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Subspecialty Surgical Pathology
Scope of Training
The Pathology Service at the Massachusetts General Hospital offers a one-year fellowship program in subspecialty surgical pathology. The goal of this fellowship is to combine in-depth training in various subspecialties of surgical pathology with opportunities for conducting related research, and provide a basis for a future career in academic pathology.
The fellowship is centered on active clinical services with outstanding diagnostic material to enhance the experience of the fellow. It provides an opportunity to conduct clinicopathological and translational research in the chosen area of subspecialty interest with pathology faculty members and clinical physicians.
Fellows are encouraged, and expected, to prepare one or more abstracts for presentation at annual national or international meetings and such as those of the International Academy of Pathology and its US-Canadian division.
Availability of Fellowship Positions
The availability of Surgical Pathology Fellowships at Massachusetts General Hospital may vary from year to year. A fellow’s subspecialty training program may include up to three of the following anatomical areas.
An attending pathologist reviews and countersigns all cases for at least the first two weeks of a service with the expectation that no changes are necessary to cases that the fellow thinks are straightforward. In this way, the fellow and the program director are able to assess the fellow’s ability to function independently, while maintaining an adequate level of supervision until completely unsupervised sign-out is approved.
Faculty Supervision of Fellows
Fellows are supervised by the director and faculty of the surgical subspecialty in which they sign-out. The Subspecialty Surgical Pathology Fellowship Program is administered by Program Director, Vania Nosé, MD, PhD.
Vacation Time/Personal Time
The Subspecialty Surgical Pathology Fellowship Program allows up to four weeks per year.
The subspecialty faculty and the fellowship committee review applications. Selection is based on proof of interest in the chosen subspecialty, quality of training in surgical pathology, letters of support, and potential for independent research.
To be considered for a surgical pathology subspecialty fellowship position, you must be a graduate or prospective graduate of an accredited anatomic pathology or combined anatomic and clinical pathology residency program.
Eligibility Requirements for Foreign Medical Graduates
Foreign medical graduates are also welcome to apply for our fellowship. To be considered for a fellowship position, you must be a graduate of an accredited medical doctoral program, have passed the entire USMLE Steps 1, 2, and 3, (or COMLEX), and TOEFL, and be a graduate or prospective graduate of an accredited anatomic or anatomic and clinical pathology residency program. Additionally, you must meet the eligibility requirements for an H-1B Visa. Please visit the Partners Office For International Professionals and Students’ website at http://pips.partners.org/studying-and-working-with-partners-healthcare/H-1B-visa/default.aspx for more detailed information on H-1B Visa eligibility.
All applicants must be eligible for a full Medical License in the Commonwealth of Massachusetts. Please visit the United States Medical Licensing Examination (USMLE) website and the Massachusetts Medical Board for more detailed information on qualifications.
Educational goals and objectives for the fellows to become competent diagnostic pathologists, through the acquisition of skills, knowledge and judgment reviewing approximately 4,000 specimens per year depending on the particular subspecialty or subspecialties.
Schedule, format and content of didactic activities
The clinical teaching is assumed by various faculty members. During the week of clinical service by the fellow, the faculty will counter-sign the diagnosis for at least the first two weeks. During a typical sign-out week, the fellow reviews cases and makes diagnoses independently (reviewing with residents). The staff will review the cases during a one-on-one session and reassess the original diagnoses totaling approximately two to three hours of didactic teaching. After evaluation of the fellow's progress, she/he will be progressively allowed to sign out independently.
The fellow will be expected to participate in all educational activities of the subspecialty group, including but not limited to consensus conferences, journal clubs, and various conferences with clinicians.
While covering the clinical service, the fellow will perform literature searches and review articles when appropriate to research questions about current cases and to develop ideas for projects. The fellow has the opportunity to present the pathology at one of the weekly Clinicopathologic Conferences (also known as the Case Records of the Massachusetts General Hospital, and published in the New England Journal of Medicine). Other activities will combine attendance at conferences, research and teaching of residents.
An organized schedule of activities is planned on a six-month basis. The fellows are expected to attend all educational meetings and to be responsible for clinical conferences when on service.
Typical Daily Schedule when on Sign-out
Monday - Friday
8 am -12 pm
12:30 pm -1:30 pm
Surgical pathology conference
Monday - Friday (variable)
Review of consultation cases with senior faculty
Description of basic science and/or clinical research
requirements and opportunities
The fellow is actively expected to assume two clinical projects per year. The department offers ample opportunities for special studies including extensive availability of immunohistochemistry and molecular diagnostics. Translational and/or clinical research may be undertaken as part of the ongoing investigative programs in the Department of Pathology, or as part of the programs within the numerous laboratories in the Departments of Surgery and Medicine. To support these research projects, internal departmental grants are available.
Responsibilities of the fellow, including teaching
The Pathology service supports numerous teaching and educational activities, which include:
The fellows are responsible for teaching residents through sign-out and presentation at the surgical pathology conference and regularly presenting cases at conferences with clinicians.
Note: The list above only includes senior anatomic pathologists. For a full list of faculty, visit the Pathology faculty by subspecialty service directory.
Inquiries and Applications
We are committed to responding to all fellowship inquires and applications. Please make sure to use the primary contact information, listed under ‘Contacts’, for inquiry and/or application to any of our surgical pathology subspecialty fellowship programs. If you do not receive a reply to your inquiry or application within what you feel is a reasonable amount of time, please email our secondary contact, Tony Brooks (firstname.lastname@example.org) who will make sure the appropriate party follows up with you.
Applications for 2018 – 2019 are being accepted, beginning July 1, 2016. The deadline for applications is October 31, 2016.
The Selection Process
The selection process involves an initial assessment of your CV, personal statement and three letters of recommendation. Selected applicants will be invited for one-day interviews with the appropriate surgical subspecialty fellowship director (see list below), and staff members; for timing and logistical reasons, videoconference interviews may be offered as an alternative.
Applications should be emailed directly to the desired program. Contact information for each program is listed below. A ground mail address has been provided in the event you are unable to send your application materials via email.
Bone & Soft Tissue Pathology Fellowship (Not accepting applications)G. Petur Nielsen, M.D., Program Directorgnielsen@partners.org Massachusetts General Hospital, Bone & Soft Tissue Service)55 Fruit Street, Warren 219Boston, MA 02114
Breast Pathology Fellowship (Not accepting applications)Dennis Sgroi, M.D., Co-Director email@example.com Melinda Lerwill, M.D., Co-Director firstname.lastname@example.orgMassachusetts General Hospital, Breast Pathology Service55 Fruit Street, Warren 219Boston, MA 02114
Cardiovascular Pathology Fellowship (Not accepting applications)James Stone, M.D., Ph.D., Program Directorjrstone@partners.orgMassachusetts General Hospital, Cardiovascular Pathology Service55 Fruit Street, Warren 219Boston, MA 02114
Gastrointestinal Pathology Fellowship (Accepting applications for 2018 – 2019, beginning July 1, 2016) Joseph Misdraji, M.D., Program Directorjmisdraji@mgh.harvard.eduMassachusetts General Hospital, GI Pathology Service55 Fruit Street, Warren 219Boston, MA 02114
Fellowship Coordinator: Diana Cuoco email@example.com
Genitourinary Pathology Fellowship (Not accepting applications)Robert H. Young, M.D., Program Directorrhyoung@partners.orgMassachusetts General Hospital, Genitourinary Pathology Service55 Fruit Street, Warren 219Boston, MA 02114
Gynecologic Pathology - Robert E. Scully Fellowship (Not accepting applications)Robert H. Young, M.D., Program Directorrhyoung@partners.org Massachusetts General Hospital, GYN Pathology Service55 Fruit Street, Warren 219Boston, MA 02114
Head & Neck Pathology Fellowship (Accepting applications for 2018-2019, beginning July 1, 2016)William C. Faquin, M.D., Ph.D., Program Directorwfaquin@partners.orgMassachusetts General Hospital, Head & Neck Service55 Fruit Street, Warren 219Boston, MA 02114
Fellowship Coordinator: Ellen Melchionno firstname.lastname@example.org
Pulmonary Pathology Fellowship (Not accepting applications)Eugene Mark, M.D., Program Directoremark@partners.orgMassachusetts General Hospital, Pulmonary Service55 Fruit Street, Warren 219Boston, MA 02114
Renal Pathology Fellowship (Not accepting applications)Robert Colvin, M.D., Program Directorrbcolvin@partners.orgMassachusetts General Hospital, Renal Pathology Service55 Fruit Street, Warren 219Boston, MA 02114
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