1. 1 PATHOLOGY INTEREST GROUP September 18, 2012 UC San Diego Health System Center for Advanced Laboratory Medicine 5:00 PM – 7:00 PM David N. Bailey, M.D. Vice Chair for Education UC San Diego Department of Pathology

2. 2 Purpose To stimulate interest in Pathology as a career for those who have not decided upon a Pathology career and to enhance interest and information for those who have decided to pursue To stimulate interest in Pathology as a career for those who have not decided upon a Pathology career and to enhance interest and information for those who have decided to pursue Pathology as a career Pathology as a career

3. 3 Pathology Interest Group Meetings (2012-13) September 18, 2012 (Ronald McLawhon) September 18, 2012 (Ronald McLawhon) (Overview of Pathology; Tour of CALM) (Overview of Pathology; Tour of CALM) November 15, 2012 (Robert Newbury) November 15, 2012 (Robert Newbury) (Pediatric Pathology) (Pediatric Pathology) January 8, 2013 (Steven Gonias) January 8, 2013 (Steven Gonias) (Physician-Scientists in Pathology) (Physician-Scientists in Pathology) March 21, 2013 (Scott VandenBerg) March 21, 2013 (Scott VandenBerg) (Neuropathology) (Neuropathology) Liebow Auditorium, 12:00 PM – 1:00 PM Liebow Auditorium, 12:00 PM – 1:00 PM

4. TONIGHT’S PROGRAM Overview of Pathology as a Discipline Overview of Pathology as a Discipline (David N. Bailey) (David N. Bailey) UC San Diego Pathology Residency Program (Brian Datnow) UC San Diego Pathology Residency Program (Brian Datnow) Pathology Resident Panel (Deidre Amaro and David Li, Co-Chairs) Pathology Resident Panel (Deidre Amaro and David Li, Co-Chairs) Tour of Center for Advanced Laboratory Medicine (CALM) (Ronald McLawhon) Tour of Center for Advanced Laboratory Medicine (CALM) (Ronald McLawhon) 4

5. 5 Why Pathology? Interesting case material (broad and diverse) Interesting case material (broad and diverse) Profession compatible with: Profession compatible with: - Teaching (e.g., in ISC – pathologists chair immunology, microbiology, hematology, and direct the pathology and histology threads) (popular teachers – multiple Kaiser awards; six campus-wide distinguished teaching awards) - Teaching (e.g., in ISC – pathologists chair immunology, microbiology, hematology, and direct the pathology and histology threads) (popular teachers – multiple Kaiser awards; six campus-wide distinguished teaching awards)

6. 6 Why Pathology? (cont.) Also compatible with: Also compatible with: - Research and scholarly pursuits (some Nobel laureate pathologists, e.g., J. Robin Warren – h. pylori; Beruj Benacerraf – immunological reactions; George Whipple – intrinsic factor; Karl Landsteiner – ABO blood groups; Thomas Weller – cultivation of polio virus in tissue culture; Peyton Rous – tumor-producing viruses) - Research and scholarly pursuits (some Nobel laureate pathologists, e.g., J. Robin Warren – h. pylori; Beruj Benacerraf – immunological reactions; George Whipple – intrinsic factor; Karl Landsteiner – ABO blood groups; Thomas Weller – cultivation of polio virus in tissue culture; Peyton Rous – tumor-producing viruses)

7. 7 Why Pathology? (cont.) Also compatible with: Also compatible with: - Administration (obviously chairs and directors of pathology – BUT also – chief of staff in medical centers and even medical school deans – e.g., Johns Hopkins, Yale, Loma Linda, U. Minnesota, U. Kansas, Ohio State University, Emory University, U. Wisconsin, UC San Diego, and UC Irvine) - Administration (obviously chairs and directors of pathology – BUT also – chief of staff in medical centers and even medical school deans – e.g., Johns Hopkins, Yale, Loma Linda, U. Minnesota, U. Kansas, Ohio State University, Emory University, U. Wisconsin, UC San Diego, and UC Irvine) - Business (commercial laboratories) - Business (commercial laboratories)

8. 8 Why Pathology? (cont.) Multiple subspecialties from which to choose Multiple subspecialties from which to choose Potentially less hectic lifestyle Potentially less hectic lifestyle Salaries are good Salaries are good

9. Selected Pathology Subspecialties Anatomic Pathology Anatomic Pathology -Surgical Pathology -Surgical Pathology -Cytopathology -Cytopathology -Autopsy Pathology -Autopsy Pathology -Forensic Pathology -Forensic Pathology -Neuropathology -Neuropathology -Molecular Genetics Pathology -Molecular Genetics Pathology -Pediatric Pathology -Pediatric Pathology 9

10. Selected Pathology Subspecialties (cont.) Clinical Pathology (Laboratory Medicine) Clinical Pathology (Laboratory Medicine) -Clinical Chemistry -Clinical Chemistry -Hematopathology -Hematopathology -Transfusion Medicine -Transfusion Medicine -HLA and Transplantation -HLA and Transplantation -Immunopathology -Immunopathology -Microbiology -Microbiology 10

11. Subdisciplines Many subdisciplines exist within the subspecialities (e.g., virology, mycology, bacteriology, toxicology, coagulation, enzymology, cytogenetics, molecular diagnostics, etc.) Many subdisciplines exist within the subspecialities (e.g., virology, mycology, bacteriology, toxicology, coagulation, enzymology, cytogenetics, molecular diagnostics, etc.) 11

12. 12 Where do Pathologists Work? Medical Centers Medical Centers Schools of Medicine Schools of Medicine Medical Examiner’s Offices Medical Examiner’s Offices Government (e.g., Centers for Disease Control and Prevention; VA Medical Centers; NIH) Government (e.g., Centers for Disease Control and Prevention; VA Medical Centers; NIH) Commercial Laboratories Commercial Laboratories Private Pathology Practice Groups Covering Multiple Centers Private Pathology Practice Groups Covering Multiple Centers

13. Direct Patient Interaction Possible: Some Examples Fine-Needle Aspiration Cytology Fine-Needle Aspiration Cytology Hematopathology (Bone-Marrow Aspiration and Biopsy) Hematopathology (Bone-Marrow Aspiration and Biopsy) Transfusion Medicine Work-up Transfusion Medicine Work-up Invited Consultations Invited Consultations 13

14. 14 Pathology Clinical Selectives and Electives Clinical Clerkships in Surgical Pathology, Cytopathology, Autopsy, Ophthalmic Pathology, Laboratory Medicine, Pediatric Pathology (four weeks in fourth year) Clinical Clerkships in Surgical Pathology, Cytopathology, Autopsy, Ophthalmic Pathology, Laboratory Medicine, Pediatric Pathology (four weeks in fourth year) Selectives (two weeks – third year in surgery block) Selectives (two weeks – third year in surgery block) UC San Diego Surgical Pathology UC San Diego Surgical Pathology VA San Diego Health Care System – VA San Diego Health Care System – Anatomic Pathology Anatomic Pathology Ophthalmic Pathology Ophthalmic Pathology (They count as “surgical” selectives too!) (They count as “surgical” selectives too!)

15. 15 Pathology Clinical Selectives and Electives (cont.) Pre-Clerkship Experience in Laboratory Medicine (Fall Quarter – MS II; Winter Quarter – MS I/MS II) Pre-Clerkship Experience in Laboratory Medicine (Fall Quarter – MS II; Winter Quarter – MS I/MS II)

16. 16 Comments? Questions?