I interviewed there. It is Mayo, so the reputation should never be in question. Their dermatology and pathology departments, unfortunately, are not in very good terms as far as dermatopathology is concerned --- the fellowship is handled purely by dermatology and the faculty are all dermatology-trained. However, they have Dr. Flotte who is pathology-trained and who signs out dermatopathology only for the pathology department. Kind of weird that way, if that makes sense at all. But you will get excellent clinical training there, which you need if you are coming from pathology. Having said all that, it was in 2007-2008 when I interviewed there, so things may have changed. Also, having to live in Rochester is something you may want to think about. But I guess anybody can do anything for one year, specially if it is to do something you love.