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Pediatric Pathology Fellowship Program

We offer a 1-year ACGME-approved pediatric pathology fellowship program. Our goal is to enable you to practice pediatric pathology in a general hospital or children's hospital and qualify for pediatric pathology boards. We also give you ample opportunity to develop laboratory management and teaching skills.

Our program is affiliated with Northeast Ohio Medical University and provides a rich academic environment. We have large pediatric residency and pediatric fellowship programs as well as affiliations with other programs (orthopedics, surgery, family practice, urology and ophthalmology), and residents of these programs interact with pathology fellows.

In addition, we offer pediatric pathology rotations to residents from 2 other pathology programs and electives and summer fellowships to NEOMED students. You interact with and supervise rotators and students.

 

 

Pediatric pathology practice differs from adult pathology, and training requires exposure to high volume and diverse material. You're supervised, in rotation, to get the benefit of the subspecialty expertise available in the department and gain exposure to different points of view.

You participate in clinical consulting activities of the staff and in all teaching activities in which our pediatric pathology department is involved. You are also required to perform clinical research.

Clinical Rotation Schedule

6 months Pediatric anatomic pathology (done in 2 installments)
Electron microscopy is a concentrated 2-week course. Surgical, autopsy, embryofetal, placental and forensic pathology and neuropathology make up the rest of the rotation. 
1 month Cytogenetics
1 month Molecular pathology
1 month Hematopathology
1 month Virology
1 month Elective (Neuropathology is available as a 4-week elective.)
1 month Research

Fellows may remain in our program for a second year. However, ACGME only accredits pediatric pathology programs for 1 year.

Educational Activities

As a fellow, you attend many conferences and seminars in northeast Ohio:

We also review every pediatric and fetal autopsy. An objective microscopic analysis is followed by presentation of the case history, discussion and correlation of clinical and anatomical findings. Fellows present and discuss their cases. This meeting is the most important departmental meeting and teaching session. It is also a key component of performance improvement in anatomical pathology and provides the opportunity to evaluate your performance.

  • Anatomical Pathology Review Conference - All interesting, instructive and problematic surgical cases are reviewed in a weekly working session attended by faculty, fellows, and rotating residents and medical students. You'll have the opportunity to see every interesting case presented to our department and participate in the problem-solving process.
  • Grand Rounds – Hospital-wide grand rounds are held 3 times a month. Every 2 months, grand rounds include a hospital-wide M&M conference in which autopsy findings are presented. You may be invited to help prepare and present the cases.
  • Surgical Pathology Conference -This monthly conference includes the presentation of interesting surgical specimens to surgery residents and staff. Fellows present their cases.
  • Oncology (Tumor Board) Conference - Tumor cases are presented weekly. Each case opens with a presentation of the clinical findings. The radiological and pathological findings are then presented and discussed. Once a month, we devote the conference to reviews of interesting clinical or pathological topics, providing fellows with a broad perspective of the problems of pediatric neoplasia. Fellows present cases they have worked up.
  • GI Review -Twice a month, pathologists review endoscopic biopsies with our gastroenterologists and other staff, using the multiple-head microscope or video microscope. This gives the opportunity for clinical-pathological correlation. Fellows present their cases.
  • NICU Mortality Review - We review all neonatal autopsies during this quarterly meeting, attended by staff neonatologists, staff pathologists and pathology residents. Clinical presentation and discussion is followed by presentation of pathological findings and clinical-pathological correction. Pathology fellows discuss the autopsies they have performed.
  • PICU Mortality Review - Similar to the NICU Mortality Review, we hold this conference 4 to 6 times a year.
  • Neuroradiology Conference - The most interesting neuroimaging studies of the previous week are presented and discussed by radiology, neurology and neurosurgery.
  • Cytogenetics-Molecular Pathology Lecture Series - We give this 8-10 hour didactic lecture series every spring to pathology residents, covering basic aspects of cytogenetics and molecular pathology.
  • Pediatric Didactic Conferences - Formal pediatric lectures are provided to pediatric house staff on a daily basis at noon, providing you with a broad concept of clinical pediatrics.
  • Administrative (Staff) Meeting – Monthly meetings for professional staff and laboratory administrators provide experience in administrative and laboratory management.
  • DNA Administrative Meeting –Weekly meetings focus on technical and administrative aspects of molecular pathology and cytogenetics.
  • Fetal Treatment Center Meeting - This meeting includes discussion and management planning of pregnancies with prenatally detected congenital abnormalities and other problems by a multidisciplinary panel, including perinatologists, neonatologists, cardiologists, neurosurgeons and pediatric surgeons. Embryofetal cases are presented by pathology.
  • Medical School Teaching - Fellows may attend medical school pathology lectures at the NEOMED Rootstown campus.
  • Cooperative Medical Technology Program – Fellows may attend lectures given to students of the medical technology program.
  • Other Conferences - We give you a special allowance that you may use for attending a national conference, such as the meeting of the Society for Pediatric Pathology, where you can present your research. You may also attend seminars given at Akron or Cleveland hospitals.

Teaching Materials

  • Pediatric Pathology Teaching Sets - Approximately 1,000 histological sections arranged by organ system (Cardiorespiratory, GI, Hepatobiliary, Hematopoietic, Reproductive, Renal, Skeletal, Skin, Pediatric tumors, CNS, Muscle and Nerve, Placenta, Soft Tissue Tumors, and other)
     
  • Society for Pediatric Pathology Slides - Interesting cases that have been acquired through the SPP Proficiency Testing Program and through attendance of national meetings. Approximately 100 slides
     
  • Hematology Teaching File - Approximately 100 slides
     
  • EM Teaching File - A set of approximately 100 EM prints arranged as a multiple choice question practical exam. EM lab archives, arranged by patient name and diagnostic category
     
  • Autopsy, Surgical, and Neuropathology Slide and Image File Collections
     
  • Digital Image Files and PowerPoint Presentations of Autopsy, Embryofetal, EM and Surgical Cases
     
  • Medical Infomatics - All specimens are accessioned into the SoftPath Laboratory Information System (LIS). The LIS includes a history card file and an online database used to store and retrieve specific patient results. The card file displays essential demographics and laboratory results for each accessioned test. In clinical pathology, a daily list of significant abnormal results is generated and reviewed by the supervisor and medical director for each section. You can perform specific data searches. Online terminals are present in nursing stations, laboratories, staff offices, and resident and student offices. Residents are taught to use the system for data entry and retrieval.

The EM suite includes a full digital imaging station. In addition to processing EM images, this station can acquire and process gross and light microscopic images and images obtained from scanning kodachromes, prints and radiology films. The computers in this station have Adobe Photoshop, Microsoft PowerPoint and other image processing software. The residents use this station to prepare their presentations.

Fellow Evaluations

Staff pathologists and other faculty interact with fellows extensively and have the opportunity to observe them in action, at conferences and other settings. Formal evaluations are done twice a year with input from staff, particularly directors of laboratories in which residents have rotated. Fellows are graded on a variety of parameters included in the 6 competencies scheme. The results of this written evaluation are shared with the fellows at a meeting with the program director. Informal discussions focusing on performance and suggestions for improvement are part of everyday interaction between faculty and fellows.

Performance and management issues are discussed weekly at the end of the Pathology Review Conference, which is attended by the resident. The director of anatomic pathology conducts a formal, quarterly review of performance improvement, focusing on diagnostic accuracy, turnaround times and other parameters.

The quality of educational experience, adequacy of educational materials, and other matters are occasionally discussed at staff meetings with participation of the fellow, and adjustments are made as needed. Throughout the residency, fellows grade the quality of their experience on a number of points, including facilities, quality of staff, time devoted to them, etc.

A measure of the effectiveness of any program is success of its trainees in Board Examination and in getting jobs. Pediatric pathology is not a popular subspecialty and full-time jobs in pediatric pathology are relatively scarce.

Stipends

(Effective July 1, 2018)

PL-4 – $64,400

PL-5 – $65,930

PL-6 -- $67,715

 

Vacation

House offices are granted 3 weeks of vacation or 15 customary working days.

 

Conference Time

Fellows are entitled to 5 days of conference time each year for medical conventions and courses outside the hospital.

 

Educational Allowance

Fellows are provided $1,500 annually for use toward medical-related journals or books, conferences, and license renewals.

 

Research and Scholarship Travel

We encourage and support investigator-initiated research by subspecialty fellows. Therefore, we support research-related travel when the fellow is in good academic and professional standing, and when prior written approval of the program director is documented. All hospital policies relating to travel must be followed.

 

Professional Liability

Professional liability insurance is provided by the hospital.

 

Health Benefits

Fellows and their dependents are eligible to enroll in the hospital’s health, dental, and vision insurance programs. Costs are shared between the fellow and the hospital. Benefits are available immediately.

 

Retirement Benefits

Fellows may participate in the Hospital’s 403(b) Plan from their date of hire. Match dollars are not available to fellows.

 

Medical License & DEA

Fellows are required to obtain an Ohio State Medical License and DEA certificate prior to beginning training.

 

Parking

A key access card for convenient parking is provided at no charge.

 

Lab Coats

One embroidered lab coat is provided if desired.

 

Meals

Fellows are given $60 every week for use in the hospital cafeteria.

 

Relocation expenses

The hospital provides reimbursement for initial relocation expenses, up to $1,000, subject to current tax laws.

 

Smoke, Electronic Cigarette and Tobacco-Free Campus

Akron Children’s is a tobacco-free healthcare system. Prospective employees who test positive for nicotine will have their offer of employment rescinded and will not be permitted to start work.

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