Cytopathology Fellowship

This ACGME-accredited one-year fellowship program in Cytopathology at UT Southwestern Medical Center and Parkland Health & Hospital System offers intense training in all aspects of cytopathology through utilization of an annual volume of about 60,000 specimens of gynecologic and non-gynecologic material from outpatient and inpatient clinical services of a 900-bed teaching hospital. 

Overview

Training involves direct participation in cytopathologic evaluation as well as teaching responsibilities and ongoing research activities. Teaching experience includes active participation in lectures and seminars as well as informal sessions with medical students, graduate students, and other pathology residents.

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 so obtained. 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 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 fellowship training, the cytology fellow is expected to have achieved diagnostic skills in exfoliative and FNA cytology, acquire proper techniques for performance of FNA, and for proper use of ancillary techniques in the diagnosis. 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.

Also, the fellow should 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 a diagnosis and thus help patient management.

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Computer Resources

Parkland Health & Hospital System uses Cerner Millenium, OACIS, and EPIC to retrieve pertinent patient information.

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Stipends

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

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