Goal/Objective: To teach residents to recognize pediatric diseases and to understand the relevant clinicopathologic correlations.

A resident spends 6 weeks in the Department of Pathology at Children's Hospital Medical Center, doing both surgical and autopsy pathology.

The Surgical Pathology service is divided between in-house and consult specimens. While doing in-house specimens, a resident will also cover frozens during the week. A physicians' assistant aids in processing in many of the specimens. Typically a resident will gross in specimens one day, receive slides back the next day, view them, and sign them out with the senior later that same day.

While on consults, a resident is responsible for all outside consulta-tions, as well as all renal, dermatology, gastrointestinal and neuropathology cases. Renal cases are signed out with Dr. Seymour Rosen from the Beth Israel Deaconess Medical Center. Gastrointestinal biopsies are reviewed with Dr. Donald Antoniolli (Beth Israel Deaconess Medical Center) and Dr. Kamran Badizadegan. Outside consults are reviewed with the in-house senior staff.

The Autopsy service at Children's Hospital does perinatal, pediatric and adolescent autopsies. Two physicians' assistants aid in the postmortem examinations. The protocol is similar to that at the Brigham; a resident does the autopsy, presents the case at gross conference, writes the preliminary report, cuts in the case, signs it out with the senior, and writes the final report. The resident is also responsible for cutting the brains on his autopsies, as well as reviewing and writing up the neuropa-thology reports, and covering frozen sections on weekends.

While at the Children's Hospital, residents also have the chance to interact with well-known cardiac pathologists Drs. Richard and Stella van Praagh, and to review cases from the world famous cardiac registry that they have collected in a tutorial format. Residents are also required to sign off on having reviewed a collection of 100 slides of typical pediatric lesions. The performance of all rotating residents are evaluated in writing and filed with the Program Director.