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Brody School of Medicine at ECU
Pathology & Laboratory Medicine
Brody Medical Sciences Building 7S10
Greenville, NC 27858-4353 USA

Anatomic and Clinical Pathology Residency ProgramEdit

Residency Program Director: Peter Kragel, MD
Phone: (252) 744-3546
Fax: (252) 744-3616

Program OverviewEdit

The residency program is approved for four years of training in anatomic and clinical pathology through the Department of Pathology and Laboratory Medicine of the Brody School of Medicine at East Carolina University and the Department of Pathology of Pitt County Memorial Hospital. A core experience of 36 months (18 months anatomic pathology and 18 months clinical pathology) and up to 12 months of residency training in specialized areas of pathology, including 6 months of research, is available. The department research track meets eligibility criteria for the NIH Loan Repayment Program, and residents who choose the research track are encouraged to apply (for complete information and applicant eligibility criteria, go to Rotations provide experience in surgical, autopsy and forensic pathology, pediatric pathology, cytopathology including fine needle aspiration, nephropathology, hematology, clinical chemistry, microbiology, serology, transfusion medicine, informatics, electron microscopy, cytogenetics, dermatopahtology, immunohistocompatability testing, and laboratory management. This program is designed to give the resident the knowledge, the technical expertise and the managerial administrative skills through education, experience and research so that the trainee, at the completion of the residency, will be prepared to adequately handle problems commonly encountered in the practice of pathology. With the guidance of the faculty and the full-time staff, residents gradually assume greater responsibility for the pathology service. Opportunities of medical school teaching and/or experimental (applied) pathology research exist. Strengths of the program include numerous lectures and teaching conferences in pathology for the residents, a flexible program directed towards the needs and interests of the resident and state-of-the-art modern laboratory.

Allows external electives: Yes.


Residency training takes place predominantly at Pitt County Memorial Hospital, the teaching hospital of the Brody School of Medicine at East Carolina University. This modern, 750-bed facility opened in April of 1977 and has become the center for tertiary medical care for the eastern portion of North Carolina. The department occupies 48,000 square feet of laboratory space. Pathology personnel also have full access to the extensive resources of the Health Sciences Library on the medical center campus with its more than 148,000 volumes and 2,100 journal subscriptions. The Department of Pathology performed 68 autopsies, 22,253 surgical pathology examinations/consultations and 8,161 cytology examinations (1,678 non-gyn and 818 fine needle aspiration procedures) during 2008 - 2009. The clinical laboratories performed 4,911,865 procedures. The forensic pathology division of the department performed an additional 276 autopsies.

Surgical Pathology FellowshipEdit

Open for 2010/11


The department offers a one-year fellowship in surgical pathology that is tailored to applicants pursuing a career in anatomic pathology. The fellowship program meets the requirements for the fifth year training in pathology or may be pursued after residency. Broad training in all aspects of surgical pathology including dermatopathology, hematopathology, renal pathology, neuropathology and pediatric pathology is provided as well as experience in immunofluorescence microscopy, electron microscopy, immunohistochemistry and flow cytometry. The programming is flexible to accommodate the fellow's interests, background and expertise. The position emphasizes clinical service with ten months of graded responsibility in performing gross and microscopic examinations of surgical specimens as well as two months of elective time for related activities such as applied clinical research, autopsy pathology, electron microscopy or correlative cytopathology. Resident supervision and teaching as well as participation in departmental conferences are required. The surgical pathology service examines approximately 22,000 cases per year with a broad range and scope of disease processes. Fellows who are either board-eligible or board-certified in pathology will gain first-hand experience in signing out cases as well as reviewing all consultation cases.


The applicant must have a M.D. or D.O. degree from an accredited institution as well as an up-to-date resident training license or full license to practice medicine in the state of North Carolina.

Stipend & BenefitsEdit

The salary is commensurate with level of postgraduate training in this institution. A professional development fund is also provided. The benefits package is quite comprehensive and includes health insurance, retirement, term life insurance, accident insurance, disability insurance and malpractice liability insurance. Housing relocation assistance is available.


Applications should be submitted via the East Carolina University Job Site.

Cytopathology FellowshipEdit

Filled for 2010/11, open for 2011/12

Cytology Program Director: Heng Hong, MD, PhD
Phone: (252) 744-5177


The Department of Pathology and Laboratory Medicine at the East Carolina University School of Medicine offers a one-year fellowship in cytopathology. The fellowship provides extensive training in GYN and non-GYN cytology, including fine needle aspiration biopsy. The cytology service manages approximately 8,200 cases per year, of which greater than 800 are fine needle aspiration biopsies from multiple sites including deep thoracic and abdominal organs, breast, thyroid, lymph nodes, soft tissue, salivary glands, prostate and brain. Experience in interpreting both traditional Papanicolaou stained and Wright-Giemsa (Diff-Quik) stained smears is emphasized.

The majority of the superficial biopsies are performed by pathologists. The cytopathology fellow assists and performs these FNA biopsies in the School of Medicine clinics, hospital, and on patients referred directly to the Pathology Department. The fellow will also review all consultation cases. Contemporary techniques of performing the fine-needle aspiration biopsies are utilized, including interpretation of rapid stains such as the Diff-Quik stain for preliminary diagnosis. Often the Diff-Quik stain is used to identify either difficult and/or interesting cases that may need ancillary studies on the cytologic material. The cytopathology fellow is actively involved in obtaining specimens for immunocytochemistry electron microscopy, image analysis, and flow cytometry and will interpret these findings. An outstanding feature of the FNA biopsy service is the close cooperation and working relationship with clinical colleagues from radiology, internal medicine, surgery, obstetrics/gynecology, pediatrics and radiation oncology.

The fellow also has the opportunity to develop a strong foundation in exfoliative cytology. The training stresses both preparatory techniques and interpretation. Emphasis is placed on cytologic-histologic correlation. Opportunities are also abundant for participation in a number of ongoing conferences, including: (1) a weekly surgical pathology/cytology conference; (2) a weekly multidisciplinary oncology conference; (3) weekly pathology seminars and (4) a weekly microscopic cytology conference.

The cytology division maintains an extensive surgical pathology and cytology library, Kodachrome sets and archival study slides. Opportunity exists for teaching and collaborative research efforts in cytology. The cytology division has a strong commitment to research and is actively involved in teaching at the national level. The fellowship also provides experience in laboratory computer systems and develops a foundation for laboratory management.

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