rotations are also available as electives for additional diagnostic training and/or research opportunities. The chief residents and program director may adjust residents' schedules to accommodate their interests or training goals when possible. We have daily 8am morning conferences which consist of either structured didactic lectures in AP and CP, resident CP case conferences, autopsy conferences, and unknown slide sessions. Additional resident led conferences include monthly Resident Grand Rounds, Journal Club, and RISE review sessions. We also have monthly Wellness Sessions led by our institution's Wellness Facilitator.

PGY-1
Residency begins with a 4-week "AP Bootcamp," a transition time in which PGY-1 residents work directly alongside senior residents and faculty, providing new trainees the opportunity to become familiar with pathology fundamentals and hospital workflow in a directly supervised, low-stress environment. The remainder of the PGY-1 year is AP-focused, with much of the time spent at Bellevue Hospital, where residents work closely with experienced NYU faculty to develop a strong foundation in surgical pathology. PGY-1s also rotate on the hospital autopsy service, in which they act as primary prosectors on all cases under the guidance of senior residents and autopsy attendings. Time is also set aside for residents to spend 4 to 8 weeks on surgical subspecialty rotations of their choosing at NYU Langone Tisch Hospital and 4 to 8 weeks on rotations in clinical pathology.

PGY-2

Now equipped with a strong foundation in surgical pathology, PGY-2 residents are well-prepared to explore the various surgical pathology subspecialties as they continue their core AP rotations at NYU Langone Tisch Hospital. Residents will also further develop their autopsy skills, both through supervision of junior residents and a dedicated 4-week rotation in forensic pathology at the OCME of the City of New York. Introductory rotations in cytopathology and hematopathology round out the AP curriculum in this year. Residents will also continue to gain foundational knowledge in laboratory medicine, with 8 to 12 weeks spent on core CP rotations. Finally, trainees are allocated 4 weeks of elective time per year from PGY-2 onwards, which may be taken in any area of pathology or used as dedicated research time.

PGY-3

The majority of the PGY-3 year is focused on clinical pathology, with residents spending 4 to 8 weeks on each of the four core CP services (Blood Bank, Clinical Chemistry, Microbiology, and Hematology) and beginning to take CP call. The molecular pathology rotation is also traditionally taken during PGY-3, though it may be taken earlier upon request. Residents will also continue with their AP training, rotating through any remaining surgical pathology subspecialties. Second rotations in hematopathology and cytology round out this year’s curriculum.

PGY-4

In addition to any remaining core AP/CP rotations, PGY-4 residents will also complete senior rotations specifically designed to simulate independent pathology practice. The frozen section rotation allows senior residents to take charge of the busy frozen section/intraoperative consultation service at NYU Langone Tisch Hospital. On the AP Junior Attending rotation, senior residents return to Bellevue Hospital, where they act as the surgical pathology attending on service: leading sign out, working up cases independently, as well as directing and teaching PGY-1s. On the Laboratory Management rotation, residents spend 4 weeks at NYU Langone Brooklyn, where they become intimately involved in the running of the clinical labs as the acting assistant laboratory director. In the second half of the year, faculty provide regular review seminars and slide sessions, to help ensure all senior residents are well-prepared for board exams.

Anatomic Pathology

Our program provides residents with in depth training and exposure in all surgical subspecialties, autopsy and cytopathology with a 24.5 month structured core curriculum of AP rotations. With our two training sites, NYU Langone Tisch Hospital and Bellevue Hospital, residents are able to learn from a wide variety of specimens from diverse patient populations, and experience different practice settings.

Autopsy Pathology:

Our Autopsy Pathology Service is directed by two board certified forensic pathologists, one of whom has additional certification in pediatric pathology, and we perform approximately 150 autopsies per year for NYU Langone Health and its affiliated hospitals. During the PGY-1 year, residents complete a total of 8 weeks on the service as the primary prosector, and then function as senior supervising residents in subsequent years.  Autopsies offer an opportunity for hands-on training in anatomy, gross pathology, histological examination of normal and abnormal tissues, and formulating accurate clinicopathological correlation.  Autopsies are performed across the full range of patient ages from fetal and neonatal deaths on into older adulthood, allowing residents to become familiar with developmental, maturational, and aging changes in health and disease.  

The primary goal of the autopsy examination is to accurately establish the cause of death, and involves a thorough evaluation of the presence and extent of disease processes, the confirmation of clinical and radiological diagnoses, and the evaluation of the effectiveness of therapeutic procedures, including medications, implantable devices and interventional procedures. The results are presented at monthly Autopsy Conferences as well as at extradepartmental conferences. Our service aims to provide knowledge and emotional closure for the patient families and clinical staff, in addition to being utilized to develop quality assurance data and health care quality outcome measures for NYU Langone Health.

Surgical Pathology:

A diversified experience is gained by rotations through the surgical pathology services at two hospitals with different practice settings providing a heterogeneous mix of diseases. At Bellevue Hospital, residents experience a general surgical pathology service at a public city hospital providing for the medically underserved. At NYU Langone Tisch Hospital, our residents receive subspecialized training in a wide variety of specialties. In each of these settings, residents are responsible for gross and microscopic examinations, and have ample opportunity for previewing cases prior to sign out with an attending pathologist. At NYU Langone Tisch Hospital, we have subspecialized training in the following surgical specialties:

  • Breast Pathology*
  • Gynecologic Pathology*
  • Genitourinary Pathology*
  • Gastrointestinal and Liver Pathology*
  • Cardio-Pulmonary Pathology*
  • Dermatopathology*
  • ENT Pathology
  • Bone and Soft Tissue Pathology
  • Pediatric Pathology
  • Renal Pathology

We offer fellowship training in these surgical subspecialties. Learn more about our Clinical Fellowships.

Cytopathology:

The cytopathology division has 11 board certified cytopathologists and 2 ACGME -accredited cytopathology fellows. Residents rotate in cytopathology for 10 weeks. The first 4 weeks are at Bellevue Hospital with a focus on gynecologic cytopathology and introduction to the basic principles of non-gynecologic cytopathology and fine needle aspiration cytology.  The latter 6 weeks are at NYU Langone Tisch Hospital where residents take on the primary responsibility for all cases including complex and challenging ones. Additionally, they rotate at the NYU Perlmutter Cancer Center where they learn to perform and interpret ultrasound-guided fine needle aspirations. Residents work closely with the cytopathology fellows and participate in weekly lectures, attend the daily sign-out sessions with the attending cytopathologist, screen assigned cases, and work independently through archival collections of cases that cover all of the common and rare lesions to be encountered in practice. We have a large digital collection of teaching material including lectures, review articles and cases on NYU Brightspace, our institution's intranet for online education.

Learn about our Cytopathology Fellowship

Neuropathology:

A core rotation is scheduled in PGY-3 at NYU Langone Tisch Hospital, which is a major neurosurgical center. The main emphasis is on surgical neuropathology, including the histopathology, immunohistopathology, and molecular biology of all of the major types of brain tumors and some peripheral nerve pathology. A second emphasis is on autopsy neuropathology; each week rotating residents assist the NP fellow and staff in examining all brains and spinal cords obtained at autopsy. Residents attend the weekly neuro-oncology Tumor Board and the weekly Neurology Neuropathology conference while assigned to Neuropathology.

Learn about our Neuropathology Fellowship

Forensic Pathology:

A 4-week core rotation in forensic pathology is arranged with the Office of the Chief Medical Examiner of the City of New York, located just next door to NYU Langone Tisch Hospital. Residents learn the procedures and operations of the Chief Medical Examiner’s Office, how to perform forensic and medical-legal autopsies, how to perform death scene investigations, and how to apply toxicologic and other special laboratory methods for forensic investigations.

Hematopathology:

All residents complete a two-month core rotation in hematopathology in our laboratory located in the Ambulatory Care Center. Residents attend the daily sign-out with the attending hematopathologist and are responsible for the work-up and reporting of assigned cases, including incorporation of flow cytometry and molecular studies into formulating diagnoses. Residents also attend weekly clinical and didactic conferences that expose them to the most common issues encountered in clinical practice. More focused electives emphasizing diagnostic or research opportunities are also available for those interested in a more in-depth experience in hematopathology.

Learn about our Hematopathology Fellowship

Junior Attending Rotation:

This is the capstone experience for residents wishing to polish their diagnostic acumen and boost their confidence levels. Residents in their final year of residency function as an attending in every capacity including diagnosis, teaching, conference presentations, and laboratory management, with the added oversight of an attending.

 

Clinical Pathology

Training in Clinical Pathology is accomplished through a combination of practical experience, teaching sessions, and one-on-one interaction with attending faculty and staff members. Residents rotate through NYU Langone Tisch Hospital, Bellevue Hospital and NYU Langone- Brooklyn. Rotations through Clinical Pathology Laboratories are integrated throughout the 4 years of AP/CP training. Our comprehensive Clinical Pathology didactic curriculum includes an introductory bootcamp month in July and weekly didactic sessions and case presentations throughout the year. The residents also receive rotation specific one on one instruction from Clinical Pathology attendings, supervisors and laboratory staff.

Clinical Pathology rotations include the following:

Microbiology: 

Our program offers training in Clinical Microbiology in 2 large academic centers laboratories: NYU Langone Tisch Hospital and Bellevue Hospital Center. The training is divided into Core and Advanced Microbiology rotations. Core Microbiology training (8 weeks) includes a rotation through the main sections of Microbiology: Bacteriology, Mycology, Parasitology, Mycobacteriology and rapid molecular diagnostics. During this period the resident becomes acquainted with the different basic procedures, use of media and becomes proficient in microscopic diagnosis. As the rotation progresses, the resident becomes familiar with laboratory processes, quality improvement activities, participates with clinical team interactions and assists with clinical consultations for diagnostic questions. During the Advanced training period (4 weeks) the resident acquires additional tools needed to direct a microbiology laboratory as well as advanced experience in other microbiology laboratory spaces, including molecular diagnostics, Serology/immunology, Mycology and Parasitology. During the Microbiology rotations, the resident has weekly didactic sessions with the Clinical Microbiology directors of both laboratories. The resident also interacts with other trainees in Microbiology such as Infectious Diseases fellows which enriches the rotation for both types of trainees.

Hematology: 

In the core rotation residents spend two months rotating through the hematology laboratory at Bellevue Hospital. They learn about complete blood cell analysis, bone marrow analysis, coagulation testing, urinalysis and body fluid analysis. Residents become familiar with test methodology, instrumentation, laboratory workflow, regulatory requirements, and information technology during the rotation. The resident will be involved in validation of new instrumentation or testing, preparation for inspections, and ongoing quality assurance projects. Residents are responsible for reviewing abnormal peripheral smears, bone marrows, and body fluids with the attending pathologist. Emphasis is placed on integration and correlation of the clinical and laboratory findings. Residents are also required to present interesting clinical cases at Clinical Pathology rounds.

Clinical Chemistry: 

The Clinical Chemistry rotation covers a comprehensive group of topics (organized in modules) that include administrative, technical and clinical facets of training in this discipline.  The course topics are structured in a sequential manner so that core concepts, i.e. organization and workflow, instrumentation and methods and quality management, are introduced first followed by test-specific issues.  The latter are organized into sections covering lipids / CV disease, Blood gases and acid/base balance, Liver / GI and pancreas, Endocrine, Cancer and protein electrophoresis, and Therapeutic drugs / toxicology.  Point of care testing and various management / financial issues are also covered.  Topics will be covered using a variety of educational tools including: didactic or informal teaching sessions, “bench” experience or observation, questions, and individual reading.  Practical exercises will be individualized for each resident affording an opportunity to use data and situations that reflect current operations

Blood Banking and Transfusion Medicine: 

In this rotation residents become familiar with the theory, practical aspects, and techniques in one of the Medical Center’s two Blood Banks. Problem cases are discussed with the director as they arise, and the resident participates with the director in consultative activities. Blood Bank case panels and question sets are reviewed to assure that the resident is mastering the material. In elective rotations greater responsibility and research are emphasized. Close ties with the New York Blood Center are maintained where residents attend didactic courses.

Molecular Pathology:

NYU Langone has a robust molecular pathology program with 5 molecular pathologists. All residents complete a dedicated 4-week molecular pathology rotation, in which they learn about the technical aspects and diagnostic interpretation of a wide variety of hematologic and solid tumor molecular assays, hybrid capture and amplicon based next generation sequencing (NGS) testing, genotyping and methylation microarrays, and fluorescence in-situ hybridization tests. Residents present cases at the weekly molecular pathology consensus conference and discuss results at the interdisciplinary molecular tumor board. In addition to the formal rotation, many residents expand their knowledge of molecular pathology through research projects, making use of the extensive molecular resources we have available. We expect the department to continue to grow in the near future, as we recruit additional faculty and bring online additional advanced molecular assays including a customized 607 gene DNA NGS panel, 86 genes RNA sequencing gene fusion panel and ctDNA liquid biopsy testing.

Cytogenetics:
This rotation is usually scheduled in the PGY4 year. Residents learn cytogenetic techniques, including lymphocyte culture, chromosome preparation, and banding techniques. They will be able to recognize the common numerical and structural aberrations seen in leukemia, lymphoma and solid tumors.

Laboratory Management:

Senior residents complete this rotation at NYU Langone -Brooklyn, a community based hospital in the Sunset Park neighborhood of Brooklyn. The rotation curriculum covers a comprehensive group of topics that include administrative and clinical facets of clinical laboratory medicine, focusing on Chemistry/ Serology, Hematology, Blood Bank, Point of Care, Central Processing, and Laboratory Administration.