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Program Introduction for Interviewing Fellows

The Dartmouth-Hitchcock Health system

DH hospital image

upper valley mapDartmouth-Hitchcock Health (D-HH) is New Hampshire’s only academic health system and the state’s largest private employer, serving a population of 1.9 million across northern New England. D-H provides access to more than 1,800 providers in almost every area of medicine, delivering care at its flagship hospital, Dartmouth-Hitchcock Medical Center (DHMC). DHMC was named in 2020 as the #1 hospital in New Hampshire by U.S. News & World Report, and recognized for high performance in 9 clinical specialties, procedures, and conditions.

DHMC is located in Lebanon, NH, at the central western border of New Hampshire, adjacent to Vermont. We see patients from New Hampshire, Vermont, Massachusetts, New York and Maine. Dartmouth-Hitchcock Health has a network of member hospitals, and clinics.

View more information about D-HH

Working at D-HH

Provider payment model

  • Across Dartmouth-Hitchcock (D-H), providers are not paid on collections.
  • We do not have to ask patients what kind of insurance they have to figure out what clinic to schedule them in.
  • The residents and fellows see patients in the same clinic as attending physicians.

Program information

Mission statement

Our fellowship graduates meet the highest standards of patient care, contribute meaningfully to the medical literature, and mentor junior colleagues throughout a successful career in dermatopathology.

Program aims

Mentoring graduates of pathology and dermatology residency programs through rigorous training that exposes them to a broad array of dermatopathology specimens and collaborative research, so that upon graduation our fellows have become our junior colleagues, prepared and confident to begin their careers as dermatopathologists in academic and community practice settings.

Program details

We prepare colleagues from both dermatology and pathology backgrounds to provide excellent diagnostic services for their patients. Fellows encounter a broad spectrum of inflammatory and neoplastic skin diseases from our dermatology clinics, surgical centers, and our multidisciplinary cutaneous lymphoma and melanoma oncology groups. We maintain an academic environment characterized by intellectual curiosity and by respect among faculty, residents, support staff, and patients.

Faculty

Robert E. LeBlanc, MD

Robert E. LeBlanc, MD
Director, Dermatopathology Fellowship
Assistant Professor of Pathology and Laboratory Medicine

Konstantinos D. Linos, MD

Konstantinos D. Linos, MD
Assistant Professor of Pathology and Laboratory Medicine

Shabnam Momtahen, MD

Shabnam Momtahen, MD
Assistant Professor of Pathology and Laboratory Medicine

Aravindhan Sriharan, MD

Aravindhan Sriharan, MD
Assistant Professor of Pathology and Laboratory Medicine

Shaofeng Yan, MD, PhD

Shaofeng Yan, MD, PhD
Associate Professor of Pathology and Laboratory Medicine

Rotation schedule

Curriculum: Dermatopathology rotations - 1 Block = 4 Weeks
All Dermatopathology fellows, regardless of prior training, complete the following rotation:

Dermatopathology Sign-out – 12 blocks

The fellow spends, on average, one half of each weekday, during the first eight months, evaluating dermatopathology specimens and reviewing these specimens with a faculty dermatopathologist from 9:00 am - 12:00 pm. Ample time is allotted for the fellow to preview cases in the afternoon and morning. During the last four months, the fellow devotes their entire time to dermatopathology, honing their ability to draft concise, clinically actionable final reports.

Scholarly activity

The fellow works with all dermatopathology faculty members in developing an original research project with the goal of publishing the results as a manuscript in a peer-reviewed journal. The fellow is responsible for collecting and interpreting data, presenting an abstract as a platform at a national meeting, drafting the manuscript, and making the appropriate revisions to ensure that it is acceptable for publication. Fellows, regardless of their career plans, have the option to present their research to the department(s) in an expanded lecture format. The fellow, while drafting the final manuscript, will temporarily be excused from all activities besides tumor boards, teaching, and grand rounds at the discretion of the program director.

The curriculum path for the dermatopathology fellow is based on whether the fellow has completed residency in Pathology or Dermatology.

Pathologists

Clinical Dermatology – 8 blocks

The pathology-trained fellow shadows our experienced dermatologists with the aim of seeing a wide variety of dermatologic disease manifestations. The fellow gains insight into the clinical diagnosis and treatment of specific dermatologic illnesses by shadowing specialists in general adult dermatology, pediatric dermatology, Mohs micrographic surgery, melanoma and pigmented lesions, high risk non-melanoma skin cancers, cutaneous lymphoma, contact dermatitis and occupational dermatology, rheumatologic dermatology, and inpatient consultations.

Dermatologists

Surgical Pathology – 6 blocks

The dermatology-trained fellow shadows highly subspecialized pathologists with the aim of seeing a variety of disease manifestations across all organ systems. There is often one-on-one time spent at the microscope with expert diagnosticians in the fields of breast, cardiothoracic, ENT, gastrointestinal, genitourinary, gynecologic, pediatric, hematologic, and bone and soft tissue pathology. The fellow will observe gross dissection of a variety of anatomic pathology specimens; however, their aim is to see as much and as diverse an array of cases under the microscope as possible. Study sets, reference materials, and quizzes are also available to gauge knowledge and progress.

Hematopathology and Flow Cytometry – 0.25 blocks

The dermatology-trained fellow assists in the interpretation of bone marrow biopsies and aspirations, blood smears, and Wright's stained body fluids. Fellows also gain exposure to flow cytometry, which is integrated into the diagnosis and interpretation of the daily hematopathology sign-out. Study sets, reference materials, and quizzes are also available to gauge knowledge and progress.

Cytopathology – 0.25 blocks

The dermatology-trained fellow gains experience in preparation and interpretation of gynecological and non-gynecological cytopathology specimens in order to appreciate the importance of cytomorphology in the general practice of pathology. The fellow is required to review 200 cases.

Histology and Immunohistochemistry Laboratory – 0.25 blocks

The dermatology-trained fellow familiarizes with the operation of a large histology and immunohistochemistry laboratory, which includes developing an appreciation for laboratory workflow, tissue processing machines (e.g. automated staining procedures), quality assurance, quality control, and quality improvement.

Microbiology – 0.25 blocks

The dermatology-trained fellow receives a general introduction to bacteriology, mycology, parasitology, virology, serology, and automation in a clinical microbiology setting. Topics include the interpretation of growth on various media, smear interpretation, automation, antibiotic sensitivity testing, quality assurance, and serologic testing. A set of case-based study questions are provided to guide reading. Daily laboratory rounds with the Medical Director and Supervisor include the discussion of interesting findings and their clinical correlations.

Molecular Pathology – 0.5 blocks

The dermatology-trained fellow gains exposure in our Clinical Genomics and Advanced Technologies (CGAT) laboratory to the basic techniques associated with nucleic acid-based diagnostic testing, including but not limited to: DNA isolation, restriction enzyme analysis, electrophoresis, Southern blotting, polymerase chain reaction, DNA sequencing, and hybrid capture. Fellows learn how molecular testing is used to diagnose oncologic, infectious, and genetic diseases.

Autopsy – 0.25 blocks

The dermatology-trained fellow develops exposure to gross and microscopic post-mortem pathology by observing in the techniques of autopsy dissection, preparation of sections, evaluation of microscopic slides, and interpretation and clinico-pathologic correlations.

Sample block schedule

Benefits / policies

Important/required GME policies – please read prior to your interview

All GME policies are can be reviewed here:
https://gme.dartmouth-hitchcock.org/policies/gme_policies.html

Conferences

The Dermatopathology Fellow participates in regularly scheduled lectures, tutorials, seminars, and conferences.

Conference Frequency
Cutaneous Lymphoma Tumor Board Monthly
Dermatology Grand Rounds Bi-Monthly
Melanoma Tumor Board Bi-Monthly
Pathology & Laboratory Medicine Grand Rounds Monthly
Anatomic Pathology Didactic Conference Weekly
Clinical Pathology Seminar Weekly
Laboratory Management Seminar

Leadership Preventive Medicine Residency (LPMR)

  • Builds on TDI strengths in outcomes research, improvement, population health and institutional commitment to quality, safety, and value
  • MPH degree from TDI – tuition paid by program!
  • Opportunity to lead change and improvement at DHMC
  • Two month governmental public health experience
  • Dedicated faculty coach; teaching opportunities; unique multi-specialty resident/fellow/faculty group
  • May incorporate research in one year of program (3 + 1)
    • continue clinical work
    • moonlighting allowed
  • Graduates are in demand and employers are very interested in their mix of clinical skills plus improvement and change knowledge and experience
  • Visit the LPMR web page, email tina.c.foster@hitchcock.org or contact an alum to learn more!

Contact us

Phone: 603.650.9485
Heather.R.Wood@hitchcock.org (Program Coordinator)
Robert.E.Leblanc@hitchcock.org (Program Director)

Upper valley life

upper valley activity images

Lebanon, New Hampshire was Rated Best Small Town in America. There are many outdoor activities available in the Upper Valley for all seasons. Activities include:

  • Road biking, gravel biking, fat tire biking, mountain biking
  • Hiking in the white mountains of New Hampshire, the green mountains of Vermont, hiking segments of the Appalachian trail, the Long Trail (Vermont)
  • Running
  • Rock climbing, ice climbing
  • Swimming outdoors and indoor facilities during the winter
  • Sailing, water skiing on many lakes
  • Kayaking, sculling, rowing canoeing, paddle boarding on Connecticut River or lakes
  • Skiing, alpine, XC, back country
  • Ice skating, hockey
  • Maple sugaring

Hood MuseumThe cultural opportunities in the upper Valley are similar to towns of 300,000 or more, likely due to the influences of Dartmouth College and Dartmouth-Hitchcock Medical Center.

  • Hopkins Center at Dartmouth College has numerous theatre events, concerts, films, including 5-6 films previewed for the Telluride film festival before public viewing.
  • Opera North and the Lebanon Opera House in Lebanon, NH, provide high quality theatre and opera productions, in addition to live concerts.
  • Northern Stage in White River Junction, VT, is the preeminent year-round theater company in the region, offering professional productions of world premieres, classics, and musicals.
  • Museums: the Hood Museum (photo shown on right, courtesy of Dartmouth) at Dartmouth; Montshire Museum of Science in Norwich, VT
  • Vermont Institute of Natural Sciences
  • The Upper Valley Trails Alliance (UVTA) strives to form and support partnerships with any town, organization or person in the Upper Valley willing to work on the improvement and sustainable development of public trails.

View area photos by visiting the links below:

For more on life in the upper valley, visit this web page.

City distances:

  • Boston: 2 – 2.5 hours by Dartmouth Coach
  • NYC: 4 hours by Dartmouth Coach
  • Montreal: 3 hours by car
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