ABPath Anatomic Pathology study plan
ABPath Anatomic Pathology · Give each week a clear focus.
8 weeks · About 7 hours per week
Surgical Pathology
Build a one-page morphologic algorithm for the five highest-yield carcinoma differentials (lung, breast, colon, prostate, thyroid) and annotate each branch with the single feature that separates the entities.
Classify 60 surgical unknowns by organ system, assign a grade or stage where applicable, and score each diagnosis against a written checklist.
Distinguish benign mimics from malignancy in 30 breast and 30 prostate cases, recording for each the one architectural or cytologic feature that changed the call.
Write 40 frozen-section-style provisional diagnoses, holding each to a two-minute time limit.
Your checkpoint
A 60-case organ-system log with self-scored diagnostic accuracy of at least 80% plus a written list naming every missed diagnosis and its root cause.
Surgical Pathology & Ancillary Techniques (Immunohistochemistry, Electron Microscopy, Molecular Pathology)
Construct first-line immunohistochemical panels for 12 common differentials and justify each add-on stain in one sentence.
Compare cytokeratin, neuroendocrine, mesenchymal, and lymphoid marker profiles across 25 entities in a tabular format.
Evaluate common IHC pitfalls (aberrant expression, clone variability, antigen retrieval) using 20 deliberately ambiguous cases.
Interpret 15 cases where morphology and immunophenotype conflict, and state which result takes precedence and why.
Your checkpoint
A 25-case IHC panel worksheet with first-line panel, add-on stains, and documented rationale for each, scored at 80% or better against a written answer key.
Cytopathology
Apply Bethesda 2014 cytologic criteria and management recommendations to 50 Pap test cases spanning all categories.
Apply the Milan System to 20 salivary gland aspirates and the Bethesda thyroid system to 20 thyroid aspirates.
Distinguish reactive from malignant populations in 40 body fluid and washings specimens, documenting the discriminating criteria.
Write 30 concise cytology reports that pair a category with an explicit follow-up recommendation.
Your checkpoint
A 50-case Pap classification set with exact Bethesda category, HPV/management recommendation, and concordance of 85% or better with the key.
Cytopathology & Surgical Pathology
Re-sort the errors logged in weeks 1 through 3 into recurring morphologic themes and write a corrective rule for each theme.
Complete two 50-question timed mixed blocks in surgical pathology and cytopathology under exam pacing.
Compare cytologic and histologic appearances of the same 15 lesions to reinforce correlation between the two domains.
Identify the 10 entities you most often misclassify and build a one-page personal pitfall sheet.
Your checkpoint
A 100-question timed mixed Domain 1 and Domain 2 examination scored at 75% or better, plus a 15-item recurring-pitfall list with corrective rules.
Ancillary Techniques (Immunohistochemistry, Electron Microscopy, Molecular Pathology)
Build a reference table of 25 clinically actionable molecular alterations, listing tumor type, optimal specimen, assay type, and therapeutic or prognostic implication.
Differentiate germline from somatic testing indications and specify when each is appropriate across 15 scenarios.
Evaluate the strengths and limits of electron microscopy in 10 diagnoses where it remains decisive (e.g., renal, neuromuscular, ciliary).
Interpret 20 molecular and ancillary result vignettes and translate each into a reportable line.
Your checkpoint
A completed 25-row molecular reference table plus a 20-question ancillary techniques self-test scored at 80% or better.
Autopsy Pathology
Construct cause-of-death chains in the correct sequential format for 10 autopsy scenarios, separating immediate, intermediate, and underlying causes.
Describe the dissection sequence and sampling approach for heart, lung, brain, and abdominal viscera in a written protocol.
Classify the mechanisms of sudden cardiac, maternal, and pediatric deaths and match each to required ancillary studies.
Draft complete mock autopsy reports that satisfy documentation, clinicopathologic correlation, and communication standards.
Your checkpoint
Five complete mock autopsy reports with properly sequenced cause-of-death statements, self-graded against a written format and adequacy checklist.
Laboratory Management and Informatics
Outline a laboratory-developed test validation plan covering accuracy, precision, analytic sensitivity, reference range, and specimen stability.
Interpret proficiency testing failures and draft a root-cause analysis with a corrective and preventive action plan.
Compare accreditation requirements for tissue handling, turnaround time, and quality metrics, and map each to a documentation artifact.
Evaluate informatics scenarios including result interfaces, synoptic reporting, and digital image retention policies.
Your checkpoint
A one-page LDT validation protocol plus written responses to 10 management vignettes, each citing the governing requirement.
Surgical Pathology & Cytopathology & Autopsy Pathology & Ancillary Techniques (Immunohistochemistry, Electron Microscopy, Molecular Pathology) & Laboratory Management and Informatics
Complete two full-length timed mixed examinations under strict exam conditions and score them by domain.
Re-drill the 40 highest-frequency errors from the week 1 through week 7 error log until each is answered correctly twice consecutively.
Recite from memory the diagnostic criteria for the 20 entities most often tested across all five domains.
Consolidate all personal pitfall sheets into a single final-review document organized by domain.
Your checkpoint
Two 150-question timed mixed examinations scored at 70% or better with an error log containing no more than 10 unresolved items.
Milestones
Week 2: Surgical pathology accuracy at 80% or better on the 60-case log, with a working IHC decision framework that correctly selects first-line panels in at least 20 of 25 cases.
Week 4: Mixed Domain 1 and Domain 2 timed block at 75% or better, with every error assigned to a named morphologic theme rather than left unclassified.
Week 6: Ancillary techniques self-test at 80% or better and five autopsy reports that pass the cause-of-death format checklist without revision.
Week 8: Both full-length mixed examinations at 70% or better, no domain below 65%, and a final consolidated pitfall document covering all five domains.