In May 2012, the Emory University Hospital’s core surgical pathology rotation (approximately 55,000 specimens per year) transitioned from a generalized signout model to a dedicated subspecialty signout model. The subspecialty model allows for improved patient care and resident education, with dedicated faculty members for each organ system signing out specimens daily.
The subspecialty signout model is constructed of five services:
While on a subspecialty service, residents are responsible for the gross examination and sampling of surgical resection specimens, as well as signing out of biopsies and routine surgical specimens. Protected time to preview cases is provided each day. Fully-trained Pathology Assistants provide support and teaching in the gross and frozen section rooms throughout the day.
The core autopsy service provides coverage for Emory University Hospital, Emory Midtown Hospital and Grady Memorial Hospital. Annually, 150-200 autopsies are performed within the Emory system, with an additional 80-100 autopsies performed at Grady Memorial. Emory residents do not have difficulty getting the required number of autopsy cases in order to sit for the boards.
Cytopathology forms a core component of the residency training program at Emory with rotations divided between Emory University Hospital and Grady Memorial Hospital. This optimizes the exposure to a wide variety of clinical cytopathology specimens that currently total around 65,000 of which over 4,000 are fine needle aspirations (FNAs).
Residency training in anatomic pathology at Emory also includes general rotations at Atlanta Veteran’s Administration (VA) Medical Center, Grady Memorial Hospital, and Emory University Hospital – Midtown. These rotations begin in the second year of training, and are intended to expand the scope of cases and practice environments each resident sees.
Residents participate in grossing, frozen section analysis, and diagnosis of pediatric specimens with board-certified pediatric pathologists at Children’s Healthcare of Atlanta – Egleston.
In addition to gross and microscopic examination of in-house soft tissue tumor cases, this rotation allows residents to review daily the ~3000 personal consultation cases referred annually to Dr. Sharon Weiss from all over the world.
Residents review approximately 15,000 dermatopathology specimens yearly alongside board-certified dermatopathologists.
Residents participate in the analysis of the 7,000 surgical specimens that are diagnosed and reported annually by boarded Oral and Maxillofacial Pathologists.
Residents examine in-house neurosurgical specimens and participate in both autopsy brain-cutting and microscopic examination for the in-house autopsy service.
This elective provides residents a focused emphasis on gastrointestinal, medical and transplant hepatic pathology.
Emory residents rotate at the Fulton County Medical Examiner’s office to perform autopsies for natural and unnatural causes of death, participate in crime scene investigations, and observe courtroom forensic testimony.
Additional upper level elective rotations include a newly forming anatomic infectious disease pathology rotation at the neighboring Center for Disease Control (CDC), pulmonary pathology, renal pathology, immunohistochemistry, as well as upper-level / fellowship preparation versions of core rotations.
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