ABPath Neuropathology study materials
ABPath Neuropathology study resources

ABPath Neuropathology study plan

ABPath Neuropathology · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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