ABPath Neuropathology study plan
ABPath Neuropathology · Give each week a clear focus.
8 weeks · About 6 hours per week
Normal neuroanatomy & Specimens from the central or peripheral nervous systems, skeletal muscle, and ophthalmic structures
Map gross neuroanatomy of cerebral lobes, ventricles, brainstem, and cerebellum onto normal histology
Dissect and describe the microscopic layers of neocortex, hippocampus, and cerebellar cortex
Trace the major ascending and descending tracts and state each tract's decussation level
Outline a standard grossing protocol for a whole brain and for a spinal cord specimen
Your checkpoint
One-page labeled schematic of cortical layers, hippocampal subfields, and tract decussations, plus a written whole-brain grossing checklist
Normal neuroanatomy & Specimens from the central or peripheral nervous systems, skeletal muscle, and ophthalmic structures
Diagram the ventricular system and CSF flow pathway including arachnoid granulations
Identify cranial nerve nuclei by brainstem level and correlate with exiting fibers
Describe normal histology of peripheral nerve, dorsal root ganglion, and skeletal muscle fiber types
List the normal constituents and staining reactions of leptomeninges, choroid plexus, and ependyma
Your checkpoint
Annotated brainstem cross-section series (midbrain, pons, medulla) with nuclei and tracts labeled from memory
Diagnostic neuropathology and patient care consultation & Specimens from the central or peripheral nervous systems, skeletal muscle, and ophthalmic structures
Classify cerebrovascular disease by mechanism and describe expected histologic findings for each
Compare histologic features of primary CNS tumors by cell of origin and grade criteria
Describe the workup and differential for a demyelinating versus infectious white matter lesion
State the sampling strategy for a brain biopsy and for an intraoperative smear
Your checkpoint
Differential diagnosis grid of 10 CNS mass lesions with key histologic discriminators and recommended stains
Diagnostic neuropathology and patient care consultation & Relevant areas of general pathology
Contrast the major neurodegenerative disease patterns by region and inclusion type
Describe the gross and microscopic findings of herniation syndromes and cerebral edema
Correlate systemic disease states (hypertension, diabetes, coagulopathy, malignancy) with their neuropathologic consequences
Explain the role of the neuropathologist in brain death evaluation and autopsy consent discussions
Your checkpoint
Case-based table linking 8 systemic conditions to their CNS complications and expected tissue findings
Specimens from the central or peripheral nervous systems, skeletal muscle, and ophthalmic structures & Relevant areas of general pathology
Perform and document the gross examination sequence for skeletal muscle and peripheral nerve biopsies
Describe the histologic features of inflammatory, dystrophic, and metabolic myopathies
Outline the processing, orientation, and sectioning of an enucleation specimen and a corneal button
Identify the histologic layers of the eye and describe common ophthalmic pathology findings
Your checkpoint
Written muscle and nerve biopsy grossing protocol with a frozen-section triage algorithm
Diagnostic neuropathology and patient care consultation & Theoretical, investigative, and administrative aspects of neuropathology
Compare fixation, processing, and staining choices for CNS tissue including special stains and immunohistochemistry
Explain the principles of molecular testing in neuro-oncology and when each assay is indicated
Describe quality assurance practices for neuropathology sign-out and frozen section concordance
Summarize documentation and communication standards for critical diagnoses and consultations
Your checkpoint
Ancillary testing decision tree for a new brain tumor covering stains, sequencing, and methylation profiling
Theoretical, investigative, and administrative aspects of neuropathology & Relevant areas of general pathology
Interpret the design and limitations of common study types in neuropathology research
Describe biospecimen banking, consent, and de-identification requirements for CNS tissue
Explain laboratory safety and regulatory requirements relevant to neuropathology specimens
Outline how to evaluate a new antibody or assay for validation before clinical use
Your checkpoint
Two-page assay validation and biospecimen governance summary with a checklist for new test adoption
Diagnostic neuropathology and patient care consultation & Specimens from the central or peripheral nervous systems, skeletal muscle, and ophthalmic structures & Relevant areas of general pathology
Integrate domain content by working through mixed unknown slide and case scenarios under time pressure
Rehearse structured diagnostic reports for CNS, muscle, nerve, and eye specimens
Identify and remediate the three weakest subtopics from prior weeks
Build a spaced-repetition review schedule for the final month before the exam
Your checkpoint
Timed mock exam of 40 mixed-format items with a scored answer key and a written remediation plan
Milestones
Week 2: Reproduce the brainstem cross-section series and tract decussations from memory with at least 90% accuracy
Week 4: Complete the CNS mass lesion differential grid and correctly classify 8 of 10 cases by histologic pattern
Week 6: Demonstrate an ancillary testing decision tree on 5 practice tumor scenarios without reference material
Week 8: Score at least 75% on the timed mock exam and document a remediation plan for all missed subtopics