For those not completely restricted by geographical considerations, I would strongly recommend the following formula to help rank pathology programs that you might be considering based on number and types of fellowships they have. The truth is you can get adequate training most anywhere, so you need to consider intangibles like the next phase in the game. I propose the following scoring system. Points = 2x(number of derm spots) + 2x(number of GI spots) + (number of GU spots) + (number of cyto spots) + (number of heme spots) + (number of surg path spots)/2. Then I would subtract 10 points if the program is bent on not taking their own residents, but I doubt that is the case anywhere. Add 3 points if they try to fill everything with their own residents first before opening them up to outsiders. This is info you can only know if you have met some of the current/past residents. If I was considering 4-5 different places, this is how I would decide things. I'll work it out for some prominent programs so we can see the truly best places to go but I'm on surg path right now and kind of busy. So maybe this weekend.