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DEPARTMENT OF PATHOLOGY AND AREA LABORATORY
PATHOLOGY CLERKSHIP

MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.  One (1).

LENGTH OF ROTATIONS.  Two (2) to four (4) weeks.

WILL TAKE STUDENTS FOR TWO WEEKS ONLY?  Yes.

LEVEL OF STUDENTS ACCEPTED  Third or fourth year.

TIME OF YEAR OFFERRED.  Flexible start dates throughout the year.

PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.

  • Yes.
  • Offered primarily to medical students with an Army obligation (HPSP and USUHS)
  • Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
  • All students (except USUHS and University of Hawai'i) will apply for a clerkship utilizing the form entitled “Request for Approval of Clinical Clerkship Training.”
  • USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request
  • The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.

OBJECTIVES/DESCRIPTION OF CLERKSHIP.

  • The Pathology clerkship is NOT currently associated with an active Pathology Residency Program at TAMC.
  • Physical facilities utilized include those in the Anatomic and Clinical Pathology Departments as well as the morgue at TAMC.
  • Through instructional methods such as lectures, conferences, one-on-one discussion of cases, and direct observation, the clinical clerk is given an overview into the clinical practice of Pathology.
  • The student gains an appreciation of pathology as an integral part of the patient's clinical work-up and management.
    • The student will obtain an understanding of the capabilities and limitations of the pathologist in clinical diagnosis and learn which test or procedure is appropriate to answer the patient’s clinical problems.
    • The clerkship provides basic familiarization with the principles of clinical test interpretation, biopsy interpretation, performance of autopsy, basic pathophysiologic disease processes, and diagnosis of a variety of disease processes using all of the methodologies available to the clinical and anatomic pathologist.
    • In addition, the students are made aware of safety issues encountered in the laboratory and appropriate protective measures.
  • Active participation in case discussion is expected.
    • One of the goals of the instructional methods used is to promote active dialogue between the student and instructor. This method encourages the curiosity of students and demonstrates the problem solving nature of pathology.
    • Students will be presented a variety of basic cases during their rotation, and will be expected to discuss and correlate the pathologic and clinical findings and incorporate those findings into the formulation of a differential diagnosis.
    • Students will be expected to attend all regularly scheduled tumor board meetings conducted in the department of pathology.
    • Additionally, students will be encouraged to attend other intradepartmental working/educational conferences as they become scheduled.
    • The student will be responsible for preparing and presenting a brief 10-15 minute discussion of an interesting case or clinical pathology problem approved by the Pathology clerkship supervisor before the end of the rotation.
  • During a typical four-week rotation, students should have the opportunity to rotate through most areas of the Anatomic and Clinical Laboratory with an emphasis on Anatomic Pathology; however, the rotation can be somewhat modified according to the student’s interests if time and resources allow.

FREQUENCY OF CALL.  No call for medical students rotating on this service.

REQUIRED READINGS.

  • Each student will be required to complete various reading assignments from the following text: Robbins Pathologic Basis of Disease, 6th ed. by Cotran, Kumar, and Collins.
  • This is an easily acquired standard text of basic pathology appropriate for third and fourth year medical students.

OTHER REQUIREMENTS.  Attendance at daily sign out/clinical case discussion sessions (approximately one hour) with the Pathology clerkship supervisor is required.

HOW ARE STUDENTS EVALUATED?

  • The clerkship supervisor meets with the student daily and performs orientation and evaluation of the medical student.
  • Evaluation is based upon demonstration of knowledge of reading assignments during one-on-one discussion of the required assignments, active participation in all required and optional conferences, interpersonal skills, motivation, quality of 10-15 minute presentation prior to end of rotation, interest and ability in Pathology, and performance of any written tests taken during the rotation (at least one 15 to 20 question written test will be administered which covers a pathology reading assignment determined by Clerkship supervisor).
  • The Clerkship supervisor writes the evaluations required by the individual medical schools and by the Army (Academic Evaluation Report) for those students on ADT rotations.

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