usual day

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MS05'

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Can someone run me through the typical day of a path resident? I understand that it's heavily dependent on what rotation you're in i.e. surgical path or some clinical path rotation, but I'm looking for a general overview. Thanks!
 
You are right, every rotation is very different in terms of schedule and responsibilities. I can give you, culled from experience at 3 programs and interviews at others, averages.

Generally every rotation includes lectures at 7 or 8 or whatever time the day starts. Lectures can be slide review, didactic, case or autopsy presentations, whatever. Generally there is something every day. Sometimes there are also other committments, whether at noon or 4pm, or whenever. Generally not every day. But at my program we have brain cutting (autopsy brains) once weekly at noon, an occasional forensics afternoon lecture, a slide review session one afternoon a week, a research seminar. Lectures at most programs will be called "required" but this is flexible often depending on what rotation you are on.

CP rotations usually have additional lectures at other times.

The day on other rotations:

Autopsy: If there is an autopsy, you do it, usually finished by early afternoon at the latest. You also have to dictate or type up the gross report and prelim diagnosis. Depending on the program, autopsy months can be combined with others. Like if there is no autopsy, you look at dermpath, or you do some surg path.

Surg path: Every program is different. Some will have separate days where all you do is stay in the lab and do frozens or gross in specimens that come in. This will alternate with days where you look at the slides of all the cases you did the previous day and sign them out with attendings or fellows. There is no uniform schedule. Programs range from having you do frozens and grossing every day, and previewing cases and signing them out in between all of this work to having a 4 day schedule where day 1 is frozens, day 2 is grossing the leftovers, day 3 is previewing your slides, and day 4 is signout. Surg path is usually the busiest rotation - you go until the OR stops. Sometimes this can be into the evening, and if you have lots of specimens to gross, same thing. When I did my surg path during my PSF I would start after lecture, generally frozens started coming in about 9:15-9:30. Slides from the previous day started coming out at 10. So my day was spent juggling things until 4pm when all the frozens were done and I would finish grossing. Sometimes there until 7 or 8.

Cytology months often have you on call for FNAs (either doing them yourself or being present while a clinician does them). And the rest of your day is spent reviewing cases - first alone, then with the attending, again varying with the program.

Hemepath varies so much from program to program it is almost not worth trying to describe.

Other CP also vary - blood bank you handle calls and lab issues all day, write up transfusion reactions. Chemistry you do lots of reading or reviewing lab tests. Micro, same thing.

In general the day runs from whenever lectures start until 4 or 5 pm. If you are on a busy rotation with extra work, you will have to stay later than that. Sometimes you are done before 4 or 5. Some rotations require a lot more self direction, others have you going almost non-stop (although it still isn't as bad as other specialties where you have 85 things to do IMMEDIATELY).

Do you have specific questions about specific rotations? The basic stuff, I guess, is that
1) You generally have time for a nice lunch
2) Lots of self-directed learning at times
3) Manageable schedule
 
Actually, if you wanna hear deschutes yelp at the top of her lungs, please also refer to that same thread 🙂
 
AndyMilonakis said:
Actually, if you wanna hear deschutes yelp at the top of her lungs, please also refer to that same thread 🙂
That was no yelp. Yelps are when my tail gets stepped on.

"AAARRRGHHHHH!!!" on the other hand, is an expression of livid agony, inducible by the floor medicine experience.

Awright. Enough of the side-track.
 
deschutes said:
That was no yelp. Yelps are when my tail gets stepped on.

"AAARRRGHHHHH!!!" on the other hand, is an expression of livid agony, inducible by the floor medicine experience.

Awright. Enough of the side-track.

stop yelping
 
deschutes said:
Check out The Official Anti-Clinical Medicine Thread, post #77. (It's on page 4.)

You know Deschutes I posted my "day in the life of" timeline when I was doing my heme-onc rotation during med school. Don't remember what thread it was on but it mostly involved sitting by the phone and waiting for the fellow. That doesn't happen in path.
 
yaah said:
I posted my "day in the life of" timeline when I was doing my heme-onc rotation during med school. Don't remember what thread it was on but it mostly involved sitting by the phone and waiting for the fellow.
I did summer elective shadowing in Heme-Onc for a grand total of 4 days last year. I remember only that 0800h was too early to turn up.

Well, that's not entirely true. I remember sitting at a multihead microscope looking at a blood smear. I remember thinking there was something wrong with the field. (non-Kohler-illuminated, perhaps?)

Apart from that, rounds seemed to involve interminable talk of chemotherapeutic regimes and disease remission cycles. Sure took IM a notch further down my list.

AndyMilonakis said:
stop yelping
Oh stop yappin', you.
 
deschutes said:
Apart from that, rounds seemed to involve interminable talk of chemotherapeutic regimes and disease remission cycles. Sure took IM a notch further down my list.

That's what really got me on IM...all that talking, talking, and talking. That's all they do is talk. Then you write orders during this talking talking talking (aka work rounds) and magically things get done (not magical because the nurses do all the crap for you).
 
Wow! Thanks everyone for the info! I'm one of those 4th year med students who was sure he was going into clinical medicine who happened to have an IM attending who loved to go the path lab to review slides of pts. on his service. Of course, other than 1st and 2nd year lecture notes this was the ONLY exposure I'd had to path and find it to be pretty neat and worth contemplating as a career change.

I've been on FRIEDA reading about path programs at different places and greatly appreciate everyone's feedback on SDN too. I guess one of my only other questions is what do Pathologist do for moonlighting? I'm assuming it's comprised of staying in house and dealing with blood bank/transfusion issues, and out of curiosity...what's the pay like?

Thanks again!!!
 
MS05' said:
I've been on FRIEDA reading about path programs at different places and greatly appreciate everyone's feedback on SDN too. I guess one of my only other questions is what do Pathologist do for moonlighting? I'm assuming it's comprised of staying in house and dealing with blood bank/transfusion issues, and out of curiosity...what's the pay like?

At my program, some residents moonlight in some fashion for the medical examiner. They serve as case investigators (YES! You too can be a CSI!!) actually they are not involved with crime scenes, they only serve as investigators for deaths in the hospital - thus if someone dies in house and is a reportable case, the on call investigator has to investigate, prepare a report, then contact the ME who will decide on the appropriate course of action. It can involve a lot of phone calls, I am not currently interested in it.

Some also moonlight as autopsy dieners.

There have probably been some in the past who have moonlighted in VAs or some other urgent care type facility as other residents in other fields do. I am not aware of any other moonlighting opportunities within the field of pathology for residents. Blood bank issues and other on call type stuff are usually handled by on call residents. So you could work out your own moonlighting business and have the other residents pay you to take their call for them, but I don't know if the program would like that.
 
Path moonlighting opportunities can also include working at some private practices where you gross in non-major cases like biopsies, placentas, etc. They pay either a fixed rate by the hour or by the number of specimens you get. Some residents also take autopsy call, getting a fixed rate for holding the pager and extra for each autopsy case.
 
We can moonlight at the ME office as well as the ME on-call. And, we do go to crime scenes. It is not really worth it money-wise, but if that is what you are into then it is great.

We also have one of the best Forensic fellowships in the country so we get a few residents who are excited about ME moonlighting.
 
garfield said:
Path moonlighting opportunities can also include working at some private practices where you gross in non-major cases like biopsies, placentas, etc. They pay either a fixed rate by the hour or by the number of specimens you get. Some residents also take autopsy call, getting a fixed rate for holding the pager and extra for each autopsy case.

You mean I can gross in MORE placentas in my free time AND get paid for it? Shucks, sign me up! I can't get enough placentas! I had a triplet placenta today and I did a little jig in celebration.
 
Triplets are fun. (It's three times the work but would get paid the same as one in moonlighting). What's weird is assessing transparency of dividing membranes... can you read a newspaper through it? very transparent? teeny transparent, dontcha mean opaque? what if your newspaper gets dirty and you still wanted to read the comics?
 
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