Please help me rank pathology residency programs

[mike-sheree]

Thank you for your opinion. I am kind of thinking about Iowa and Indiana. Both are pleasant places to live. I think I will go for private practice after training. I am considering hematopathology and transfusion medicine as my future career. In your opinion, which programs (Indiana vs Iowa) would you put higher?

I would be surprised if P.P. is even a realistic option available in any quantity or quality when you are ready to get a job. Count on being an employee in a non-partner type situation. Those jobs are becoming increasingly less common and will all but disappear.
Basically punching a clock. This ain’t all bad. Zero responsibility except put in your 8 hours and go home. No business to run and ALL that entails. I’ve been saying this for >10 years now and my assertion has been spot on.

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[Lyme]

Not personally familiar but it is not a highly regarded program. I would not rank them highly if you have the option to match at NW, Iowa, or Indiana.

Thanks for your opinion. I would put Iowa, Indiana, NW, and Henry Ford on the top of my list. I am not really sure how to rank MS West, Missouri-Columbia, and Temple. What do you think?

 

[Lyme]

I would be surprised if P.P. is even a realistic option available in any quantity or quality when you are ready to get a job. Count on being an employee in a non-partner type situation. Those jobs are becoming increasingly less common and will all but disappear.
Basically punching a clock. This ain’t all bad. Zero responsibility except put in your 8 hours and go home. No business to run and ALL that entails. I’ve been saying this for >10 years now and my assertion has been spot on.

Thanks for your insight. I see job market is a bit on fire now? Do you think it is stable or just an tempo?

 

[octopusprime]

I agree. You mentioned good points about Midwest job market. Regarding Indiana program, it was not in downtown, but located in a "suburban-look like" area so I think we can call it a small town/city vibes. Additionally, you rarely see people in downtown Indianapolis )) (I don't know why!)

Indianapolis is definitely not small town / city vibes...the metro has 2mil people which is kansas city size.
Like someone else said if you're set on hemepath from the outset, Iowa would be better. But if your mind changes, Iowa only has a few fellowships (cyto, heme...the rest are CP heavy); Indiana has those plus GI, GU and Derm. Not like you can't go elsewhere for fellowship, but easier to stay in 1 place for everything, and most places take in house applicants preferentially.

 

[Lyme]

Indianapolis is definitely not small town / city vibes...the metro has 2mil people which is kansas city size.
Like someone else said if you're set on hemepath from the outset, Iowa would be better. But if your mind changes, Iowa only has a few fellowships (cyto, heme...the rest are CP heavy); Indiana has those plus GI, GU and Derm. Not like you can't go elsewhere for fellowship, but easier to stay in 1 place for everything, and most places take in house applicants preferentially.

Thanks for your opinion. I am not dead set on one subspecialty so I think Indiana would be a better option for me.

 

[WEBB PINKERTON]

Thanks for your opinion. I am not dead set on one subspecialty so I think Indiana would be a better option for me.

Indiana should be your only option. Low cost of living. Then you go get a rural job and create an empire.

 

[MD46]

Posting for a friend:

1. University of Maryland
2. Rush University Chicago
3. NYMC-Westchester NY
4. Medical College of South Carolina

Plan to do Hematopathology or Cytopathology fellowship

Location not an issue
cost of living not an issue

thanks

 

[Lyme]

Posting for a friend:

1. University of Maryland
2. Rush University Chicago
3. NYMC-Westchester NY
4. Medical College of South Carolina

Plan to do Hematopathology or Cytopathology fellowship

Location not an issue
cost of living not an issue

thanks

MCSC would be on the top. Good training, great location. Maryland and Rush come after, depends on where you want to live. I think Westchester is not as good as others in term of reputation, training. New York taxes also a thing to consider.

 

[Lyme]

Indiana should be your only option. Low cost of living. Then you go get a rural job and create an empire.

Do you think it is easy to get a private practice job in Midwest? How do you think about FNA (palpable and US-guided) and core pathologist-run clinic in Midwest?

 

[mike-sheree]

Thanks for your insight. I see job market is a bit on fire now? Do you think it is stable or just an tempo?

Getting a “job” is not going to be a huge hurdle. Getting the type of job that used to be considered most desirable is going to be difficult. An employment model, of some type, without SIGNIFICANT equity opportunity, is/will be de rigure.

 

[Lyme]

I am asking for a friend:

Metro Health (Cleveland)
Ascension St John (Detroit)
RWJ Medical School (New Brunswick)
University of Hawaii (Honolulu)

Which programs are better in terms of case volume and quality of training. He appreciates that all are low-tier programs.

 

[Nilf]

Do you think it is easy to get a private practice job in Midwest? How do you think about FNA (palpable and US-guided) and core pathologist-run clinic in Midwest?

I don't want to discourage you, but this has been tried before. I remember Ladoc posted once how he tried really hard to make money running a FNA clinic and came up short. Granted this was 10+ years ago, but things only got worse since then. Having said that why don't you give it a shot and come back and report here.

 

[KeratinPearls]

I don't want to discourage you, but this has been tried before. I remember Ladoc posted once how he tried really hard to make money running a FNA clinic and came up short. Granted this was 10+ years ago, but things only got worse since then. Having said that why don't you give it a shot and come back and report here.

Is it really worth it considering the time required to do all those FNAs and then sign out the cases and then getting reimbursed for it (which isn’t all that much)? I’d rather look at 88305s using that time.

 

[Lyme]

Is it really worth it considering the time required to do all those FNAs and then sign out the cases and then getting reimbursed for it (which isn’t all that much)? I’d rather look at 88305s using that time.

I agree. A senior pathologist told me that the idea of "interventional cytology" died.

 

[mike-sheree]

Thanks for your insight. I see job market is a bit on fire now? Do you think it is stable or just an tempo?

I have watched the “market“ in medicine for 46 years now. The specialties (most of them) popularities ebb and flow over the years. Path was hot and tremendously lucrative. Ortho was for anyone who wanted it. ER, PM&R, RAD ONC. The list goes on. Anecdotally, OPTHO has been very competitive over that time. ENT has been pretty much also.
But, I believe that the PP model will continue on the road to extinction for all but a handful of specialties/geographical locations.

I agree. A senior pathologist told me that the idea of "interventional cytology" died.

It died in the “poor house“ in the 90’s.

 

[Lyme]

I have watched the “market“ in medicine for 46 years now. The specialties (most of them) popularities ebb and flow over the years. Path was hot and tremendously lucrative. Ortho was for anyone who wanted it. ER, PM&R, RAD ONC. The list goes on. Anecdotally, OPTHO has been very competitive over that time. ENT has been pretty much also.
But, I believe that the PP model will continue on the road to extinction for all but a handful of specialties/geographical locations.

It died in the “poor house“ in the 90’s.

But CAP created a US-guided FNA course that costs > 4000$. I think it is still good business for CAP guys )))

 

[mike-sheree]

But CAP created a US-guided FNA course that costs > 4000$. I think it is still good business for CAP guys )))

I’ve been retired almost 10 years and the CAP still has me on their “gimme money” list.

 

[mike-sheree]

As re FNA’s- if it is palpable, who needs the US? If it’s not palpable, who wants to bother?
I could do a ton of 88305’s in the time it takes ( everything) to do an US guided FNA.

 

[Lyme]

I would entirely avoid North Philadelphia.

Now I understand why!!!

 

[Lyme]

I think this is an odd question, but do you guys believe a pathologist can practice both hempath and medial kidney cases at the same time?

 

[mike-sheree]

Sure. I had a staff/attending as a resident who did blood bank and medical renal. He was also a very competent general surgical pathologist.

 

[caffeinegirl]

I think this is an odd question, but do you guys believe a pathologist can practice both hempath and medial kidney cases at the same time?

Yes - but only in academia.

 

[mike-sheree]

Yes - but only in academia.

Oh, of course. We need ‘em. Just wish they all had to walk a mile in our shoes.

 

[Lyme]

Sure. I had a staff/attending as a resident who did blood bank and medical renal. He was also a very competent general surgical pathologist.

it is very interesting to know. I don't really see BB relating to medical kidney so much. Hem and medical kidney share a chapter on plasma cell disorders.

 

[Lyme]

Yes - but only in academia.

May I ask you a question? what types of specimens community hematopathologists see the most? (peripheral smears or BM/LN?)

 

[caffeinegirl]

May I ask you a question? what types of specimens community hematopathologists see the most? (peripheral smears or BM/LN?)

Hemepath in general is a combination of BM and LN, with few peripheral smear reviews that are sent from the lab. It's the same in academics and private practice. The volume of each type of specimen depends on your referral base (ie. how many heme-onc specialists send you specimens).

 

[Lyme]

Hemepath in general is a combination of BM and LN, with few peripheral smear reviews that are sent from the lab. It's the same in academics and private practice. The volume of each type of specimen depends on your referral base (ie. how many heme-onc specialists send you specimens).

Sounds great.

 

[RoachUSMLE]

I’d go to Northwestern in a heartbeat and screw the small town vibes. The only caveat is that you must be able to afford to live in the immediate area.($$$$)

Agree. And NU is in Evanston, not the poop-hole Chicago - That's where UChicago is located.

 

[KeratinPearls]

Agree. And NU is in Evanston, not the poop-hole Chicago - That's where UChicago is located.

Cmon dude…Northwestern pathology is based out of northwestern memorial hospital which is literally in the middle of downtown Chicago. University of Chicago is on the south side of Chicago (Hyde park) near all the Gangster disciples and O block which Chief keef raps about.

 

[RoachUSMLE]

You are right. My bad.