The AP/CP training track provides broad training in all of the sub-disciplines of anatomic and clinical pathology. This 48 month program is the most common training track, and prepares residents for broad career options ranging from a small community private practice to a large academic medical center. The majority of AP/CP track residents go on to subspecialty fellowship training following their residency, although some graduates have gone straight into clinical practice or full time research.
Combined Anatomic and Clinical Pathology training includes 24 months of core AP rotations and 18 months of core CP rotations. Core training teaches the principles of gross, microscopic, and analytical evaluation of specimens and laboratory data graduated responsibility tailored to each resident's individual progress. Senior rotations encourage the resident to assume responsibility for the professional supervision of the services, often functioning as a junior attending. Elective opportunities allow for advanced training and/or investigative work with a faculty sponsor.
Residents most commonly do AP or CP rotations in six or twelve month blocks. Because of the flexibility of the program, there can be little correlation between a resident's PGY (post graduate year) status and their rotations. For example, a PGY-1 resident may start their training with clinical pathology rotations alongside PGY-3 residents who have already completed two years of anatomic pathology rotations. The performance expectations of these two residents would be comparable, since they are both just beginning their clinical pathology training. Residents are therefore collectively referred to by the group of rotations which they are currently doing. For example, PGY-3 residents who have completed two years of training in AP and are beginning their training in CP are "CP-1" residents, just as are PGY-1 residents who begin their training in CP. PGY-4 AP/CP residents typically do some combination of CP-2 and AP-3 rotations. Within each year, clinical training is divided into a series of rotations, each typically four weeks in duration. There are, therefore, 13 rotations each academic year. The scheduling of residents to the various rotations is the responsibility of the Chief Residents in anatomic and clinical pathology, respectively.
AP/CP training typically begins with 2 years of AP followed by one year of CP followed by a year combining six months of senior CP training and six months of flexible training opportunities, including advanced training and/or basic research (experimental pathology), but past residents have chosen other options:
- 24 months core AP training, 18 months core CP training, 6 months AP senior resident rotations
- 24 months core AP training, 18 months core CP training, 6 months specialty training in AP or CP
- 24 months core AP training, 18 months core CP training, 6 months research experience
- 12 months core AP training, 12 months core CP training, 12 months core AP training, 6 months core CP training, 6 months AP senior resident rotations
- 18 months core CP training, 6 months additional CP training, 24 months core AP training