Residents spend a total of 14 months on 7 surgical subspecialty services (2 months each):
- Cardiothoracic and skin pathology
- Obstetric/gynecologic and general pathology
- Head and neck pathology
- Gastrointestinal/liver pathology
- Genitourinary/renal/pediatric pathology
- Breast pathology
- Bone and soft tissue pathology
In addition, they spend 1 month on the endoscopic GI biopsy service.
Residents have three months of senior level rotations in surgical pathology (1 month each):
- Intraoperative consultation (“frozen section”) service at the Ronald Reagan Medical Center
- Junior Attending supervisor on the Westwood UCLA campus, supervising junior residents on surgical subspecialty services, the gross room, and the Telepathology service.
- Junior Attending at the Santa Monica UCLA campus, developing diagnostic proficiency on the general surgical pathology service.
All services are on the Westwood-UCLA campus with the exception of bone and soft tissue and Junior Attending at Santa Monica which are both at the Santa Monica-UCLA/Orthopedic Hospital campus (approximately 20 minutes from the Westwood-UCLA campus).
Resident responsibilities while on surgical pathology rotations:
Gross pathologic examination/sectioning: daily, limited to specimens on subspecialty service.
Preview and preparation of reports: Residents are responsible for drafting reports for all cases on their services in preparation for sign-out with the attending pathologist on service. Graduated responsibility is achieved over time as more senior residents are expected to "take-ownership" of their cases and prepare more complete "sign-out" ready reports.
Daily sign-out sessions with attending sub-specialty pathologist.
Residents of all levels regularly present at specialty specific tumor boards and radiology-pathology conferences. Residents are also considered the point person for clinician communications for their service.
Junior residents receive supervision by service specific fellows, senior residents, the JA-Westwood, pathology assistants in the gross room, and attending pathologists as appropriate.