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Gynecologic (GYN) Pathology Fellowship

UT Southwestern offers fellowship training in Gynecologic Pathology within a high-volume, highly collaborative subspecialty practice spanning two major hospital systems.

Program Overview and Training Environment

The Gynecologic Pathology Fellowship at UT Southwestern is a one-year, ACGME-accredited program within the Department of Pathology designed to prepare fellows for independent subspecialty practice across the full spectrum of gynecologic pathology.  The program is supported by eight dedicated gynecologic pathologists with active academic practices, including publications in leading journals and contributions to WHO classifications and major reference texts.

A defining strength of the program is its cohesive practice model. Four subspecialty gynecologic pathologists sign out daily—two Parkland and two UT Southwestern services—yet all faculty and fellows work within a shared subspecialty workspace. Fellows work with one attending per service week, with time to preview cases, select ancillary studies, and draft diagnostic reports prior to joint sign-out. One week of gynecologic specimen grossing is required at the beginning of the fellowship to fulfill ACGME requirements. Intraoperative consultations are performed in an adjacent dedicated suite, permitting the fellow to selectively participate in gyn or non-gyn frozens as desired. This structure creates continuous opportunities for real-time consultation, multi-attending case review, and exposure to diverse diagnostic approaches throughout the day. Fellows benefit from the large and diverse patient populations served by both systems and close integration with the NCI-designated Simmons Comprehensive Cancer Center, the Department of Obstetrics and Gynecology, and the Gynecologic Oncology Division. This structure provides extensive exposure to biopsies and complex benign and malignant resections.

Progressive responsibility at sign-out allows fellows to develop diagnostic efficiency, confidence, and depth of interpretation across the full spectrum of gynecologic pathology. Clinical training is integrated with multidisciplinary care. Fellows participate in weekly gynecologic oncology tumor boards with gynecologic oncologists, radiologists, and related clinical teams, emphasizing clinicopathologic correlation and clinical decision-making. In addition, twice-weekly gynecologic pathology consensus conferences provide a structured forum in which fellows take an active role in presenting and reviewing the week’s most challenging and instructive cases. These conferences reinforce diagnostic consistency and build confidence in case presentation and discussion.

Distinctive clinical opportunities for our fellows include participation in an established dysplasia clinic and a new hyperplasia clinic launching in 2026 focused on endometrial precancerous lesions. Our close affiliation with Parkland Health is a major strength of the program, as our group provides all gynecologic pathology services for this large public hospital and clinic system. Parkland Memorial Hospital has one of only a handful of emergency rooms in the nation dedicated solely to obstetric and gynecologic problems, with 13 exam rooms and dedicated OB/GYN resident and faculty staffing around the clock. Elective time allows additional experience in areas such as breast or placental pathology. Fellows work closely with medical students, pathology residents, and other clinical fellows, creating regular opportunities for teaching and mentorship.

UT Southwestern and the Department of Pathology: Unique Strengths

The UT Southwestern Department of Pathology includes more than 120 faculty in a subspecialty practice environment. As one of the nation’s largest ACGME training institutions, UT Southwestern supports more than 1,700 trainees across 200 accredited programs.

Academic Development and Program Goals

The fellowship emphasizes strong academic development within a supportive and collaborative environment. Faculty are engaged mentors with a demonstrated record of guiding fellows to successful scholarly output, including publications in peer-reviewed journals. Fellows are provided 4 weeks of dedicated academic time in addition to 4 weeks of elective time to pursue research and tailor their training to individual interests.

Training also incorporates modern diagnostic approaches, including integration of molecular data through a comprehensive ~1500-gene sequencing panel developed at UT Southwestern, preparing fellows for contemporary practice. The program aims to train pathologists capable of independent sign-out across the full spectrum of gynecologic pathology. Graduates of the program have pursued careers across a broad range of academic and private practice settings.

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