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Anatomic Pathology Only (AP) and Clinical Pathology Only (CP) Training Tracks

The AP-only and CP-only training tracks provides focused training in all of the sub-disciplines of anatomic or clinical pathology, respectively. These are designed for residents who have more defined career objectives at the time of applying for residency training. These 36-month training programs afford residents a solid foundation in their respective discipline and an opportunity for in-depth subspecialty training and/or a significant research experience. Most commonly, AP-only and CP-only track residents go on to a career in academic pathology, typically at an academic medical center.

  • Residents on the AP-only or CP-only tracks who are on the diagnostic practice pathway have an emphasis on clinical science and teaching.
  • This path often leads directly to a post-residency fellowship (in areas as Transfusion Medicine, Neuropathology, Dermatopathology, Medical Microbiology, Hematopathology, or Gastrointestinal Pathology).
  • Residents on the AP-only and CP-only tracks will pursue two or more years of research following their residency training.

Residents are encouraged to establish a mentored relationship with a Yale University investigator to oversee their ongoing career development. The philosophy of the Program is to provide all means necessary to assure resident success in becoming a physician-scientist or physician-scholar. To that end, research may be pursued within the Department of Laboratory Medicine or the Department of Pathology, but residents are encouraged to consider mentors in other basic science or clinical departments within the School of Medicine or any other School or department at Yale University. Salary is guaranteed for at least two years of mentored research following residency training (minimum of 5 years of salary support).

AP-Only Training

Training in AP-only is most commonly for individuals who either have already decided that the focus of their clinical practice will be within some subspecialty area of anatomic pathology, or for individuals who are planning a career which combines on-going basic or applied research and a more limited clinical practice of pathology.

  • AP-Only training begins with the 24 month core AP curriculum described for the AP/CP track.
  • The third year of training typically includes at least six months of specifically designed AP-3 rotations: "Hot seat", frozen section, autopsy senior resident, and general surgical pathology signout at Bridgeport Hospital.
    • These cross-specialty rotations carry minimal grossing responsibility and are designed to strengthen the resident's diagnostic skills, further their role as clinical consultants, and transition the resident toward the independent practice of pathology.
  • The remaining six months can be used to spend additional time on these AP-3 rotations as well as for clinical and/or research electives.

The specific research strengths in the Department of Pathology are diverse and include basic as well as translational research. Major efforts are centered in cell biology, virology, cancer biology and diagnosis, biotechnology, computational biology, vasculogenesis and vascular disease, mitochondrial biology, structural biology. Many of the laboratories have overlapping interests and have joined together to build program projects. The department is also home to several core facilities for the institution, folded together into "Yale Pathology Tissue Services", which provides tissue procurement and banking, tissue micro-array, and research histology services.

CP-Only Training

The most common pathway for the CP-only training program is designed to provide residents with a solid foundation of knowledge in all aspects of Clinical Pathology; an in-depth experience in a subspecialty of particular interest; and a research experience that facilitates development of an independent physician-scientist career pathway.

  • The 18-month CP core curriculum described is required for CP-only residents.
    • Assure familiarity with all aspects of Laboratory Medicine.
    • Allowing flexibility for sub-specialization within those 18 months.
    • Tailoring of CP electives to the individual interests of each resident.
  • Research and/or clinical subspecialty opportunities are then available during the remainder of the 2nd and 3rd years of the CP-only track.

The format for the advanced training is individualized for each resident to assure both relevance to career goals and adherence to the requirements for residency training of the American Board of Pathology. Subspecialty training is handled by giving the residents more senior, graduated responsibilities under the direction of the attending physician. Some residents elect to participate in clinical fellowships in clinical pathology at this stage of their training, while others begin more basic research endeavors. Projects may be in practical areas, such as methods development or outcomes, or they may be in an area of basic research. The broad range of potential research opportunities can be explored in the Yale University medical faculty research database.

The specific research strengths of the Department of Laboratory Medicine are diverse and include R01 and program project funded investigators in immunohematology, molecular immunology and virology, transplantation immunology, molecular diagnostics, hemostasis, hematopoietic stem cells and progenitors, and clinical pharmacology, as well as other areas. The research laboratories (including the Yale Stem Cell Center) are located in close proximity to the clinical laboratories, facilitating ready interaction and transfer of biotechnology.