Breast Pathology Fellowship

Overview

The Breast Pathology Fellowship is a Texas Medical Board-approved program offered by the Department of Pathology at UT Southwestern Medical Center. It is a one-year fellowship with comprehensive and in-depth training in diagnostic breast pathology covering the entire spectrum of benign and malignant breast diseases. The training focuses on the multidisciplinary approach to the understanding of breast diseases with strong emphasis on good diagnostic skills and sound knowledge of neoplastic and non-neoplastic diseases of the breast.

Program Description

The training is supervised by a team of six highly experienced breast pathologists with 10 to 20 years of experience in the field. The breast subspecialty service covers two major hospitals, William P. Clements Jr. University Hospital and Parkland Hospital, which is a safety-net hospital that serves a different patient population. The two hospital systems provide a wealth of very interesting and challenging cases that cover the entire spectrum of breast diseases with a balanced distribution of benign and malignant diseases.

The fellow will have separate rotations in breast core biopsies and excision specimens with an almost equal distribution between biopsies, outside consultation cases and excision specimens The fellow will be proficient in the interpretation of breast core biopsies and to correlate the findings with clinical and radiologic findings. Responsibilities also include direct participation in grossing of big breast specimens, intraoperative consultations, which include general and breast subspecialty frozen section coverages. The fellow will formulate diagnoses and dictate reports prior to sign out with the faculty. The fellow will have a basic understanding of the different surgical techniques and how they apply to the handling and processing of breast specimens in the laboratory. Fellow will learn to interpret breast biomarkers; understand the CAP guidelines for testing and interpretation of biomarkers. An important facet of the fellowship is to understand the critical role of the different molecular tests as they apply to the management of breast cancer.

Clinical rotation: Since the management of breast disease requires a multidisciplinary approach, the fellow has the option of doing an elective clinical rotation during the fellowship year.

Multidisciplinary conferences:

The fellow participates in the weekly breast multidisciplinary conferences and presents cases to the multidisciplinary audience. This conference discusses clinical management issues, challenging cases, pathology-related issues and unique/interesting findings. The fellow also participates in the radiology-pathology conferences held once a month with the radiology fellows to discuss interesting cases and correlate radiology and pathology findings. The fellow is also involved in teaching pathology residents during the breast pathology rotation, and interacts with the breast surgical oncology and radiology fellows during their pathology rotations. The fellow will also participate in the breast pathology consultant conferences, and perform critical review of the literature (journal club). The fellow participates in laboratory quality control and assurance program, and understands the basics of laboratory management.

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Research

There are several opportunities during the fellowship for both independent and collaborative research under the guidance of a faculty member. The fellow is expected to complete at least one research project, present findings at scientific meetings (USCAP, ASCP), and prepare manuscript for publication in peer-reviewed journals.

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Requirements

Prospective candidates must have completed an ACGME-approved residency in anatomic pathology, must be board eligible or certified in Anatomic or Anatomic and Clinical Pathology by the American Board of Pathology, and must be eligible for a training medical license to practice in Texas by the beginning of the fellowship. At this time we do not accept H1b visas.

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Benefits

  • Financial support to attend conferences
  • Educational funds
  • Laptop
  • Additional benefits dependent upon program

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Fellowship Faculty

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