pathology training spain -...
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PATHOLOGY TRAINING SPAIN
Lourdes R. Peña Jaimes
Vocal Trainee of the Subcommittee
Spanish Society of Pathology
Madrid - Spain
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06
05
04
03
02
01Mandatory to access any specialized training program
One National Exam
It covers topics of all medical specialties
Individual Score: from the sum of
Exam + Academic merits
Choose specialty and hospital, throughout the national territory
About 100 vacancies (last year)
MIR (Medical Resident) Examination
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Residents per year
1-2
3-4
Pathology Training Program
No FINAL EXAM but EVALUATION is done after each rotation
Program duration: 4 y
o Biopsies y surgical specimens
o Cytologies
o Intraoperative biopsies
o Autopsies
o Inmunohistochemistry Techniques
o Molecular Techniques
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Knowledge skills
& attitude
Rational use
of resources
Ability to make
decisions
Reasoning
PunctualityMotivation
Teamwork
Ethical and
profesional
values
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R1 R2
R3 R4
Gastroenterology I
General Surgery
Ginecology/Breast Pathology
Cytology I
FNAP
Pediatrics/Obstetrics
Ginecology/Breast Pathology
ELECTIVE ROTATION
Gastroenterology II
Hematopoietic
Soft Tissue Pathology
Liver Pathology
Molecular Pathology
Dermatology
Nephrology
Pneumology
Urology
Cytology II
Rotations
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A1
Gastroenterology
General Surgery
Dermatology
Pediatrics/Obstetrics
Ginecology/Breast Pathology
Gastroenterology
Gastroenterology II
Liver Pathology
Maxillofacial surgery
Nephrology
Pneumology
Urology
Rotations
A2
A8
A7 A6
A5
A4
A3
Gastroenterology
FNAP
Dermatology
Cytology
Pneumology
FNAP
Cytology II
Ginecology/Breast Pathology
Gastroenterology
Otorhinolaryngology
Hematopoietic
Soft Tissue Pathology
Molecular Pathology
ELECTIVE ROTATION
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The day to day of a pathologist
Sectioning
Each Resident is
responsable of all
the biopsies
during the rotation
The Residents
diagnose and
make reports
Diagnosis
ReportCorrection
The Attending
corrects the
diagnoses with
the Resident
Autopsies
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Another Activities
Mandatory Pathological Academical Sessions
Mandatory Interdisciplinary Board
National or European Congresses an Courses
Possibility to perform research and do PhD
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PATHOLOGY TRAINING IN SPAIN: WHAT IS THE STATUS
AND HOW SHOULD WE IMPROVE?
Carolina Martínez-Ciarpaglini, Idaira Expósito, Mar Iglesias, Belen
Perez-Mies.
Res Esp Patol 2019 Agost
Residents per year Attending per hospital
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PATHOLOGY TRAINING IN SPAIN: WHAT IS
THE STATUS AND HOW SHOULD WE
IMPROVE?
Carolina Martínez-Ciarpaglini, Idaira Expósito,
Mar Iglesias, Belen Perez-Mies.
Res Esp Patol 2019 Agost
Adult autopsies per yearBiopsies per year
Cytologies per year
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TO IMPROVE
Have a common training
program throughout
Spain
The need of a structured
program of Molecular
Pathology rotation
Less autopsies are requested
Autopsy training is reduced
The elective rotations are
self-financed by the
residents
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Future perspective
To extend the
training
program to 5
years
To extend the
number of Resident
vacancies
To incorporate a
molecular
pathology rotation
in the program
To promote
“The Progress test”
Important tool