The Department of Pathology & Immunology is involved in the clinical diagnosis and monitoring of disease, in the teaching of pathology and immunology, and in research on the molecular basis of disease and immunology.

The department is responsible through its divisions for studying the pathogenesis and the biochemical and anatomical basis of diseases. Pathologists do research on disease processes using molecular, genetic, and structural analysis. Pathologists have the responsibility for the cytological and anatomical diagnosis of diseases and for developing novel structural and molecular approaches for the analysis of them, particularly cancers and infectious diseases. The divisions of Anatomic and Molecular Pathology, Immunobiology, Laboratory and Genomic Medicine, Genomic and Molecular Pathology, and Neuropathology have faculty involved in teaching, clinical service, and research. Many clinical faculty have appointments with Siteman Cancer Center.

The department teaches an extensive course during the second year of the curriculum and presents a number of conferences that third- and fourth-year students can attend. The department also offers a number of clinical electives, including an Advanced Clinical Rotation in Anatomic Pathology and Laboratory Medicine. The department plays a variety of leadership and instruction roles in the undergraduate Gateway Curriculum. Students can take elective rotations in Autopsy Pathology, Surgical Pathology, or Laboratory Medicine, or they may participate in the research activities of the faculty.

The Division of Immunobiology integrates immunobiology activities at the school. It is for conducting basic research in immunobiology and in the immunological basis of disease.

Many faculty in the department are involved in graduate teaching and participate in the various programs offered by the Division of Biology and Biomedical Sciences. The department has strong participation in the Immunology graduate program, with many opportunities in basic and translational research.

Contact Info

Website:https://pathology.wustl.edu

Pathology and Immunology Research Electives

For information about research opportunities available for students in Gateway EXPLORE or Gateway Phase 3, please visit the Research Lab Pages listings on the Department of Pathology & Immunology website.

PATH 8005 Autopsy Pathology (Clinical Elective)

This elective is designed to introduce students to autopsy pathology. Students will assist in performing autopsies and, together with the first-year pathology residents, will participate in all of the activities of the autopsy service including brain cutting, specialty microscopic conferences, and biweekly autopsy case conferences. Students will have the opportunity to review topics in forensic pathology. Students will be under the direction of senior pathology faculty.

Credit 2 units.

Typical periods offered: Medicine Year


PATH 8010 Dermatopathology (Clinical Elective)

The student will be involved in all activities of the dermatopathology service. These include review, discussion, and sign-out of microscopic skin specimens. Sign-out occurs each day with a team that includes an attending, fellow, and residents from both dermatology and pathology. The medical student will work closely with the residents and fellow to preview cases prior to sign-out. Dermatology Grand Rounds is held Thursday mornings and is mandatory. Other learning opportunities include informal unknown slide sessions, consensus conferences, and journal clubs. Medical students will be required to complete at least one evidence-based medicine presentation during the rotation. The primary goal of this elective is to acquire basic competence in the diagnosis of skin diseases at the microscopic level.

Credit 4 units.

Typical periods offered: Medicine Year


PATH 8015 Cytopathology (Clinical Elective)

This elective is designed to familiarize students with the discipline of cytopathology and to encourage the development of basic skills. Cytopathology impacts many different areas of patient care and medical practice. The cytopathology laboratory at Barnes-Jewish Hospital receives a broad range of medical cytology material involving fine needle aspiration biopsies (FNA), body fluids and Pap tests. As a result, the elective is beneficial for students considering a career in pathology and for students planning careers in internal medicine, surgery, OB-GYN, ENT and radiology. The focus of the experience can be customized based on the interest of the student. Desk space and a microscope are provided.
Students on the elective will: 1. Learn how patient specimens are received and processed 2. Acquire skills in the microscopic diagnosis of disease through active participation 3. Learn the role of the cytopathologist in the care and management of patients.
Students will have the opportunity to function as junior house staff managing their own cases with supervision from residents, fellows and attending cytopathologists. There are textbooks and extensive study sets to permit students to focus on specific areas of interest.

Credit 2 units.

Typical periods offered: Medicine Year


PATH 8020 Molecular Pathology (Clinical Elective)

This elective is designed to introduce students to the field of molecular pathology, including established molecular diagnostics and Next Generation Sequencing clinical assays. Students will learn through observation in the laboratory, didactic sessions, resident and fellow presentations, sign-out with attending pathologists and clinical informatics workshops. Students will work with residents/fellows on the rotation and participate as part of the team.

Credit 4 units.

Typical periods offered: Medicine Year


PATH 8030 Surgical Pathology (Clinical Elective)

This elective is designed to familiarize students with the discipline of surgical pathology and to encourage the development of basic skills in gross pathology and histopathological interpretation. The laboratory of surgical pathology at Barnes-Jewish Hospital receives a broad range of medical biopsy material in addition to specimens derived from the busy surgical subspecialty practices. As a result, this elective is beneficial not only for students considering a career in pathology but also for students planning careers in internal medicine, surgery, obstetrics-gynecology, pediatrics, radiology, radiation oncology and dermatology. Students on this elective will: 1. Learn how patient specimens are received and processed 2. Acquire skills in the gross examination and microscopic diagnosis of disease through active participation 3. Learn the role of the pathologist in the preoperative, intraoperative and postoperative care and management of patients. Students will function as junior house staff managing their own cases with supervision from residents, fellows and attending pathologists. Students may also wish to participate in ongoing research projects within the department as time, and interest allows. At the end of the rotation, the students are required to do a formal case presentation for the residents, fellows and attending staff.

Credit 2 units.

Typical periods offered: Medicine Year


PATH 8035 Introduction to Neuropathology (Clinical Elective)

The course is structured to give the student a full-time immersion in the specialty of neuropathology including both neurosurgical and neuroautopsy derived material. There are daily didactic sessions that cover the spectrum of neurological diseases, review gross and microscopic neuroanatomy, discuss approaches to the diagnosis of nervous system disease and point out the interrelationships of research to clinical problems. Multiple clinical conferences and diagnostic working sessions complement reading, use of a large microscopic divisional study set and project work. Time: 35 to 40 hours per week.

Credit 2 units.

Typical periods offered: Medicine Year


PATH 8045 Clinical Laboratory Medicine (Clinical Elective)

This elective rotation is designed to teach the student how clinical laboratory assays are used in the diagnosis of disease and to understand the quality assurance tools the laboratory utilizes to assure the reliability of tests. The elective includes rotations through a variety of clinical laboratories including clinical chemistry, clinical microbiology, hematopathology, molecular pathology, and transfusion medicine. During the elective the student will have a daily schedule, which includes didactic sessions with faculty and regular interactions with house staff. Some examples of useful clinical skills acquired during the experience include: morphologic review of peripheral blood smears and bone marrow biopsies; interpretation of coagulation tests, biomarkers of cardiac damage and serum protein electrophoresis patterns; identification of infectious organisms; and appropriate use of blood component therapy and therapeutic apheresis. The rotation culminates with a case discussion presented by the medical student which focuses on application of clinical laboratory evaluations to direct patient care.

Credit 4 units.

Typical periods offered: Medicine Year


PATH 8170 OBGYN Pathology (Clinical Elective)

This elective stresses the principles of anatomic pathology when applied to operative material in obstetrics and gynecology. The subintern will examine gross and microscopic specimens in the ob-gyn pathology lab and review pertinent literature with a senior pathologist. Ample time will be available for attending regular conferences in ob-gyn and pathology.

Credit 2 units.

Typical periods offered: Medicine Year


PATH 9100 Anatomic Pathology and Laboratory Medicine Advanced Clinical Rotation (ACR)

The purpose of the Anatomic Pathology and Laboratory Medicine Advanced Clinical Rotation involves the development of expertise related to diagnostic pathology and laboratory testing in a well-supervised teaching environment. ACR students are under the supervision of anatomic pathology and laboratory medicine residents, fellows and attending pathologists. ACR students have the same daily schedules as first year anatomic pathology/clinical pathology residents. They are assigned the primary workup of patient specimens or patients on each sign-out day. An approach to the specimen or patient and required follow up or ancillarytesting is planned in consultation with the resident, fellow or attending physician. The trainees assume the primary responsibility for generating any required reports and communication with other healthcare providers. As for most entering residents, there is no formal after-hours call schedule. Students attend the same conferences as the house staff.

Credit 4 units.

Typical periods offered: Medicine Year