10+ Year Member
- Dec 12, 2008
- Reaction score
not that I disagree with the list but Columbia University has a great surgPath fellowship.
I presume you are speaking of Columbia in New York? They don't have surg path fellowship listed on their website that I can see: http://pathology.columbia.edu/education/residency/. Does the program have a website?
I am 4 weeks from finishing my surg path fellowship. AP/CP trained at a program with a decent volume and good exposure to a variety of neoplastic/non-neoplastic disease.
Here are the things that I would look for if one were inclined to do a surg path fellowship:
- Independence: I don't think that this can be overstated enough. Pathology is probably one of the only fields in medicine where you can pretty much go through your entire residency and make few, if any critical decisions. You want a fellowship where at the very least you can sign out frozen sections and issue prelim diagnoses to clinicians (i.e. hot seat rotation). Ideally, it would be great to actually sign out cases and develop some degree of confidence. Doing it all over again I would probably prefer the Hopkins model for my surg path fellowship.
- Flexibility: This year should help you "fill in" the gaps of your residency training. Electives are a valuable time to gain extra exposure in areas that you feel particularly weak in.
- Limited grossing: As long as you trained at a moderately busy program, you should feel comfortable with almost every type of specimen. If your residency program was weak in specimen complexity, then I don't think that this applies to you.
- Access to faculty consult material: Many of our faculty receive personal consults which really enhances the experience. You get to see difficult cases and learn how to approach them.
- Variety: I personally like the fact that we see a variety of neoplastic and non-neoplastic disease and that we get exposure to non-tumor biopsies.
So could we get a running list (in addition to those mentioned) of Surg Path Fellowships that meet these criteria?
My understanding of the Hopkins fellow signout is that they are not just totally on their own and signing out all their cases. From what I heard they mainly do confirmations (sent in slides with existing diagnosis) and easier cases that they have with residents. Most of the cases they get are still ultimately signed out by faculty members.
If anyone has more knowledge of this feel free to correct me. I'm not saying it is not a great program, obviously it is one of the best and any signout duties the fellows do have must be great for learning.