S Curriculum Expectations` F Fellows are expected to participate in all weekly conferences and other service-related activities. Fellows are expected to play an instrumental role in the autopsy service and are responsible for reviewing the clinical record and removing the brain and other relevant tissue specimens. In addition, they are responsible for reviewing relevant clinical pathological and molecular studies related to the case. Fellows are expected to assist in all frozen sections diagnoses, nerve and muscle biopsies, and final surgical diagnoses. A minimum of 12 months must be devoted to clinical service activities. Fellows are encouraged to devote 3-12 months pursuing an independent research project in basic or translational neuroscience, and to publish their findings in a peer reviewed journal. Fellows are employees of the Rhode Island Hospital and are appointed with renewable oneyear contracts approved by the Graduate Medical Education Committee at Rhode Island Hospital. Stipends are commensurate with the year of postgraduate training, four weeks of paid vacation plus approximately 10 holidays, malpractice insurance, and reduced rates for health insurance. Some moneys are available for travel expenses, book purchase, and meeting/course registration. T R EACHING O ELLOWS ALARY AND B ENEFITS Fellows will have ready access to the Program Director, as well as to the technical and clerical staff within the Neuropathology Division. NEUROPATHOLOGY FELLOWSHIP PROGRAM 2014-2016 PPORTUNITIES AND ESPONSIBILITIES Neuropathology is a division within the Department of Pathology. Its primary concern is the teaching of diagnostic neuropathology to the Neuropathology Fellows and Pathology Residents utilizing clinical pathological correlation, as well as a variety of molecular, histological, and immunologic techniques. Division of Neuropathology Director: Edward G. Stopa, M.D. Department of Pathology Rhode Island Hospital 593 Eddy Street Providence, RI 02903 (401) 444-5155 Email: Edward_Stopa@Brown.edu BROWN Medical School / LIFESPAN ACADEMIC MEDICAL CENTER GOALS To train career neuropathologists in clinical diagnostic skills through the use of gross, microscopic and ultrastructural analyses of tissue samples obtained within a hospital setting which offers a diverse and steady case mix and excellent support services. To provide research skills by exposure to techniques and methodology, which will enable the trainee to qualify, enter, and contribute in research fields or academic medicine. To encourage dialogue, independent investigation, and interdisciplinary cooperation with other members of the Pathology Department, The Department of Clinical Neurosciences and various basic science departments with the medical school Supervision In accordance with hospital guidelines, an attending pathologist with the appropriate hospital privileges must make all autopsy and surgical final diagnoses. Fellows are expected to participate in this process by organizing autopsy and surgical case material, rendering a preliminary pathological diagnosis, and signing out final diagnoses under the supervision of a member of the neuropathology staff. The attending staff works closely with the fellows and is readily available to make recommendations and answer questions. GENERAL OVERVIEW Background: Neuropathology, one of the oldest medical subspecialties, emerged as a profession during the 19th century. Since then, many distinguished individuals in the fields of neurology and psychiatry have been practicing neuropathologists including: Freud, Alzheimer, Charcot and Kraeplin. Neuropathology is primarily an academic discipline, aimed at understanding the pathological reactions of all parts of the central and peripheral nervous systems at both the gross and microscopic levels. In addition, neuropathologists serve as valuable consultants to other clinicians who are involved in the treatment of patients with brain tumors, neuromuscular disorders, infections and degenerative diseases. Fellowship Description: Drs. Stopa, de la Monte and Donahue represent the third generation of neuropathologists at Rhode Island Hospital. Various records within our division date back to the turn of the century. The neuropathology fellowship originated in the early 1970’s under the mentorship of Dr. Stanley Aronson, the former dean of the Brown University School of Medicine. At that time, there were approximately six full-time neuropathologists working within the state of Rhode Island. The fellowship has been ACGME approved since its origin. In the past, the fellowship position was filled primarily by anatomic pathology, neurosurgery or neurology residents who wanted one year of additional neuropathology experience. Current fellowship applicants are individuals who have been previous trained in anatomic pathology, neurology or neurosurgery. The American Board of Pathology now requires board eligibility in one of these three disciplines prior to obtaining board certification in neuropathology. PROGRAM BASE The Division of Neuropathology is physically located at Rhode Island Hospital. The faculty includes three full-time neuropathologists. There is also a full-time histotechnologist, devoted to doing the special stains required for studying the nervous system. The neuropathology laboratory includes space for the staff and fellows, as well as an assortment of single and multi-headed microscope rooms. Research electives are available in two NIH funded research laboratories with the neuropathology division (Drs. Stopa ,de la Monte and Donahue). The Neuropathology Division services all of the Brown affiliated hospitals, as well as all of the community hospital in Rhode Island, Southeastern Massachusetts and Western Connecticut. In addition, we provide consultation services to the Medical Examiner’s Offices of Rhode Island and Iowa.