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Program Directors

Dr. Carol Grindem
Phone: 919.513.6277
Email: carol_grindem@ncsu.edu

Dr. Jennifer Neel
Phone: 919.513.6254
Email: jennifer_neel@ncsu.edu

Clinical Pathology Residency

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 Certification 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 Pathologists. 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. The application process is now available. To view the full vacancy announcement, additional requirements, and to apply online, please visit https://jobs.ncsu.edu/postings/26515. The position will remain open until a suitable candidate is found.  Questions related to the application process can be directed to Jill Schmitter in CVM Human Resources at jill_schmitter@ncsu.edu.

Clinical Pathology Laboratory and Faculty at NC State University

The NCSU-CVM Veterinary Health Complex 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 CBCs, 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, Cobas Integra 400 chemistry instrument, Stago Satellite coagulation instrument and Chemstrip Criterion II.  The cytopathology reading room is equipped with a 5-headed Olympus microscope with a digital camera, an Olympus microscope with a digital camera, 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 three board certified faculty and one post-doctoral teaching fellow.  Faculty are Carol Grindem, Jennifer Neel, and Don Meuten, and the teaching fellow is Taryn Sibley; residents are Jamie Haddad, Devorah Marks and Kaori Uchiumi. Faculty and trainees are responsible for teaching a sophomore clinical pathology course (VMP 942), 11- two-week laboratory medicine senior rotations (VMP 978) and 2- one-week cytology electives. Additionally, there are 8 board certified veterinary clinical pathologists in the Greater Research Triangle Area.

General Information

The 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 publishing in appropriate journals is strongly encouraged.

A multi-institutional annual mock ACVP examination is used as an excellent board preparatory exercise and assessment of progress in the program.

Mentorship

Clinical pathology residents have a three-member residency advisory committee composed of two clinical pathologists and one non-program faculty member, chosen to meet the academic interests of the resident. Residents meet with their committee at least biannually for career and residency guidance.  Residents are evaluated two times each year, by Dec 1 and Apr 1, to evaluate performance and progress in board preparation.

Graduate Training

Diverse opportunities are available to residents choosing to pursue graduate training after the residency program. Residents planning a Ph.D. degree 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. In addition to NC State University, research training opportunities are available at several institutions in the Research Triangle Park, including the National Institutes of Environmental Health Sciences, as well as the University of North Carolina School of Medicine and Duke University School of Medicine. Graduate programs are organized through NC State University and the research can be done in laboratories at the various institutions.

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 journal club and assume primary responsibility for cytopathology duty and senior student clinical pathology teaching.

Program Outline

  1. Orientation on laboratory medicine, specimen preparation and handling, record keeping, teaching resource material and photography (1st year).
  2. 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.)
  3. 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)
  4. 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 electives. Teach the urinalysis part of VMP 942 the 1st year (2 lectures, 1 laboratory), the coagulation section the 2nd year (3 lectures, 1 laboratory), and a segment of the course during the third year (topic varies, typically 4 lectures and 2 labs) and assist in teaching other laboratories all three years. The residents will teach a hands-on urinalysis lab,  hematology wet and dry labs, and an instrumentation and quality control/quality assurance 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).
  5. 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).
  6. Attend, participate, and present at weekly clinical pathology rounds, clinical pathology journal club, clinical pathology board preparation rounds, surgical pathology seminar, gross pathology rounds,and internal medicine rounds, and sit the annual mock board exam (1st, 2nd, 3rd years).
  7. Development of a clinical research project with the guidance from the clinical pathology faculty (1st year).
  8. Submission and acceptance (before completion of the residency) of at least two first author articles for publication in an appropriate refereed journal.
  9. Encourage presentation of case material and/or research project at regional or national meetings (1st, 2nd, 3rd years).
  10. Submissions to "Veterinary Clinical Pathology What is your diagnosis?" or similar, or a presentation at the Southeastern Veterinary Pathology Conference at Tifton, GA is strongly encouraged (1st, 2nd, 3rd years).
  11. Other opportunities include rotations of 1-2 week duration through ancillary disciplines such as anatomical pathology, Rollins State Diagnostic Laboratory, a basic research laboratory, the clinical immunology laboratory, the clinical microbiology laboratory, oncology, small or large animal medicine, laboratory animal medicine, electron microscopy, epidemiology, computer science, or clinical pharmacology are available (1st, 2nd, 3rd years).
  12. NCSU has many centers of excellence within the veterinary college. Residents are encouraged to attend seminars and lectures of interest e.g. small and/or large animal medicine rounds, wildlife and zoo animal rounds, oncology seminar series, and research seminars (1st, 2nd, 3rd years).
  13. Identify and arrange the schedule of graduate course work to be completed during the residency (1st year).
  14.  Superior residents may be promoted to clinical lecturer after successful completion of their second year contingent on available funding.

Clinical Pathology Faculty and Residents

Clinical Faculty

Post Doctoral Teaching Fellow

Current Clinical Pathology Residents

Clinical Pathology Trainees from the Last 5 Years

Adjunct Clinical Pathology Faculty

Anatomical Pathology Faculty

Adjunct Anatomical Pathology Faculty