Schulich school of Medicine and Dentistry logo Schulich Department of Pathology and Laboratory Medicine

Year 3

Medicine students

The third year of medicine includes a 52 week integrated Clerkship (Medicine 5475). Clerkship is a critical time where students learn to apply basic knowledge learned during their first two years to clinical situations.

Pathology Selective (2 weeks) for Surgery Clinical Clerks 

Dr. Mariamma Joseph (Chair, Undergraduate Pathology Medical Education) 

Rotation Directors: Drs. Helen Ettler, Keith Kwan and Nikhil Sangle

Rotation Coordinator: Cheryl Campbell 
Pathology Selectives are arranged through the Department of Surgery with their Education Assistant.

In collaboration with the Department of Surgery, the Pathology Department offers 3rd year Clerks a selective during their General Surgery Rotation.  The purpose of this two week clerkship selective is to acquaint students with the activities of a large surgical pathology laboratory, and to provide a short exposure to cytopathology and autopsy pathology. For students contemplating a career in pathology, this clerkship provides an excellent opportunity to develop basic skills in histologic diagnosis and grossing techniques. Students interested in other fields will learn how pathology interfaces with other areas in medicine, why clinico-pathologic correlation is important in every day practice, and the central role pathologists play in patient care by working closely with surgeons and other physicians helping them solve daily diagnostic problems.

Duties of the Clerk

The student may initially observe and later participate in the routine activities of the Department of Pathology and Laboratory Medicine, including surgical pathology, autopsy and cytology. The student will participate in the examination and interpretation of biopsies from various body sites with clinico-pathologic correlations.  At the end of the rotation the student may present at the weekly noon rounds an interesting case encountered during the rotation.

Teaching Sessions

Students are encouraged to attend the following departmental educational rounds: daily gross rounds, Wednesday noon rounds, autopsy rounds and residents’ academic half day (a schedule of all rounds will be provided at the beginning of the rotation).

Students may study the on-line module “Pathology Case Conferences” developed by the Pathology and Laboratory Medicine faculty for clinical clerks.

Pathology Case Conference for Surgery Clinical Clerks

Faculty Coordinators: Dr. Mariamma Joseph and Dr. David Driman

“Pathology case conference” is a mandatory educational activity developed by the Department of Pathology and Laboratory Medicine in collaboration with the Department of Surgery. These seminars are designed to provide an in depth exposure to clinically relevant Pathology practice for medical students. We have developed 10 self-directed teaching modules to expand students’ knowledge and skills in various clinical aspects of pathology practice; this would include interpretation of common gross and key microscopic features and a wide variety of case specific pathology reports. Through these modules, students will learn essential lab related issues a graduating medical student should know at the level of a primary care physician or specialist thereby understanding the critical role pathologists play in patient care. Sessions are held four times a year. For London students these are held in University hospital, Room A3-100. Identical sessions are given to Windsor students by Windsor pathologists. The modules are posted in the OWL Learning Management System (https://owl.uwo.ca/portal) under Clinical Clerkship.

Seminar Objectives:

At the end of these sessions, students will be able to:

  1. Learn a variety of case studies in a CPC format emphasizing gross picture and basic microscopy, interpretation of synoptic pathology reports and modern tests. In addition students will formulate differential diagnosis and understand frozen section issues related to the case scenario.  A multidisciplinary approach to diagnosis and management is emphasized.

  2. Learn many clinically relevant core (non-medical expert) pathology exit competencies that a senior medical student should know related to laboratory medicine.