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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
