Core Training in AP
During the first 12 months of anatomic pathology training, AP-1 residents focus on acquiring the technical skills that will form the basis for their careers in pathology. They also must acquire a fund of knowledge to be able to apply these skills intelligently as physicians (not technicians) towards the goal of becoming diagnosticians. The first year of core training in AP includes multiple rotations on the autopsy service. Residents acquire familiarity with a variety of dissection techniques, learn anatomy, and learn how human disease is manifested in anatomic changes throughout the body. Exposure to Forensic Pathology and Neuropathology is integrated into the autopsy experience. Residents also begin their training in Surgical Pathology and Cytopathology during their first year of AP. Rotations through the major surgical pathology services at YNHH (eg breast, GI, GYN) as well as in general surgical pathology at the VA Connecticut introduce residents to the broad scope of surgical pathology material. The subspecialty-focused training at YNHH affords the resident an in-depth exposure to these major areas of surgical pathology practice. Each AP-1 resident also does one rotation in Cytopathology.
In the second year of core anatomic pathology training, AP-2 residents further expand their histopathologic diagnostic skills by focusing on a broader range of specialty areas within pathology, and delving deeper into an understanding of differential diagnoses. They also become more actively involved in interdepartmental interactions, taking on the role of a diagnostic consultant. A second rotation in each of the major surgical pathology subspecialties is incorporated into the AP-2 year, as are rotations in hematopathology, pediatric pathology, neuropathology, dermatopathology, and ophthalmic pathology. AP-2 residents also get their first exposure to a "leadership" role in anatomic pathology by serving as a senior resident on the autopsy service, overseeing the operation of the service and the training of the AP-1 residents. Finally, elective time allows residents to pursue or enhance training in areas of special interest, or to get involved in formal research projects.
Detailed rotation descriptions are available elsewhere on this site. Throughout the core training in anatomic pathology, a series of daily morning conferences provides residents with both formal instruction and a longitudinal exposure to all of the areas of anatomic pathology, regardless of which rotation they are currently on.