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North Carolina State University
Raleigh, NC
Anatomic Pathology Residency
Clinical Pathology Residency
Program Directors
Dr. Carol Grindem, (919) 513-6277, or e-mail Carol_Grindem@ncsu.edu
Dr. Jennifer Neel, (919) 513-6254 Jennifer_Neel@ncsu.edu
Website: http://www.cvm.ncsu.edu/studentservices/intern_resid/clinpathology.html
Objectives
The Resident Training Program in Veterinary Clinical Pathology
at North Carolina State University is a three-year postgraduate training opportunity
designed to provide advanced training in veterinary clinical pathology, to
develop diagnostic laboratory skills and to develop teaching and communication
skills. Completion of this program will fulfill the prerequisites for the Clinical
Pathology Board examination by the American College of Veterinary Pathologists.
This residency program is designed to prepare trainees for the many available
career opportunities in veterinary clinical pathology including diagnostic
laboratories, academic institutions, toxicologic/ pharmaceutical industries
or private businesses.
The program provides ample opportunities to develop proficiency and acquire
expertise in advanced clinical pathology necessary to become a Diplomate of
the American College of Veterinary Pathology. Residents will participate with
faculty, staff and veterinary students in the daily professional activities,
and acquire teaching and writing skills through the combined professional instructional
efforts. In addition, residents will have the opportunity to complete graduate
courses, participate in seminars, and acquire skills in research methodology.
The program is designed to facilitate entry into a PhD graduate program. A
variety of excellent PhD programs are available to choose from and competitive
stipends are awarded annually.
The program is not part of the residency matching program. Requests for applications
are advertised in the fall in the Journal of the American Veterinary Medical
Association and positions start July 1.
Clinical Pathology Laboratory and Faculty at NC State University
The NCSU-CVM Teaching Hospital receives about 17,000 patients
annually including increasing numbers of avian, fish and exotic species. The
Clinical Pathology Laboratory handles a monthly work load of 1200 CBC's, 300
cytopathology specimens, 300 urinalyses, and 600 serum chemistry and blood
gas panels. In addition we handle 60 coagulation panels and 140 send-out specialized
assays. We have a laboratory staff of 7 technologists, and 8 part-time student
technicians. Major pieces of equipment include an Advia 120 hematology instrument,
and a Hitachi 912 chemistry instrument. The cytopathology reading room is equipped
with a 5-headed Olympus microscope with a digital camera, an Olympus microscope,
two computers networked to the main frame computer and a small reference library.
A 10- headed teaching scope and a Nikon microscope/video camera station are
also available.
The Clinical Pathology Group at NCSU include five faculty (4 board certified).
Faculty are Carol Grindem, Jennifer Neel, Don Meuten, Valarie Pallatto and
Gregg Dean; residents are Jaime Tarigo and Laura Snyder. Faculty and residents
are responsible for teaching a sophomore clinical pathology course (VMP 942),
12- two-week laboratory medicine senior rotations (VMP 978) and 2- one-week
cytology selectives. Additionally, there are 6 board certified veterinary clinical
pathologists in the Greater Research Triangle Area.
General Information
Clinical Pathology Residency Program provides training primarily in cytology,
hematology, coagulation, clinical chemistries, urinalysis and surgical pathology.
Residents will evaluate and diagnose cytologic and surgical pathology material.
They will also review and interpret laboratory results from hematology, coagulation,
clinical chemistry and urinalysis. Routine laboratory material serves as source
material for evaluation.
Similarly, residents are expected to develop proficiency in certain laboratory
techniques and will have laboratory and instructional responsibilities. Attendance
and participation in clinical pathology rounds and case discussions, journal
club, histopathology conferences, House Officer' Seminar Series, internal medicine
rounds and graduate courses are expected. Residents are also encouraged to
attend seminars, conferences and clinical rounds in the college, university
and surrounding area.
Clinical research projects provide opportunities to enhance grantsmanship,
organizational, publication and communication skills. Presenting results
of these projects at National meetings and published in appropriate journals
is strongly encouraged.
Appointments will be for sequential one-year terms. Residents will be formally
reviewed twice a year. Reappointment is based upon satisfactory progress in
the program. Appointments and reappointments usually start July 1. Individuals
wishing to enter a Ph.D. degree program should contact the Associate Dean for
Research and Graduate Studies for further information early in their program. Graduate
training opportunities are available in pathology, infectious diseases, immunology,
cell biology, physiology, pharmacology, and population medicine.
Program
The following is a general outline for the training program. Twice a year
the resident and the residency committee will meet to develop a 6-month plan
for professional activities. The resident is ultimately responsible for compliance
with the work plan. During the third year, a major component of the trainee’s
duty will be to mentor junior residents, organize board study groups and assume
primary responsibility for cytopathology duty and senior clinical pathology
teaching.
Program Outline
- Orientation on laboratory medicine, specimen preparation and handling,
record keeping, teaching resource material and photography (1st year).
- Assignment to clinical pathology service duty for approximately 27 weeks/year.
Duty includes evaluating cytologic samples; reviewing blood smears, chemistry
data, coagulation data, and urinalysis data; and consulting with clinicians,
students and researchers about the interpretation of laboratory results (1st,
2nd, 3rd years.)
- Rotation (1-4 weeks) in the clinical pathology laboratory
to gain proficiency in operating laboratory equipment (Advia hematology instrument,
Hitachi chemistry instrument, Blood gas machine, and coagulation machine)
learning test methodologies, quality control and laboratory management. (1st
and 2nd years)
- Gain teaching experience through presentation of lectures and assisting
in laboratory instruction in the sophomore clinical pathology course (VMP
942), senior clinical pathology rotations (VMP 978) and selectives. Teach
the urinalysis part of VMM942 the 1st year (2 lecture, 2 laboratory), the
coagulation section the 2nd year (3 lectures and 1 laboratory), and the hematology
section the third year (6 lectures and 4 labs) and assist in teaching other
laboratories all three years. The residents will teach a hands-on urinalysis
lab, a hematology lab, cytology and body fluids lab in the senior rotation.
Additionally, the 2nd and 3rd year trainees will participate with the faculty
in teaching hematology/cytology and clinical chemistry case interpretation
in the senior rotations (VMP 978).
- Presentation of at least one in-depth
seminar in the House Officers' Seminar Series related to clinical disease
problems identified through clinical pathology laboratory tests or related
to a research project. Weekly attendance of this seminar series is required
(1st, 2nd years).
- Attend, participate, and present at weekly clinical pathology
rounds, clinical pathology journal club, surgical pathology seminars and
internal medicine rounds, and annual mock board exam (1st, 2nd, 3rd years).
- Development of a clinical research project with the guidance from the clinical
pathology faculty (1st year).
- Submission and acceptance (before completion
of the residency) of at least one first author article for publication in
an appropriate refereed journal.
- Encourage presentation of case material
and/or research project at regional or national meeting (1st, 2nd, 3rd years).
- Submissions to "What is your diagnosis?" or a presentation at
the Southeastern Veterinary Pathology Conference at Tifton, GA is strongly
encouraged (1st, 2nd, 3rd years).
- Other
opportunities include rotations of 1-2 week duration through ancillary disciplines
such as anatomical pathology, Rollins State Diagnostic Laboratory, basic
research laboratory, immunology, oncology, small or large animal medicine,
laboratory animal medicine, electron microscopy, epidemiology, computer science,
or clinical pharmacology are available (1st, 2nd, 3rd years).
- NCSU
has many centers of excellence within the veterinary college. Residents
are encouraged to attend seminars and lectures of interest e.g. necropsy
rounds, small and/or large animal medicine rounds, wildlife and zoo animal
rounds, and research seminars (1st, 2nd, 3rd years).
- Identify and arrange the schedule of graduate course work to be completed
during the residency (1st year).
- Superior
residents may be promoted to clinical lecturer after successful completion
of their second year contingent on available funding.
Clinical Pathology Faculty
Clinical Faculty
Carol B. Grindem, D.V.M., Ph.D.; Dip. A.C.V.P. Hematopoietic neoplasms, platelet
disorders, clinical application of flow cytometry, diagnostic cytopathology.
Donald
J. Meuten, D.V.M., Ph.D.; Dip. A.C.V.P. (anatomical and clinical pathology).
Bone and calcium disorders, diagnostic cytopathology and surgical pathology.
Jennifer
A. Neel, D.V.M., Dip. A.C.V.P. Diagnostic clinical pathology, cytopathology,
and photography.
Valarie Pallatto, D.V.M., Diagnostic clinical pathology, coordinator
of ACVP board preparation.
Research Faculty
Gregg Dean, D.V.M., Ph.D.; Dip. A.C.V.P. Pathogenesis of feline infectious
diseases (FeLV, FIP) cytokines, molecular biology, flow cytometry.
Adjunct Clinical Pathology Faculty
Jan Andrews, D.V. M., Ph.D; Dip. A.C.V.P.; Antech Diagnostics
Holly Jordan,
D.V.M., Ph.D.; Dip. A.C.V.P.; GlaxoSmithKline
Anatomical Pathology Faculty
John Barnes, D.V.M., Ph.D.; Dip. A.C.V.P. Avian diseases.
Talmage Brown, Jr., D.V.M., Ph.D.; Dip. A.C.V.P. Pathogenesis of infectious
diseases.
John Cullen, V.M.D., Ph.D.; Dip. A.C.V.P. Carcinogenesis.
Yongbaek Kim, D.V.M., Ph.D.; Dip. A.C.V.P. Molecular carcinogenesis.
Jerry
Mac Law, D.V.M., Ph.D., Dip. A.C.V.P. Toxicology.
Donald Meuten, D.V.M., Ph.D., Dip. A.C.V.P. (dual boarded). Bone and calcium
disorders.
Keith Linder, D.V.M., Ph.D., Dip. A.C.V.P. Skin biology and disease pathogenesis.
Adjunct Anatomical Pathology Faculty
Linda Kooistra, D.V.M., Ph.D.; Dip. A.C.V.P.; Rollins Animal Disease Diagnostic
Lab
Dave
Malarky, D.V.M., Ph.D.; Dip. A.C.V.P.; NIEHS
Anatomic Pathology Residency
Program Coordinator
Dr. Keith Linder, (919) 513-6257 or Keith_Linder@ncsu.edu
Program Description
The Anatomic Pathology Program at North Carolina State University is an official
part of the post-veterinary training program within the College of Veterinary
Medicine. This residency program provides 3 years of advanced training in
anatomical pathology. The training is a foundation for becoming a competent
diagnostic pathologist and helps to prepare the trainee for certification
by the American College of Veterinary Pathologists. The program also provides
an understanding of clinical pathology and basic principles of general pathology
at a molecular level. For administrative purposes, residents may be
enrolled as graduate students and receive a nonthesis Masters of Specialized
Veterinary Medicine (MSpVM) upon completion of the residency program. Anatomic
pathology residents are strongly encouraged to continue their training by
entering a graduate research program with a goal of receiving a Ph.D. degree
after completion of their residency. Continued participation in the pathology
training program after entrance into graduate school is encouraged in preparation
for the Board Examination in anatomic veterinary pathology.
In this program residents are trained in the morphologic pathology of food,
companion, laboratory, aquatic, equine, avian and exotic animals. In order
to develop an understanding of anatomic pathology, the resident's major activities
will be performing necropsies and examining surgical pathology specimens, under
the supervision of a senior pathologist. Integration of pathologic findings
with patient history, clinical findings, clinical pathology data, microbiology,
immunology, toxicology, and other ancillary studies is emphasized. Residents
will participate in necropsy and histopathology rounds as an important component
of the training program. Residents will be exposed to related disciplines by
selecting optional rotations at regular intervals. Disciplines available for
such rotations include poultry pathology, electron microscopy, ophthalmic pathology,
toxicologic pathology, clinical pathology, or research. Residents may elect
to spend short externships at the North Carolina Animal Disease Diagnostic
Laboratory, National Institute of Environmental Health Sciences the University
of North Carolina School of Medicine or at one of the variety of government
and private research institutions in the Research Triangle area. Residents
are also encouraged to attend seminars, conferences, and rounds in the College,
University, and other institutions in the surrounding area.
There are 3 anatomic pathology residency positions. Optimally, one new resident
will begin each year to maintain a hierarchy of experience within the program.
Additional positions may be available through our participation in the consortium
with NCI for those applicant interested in carcinogenesis.
When selecting candidates for open residency positions, preference will be
given to individuals wishing to pursue graduate studies leading to the Ph.D.
degree. Residents planning to continue their pathology training as Ph.D. candidates
will be encouraged to identify mentors and to seek graduate stipend support
during the residency period. Graduate studies at North Carolina State University
may be pursued in one of a variety of areas including toxicology, carcinogenesis,
oncology, infectious diseases, immunology, cell biology, pathology, physiology
and microbiology. Research training opportunities are available at several
institutions in the Research Triangle Park, including the National Institutes
of Environmental Health Sciences and the Chemical Industries Institute of Toxicology.
Graduate programs are organized through NC State University and the research
can be done in laboratories at the various institutions.
All anatomic pathology residents are evaluated two times each year, by Dec
1 and Apr 1. There is a standard evaluation form. A copy of the form is submitted
to the associate Dean for Services and one is placed in the trainees file.
Anatomic and Clinical Pathology Faculty
The following are in direct support of the program:
Talmage T. Brown, Jr., D.V.M., Ph.D., Diplomate A.C.V.P. (veterinary pathology),
Professor. Pathogenesis of infectious diseases of the respiratory and reproductive
systems.
John M. Cullen, V.M.D., Ph.D., Diplomate A.C.V.P. (veterinary pathology),
Professor. Liver disease, carcinogenesis.
Greggory Dean, D.V.M., Ph.D., Diplomate A.C.V.P. (veterinary clinical pathology),
Assistant Professor. Pathogenesis of lentivirus infections.
Carol B. Grindem, D.V.M., Ph.D., Diplomate A.C.V.P. (veterinary clinical pathology),
Professor. Neoplasms of the hematopoietic system.
Yongbaek Kim, D.V.M., Ph.D.
Diplomate A.C.V.P. (veterinary pathology). Assistant Professor. Molecular carcinogenesis.
Keith Linder, D.V.M., Ph.D., Diplomate A.C.V.P., (veterinary pathology), Assistant
Professor. Skin Biology and Skin Disease Pathogenesis.
Jerry McHugh Law, D.V.M., Ph.D., Diplomate A.C.V.P., (veterinary pathology),
Assistant Professor. Aquatic Toxicologic Pathology.
Donald J. Meuten, D.V.M., Ph.D., Diplomate A.C.V.P. (veterinary pathology and
veterinary clinical pathology), Professor. Bone and calcium disorders.
Associate & Adjunct Faculty
H. John Barnes, D.V.M., Ph.D., Diplomate A.C.V.P. (veterinary pathology),
Avian Pathology.
Michael Dykstra, Ph.D. Electron microscopy; Mycology.
Jeff Everitt, D.V.M., Diplomate A.C.V.P., (veterinary pathology). Toxicological
Pathology.
Jerry Hardisty, D.V.M., Diplomate A.C.V.P., (veterinary pathology). Toxicological
Pathology.
Richard Miller, D.V.M., Ph.D., Diplomate A.C.V.P., (veterinary pathology),
Toxicologic Pathology. Hepatic carcinogenesis.
Edward J. Noga, D.V.M., M.S., Diseases of the fish.
James F. Wright, V.M.D., Ph.D., Exotic and laboratory animal pathology.
Pam Luther, D.V.M., Diplomate A.C.V.P., (veterinary pathology). Dermatologic
Pathology.
Mike Davidson, D.V.M., Diplomate A.C.V.O., Ophthalmology
Thierry Olivry, D.V.M., Ph.D., Diplomate A.C.V.I.M., Dermatopathology.
Linda Kooistra, D.V.M., Ph.D., Diplomate A.C.V.P., (veterinary pathology).
Diagnostic
David Malarkey, D.V.M., Ph.D., Diplomate A.C.V.P., (veterinary pathology),
Assistant Professor. Molecular Carcinogenesis and Toxicologic Pathology.
Return to directory listing
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