Introduction and Goals
An understanding of the pathologic basis of neurologic diseases is essential for understanding the clinical manifestations of disease, as well as the potential mechanisms of treatment. The goals of this senior resident elective are for the resident to become familiar with:
- The gross anatomy and histology of the nervous system
- Gross and microscopic pathology findings in neurologic diseases
- Modern diagnostic pathology techniques including special stains and studies
Objectives and Evaluation Matrix
As with all of the neurology rotations, the specific objectives are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the end-of-rotation evaluation. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).
| Rotation Objectives | ||
| Upon completion of the curriculum, residents will . . . | ||
| # | Description | Milestones |
| 1 | Participate in at least one brain extraction | MK1 |
| 2 | Participate in brain cutting | MK1 |
| 3 | Describe the staging criteria for Alzheimer’s disease | MK2 |
| 4 | Describe and visually distinguish the major categories of CNS and PNS neoplasia | MK2 |
| 5 | Participate in surgical case evaluations | PC3, PC4, MK1, MK2, SP3, SP4, PR1, IC3, IC4 |
| 6 | Describe the components of a neuropathological report | SP4, IC3, IC4 |
| 7 | Explain the clinical and therapeutic implications of neuropathological diagnoses | PC3, PC4 |
| 8 | Complete all clinical-pathologic cases | MK1, MK2, PR2 |
| 9 | Complete at least half of the museum cases | MK1, MK2, PR2 |
| Milestones | ||
| Please grade the resident on any of the following milestones you were able to evaluate during this rotation: | ||
| PL2 | ||
Schedule
The resident will be present in the pathology suite Monday through Friday 8:00AM to 4:00 PM. The resident will attend brain cutting on Monday and Thursday afternoons, and participate in daily sign out rounds. During free time, he or she will review the CPC cases and museum cases housed in the pathology department. The resident will attend the neuromuscular case conference on Tuesday afternoons, and attend all regularly scheduled neurology residency conferences.
Work Hours
The estimated average number of work hours per week is 50. There are no call responsibilities required during this rotation.
Suggested References
Ellison, D. (2013). Neuropathology : a reference text of CNS pathology. Edinburgh; New York: Mosby.
Gray, F., Duyckaerts, C., De Girolami, U., Escourolle, R., & Gray, F. (2014). Escourolle & Poirier’s manual of basic neuropathology. New York: Oxford University Press.
Latest revision: 05-14-2021
