Current, detailed information for all incoming residents can be found on the House Staff website. The following description concerns the Pathology training program.
The core rotations include autopsy/forensic pathology, surgical pathology, cytopathology, dermatopathology, neuropathology, renal pathology, hematopathology, molecular pathology, cytogenetics, clinical chemistry, blood banking and transfusion medicine, microbiology, informatics and laboratory management; there is also a six-month rotation consisting a course in laboratory methods offered through the Medical Laboratory Science Program. The Informatics rotation runs in parallel with the Medical Laboratory Science Program.
Some aspects of the educational program apply whatever the resident's current rotation assignment may be, e.g., on-call responsibilities, teaching duties, and conference attendance. Intermittent responsibilities include participating in surveys as an observer and inspector, and working with committees.
In keeping with ACGME requirements (effective July 1, 2011), no PGY1 resident takes night call. Night call begins in PGY2 and call is distributed among the PGY2, PGY3, and PGY4 residents. On average residents are on call 2-3 times per month. Night call is taken from home (beeper call). One resident is on call each night and covers both AP and CP services with faculty supervision. The Autopsy service covers autopsies on weekdays and Saturdays. No autopsies are performed on Sundays. The on-call resident answers questions concerning hospital autopsies only and refers questions concerning Medical Examiner autopsies to the Medical Examiner on call.
Educational responsibilities also begin in the first year and are usually in full swing by September 1st following the summer orientation program; these include conference presentations to the Pathology Department and the other medical specialities and subspecialities in the Medical Center, medical student teaching, medical technologist teaching, and optional participation in teaching pathology to physical therapy students from Winston-Salem State University. Conferences, especially those conducted by the Pathology Department, are an integral part of the program, and attendance is required whenever the resident's primary assignment permits.
Although there is no formal requirement to do research, virtually all residents are involved in clinicopathologic research resulting in publication and presentation at national meetings. The faculty consider such research essential to understanding of the scientific method and appreciation of the challenges of doing research. Ideas for projects may originate with the resident, or individual faculty members may seek out residents to collaborate during their period of working together. Projects range from a report of a single case through studies of large numbers of cases. Others may involve the development of methods within one of the laboratories. Although residency training does not afford much time for bench research, in special circumstances residents with special interests or qualifications may be able to pursue this kind of research. Departmental funding for small intramural projects is available. Elective time may be used for research following approval by the resident’s research supervisor and the Program Director.
Wake Forest Baptist Medical Center and Wake Forest School of Medicine are located on the same campus in Winston-Salem, NC.
The medical school's Department of Pathology faculty is also the pathology staff of Wake Forest Baptist Medical Center, to which it is attached physically as well as in operation. There are approximately 300 people in the department at various levels. The Cellular Imaging Core, a major center for ultrastructural studies, resides in the Department and is equipped with an intermediate-voltage transmission scope, plus conventional transmission and two scanning scopes. A full range of modern equipment supports the routine and research activities of the department. The department's Sections on Comparative Medicine, Lipid Sciences, and Tumor Biology share the graduate programs and other research facilities, including a modern and well-equipped primate facility on another campus.
Each resident occupies private office space in the departmental office equipped with a desk, microscope, file cabinets, and bookshelves. Personal computers at each desk are networked to the library, laboratory, hospital database, and to the internet.
Stipends levels are set in May prior to the beginning of each academic year. Current levels are listed on the House Staff General Information Page; the two co-chief residents receive an additional $1,000 a year. There is an annual fund of $1,200 per academic year which an be applied to books, society memberships, journals, courses, or meetings (this fund can be carried over to the next year). Addition funding is provided for residents who present at national meetings.
The house staff receives malpractice insurance coverage to cover assigned supervised activities of the program effective on the date of appointment. No coverage of moonlightling activities is included. Residents are also eligible for a variety of generous medical and dental insurance, life insurance, and long-term disability insurance plans described on the House Staff website. Workers' compensation is also provided. First year residents is allowed two weeks of vacation per year; second through fourth year residents and fellows receive three weeks of vacation per year.
Like other medical center employees, residents can utilize the center's child care resource and referral program (a limited number of on-site child care spaces are available), join a credit union, utilize the Employee Assistance Program and Employee Health Services.
Parking is available at no charge, and residents can use the fitness center, receive ticket and other discounts, and reduced prices at the Medical Center's cafeterias.
Additional information about the residency training programs at Wake Forest University Health Sciences and North Carolina Baptist Hospital may be found at the Physician's Services Department's House Staff website.
Residents' progress in the program is evaluated in accordance with the standards of ACGME, Wake Forest Baptist Medical Center, and the Department of Pathology. The Pathology Faculty's position is that the residents are their junior colleagues, which makes them responsible for providing supervision and a favorable environment for the residents to achieve competence in service, teaching, and research. Evaluations are performed not only by supervising faculty, but also by Pathologist Assistants, technologists, and clerical staff.
Residents are assessed on the quality of their medical knowledge, performance of their patient care responsibilities, communication skills, ability to work with colleagues and staff, professionalism, participation in conferences, fulfillment of teaching duties, and performance on quizzes and examinations. The department also participates in the annual Resident In-Service Examination as produced by the American Society for Clinical Pathology.
Resident feedback is critical to program development and residents are encouraged to discuss their concerns and suggestions for improvement with the Program Director or Chief Residents, either privately or in our regularly-scheduled meetings.