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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.
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.
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.
We are currently accepting applications for our 2018 – 2019 Surgical Pathology Fellowship Program. Our program is comprised of the following subspecialties:
Please indicate on your application, which two subspecialties on the list above are your top areas of interest.
Graduate Assistant (sign-out fellow) positions are available in Gastrointestinal and Head and Neck.
You must be a graduate or prospective graduate of an accredited anatomic Pathology, or combined anatomic and clinical pathology residency program, and eligible for a full medical license in the Commonwealth of Massachusetts. To review Massachusetts full medical license requirements, click the following link: http://www.mass.gov/eohhs/gov/departments/borim/physicians/licensing/licensing-fees-and-general-information.html
Foreign/international medical graduates (FMGs, IMGs) must meet the requirements above, and in addition, must be eligible for an H-1B Visa. Click the following link for more information on H-1B Visa requirements: http://pips.partners.org/studying-and-working-with-partners-healthcare/H-1B-visa/default.aspx
With the exception of your three letters of recommendation, your application will not be reviewed until we have received all the other documents on the list above.
We prefer that applications and letters of recommendation be sent via email:
Alternatively, materials may be sent via ground mail:
Surgical Pathology Fellowship ProgramMassachusetts General Hospital55 Fruit Street, Warren 219Boston, MA 02114Attn: Tony Brooks
Please note that materials sent via ground mail may take longer to process.
All letters of recommendation should be addressed to:
Dr. Vania NoséDirector, Surgical Pathology Fellowship Program
Following an initial assessment of their Curriculum Vitae, Personal Statement, and three letters of recommendation, selected applicants will be invited for a one-day interview with the appropriate subspecialty fellowship director(s) and staff members. Skype interviews may be offered as an alternative in extenuating circumstances.
Please address any questions you may have regarding our program and/or application process to:
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