Fandom

Pathology Resident Wiki

University of Iowa Hospitals and Clinics Program

557pages on
this wiki
Add New Page
Talk0 Share
UIowa


Anatomic and Clinical Pathology Residency ProgramEdit

CONTACT INFORMATIONEdit

Megan Raitt, Residency Program Coordinator Department of Pathology, C684 GH

200 Hawkins Drive, Iowa City, IA 52242-1182

E-mail: megan-raitt@uiowa.edu Tel: (319) 384-5313 

GENERAL INFORMATIONEdit

POSITIVE ASPECTS OF THE PROGRAMEdit

Considered to be one of the strongest and well-balanced pathology programs in the country, the University of Iowa is known for producing outstanding pathologists with solid and diverse AP and CP training. The department has a rich history (http://www.medicine.uiowa.edu/pathology/aboutus/history/) and world class facilities[1]. The pass rate for first-time takers of American Board of Pathology examinations during the past five years is 100 percent.

  • Committment to Resident Education:
    • At the University of Iowa, there is a strong commitment to resident education. As such, our faculty members engage residents on their rotations and maintain an open door policy. 
    • From day one, residents are given responsibility and ownership of their cases. Residents are expected to preview all of their cases, dictate reports and follow-up with additional consults or studies. Additionally, on CP rotations, residents are expected to carry the service pager and be the first contact for laboratory staff and clinical colleagues. As a result, CP rotations are very hands-on.
  • Balanced AP and CP training
    • While there is excellent anatomic pathology training at the University of Iowa, this is balanced by a commitment to clinical pathology training. Residents take advantage of the numerous AP- and CP- centered management and research projects that are available within the department.
  • Specimen/Case Diversity
    • Being the largest medical center in the area and a major referral center, Iowa pathology residents are exposed to both rare and "bread and butter" cases on AP and CP rotations. 
    • The autopsy rotation exposes residents to both hospital and medical examiner cases. The University of Iowa currently performs autopsies for eight surrounding counties and employs three forensic pathologists. In addition to performing both medical and forensic cases, residents are often allowed to observe trials and hearings where UIHC Pathology staff may testify. 
  • World-Class Hospital and Facilities
    • The University of Iowa is a recognized National Cancer Center and tertiary care referral center which is consistently ranked as one of the top hospitals in the United States by US News and World Reports.
    • The VA hospital, located across the street from UIHC, is staffed by the same faculty
    • State of the art autopsy facility
    • FNA clinic staffed by pathology
    • Apheresis clinic staffed by pathology
    • Updated resident offices and workspaces for every rotation
    • Resident room with individual desks
    • Departmental library available for resident use and extensive free e-book selection through the University Library
    • Recently updated slide study sets
  • Collegiality and Friendly Working / Living Environment
    • Pathology residents at University of Iowa Hospitals and Clinics are similar in many characteristics to their national peers in educational background, gender distribution, and career choices. Our residents distinguish themselves by their high sense of responsibility and dedication to their clinical work, their superb efforts as teachers, and their contributions to the discipline of pathology beyond the department. 
    • Weekly resident led “interesting case conference” is a great opportunity to learn.
    • Residents interact extensively with each other at work, but also interact outside of work in social settings.
    • RAP sessions (Residents as Professionals aka Residents and Pizza) are regular meetings to discuss a variety of topics including: Business management, human resources, research techniques, time management, etc. Pizza is provided :).
    • Morning didactic schedule:
      • Monday:Gross/Autopsy
      • Tuesday: Microscopic unknowns
      • Wednesday: CP didactic
      • Thursday: Derm, neuro, or cytology
      • Friday: CP interesting cases/ GI conference

ROTATIONSEdit

Each rotation is 4 weeks for a total of 13 rotations per year. 

“GENERAL” SURGICAL PATHOLOGY -- University Hospital (five rotations) Edit

General surgical pathology currently follows a three-day schedule.  

Day 1:  The resident staffs the gross room alongside a surgical pathology fellow, an extern, five pathology assistants, and support staff. The resident's responsibilities on Day 1 include assisting with frozen sections and gross evaluation as well as cutting in cases. Since the gross room is located next to the operating rooms, the resident is easily able to interact with surgical staff. Visits to operating rooms to view the operative field and review specimen orientation as it appears in situ are not uncommon. The extern (medical student), pathology assistants and other support staff provide assistance with the workload, but the resident is responsible for being familiar with the gross appearance of all large cases.

Days 2 and 3: Slides first go to the surgical pathology fellow covering the preliminary diagnosis service ("hot seat"). The fellow previews the cases quickly and places a short preliminary diagnosis in the computer, which is hidden from the resident. The case then goes to the resident and extern team on the service. The resident or extern previews the case, dictates a microscopic description and diagnosis, and the case is transcribed. Clinicians that need a preliminary diagnosis can contact the fellow covering the hot seat , which allows the resident to focus on previewing cases and dictating reports. We believe an active learning process is superior to passively looking at slides with a staff member and watching them dictate. Sign-out sessions usually occur in late morning as well as early afternoon with the resident and extern sitting down to review cases with the staff around a multi-headed microscope. Residents always sign out across the scope from staff (never a fellow). 

Special opportunities at Iowa:

  • Residents start dictating and taking ownership of cases from day one.
  • Five pathology assistants in the gross room ensure that residents spend time grossing educational specimens and guarantee adequate supervision for junior residents.
  • Resident microscopically see what they gross.
  • There is adequate preview time. In recent surveys, every Iowa resident said they get adequate or more than adequate preview time for dictating cases.
  • Residents are not required to present at tumor boards; however, many attend and present based on their interests.
  • Residents will experience the importance of molecular pathology as it relates surgical pathology through correlation with molecular rotations.
  • Residents are exposed to a wide array of diagnostic techniques including immunohistochemistry; many residents are able to be involved in the process of bringing up and validating new IHC in the department.

GASTROINTESTINAL SURGICAL PATHOLOGY (three rotations) Edit

One resident is on the Gastrointestinal Pathology service. They are responsible for previewing and writing up GI/Liver biopsies and resection specimens as well as grossing one large GI case per day (the most educational case). The resident/extern team sign-out is variable, but generally occurs in the morning, which leaves the afternoon available for previewing and grossing.

Special opportunities at Iowa:

  • Weekly GI conferences are held Friday at 8AM to discuss interesting cases with GI clinical faculty. Residents are never required to present but are encouraged to attend.
  • Residents will experience the importance of molecular pathology as it relates to GI surgical pathology through correlation with molecular rotations. 

VETERANS AFFAIRS MEDICAL CENTER (VAMC) SURGICAL PATHOLOGY (three rotations)  Edit

The three VAMC Surgical Pathology rotations offer senior level (generally 3rd and 4th year) residents the opportunity to experience surgical pathology cases with increasing autonomy. The breadth of specimens is more akin to what one would see in a private practice environment (i.e. skin biopsies, GI/GU biopsies, etc). On a daily basis, the resident is responsible for grossing, dictating the microscopic descriptions and diagnoses, and signing-out all surgical pathology specimens with faculty. Other responsibilities include performing and interpreting frozen sections with faculty back-up as needed. The VA Surgical Pathology experience is a rewarding one because it allows senior residents to accept more responsibility and be "on their own" with faculty assistance as needed. 

ACTING FELLOWSHIP (one rotation) Edit

The acting fellowship allows for more graduated responsibility by residents during their final year of residency. Residents spend time in the gross room teaching junior residents and interpreting frozen sections (with faculty backup as needed), rotating through preliminary diagnoses (“hot seat”), and previewing outside cases sent for consultation or needing second review.

AUTOPSY (six rotations) Edit

The six autopsy rotations cover both hospital and forensic cases, all of which occur in our state of the art facility within the hospital. The autopsy service consists of two to three residents, one or two externs, decedent care specialists (hospital morticians who assist in dissection), and faculty members. Residents are assigned alternating autopsy cases and are responsible for each case from start to finish. In general, each case involves chart review, consulting with clinicians, external and internal examination, organ dissection, microscopic examination, and review of the case with the staff member and any consultants as necessary. Determination of ancillary testing including toxicology, microbiology, cytogenetics, immunohistochemistry, etc. is also performed. A complete report is written by the resident prior to sign out.

The autopsy rotation utilizes a six-day work week. The residents on autopsy cover autopsies performed on Saturdays. On both the weekend and during the week, any case that comes in after 2:00 p.m. is generally performed the next working day.

The breadth of cases on our autopsy service is outstanding. We see a variety of medical, forensic, and pediatric/neonatal autopsies. Approximately 50% of the autopsies we perform are medical examiner cases. Residents have no problem getting the requisite number of cases needed to sit for boards (50), without sharing.

Special opportunities at Iowa:

  • Meet with law enforcement and medical investigators during a daily morning report.
  • Attend court hearings and depositions with forensic staff.
  • Periodic Friday forensic didactics (lunch provided) covering a variety of special topics (mass casualty, environmental deaths, cause of death. etc).
  • Learn how to comfortably and efficiently perform an autopsy from start to finish.
  • Exposure to forensic cases on site.

CYTOPATHOLOGY (three rotations) Edit

During cytopathology, residents preview cytology cases, go to adequacy assessments, and perform fine needle aspirations (FNAs). FNAs are either done on the hospital inpatient floors or in the FNA clinic, which is run by the Department of Pathology. The resident, fellow and staff also make an initial on-site adequacy evaluations of FNAs performed in radiology, endoscopy, and bronchoscopy suites. When additional slides are processed, the resident and the fellow review the slides and enter a diagnosis in the computer. The slides are then reviewed with the fellow and the staff. Abnormal pap smears and fluids (such as cerebral spinal fluid and urine) are also examined this way. Case sign-out occurs throughout the day in between procedures. 

Special opportunities at Iowa:

  • Residents will experience the importance of molecular pathology as it relates cytology. Iowa is leading the way with molecular cytology (correlate with molecular rotation).
  • FNAs are performed by the department of pathology. Residents will perform numerous FNA procedures over the three rotations. 

DERMATOPATHOLOGY (two rotations) Edit

Pathology residents work with a dermatology resident to preview and write up in house and consult dermatology cases (our institution sees approximately 12,000 dermatopathology cases per year). Residents usually preview cases in the morning and sign out with staff in the afternoon. Residents are also responsible for previewing and writing up direct immunofluorescence (DIF) reports on skin. Dermatology specimens are grossed by either histology technologists or pathology assistants (no resident grossing required on this rotation).

Special opportunities at Iowa:

  • Work alongside dermatology residents to correlate clinical histories with histology.
  • Correlate DIF with H & E slides.
  • INTERNATIONAL OPPORTUNITY: Working with partners at the University of Pennsylvania, dermatopathology staff at UIowa travel to Botswana to read out derm path slides. Residents may be involved in this opportunity as an elective.

NEUROPATHOLOGY (two rotations) Edit

Residents are required to gross neurosurgical specimens, then preview and write up neuropathology cases. Residents preview in the morning and sign out one-on-one with on staff neuropathologists. Specimens may be grossed throughout the day as time allows. Residents may attend autopsy brain cutting. More senior residents may present at tumor board and spend more time in ocular pathology and neuro/muscular pathology during their second rotation. 

Special opportunities at Iowa:

  • Iowa is a referral center for neuromuscular pathology and autopsy brains.
  • See a wide variety of specimens from brain tumors to muscular dystrophies.
  • Attend weekly interdepartmental conferences, including neuromuscular conference Friday morning with neurologists in attendance
  • Updated intraoperative study sets.


CHEMISTRY/INFORMATICS (three rotations) Edit

Resident duties on the clinical chemistry service include signing out protein electrophoresis, working with medical technologists to solve laboratory problems and reviewing study cases provided by the faculty. Serum protein electrophoresis and immunofixation electrophoresis are evaluated by the resident who enters an interpretation in the computer, followed by staff sign-out. Residents may be asked to contact clinicians about test requests reports and may suggest alternative testing which would better answer the clinical question. Throughout the week, clinical cases with interesting laboratory findings are directed to the resident who then independently studies the underlying pathophysiology. One of these cases is typically presented by the resident in the clinical pathology conference on Fridays. During the second or third rotation, the resident is involved in a laboratory management project which often results in publication or presentation at national meetings. Though informatics is incorporated throughout each rotation, it is formally introduced in the curriculum during the third rotation.

Special opportunities at Iowa:

  • Be involved with staff during mock CAP surveys; upper level residents are often asked to join CAP survey teams for inspecting outside laboratories.
  • Exposure to in-vitro fertilization laboratory (one of the best in the country)
  • Thorough exposure to informatics
  • Attend diagnostic services committees and other high level meetings within the hospital.

HEMATOPATHOLOGY (four rotations) Edit

The hematopathology rotation is divided into two portions: bone marrow and wet side. During the bone marrow portion, residents preview and write up bone marrow reports. A major part of the write-up consists of performing a manual differential on the bone marrow aspirate. (Bone marrow technologists perform counts on some of the marrows as well if the case load is high). Sign-out occurs in the early afternoon and is generally finished by 5:00 p.m. During the wet side portion, the resident reviews and write-up peripheral blood smears, CSFs, body fluid, abnormal urine sediments, and other laboratory procedures including hemoglobin electrophoresis. Hemepath unknowns are given once a week by staff and are reviewed at a multi-headed microscope. Lymph node pathology is covered during the later hematopathology rotations.

Special opportunities at Iowa:

  • Weekly blood club: Clinicians from the hematology and pathology (heme and transfusion) meet to discuss interesting cases. Fellows usually present; residents are encouraged to attend.
  • Lymphoma conference: Pathologists and clinicians discuss interesting patients with lymphoma. Heme fellow or resident usually presents.
  • Correlation with molecular testing (PCR, FISH, etc.) during molecular and cytogenetics rotations.
  • Bone marrow biopsies are not required for residents; however, scheduled training can be done through the hematology/oncology department at the University and the VA..

IMMUNOPATHOLOGY (three rotations) Edit

Residents are required to preview and write up all flow cytometry cases on lymph nodes, peripheral blood, CSF etc.  Cases are usually looking for tumor; however, immunodeficiency cases are also reviewed. Residents may be asked which particular panel to perform on cases. All flow cytometry reports are written by the resident and signed-out with staff throughout the day. In addition, an interesting case is presented by the resident at the clinical pathology conference each Friday morning.

Special opportunities at Iowa:

  • 10 color flow cytometry is performed (6 color flow cytometry is still used at the VA).
  • Residents perform cluster analysis using specialized software
  • Monthly Chairman’s Rounds review special topics and interesting cases in flow cytometry.

MICROBIOLOGY (two rotations) Edit

The two rotations in microbiology include a wide variety of activities. Time is allowed to sit on the bench with the technologists as they process specimens and identify organisms. (Benches include blood cultures, urine, wound/sterile body fluids, respiratory, surveillance, tuberculosis (TB)/mycology, antimicrobial susceptibility, and virology). The resident also participates in daily lab rounds with the lab directors. During these rounds, the technologists in each area of the lab present interesting cases and ask questions regarding extent of identification required for a particular isolate, clinical significance of an organism, need for susceptibility testing, etc. Gram and Giemsa stains on a variety of organisms are reviewed weekly with staff. The resident carries a service pager as well. The resident also works-up a series of "unknowns" including mycology and bacteriology specimens. In addition, an interesting case is presented by the resident at the clinical pathology conference each Friday morning.

Special opportunities at Iowa:

  • Exposure to MALDI-TOF and molecular technologies as well as traditional chemical diagnostics.
  • The research activities of the microbiology and immunology division are extensive and there are numerous opportunities to become involved in projects.
  • The Iowa State Hygienic Laboratory is located in Coralville (approximately 5 miles from UIHC) and may be toured during the rotation.
  • Weekly meetings with infectious disease fellows to discuss interesting cases.

MOLECULAR PATHOLOGY (two rotations) and CYTOGENETICS Edit

Residents are responsible for interpretation of a variety of molecular tests within three broad categories of molecular pathology (genetic diseases, molecular infectious disease testing, and molecular oncology). Residents are exposed to different molecular techniques including next generation sequencing, Sanger sequencing, PCR, etc. Residents are required to preview and interpret and write up molecular reports. Residents field molecular questions from clinicians and are also involved in microdissection of surgical and cytology specimens.

Special opportunities at Iowa:

  • Exposure to next generation and Sanger sequencing interpretation
  • Molecular oncology tumor board is a great learning opportunity
  • Correlation of surgical and cytology specimens
  • During the cytogenetics rotation, residents will get hands on training with karyotypes and FISH. Residents will perform their own karyotype from start to finish (optional).


TRANSFUSION MEDICINE (three rotations)
Edit

The transfusion medicine resident oversees the acquisition and distribution of blood products for the hospital. Residents frequently become involved in the care of patients who require massive transfusion (i.e. patients with trauma, coagulopathy, or surgical difficulties). The transfusion medicine resident evaluates requests for special products such as granulocyte transfusion or crossmatched platelets. The transfusion service performs apheresis procedures for conditions such as thrombotic thrombocytopenic purpura (TTP), Guillain Barre, and hyperviscosity syndromes, as well as collects peripheral stem cells for bone marrow transplants (residents write the orders and the notes for all procedures). The transfusion medicine resident assists the blood donor nurses in screening potential blood donors. Residents write orders and notes for all procedures. Residents are also required to write reports for suspected transfusion reactions and positive antibody panels, to be signed out later with the staff.

Special opportunities at Iowa:

  • Exposure to a variety of procedures performed in the apheresis clinic: plasmapheresis, leukapheresis, photopheresis, LDL pheresis, red cell exchange, therapeutic phlebotomy, stem cell collections, and T cell collections (for oncologic immunotherapy).
  • Residents oversee a blood collection center, apheresis clinic, and blood bank, which are all adjacent to each other within the hospital (DeGowin Blood Center).
  • Weekly blood club: involves clinicians from the hematology department and pathology (heme and transfusion) to discuss interesting cases. Fellows usually present; residents are encouraged to attend.
  • Weekly hands on lab exercises: residents will perform several lab assays including type and screens (can be done on their own blood), elutions, and antibody panels.

VAMC CLINICAL PATHOLOGY (three rotations) Edit

The three VAMC Clinical Pathology rotations offer residents the chance to experience an integrated clinical pathology laboratory (blood bank, hematopathology, chemistry, microbiology, immunopathology). On a daily basis the resident is responsible for interpreting, writing up and signing-out bone marrow examinations with faculty consultation. The resident interprets blood smears, body fluid analyses, bronchioalveolar lavage specimens (BALs), flow cytometry, microbiology slides, and electrophoreses with faculty back-up as needed. Other duties include blood bank audits and approving send-out tests. Each week the resident leads a laboratory meeting discussing the send-out tests that they were asked to review as well as any pages received during the week.

On this rotation the resident may gain more experience performing bone marrow biopsies, under the supervision of Hematology-Oncology fellows. Finally, the resident is responsible for "troubleshooting" problems that arise in the laboratory, being a clinical laboratory consultant for physicians, and other projects. The VAMC clinical pathology rotation offers residents the chance to have an experience akin to the private practice environment. The residents perform laboratory management, make interpretations and diagnoses with faculty backup as needed, and act as a laboratory consultant. However, there is adequate time available for reading or research projects.

Special opportunities at Iowa:

  • The VAMC in Iowa City is a national leader in test and protocol development and is a referral center for other VA hospitals. 

MEDICAL RENAL (one rotation) Edit

Residents will preview and write up medical renal cases following interpretation of H & E slides, special stains, electron microscopy, and DIF. Residents are also required to gross medical renal biopsies using light microscopy for glomerulus evaluation and divide the specimen up for DIF and EM studies.  

Special opportunities at Iowa:

  • Residents will spend time in the EM lab to understand its role in diagnostics.

ELECTIVE (seven rotations) Edit

Each resident is allowed seven electives over the four years of AP/CP residency. Residents spend this time in a variety of ways, including further experience in areas of interest, as well as clinically related research in almost any area of the department.

IOWA CITY & CORALVILLEEdit

Iowa City and surrounding communities get consistently high ratings from national indexes of great places to live. Affordable housing, outstanding schools, moderate cost of living, superb shopping and entertainment, excellent transportation, and a mix of diverse cultures all make it a great choice, especially when you consider that much of it is available within easy walking or biking distance from our world-class hospital.

Being located on a Big Ten University campus creates a big plus for our residents. The University is a lively place for cultural and recreational activities. It is a hub for high-level sports and offers the excellent libraries, museums, and cultural centers you'd expect from a Big Ten school. Iowa has the smallest enrollment among the public Big Ten schools, which translates into a campus that's easy to navigate and a surrounding community that supports everything we do for our students and trainees.

Website References:

http://www.icgov.org/

http://downtowniowacity.com/

http://www.coralville.org/

http://www.gocedarrapids.com/

Sports:

http://www.hawkeyesports.com/

http://www.milb.com/index.jsp?sid=t492

http://www.ridertownusa.com/

Music/Theater:

http://hancher.uiowa.edu/

http://www.riversidetheatre.org/

http://coralvillearts.org/

http://www.theatrecr.org/

http://music.uiowa.edu/resources/events/

http://www.englert.org/

http://www.paramounttheatrecr.com/Events/Default.aspx

Historical Sites/Museums:

http://www.uiowa.edu/homepage/museums-and-collections

http://www.amanacolonies.com/

http://www.brucemore.org/

http://www.crma.org/

http://www.ncsml.org/

http://www.putnam.org/

http://figgeartmuseum.org/

Parks/recreation:

http://www.stateparks.com/lake_macbride.html

http://www.stateparks.com/maquoketa_caves.html

http://www.johnson-county.com/dept_conservation.aspx?id=4055

https://www.icgov.org/city-government/departments-and-divisions/parks-and-recreation/parks-and-forestry/parks/parks-29

https://www.icgov.org/city-government/departments-and-divisions/parks-and-recreation/parks-and-forestry/parks/parks-12

http://recserv.uiowa.edu/facilities/campus-recreation-wellness-center

BENEFITSEdit

  • Annual stipends for the 2016-2017 fiscal year are as follows:
    • PGY-1 $54,300
    • PGY-2 $56,300
    • PGY-3 $58,300
    • PGY-4 $60,200
    • PGY-5 $62,100
    • PGY-6 $64,200      
    • PGY-7 $66,300
  • Covered at no cost
    • Long-term group disability income insurance
    • Life insurance coverage
    • Liability protection
  • Health care coverage: See the a University of Iowa Human Resources Website
   http://hr.uiowa.edu/benefits/house
  • Maternity/Non-birth Parent Leave
    • Female house staff members are entitled to up to six weeks of paid disability (maternity) leave for each pregnancy.
    • Non-birth parent house staff members, including domestic partners as defined by UI policy, have available five working days of paid time off for parental leave related to each recent birth or adoption of their child.
    • Every resident receives an $850 yearly professional development fund (for books, boards, meetings, etc.) and an iPad.


COMMENTS:Edit

Comment 1 (posted 2/2011):Edit

Although I am not a resident here currently, I did a post-sophomore fellowship here. From personal experience, the program is excellent. I chose residency elsewhere for personal/location reasons, but not anything reflecting on the program itself.


Comment 2 (posted 4/2012): Edit

Residency Program Name: University of Iowa Hospitals & Clinics

Residency Program Director:

  • Chris Jensen, MD

Number of residents (per year / total):

  • 5-6
  • 20-24

Visas Sponsored:

Pros:

  • The University of Iowa’s Pathology department has a strong commitment to resident education and professional growth. The atmosphere is one of collaboration and collegiality.

Cons:

  • N/A

Average work hours on surg path?

  • Variable by resident year & experience

Are you allowed to do external rotations?

  • Yes

Famous Faculty:

Do you feel you have:


Adequate preview time?

  • Yes – Residents take responsibility and “ownership” of their cases. As such, residents are expected to preview & dictate their reports prior to review with staff.

Adequate support staff (P.A.’s, secretarial, etc.)?

  • Yes – we recently hired another P.A. and the staff is receptive to resident’s needs for adequate support staff.

Adequate AP Teaching?

  • Yes – Iowa has a strong foundation in general surgical pathology, cytology & autopsy training. Our surgical pathology service is a general sign out, with the exception of dermatopathology & neuropathology. With regards to cytopathology, we have a strong FNA service with onsite adequacy assessments. Finally, with regard to autopsy, we serve 6 counties for the performance of medical examiner cases and have a good mixture of forensic and medical cases. Additionally, we have new, state of the art autopsy facilities and 2 forensic pathologists on staff.

Adequate CP Teaching?

  • Yes – residents are expected to be hand on and involved on their CP training. Iowa has unique opportunities, including being involved in a hospital owned/run blood donation center. We also have a dedicated molecular pathology rotation.

Are Fellowship Programs Offered? Please list:

  • Yes; Surgical pathology – general, Cytopathology, hematopathology, microbiology, molecular pathology, transfusion medicine.

CAP Standardized Fellowship Application Accepted?

  • Unsure.


Comment 3 (Posted September 2012)

Residency Program Name: University of Iowa Hospitals and Clinics

Residency Program Director: Chris Jensen, MD and Tom Raife, MD

Number of residents (per year / total):

5/20

Visas Sponsored:

     

Pros:

Fantastic combined AP and CP balanced experience with great staff that are wonderful educators. Great breadth of surgical material & hemepath cases with unusually strong Blood Bank Transfusion Med & Autopsy experience

Cons:

None

Average work hours on surgical path?

60-75

Are you allowed to do external rotations?

Rarely - residents have done it; requires lots of paperwork

Famous Faculty:

     

Do you feel you have:

Adequate preview time? Absolutely

Adequate support staff (P.A.’s, secretarial, etc.)? Absolutely

Adequate AP Teaching? Yes

Adequate CP Teaching? Yes

Are Fellowship Programs Offered? Please list: Surgical Pathology (5); Cytopathology (2); Microbiology (1); Blood Bank/Transfusion Medicine (1): Hematopathology (1); Molecular Genetics Pathology (1)

CAP Standardized Fellowship Application Accepted? Don't know

Comment 4 (date here):

Pros:

Cons:

Blood Banking/Transfusion Medicine Fellowship ProgramEdit

Description: One or two-year blood banking fellowship (two years preferred) for physicians interested in transfusion medicine. The DeGowin Blood Center provides transfusion, donor center (whole blood and cytapheresis) and therapeutic hemapheresis (includes hematopoietic progenitor collection and processing) services to a large university tertiary care hospital. Thus, day-to-day exposure is provided to donor selection, blood banking serology, compatibility testing, autologous donation and preparation of special products (e.g., leukocyte-reduced, irradiated, CMV seronegative) plus special emphasis on all aspects of therapeutic and preparative hemapheresis, platelet immunology, neonatal transfusions, organ and hematopoietic stem cell transplantation.

Faculty: Michael Knudson, M.D., PhD, and Annette Schlueter, M.D., PhD.

Requirements:Applicants eligible for certification in Pathology, Hematology, Anesthesiology, Internal Medicine, Obstetrics/Gynecology, Pediatrics, Surgery, Orthopedic Surgery, Plastic Surgery, Colon and Rectal Surgery, Neurological Surgery, and Thoracic Surgery.

Stipend: Commensurate with years of training.

Applications: Vicky Farrington-Howrey, Fellowship Program Coordinator, Department of Pathology, 200 Hawkins Drive, Iowa City, IA 52242 (email: vicky-farrington@uiowa.edu).

Phone: 319-356-0319
Fax: 319-384-9613

Cytopathology Fellowship ProgramEdit

Description: This ACGME accredited program is designed to train academically-oriented cytopathologists. Two positions are offered. Fellowships include both clinical and research training. Clinical training includes signing out gyn cytology smears (about 20,000 a year), aspirates (about 2,000) and other non-gyn specimens (about 3,500). An active pathology based FNAB clinic is present where fellows learn how to perform, smear, and interpret FNABs. Immunocytochemistry is routinely utilized on clinical specimens. Research interests of the faculty include fine needle aspiration biopsy, molecular techniques, gastrointestinal and liver pathology, and urologic pathology.

Facilities and Faculty: See residency program for details. Faculty staff the division, including: Chris Jensen, M.D., Director of Cytopathology Fellowship Program, Amani Bashir, M.D., Marina Ivanovic, M.D., F.I.A.C., Laila Dahmoush, M.D., Robert A. Robinson, M.D., Ph.D., and Megan Samuelson, M.D.

Requirements: Applications will be accepted from residents who have had two to four years of straight anatomic pathology training and from residents who have three to four years of combined anatomic and clinical pathology training. Board eligible applicants are preferred.

Stipend: Commensurate with level of training.

Applications: Chris Jensen, M.D., Director of Cytopathology Fellowship Program, The University of Iowa, Department of Pathology, 200 Hawkins Drive, 5232A RCP, Iowa City, IA 52242 (email: chris-jensen@uiowa.edu).

Phone: 319-356-3217 (voice) / 319-384-4054 (fax)

Hematopathology Fellowship ProgramEdit

Description: Fellowships include one year of clinical training in the practice of hematopathology with the option for one or more additional years of research. Two positions are offered. Clinical training includes bone marrow pathology, surgical hematopathology (lymph nodes, spleens), laboratory hematology/coagulation, molecular pathology, and immunopathology. A variety of observational and clinical pathologic studies can be pursued during the clinical year. Research training involves basic research or application of basic research techniques either in immunologic or molecular aspects of hematology or in hemostasis/thrombosis.

Facilities and Faculty: See residency program for details. The University of Iowa Hospitals and Clinics is a Tertiary Care Center with a large referral volume of leukemias and lymphomas, and a bone marrow transplantation unit. Faculty includes: Nancy Rosenthal, M.D., Director of Hematopathology, Carol Holman, M.D., Ph.D. and Sergei Syrbu, M.D., Ph.D. Also involved are three immunopathologists and two molecular pathologists.

Requirements: Applications will be accepted from residents who have had two to four years of straight anatomic or clinical pathology training, from residents who have three to five years of combined anatomic and clinical pathology training, or from graduating medical students who wish to integrate subspecialty training with anatomic or clinical pathology residency training.

Stipend: Commensurate with level of training.

Applications: Nancy Rosenthal, M.D., Director of Hematopathology, The University of Iowa, Department of Pathology, 200 Hawkins Drive, 6233 RCP, Iowa City, IA 52242-1009 (email: nancy-rosenthal@uiowa.edu).

Phone: 319-384-8751 (voice) / 319-384-8051 (fax)

Medical Microbiology Fellowship ProgramEdit

Description: The University of Iowa Hospitals and Clinics offers a one year ACGME accredited fellowship in clinical microbiology. The fellowship program combines training in the analytical, clinical, and administrative aspects of clinical microbiology with clinical research experience. The training is designed to prepare the fellow for a career in academic medicine. Exposure to infection control, molecular diagnostics, and molecular epidemiology is included. The clinical microbiology training faculty is comprised of three individuals of varied backgrounds and interests. The clinical research experience is generally in the laboratories of these faculty but can be arranged in the laboratories of other members of The University of Iowa faculty if desired. Most of the fellowship training occurs at the University of Iowa Hospitals within the Department of Pathology’s Division of Medical Microbiology. Fellows also complete six weeks of rotations at the University Hygienic Laboratory (state public health laboratory): a two-week parasitology rotation and four one-week rotations in bacteriology/bioterrorism, virology/serology, mycology/mycobacteriology, and molecular diagnostics.

Facilities and Faculty: The Microbiology facilities consist of a state-of-the-art clinical laboratory which houses molecular diagnostics, virology, bacteriology, and the mycobacteriology/mycology lab. In addition, a diverse research area is established which includes the Anti-Infectives Research Center and Molecular Epidemiology Laboratories. Teaching faculty includes: Daniel Diekema, M.D., Stacey Klutts, M.D., Ph.D., and Bradley Ford, M.D., Ph.D.

Requirements: Eligible for certification in clinical pathology or infectious diseases (successful completion of ACGME-accredited training program in CP, AP/CP, or infectious diseases).

Stipend: Support is commensurate with the candidate's level of postgraduate training.

Applications: Daniel Diekema, M.D. Interim Program Director, Director of Infectious Diseases, 200 Hawkins Drive - C606 General Hospital, Iowa City, IA 52242 (email: daniel-diekema@uiowa.edu).

Phone: 319-356-8615

Molecular Genetics Pathology Fellowship ProgramEdit

Description of Program: The fellowship program builds on the internationally recognized leadership of the University of Iowa in the field of human genetics and a state of the art Molecular Diagnostics Laboratory to provide a unique training experience in all areas of molecular pathology. The Molecular Pathology Laboratory serves as the primary site for molecular testing of genetic, infectious and neoplastic diseases from the University of Iowa Hospitals and Clinics as well as for regional, national and international clients. We have over 30 diagnostic tests utilizing various methods including qualitative/quantitative PCR and real-time PCR, DNA sequencing, traditional and capillary electrophoresis and Southern blotting. The MGP fellowship includes six months of hands-on training in the Molecular Pathology Laboratory divided into three blocks with special emphasis on molecular genetics, infectious disease and oncology, respectively. Another three to four months are spent predominantly in the Genetics Division of the Department of Pediatrics. This block includes two months of general genetics and a month of cytogenetics training. The Cytogenetics Laboratory will provide exposure to traditional cytogenetics, FISH and Comparative Genomic Hybridization using microarray technology. During these rotations the fellow functions as a junior attending, with levels of responsibility and supervision appropriate for level of training and experience. The fellow is also exposed to administrative aspects of directing a modern molecular diagnostics laboratory.

The remaining two-three months are spent with independent test development in the Molecular Pathology Laboratory or on basic research projects in any one of numerous laboratories associated with the program. The fellows are encouraged to use this time to obtain preliminary data serving as the basis for applications for career development grants from federal and private agencies.

Length of Program: 1 year. If there is mutual interest, further extension is possible in the form of postdoctoral training in one of the associated research laboratories.

Visas Accepted: Dependent on Individual Situation

Faculty/Key Staff:

Molecular Pathology Laboratory:
Bossler, Aaron, MD, PhD Program Director, Molecular Genetic Pathology Fellowship
Director, Molecular Pathology Laboratories
Ma, Deqin, MD, PhD Molecular Genetic Pathology
Moore, Steven, MD, PhD Neuromuscular Disease
Division of Genetics:
Berberich, Stan, PhD Newborn Screening
Darbro, Benjamin, MD, PhD Cytogenetics/Director
Keppler-Noreuil, Kim, MD Birth Defects and Multiple Malformation Syndromes
Matthews, Katherine, MD Neuromuscular Clinic/Director
Murray, Jeffrey, MD Craniofacial Clinic/Director
Shchelochkov, Oleg, MD Inborn Errors of Metabolism and Genomic Disorders
Sheffield, Val, MD, PhD Molecular Genetics/Director
Smith, Richard, MD Hearing Loss Clinic/Director
Stone, Edwin, MD, PhD Eye Disease Clinic/Director
Trapane, Pamela, MD Connective Tissue and Neurodevelopment Problems and Birth Defects
Associated Research Laboratories:
Campbell, Kevin, PhD Neuromuscular
Cook, Robert, MD, PhD Effects of Alcohol on the Immune System
Henry, Michael, PhD Biology of Metastasis
Howe, James, MD Pathogenesis of Colon Cancer Syndromes
Janz, Siegfried, MD Pathogenesis of B Cell Malignancies
Knudson, Michael, MD, PhD Role of Bax in Apoptosis
Lentz, Steve, MD, PhD Molecular Determinants of Blood Clotting
Mathews, Katherine, MD Genetics of Neuromuscular Disorders
Moore, Steven, MD, PhD Neuromuscular Disease
Murray, Jeffrey, MD Genetics of Craniofacial Development
O’Dorisio, Sue, MD, PhD Biology of Neuroblastomas
Paulson, Henry, MD, PhD Inherited Neurodegenerative Disorders
Sheffield, Val, MD, PhD Genetics of Obesity
Smith, Richard, MD Genetics of Hearing Defects
Stone, Edwin, MD, PhD Genetics of Eye Disease
Turek, Lubomir, MD Pathogenesis of Cervical Carcinoma
Waldschmidt, Thomas, PhD Immunology
Welsh, Michael, MD Cystic Fibrosis Pathogenesis


Requirements: MD and residency training in Pathology or Human Genetics

Stipend: Support is commensurate with the candidate's level of postgraduate training.

Applications: Aaron D. Bossler, M.D., Ph.D., Program Director, The University of Iowa, Department of Pathology, 200 Hawkins Drive - C614 General Hospital, Iowa City, IA 52242-1182. Email Address: aaron-bossler@uiowa.edu

Phone: 319-384-9566 (voice) / 319-356-4916 (fax)

Surgical Pathology Fellowship Program
Edit

Description:

A one-year program, in existence since 1986 with over 100 graduates, designed to provide an advanced, intense educational experience in Surgical Pathology. The program serves as a bridge to practice with graded responsibility and autonomy under the supervision of the Director of Surgical Pathology as well as the Surgical Pathology Faculty. At completion, the successful fellow should be able to demonstrate the knowledge, poise, maturity and communication skills to effectively function at the level of junior staff/faculty. The majority of applicants will have completed either an AP only or AP/CP accredited residency training program. In exceptional cases, fourth year residents may be considered. Selection is highly competitive and is based on performance during residency, faculty recommendation letters, and an interview.  The laboratory examines over 40,000 surgical specimens and 4,050 frozen sections per year.


If you are interested in applying to the Surgical Pathology Fellowship Program, please send or email to Norma Ward a cover letter, CAP Standardized Pathology Fellowship Application, current curriculum vitae, personal statement, medical school Dean’s letter, 3 letters of recommendation that include one from the pathology residency director and two additional faculty, USMLE(3) scores, copy of ECFMG certificate (applies to international medical graduates only), copy of Permanent Visa (if applicable), and copy of medical school diploma.

Applications generally accepted up to 22 months prior to start of the fellowship year, until positions are filled.

Requirements: Applications will be accepted from residents who have had two to four years of straight anatomic pathology training and from residents who have three to four years of combined anatomic and clinical pathology training. Board eligible applicants are preferred.Applications should have completed an AP or AP/CP residency program.


Stipend: Commensurate with level of training.

Faculty: The fellowship is supported by the Surgical Pathology staff with a wide variety of expertise. See residency program for details.


Director: Laila Dahmoush, M.D. 5216-D Roy Carver Pavilion, 200 Hawkins Drive, Iowa City, IA 52242 (email: laila-dahmoush@uiowa.edu).

Fellowship Coordinator:  Vicky Farrington-Howrey, Surgical Pathology Fellowship Coordinator

200 Hawkins Drive
C685 General Hospital
Iowa City, IA 52242
Phone: 319-356-0319
Email: vicky-farrington@uiowa.edu

Website: https://www.uihealthcare.org/GME/ResProgHome.aspx?Pageid=229770&taxid=225807

Ad blocker interference detected!


Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers

Wikia is not accessible if you’ve made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected.