The Neuropathology Experience
Each resident in the Anatomic Pathology/Clinical Pathology Program at the University of Louisville School of Medicine spends at least one month on the Neuropathology service at the University of Louisville Hospital. Over the four-year program, this experience usually occurs during the PGY2 or PGY3 period. The Neuropathology service is staffed by two board certified Neuropathologists who cover the autopsy service at the University Hospital and provide coverage for surgical neuropathology cases. In addition, the neuropathology service is used as a referral center for difficult neuropathologic cases, including brain tumors, muscle biopsies, and postmortem brains. The neuromuscular biopsy program provides muscle and nerve specimens, which residents evaluate during their rotation. Neuropathologic materials from autopsies and referral cases are handled by residents under the direction of the attending neuropathologist. During this neuropathology rotation, interactive didactic lectures cover all pathologic reactions of the central and peripheral nervous system, including infectious, vascular, toxic-metabolic, demyelinative, degenerative, neoplastic, and congenital. A current standard neuropathology reference text is reviewed by the resident during this rotation. Residents learn how to grossly examine brains and spinal cords, how to sample the central nervous system in an appropriate manner, and how to microscopically evaluate the nervous system. During this Neuropathology rotation, each resident presents a related project and is evaluated with practical and oral examinations at the end of the experience.