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PATHOLOGY TRAINING SPAIN

Lourdes R. Peña Jaimes

Vocal Trainee of the Subcommittee

Spanish Society of Pathology

Madrid - Spain

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

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

Knowledge skills

& attitude

Rational use

of resources

Ability to make

decisions

Reasoning

PunctualityMotivation

Teamwork

Ethical and

profesional

values

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

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

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

Another Activities

Mandatory Pathological Academical Sessions

Mandatory Interdisciplinary Board

National or European Congresses an Courses

Possibility to perform research and do PhD

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

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

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

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

THANK YOU

Contact: lourdesrpj@gmail.com

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