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Washington University/B-JH/SLCH Consortium Program

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Hannah Krigman, MD

c/o Debra Weber

Washington University in St. Louis School of Medicine

Department of Pathology and Immunology

660 S. Euclid Avenue, Box 8118

St. Louis, MO 63110



Anatomic and Clinical Pathology Residency ProgramEdit

The Pathology Residency Program at Washington University in St Louis offers AP only, CP only, and AP/CP combined training tracks. Typically 8 residents are accepted each year for the AP/CP and AP only programs, and up to 3 residents are accepted for the CP only program. The first two years of the AP/CP track are purely AP training. The 3rd year is all CP, and the 4th year is a combination of AP and CP training.

This is an excellent residency training program and offers a wide variety and volume of unusual pathologic specimens for review. Daily teaching conferences include a basic AP core lecture series, gross conferences, autopsy conference, and a morning conference only for first year residents. Areas of particular faculty expertise include pediatric and general surgical pathology (Louis P. Dehner, MD), bone and soft tissue (L.P. Dehner and Michael Kyriakos, MD).

The daily schedule on AP includes previewing, sign-out, and grossing on a daily basis. This builds effective time management skills. First year rotations include hemepath, general surgical path, pediatric path, autopsy, cytology, and molecular pathology. Second year rotations include dermpath, general surgical path, FNA, head and neck, Gyn, Liver & GI, frozen section, and a dedicated research rotation. Third year (CP year) and 6 months of fourth year includes 3 months each of chemistry, microbiology, blood banking, molecular pathology, hematology/hematopathology, and advanced clinical pathology elective. The remaining 6 months of fourth year include neuropathology, advanced anatomic pathology, and electives.

Comment 1: 3/26/2013

Program name:      Washington Univeristy - St. Louis/Barnes Jewish Hospital - MO

Program Director:  Hannah Krigman, MD (AP) / Brenda Grossman, MD (CP)

Number of residents (per year / total):   11 (8 AP/CP and /or AP only + 3 CP only) / 40

Visas sponsored?   Yes

Pros:   Exellent case volume; teaching; research opportunities; support and mentorship from faculty; excellent response to resident concerns & criticisms; great variety of specimens on AP; very strong didactics on CP; family friendly city; large program - less call; fellows take almost all call; a lot of research opportunities;

Cons: Very little forensic pathology exposure; busy rotations are very busy (60-80 hours some weeks); may be difficult to find times to read

Average work hours on surgical path?   50-70 hrs/wk

Are you allowed to do external rotations? In general, no, but with exception (e.g. if rotation is not offered of home institution  - such as forensics)

Do you feel you have:

·         Adequate preview time? Yes

·         Adequate reading time? Yes

·         Adequate support staff (PA’s, Secretarial, etc…)? Yes

·         Adequate AP Teaching? Yes

·         Adequate CP Teaching? Yes

·         Graduated responsibilities? Yes

Fellowship Programs offeredSurgical Pathology, Liver & Gastrointestinal Pathology, Dermatopathology, Hematopathology, Cytology, Transfusion Medicine/Blood Banking, Chemistry, Microbiology, Molecular Genetic Pathology, Neuropathology, Pediatric Pathology

CAP Standardized Fellowship Application Accepted? Yes

Additional benefits to trainees (Book Fund, Travel Fund, Other resources):    


  • Three weeks vacation per year (take 1 week at a time, no single days) </li>
  • Generous travel fund (2 meetings a year if first author on original research project [excluding case reports], annual budget $2,500 total per resident for both meetings)</li>
  • Residents' library</li>
  • Annual book fund $900 per resident (textbooks/electronic books only; not permitted to use book fund for electronic devices, Step 3, or the pathology board examination) </li>
  • In respect to the comment below, the hot seat rotation no longer exists (phased out 2012-2013) and attendings now sign-off on every frozen section during normal business hours (the fellow/senior resident on call only signs-out frozen sections without supervision on weekends/after hours) </li>
  • Famous Faculty: Louis P. Dehner, Brenda Grossman, John Pfeifer, Michael Kyriakos </li>

    Blood Banking / Transfusion Medicine Fellowship Edit

    Clinical Chemistry FellowshipEdit

    Clinical Molecular Genetics FellowshipEdit

    Cytogenetics FellowshipEdit

    Cytopathology FellowshipEdit

    Dermatopathology FellowshipEdit

    Hematopathology Fellowship Edit

    Public Health Microbiology FellowshipEdit

    Molecular Genetic Pathology FellowshipEdit

    Liver/GI Pathology FellowshipEdit

    Neuropathology FellowshipEdit

    Selective (General Surgical) Pathology FellowshipEdit

    Selective (Combined General Surgical / Head and Neck) Pathology FellowshipEdit

    </p>

  • Comment #1:Edit

    "I did my surg path fellowship at Wash U, and I really believe that it gave me a lot more confidence in signing out cases when I finally became an attending. Knowing that I was accountable (if only for a day or two) to clinicians to nail the diagnoses for dozens of cases every day really pulled my training together: not only did I have to know what I was looking at, I also had to know what to say to the clinicians, how to say it, how to convey any legitimate uncertainties, etc. The hotseat rotation is what everyone talks about at Wash U., but the frozen section rotation also did a lot to season me: our rotation had two fellows and a senior resident, and we never had to show a case to an attending unless we wanted to. Lots of opportunities to screw up, but the responsibility made us grow up fast." [1] </li>

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