Cytopathology Fellowship

This ACGME-accredited one-year Cytopathology Fellowship Program at UT Southwestern Medical Center and Parkland Health & Hospital System offers intense training in all aspects of cytopathology through graduated participation in essential activities at two state-of-the-art teaching hospitals.  

Overview

Training involves direct participation in cytopathologic evaluation, determinations of specimen adequacy for image-guided procedures, and performance of superficial FNAs. Fellows gain valuable teaching experience by taking leadership roles in educational conferences and journal club sessions.

Special emphasis is given to aspiration cytopathology through close cooperation between the Pathology laboratory, clinical services, and the Radiology Department. The fellow performs superficial FNAs in FNA clinic and becomes proficient both in the techniques and in the interpretation of material. Emphasis is also placed on the integration of surgical pathology with cytology and the use of both air-dried Diff-Quick and alcohol-fixed Papanicolaou stains, as well as liquid-based monolayer preparations.

With increasing levels of responsibility commensurate with experience, the fellow will participate in the services, teaching, and research activities of the laboratory. The Cytopathology Fellowship Program emphasizes achievements of competence in acquiring good diagnostic and procedural skills, developing professional communication skills, and utilizing these skills to develop positive interactions with other physicians. The fellow is expected to participate in laboratory quality control and understand the basics of laboratory management to positively impact patient care. Additionally, the Laboratory of Diagnostic Cytology is computerized and opportunities for experience in computer techniques related to cytopathology are part of the program.

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Requirements

Applicants must be AP or AP/CP board eligible or board certified and be eligible for a license to practice medicine in Texas.

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Educational Goals

For completion of the Cytotology Fellowship Program, the fellow is expected to demonstrate  competence in exfoliative and FNA cytology diagnosis, bedside determination of specimen adequacy, performance of superficial FNA, and appropriate ancillary test selection. He or she is expected to perform at a high level with abilities to change and disagree with the screening technologist and able to defend his or her diagnosis, with support from current scientific literature as needed.

Also, the fellow is expected to be able to understand the dynamics of cytologic/histologic correlation, to monitor quality in cytology laboratory, and to reliably use ancillary techniques such as cytochemical stains, immunohistochemical stains, flow cytometry, cytogenetic, and microbiology to arrive at the best possible diagnosis.

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Computer Resources

Fellows will become proficient in the use of Cerner Millennium, EPIC, and CoPath for report writing and retrieval of pertinent patient health information.

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Stipends

Support will be commensurate with the applicant's level of training.

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