ophthalmic pathology

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pathstudent

Sound Kapital
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Do any path residents get much experience in ophthalmic pathology? It seems like such an interesting subfield of pathology. Are there fellowships for it? Is it board certified? Do pathologists become ophthalmic pathologists or do ophthalmologists become ophthalmic pathologists? Is it a lucrative field as it is so subspecialized? If it wasn't I don't see how you get an ophthalmologist to do it, but, like I said, I have never known a pathologist that had any significant exposure to it.
 
It is not board certified.

Both pathologists and ophthalmologists participate. I doubt it is lucrative, nor is it likely to be a field you can solely focus on. Most people who do it, I would wager, also have another area of focus. Often it is neuropathology. There probably are rare places that have fellowships, but I don't know. Maybe combined with something else. It is a challenging field, seems to me like 90% of the specimens require a microscope to simply see the specimen. I had to gross in a conjunctival lesion last year that was at most 2x2 mm and yet it was oriented with superior and lateral sutures.

We don't get too much exposure to it, an occasional conference is about it in our routine training. A lot of it overlaps with dermpath.
 
there are fellowships in it. oddly, it is typically considered a sub-area of derm.

99% of the specimens are EASY. You would not need special training to sign em out, in fact you could sign them out with a 20 min tutorial by me with ease.
 
Duke's got an eye pathology fellowship. This year it's filled by an ophthalmologist, but it could just as easily be filled with a pathology resident. The problem is that there just aren't that many specimens to go around, and consequently there isn't much interest in the area since the job market is limited.

When we rotate on autopsy, we go to a weekly eye cutting where we examine the eyes from all the week's autopsy cases, as well as the occasional surgical enucleation specimen. It's pretty interesting, but not always high yield (as you might expect).
 
This is what I found for you:
Some people do neuropath or ophtalmology, others do dermpath, you might even do head and neck path. Pick your choose.
They have an association and everything.(American Association of Ophthalmic Pathologists).
This is their website http://www.eyepath.org/
I don't know if the "selective pathology fellowship" applies for any of these programs, check the ACGME website


Baylor College of Medicine
Cullen Eye Institute
Ramon L. Font, M.D.
Post-residency fellowships (S.F. match and online application)

Contact:
Ramon L. Font, M.D.
Cullen Eye Institute, NC 205
Baylor College of Medicine
6565 Fannin - NC 205
Houston, Texas 77030
713-798-4644
University of Illinois at Chicago
The Theobald Laboratory of the Illinois Eye and Ear Infirmary
Dr. Robert Folberg
Post-residency fellowships
http://www.uic.edu/depts/mcam/eyepath/fellows.htm
L. F. Montgomery Ophthalmic Pathology Laboratory
Emory Eye Center, Atlanta
Dr. Hans Grossniklaus
pre-residency fellows, post-residency fellows and international scholars
S.F. Match
http://www.emory.edu/EYE_CENTER/eyepathology/frameset.htm
Mayo Clinic
Rochester, MN
Post-residency fellowship for pathologists
http://www.mayo.edu/mgsm/rlsp.htm
University of Michigan Kellogg Eye Center
Ann Arbor, Michigan
Post-residency fellowship

Contact:
Victor M. Elner, MD, PhD
1000 Wall Street
Ann Arbor, MI 48105
Telephone: (734) 763-8096
FAX: (734) 936-2340
Email: [email protected]
National Eye Institute, National Institutes of Health.
Section of Immunopathology, Laboratory of Immunology
Dr. Chi-Chao Chan
Post-doctoral Fellowship in Ocular Immunopathology
http://www.nei.nih.gov/intramural/imm-path.htm
University of Utah
John Moran A. Eye Center
Dr. Nick Mamalis
Pre-residency fellowship

Contact:
Nick Mamalis, MD,
Ophthalmic Pathology,
John A. Moran Eye Center
50 North Medical Drive
Salt Lake City, Utah 84132
Phone: (801) 585-6586
Fax: (801) 581-3357 (attn: ophthalmic pathology)
Email: [email protected]
University of Wisconsin Department of Ophthalmology and Visual Sciences
Madison, Wisconsin
Daniel M. Albert, M.D.
Post-residency Fellowship

Contact:
Daniel M. Albert, M.D.
Ophthalmic Pathology
2870 University Avenue, Suite 206
Madison, WI 53705-3611
http://wieyemd.ophth.wisc.edu/edufellow.html#TopOfPage
 
It is also like derm in that ophthamologists can do the fellowship.
 
we have a faculty member at USF who's an opthalmic pathologist. i believe he's done residencies in both pathology and optho. he works under the optho department, and i also think he mainly works as an opthamologist. the eye stuff around here is probably covered by him and/or our neuropath person. as was mentioned, it's uber-specialized and there's probably not enough specimens to keep someone doinig optho path as a solo full time job.
 
The Massachusetts Eye and Ear Infirmary in Boston also has an eye path fellowship that is open to ophtho and path residents. There is enough volume and very interesting stuff. The fellow also teaches the ophtho residents during their required eye path rotation. Us path residents can do an eye path elective.

The attendings on eye path include Dr. Jakobiec, an eye path guru, as well as an attending in neuropath and in dermpath. It's part of the Harvard system, and the slides are processed at MGH (right next door). They also have formal eye path rounds with the ophthos. And, there's plenty of material to do some cool translational research.

See below:
http://www.meei.harvard.edu/edu/eyepathfellow.php

Eye Pathology Fellowship - Massachusetts Eye and Ear Infirmary/Harvard Medical School

The David G. Cogan Eye Pathology Laboratory is offering a one or two year fellowship for ophthalmologists or pathologists preparing for an academic career. The preceptors will be Dr. Fred Jakobiec of the Infirmary (MEEI) and Dr. Anat Stemmer-Rachamimov of the Massachusetts General Hospital (MGH) Pathology Department, Neuropathology Division. The combined didactics, specimens, consultations, and laboratory resources of MEEI and MGH will be made available to trainees. Candidate ophthalmologists with a subspecialty clinical interest (e.g., cornea, plastics, etc.) can cultivate and structure correlation experiences with these units.


Program Director
Frederick Jakobiec, M.D., Program Director


Contact
Marion Athanas
Cogan Eye Pathology Laboratory
Massachusetts Eye and Ear Infirmary
243 Charles Street
Boston, MA 02114
Tel: 617-573-3319
Fax: 617-573-3168
 
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