Weekly lung cutting, where all transplant lung specimens and challenging lung specimens are grossed and correlated with the clinical and radiologic findings.
Joseph J. Maleszewski, M.D., leading an autopsy session
This is a sample rotation schedule for the Cardiovascular Pathology Fellowship, which has 13 four-week rotations.
|8 rotations (32 weeks)
||2 rotations (8 weeks)
||2 rotations (8 weeks)
||1 rotation (4 weeks)
- Cardiovascular consultation
- Endomyocardial biopsy (transplant and nontransplant)
- Cardiovascular surgical pathology
|Autopsy/congenital heart disease
||Molecular genetic pathology of cardiovascular disease
The curriculum for the Cardiovascular Pathology Fellowship consists of four-week rotations in cardiovascular surgical pathology, cardiovascular consultation, with additional exposure to transplant and nontransplant endomyocardial biopsy and with the possibility for elective time in other areas.
Both forensic and hospital autopsies are performed under the direct supervision of a consultant. The autopsy service is also staffed by a laboratory supervisor, six full-time autopsy technicians and nine rotating pathology assistants. The newly renovated, state-of-the-art facilities are spacious and include two autopsy rooms, a separate gross dissection room, an X-ray room, a resident work area, digital photography equipment, storage freezers and a unique custom-built heart-lung perfusion fixation apparatus.
Fellows formulate a complete autopsy report incorporating all relevant clinical information, autopsy findings and supplemental studies. The autopsy rotation is an excellent rotation to learn systemic pathology, gross anatomic pathology and histopathology.
To supplement the "on-the-job" learning that occurs on specific rotations, the fellows also utilize the cardiovascular pathology teaching collection, composed of both gross heart specimens and microscopic slides.
You also have the opportunity to participate in teaching activities for the Cardiovascular Unit of the Pathophysiology Course in Mayo Clinic School of Medicine as well as other institutional conferences. In addition, you may spend short periods of time in the Cardiac Catheterization Laboratory and the Echocardiography Laboratory.
You participate in various research projects dealing with cardiovascular disorders from a pathology and clinical perspective.
Fellows have the opportunity to interact and teach medical students, allied health staff (echocardiography and histotechnology programs), residents (pathology, radiology and internal medicine) and fellows (cardiology).
Fellows are evaluated at the completion of each rotation, which may range in length from four to eight weeks. Evaluations assess fellow competence in patient care, medical knowledge, professionalism, systems-based practice, practice-based learning and improvement, and interpersonal and communication skills.
At least two times a year, the program director meets with each fellow to review his or her evaluations and discuss professional growth. In addition, allied health staff and residents are asked to evaluate the fellow's performance periodically.
Fellows are able to view their evaluations electronically. Final written summative evaluations are completed for each fellow upon completion of the fellowship.