Throughout your residency, you will attend and participate in a vast series of conferences, seminars, journal clubs and lectures. As would be expected in an institution as large as the Mayo Clinic, there are almost limitless opportunities to sit in on lectures and conferences held by world-renowned physicians and scientists. The following are only a few of the pathology-oriented conferences that residents attend on a regular basis:
We have an integrated 2-year didactic core curriculum covering major topics in anatomic and clinical pathology. The entire core lecture series is digitally recorded and available for review at anytime through the departmental intranet. The core curriculum is supplemented by numerous individualized didactic lectures and conferences during specific rotations. Several monthly conferences are attended by residents, including anatomic pathology grand rounds, laboratory medicine and pathology grand rounds, and interesting case conference. Visiting professors from around the world also frequently give lectures to the department. In addition, the department sponsors an annual diagnostic surgical pathology conference for practicing pathologists which residents are welcome to attend.
There are numerous regularly scheduled teaching slide conferences for pathology residents including a weekly unknown slide conference held by a consultant in his or her area of expertise and a monthly California Tumor Registry (CTTR) unknown slide conference. There are also monthly multidisciplinary teaching slide conferences in gastrointestinal pathology, oral pathology and ophthalmic pathology, as well as weekly multidisciplinary clinical slide conferences in liver pathology, urine and cervical cytopathology and dermatopathology. Visiting professors also frequently provide slide conferences specifically for pathology residents.
Multidisciplinary clinical conferences
Residents are encouraged to participate in various multidisciplinary clinical service conferences. Residents rotating through the autopsy service attend and occasionally present at the weekly Internal Medicine Morbidity and Mortality conference. While on selected rotations, residents attend various organ-specific multidisciplinary conferences such as the orthopedic oncology conference, the neuro-oncology conference, and the breast oncology conference.
Each month there is a long-standing gross pathology conference that was started in the 1900s by Mayo's first pathologist, Louis B. Wilson. The conference tradition was continued by another prominent Mayo pathologist, Malcolm B. Dockerty, for whom the conference was renamed. At this conference, residents are shown gross photographs of specimens received through the frozen section laboratory and then asked to use their gross pathology examination skills to derive a differential diagnosis and make an educated guess on the actual diagnosis. The corresponding histopathology is then shown thereby allowing immediate correlation with the gross impression.
Leadership and Management Seminar Series
Residents as well as pathology fellows participate in a unique, interactive seminar series aimed at developing critical leadership and management skills that have often been neglected in pathology residency training programs. The Department of Laboratory Medicine and Pathology at the Mayo Clinic developed an expanded curriculum to address these skills. This curriculum utilizes predominantly Mayo Clinic faculty along with invited outside speakers. Emphasis in the curriculum is placed on practice, interactive cases that stress high quality, cost-effective laboratory medicine and pathology. Sessions are attended by other anatomic and clinical pathologists (including division chairpersons), laboratory scientists, supervisors, and experienced administrators. Interaction among all groups occurs in a team-based environment. Trainees are excused from their service obligations to attend six 1-2 day sessions scheduled throughout the year.
Session topics include:
- Leadership and management basics
- Principles of negotiation, conflict resolution and change management
- Healthcare finance in the laboratory
- Quality School
- Capstone Seminar, which requires the residents to form teams and answer a practical management/leadership question. For example, one of the team presentations answered the question, "How do we get our physicians to accept a new test or algorithm?"
In addition, residents and fellows are invited to attend the departmental Clinical Practice Committee on a monthly basis. Residents and fellows routinely are included in aour CAP inspection teams.