Path fellowship

[sara1234]

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I have 2 questions for path residents......is hempath considered part of AP or CP .....so if you have training in CP only , can you do a fellowship in hempath? the other question is that in CP only program, we do rotations in clinical labs for 2 years and the third year is for the residents career goals...my question is that is the training you have lets say in microbiology is enough in these 3 years to get the board in CP and microbiology or you have to have a fellowship in micro for that.....and can we do more than one fellowship....does it worth it or the training you have in residency is enough for the job....for example im interested in micro and hempath do i have to have two fellowships for that to be good in my field? thanks for your help guys........

 

[deleted113029]

I have 2 questions for path residents......is hempath considered part of AP or CP .....so if you have training in CP only , can you do a fellowship in hempath? the other question is that in CP only program, we do rotations in clinical labs for 2 years and the third year is for the residents career goals...my question is that is the training you have lets say in microbiology is enough in these 3 years to get the board in CP and microbiology or you have to have a fellowship in micro for that.....and can we do more than one fellowship....does it worth it or the training you have in residency is enough for the job....for example im interested in micro and hempath do i have to have two fellowships for that to be good in my field? thanks for your help guys........

2 questions? sara1234...you have an interesting way of counting. 😛

Some programs include hemepath in AP and some in CP...the boundary is blurred as I was recently told by a CP director.

 

[sara1234]

ok they were more than one question..lol...but there were only 2 ideas though...

 

[LADoc00]

I have 2 questions for path residents......is hempath considered part of AP or CP .....so if you have training in CP only , can you do a fellowship in hempath? the other question is that in CP only program, we do rotations in clinical labs for 2 years and the third year is for the residents career goals...my question is that is the training you have lets say in microbiology is enough in these 3 years to get the board in CP and microbiology or you have to have a fellowship in micro for that.....and can we do more than one fellowship....does it worth it or the training you have in residency is enough for the job....for example im interested in micro and hempath do i have to have two fellowships for that to be good in my field? thanks for your help guys........

Check the American Board of Pathology website. Really read and reread the rules for becoming certified before you make residency decisions. Residency programs are like realtors and car salesmen, they will tell you almost anything to get you to go there. YOU need to be the person looking out for your own best interests and not delegate that to your medical school or residency director.

You can become "Hematology" board certified by the ABP (note it is not called Hematopathology and has the same name as the internal med subspec) by either completely CP, AP/CP or AP only.

I would NEVER ever recommend anyone do a micro fellowship. Just scratch that.

 

[sara1234]

thank you for ur reply...I will check the ABP website thanks for ur advice.....but can you explain to me why dont you recommend a fellowship in clinical micro?

 

[Hector]

A CP only person can obtain a nice heme followship. CP only positions seem geared towards academics with research emphasis as a career. A board certified followship can be done for the 3rd year, but then you can't use that year to qualify for CP boards and specialty boards. You must do an additional year of "something" to count for the 3rd CP year.

Clinical micro is a road less traveled, but is okay if you have concrete career plans or research goals. CP only people from my program go to industry or research with a small component of lab oversight. They have done heme fellowships, molecular fellowships, or research post-docs. One is thinking about clinical micro.

Be advised that private practice pathology wants help with AP topics and would have little interest in hiring a CP only person (with rare rare exceptions).

 

[LADoc00]

Interesting, from my reading of the market (which I probably spend FAR too much time doing), the increase in lab/group consolidation has lead to a marked increase in CP only opportunities especially when you can combine that with a skill like hemepath. Many larger groups do hire CP only candidates if for nothing else to free them from having to bother with it. That could change tho if all the sudden a ton of residents decided to train CP only, but for now that group is a small minority.

GEORGIA (USA). The Landmark Group, an executive search firm, presents this opening for a Medical Director, Hematopathologist. Candidates will be AP/CP certified and Hematology boarded.

PORTLAND, OREGON (USA). The Department of Pathology at Oregon Health & Science University (OHSU) is seeking an academically oriented hematopathologist at the Assistant or Associate Professor level. AP/CP Board certification, formal training in an ACGME accredited hematopathology program, and Hematology Board certification or eligibility are required

EUGENE, OREGON (USA). Pathologist needed in 11 pathologist private practice group to serve as Laboratory Director and share hematopathology coverage with a second board-certified hematopathologist.

NORTHERN CALIFORNIA / SACRAMENTO (USA). Our multispecialty private group practice is currently seeking a pathologist with strong CP and lab administration skills.

that was like 2 minutes of looking...

 

[Hector]

Be advised that most private practices want an AP/CP trained person who is also good at lab administration, QA and QC, body fluid/heme morphology, and competent enough to take transfusion calls, and provide value added clinician interaction in chemistry, and microbiology. These qualities are highly desired above and beyond the ability to efficiently and accurately do surg path/cyto/derm.

There are a few larger groups who have hired a CP only person to be the sole manager of laboratory issues, but this is still a rare finding. There are many more AP only people who have managed to get private practice jobs than there are CP only people who have done the same.

Our chief resident has circulated a very interesting article about the surveyed needs of community practice pathologists.

Horowitz RE. Expectations and essentials for the community practice of pathology. Hum Pathol. 2006 Aug;37(8):969-73.

CP only has a much more narrow job prospect, but not without some exciting possibilities. Many academic centers desire an MD to manage their chemistry, or microbiology labs but properly trained pathologist of this kind are rare. Many developments in biotech or industry have lead some of our CP only people into exciting jobs. Just be advised and talk to as many people as you can.

 

[LADoc00]

I agree, but will say IF you do happen to do CP only and are enterprising, there is a small niche for you. But definitely you are looking at having to search for a job far longer than AP/CP types, will have less offers and less overall chance of a partnership position.

 

[RyMcQ]

Be advised that most private practices want an AP/CP trained person who is also good at lab administration, QA and QC, body fluid/heme morphology, and competent enough to take transfusion calls, and provide value added clinician interaction in chemistry, and microbiology. These qualities are highly desired above and beyond the ability to efficiently and accurately do surg path/cyto/derm.

The first sentence is accurate. The second statement -- not so much. I would never hire someone with marginal surgical pathology/frozen skills, even if they had superior CP skills. Surg path is the bedrock foundation of most private practices.

Yeah, I want someone with good CP skills, but a lack of solid AP skills is a dealbreaker.