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Program Details

The overall goal of the cytopathology fellowship program is to provide comprehensive training in diagnostic cytology, including both gynecologic and non-gynecologic material, to provide an in-depth experience in interpreting cellular specimens from various sites, including Pap tests, body fluids, brushings, and needle aspirations.

Ancillary techniques such as flow cytometry, image analysis, and molecular diagnostics will be utilized as appropriate. The laboratory is fully computerized which allows easy retrieval of specimens for teaching research, or quality control purposes.

The cytopathology laboratory processes approximately 40,000 specimens a year, of which 4000 are non-gynecological specimens, giving the trainee a mix and variety of cases.

During this one-year, ACGME-accredited fellowship, the trainee will:

  • Learn the specific cytologic criteria that permit definitive cytologic diagnosis
  • Learn the use of ancillary techniques in diagnosis in cytology
  • Learn cytology preparatory techniques
  • Become familiar with regulatory and management issues in cytology
  • Appreciate the roles that cytology and the cytopathologist play in effective patient management, including interactions with the clinicians

Overall responsibilities of the fellow include:

  • Reviewing cases on a daily basis with the staff pathologist
  • Reviewing slide packets and teaching materials, and adding cases to the teaching set
  • Performing fine needle aspirations and on-site assessment and diagnosis under the supervision of the cytopathologist
  • Working on at least one research project
  • Resident and medical student teaching
  • Completion of a Quality Improvement/Quality Assurance project

Teaching conferences are held on a bimonthly basis in the form of didactics covering the core curriculum, including preparation of cytology specimens, and regulatory agency requirements, etc; a cytology-histological correlation conference given by the fellows and residents; invited presentations, including talks on statistics and patient safety; a monthly slide review conference; a monthly unknown conference, and slide conferences for the cytotechnologists.

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