Head and Neck Clinical Fellowship Program

Training in Head and Neck Pathology

I. Goals of the Head and Neck Pathology Fellowship

  1. To teach the fellow the proper means of examining a spectrum of head and neck surgical specimens, ranging from small biopsies to extended radical procedures.
  2. To gain confidence in performing operating room consultations (frozen sections) and interacting with surgeons.
  3. To understand the necessity of clinical-pathological correlation of surgical pathology specimens in order for the pathologist to become a respected member of the "health care team".
  4. To be aware of and provide new techniques and methodologies that might impact on patient care and prognosis.

II. Activities and Duties of the Head and Neck Fellow

  1. The duties of the Fellow shall be confined to operating room consultations, frozen sections, and surgical specimens. There are no autopsy responsibilities, except as an advisor on head and neck cases.
  2. Normal working hours are 7:00 A.M. - 5:00 P.M. Monday through Friday and from 7:00 A.M. until the work is done on Saturday.
  3. The Fellow will be assigned to the Head and Neck Gross Bench for a total of nine months. The remaining three months will be devoted to electives at the Fellow's discretion. Some of the most popular electives have been informatics, molecular biology, oral pathology at the University of Pittsburgh School of Dental Medicine, head and neck radiology, dermatopathology, cytology, obstetrics and gynecologic pathology at Magee-Women's Hospital, and pediatric pathology at Children's Hospital.
  4. When assigned to the Head and Neck Gross Bench, the responsibility of the Fellow will be mainly that of an advisor to the general pathology resident assigned to the bench. He/she will see that the resident is processing all specimens according to protocol. In the absence of a general pathology resident or during peak workloads, the Fellow will assist in grossing the specimens.
  5. The Fellow will also take part in all operating room consultations (frozen sections) pertaining to the Head and Neck Gross Bench. Responsibilities will be delegated according to the experience of the Fellow.
  6. The Fellow will also review all slides with the general pathology resident assigned to the Head and Neck Gross Bench in advance of the cases being signed out with the attending pathologist. The daily review is expected to continue throughout the entire nine months that the Fellow is assigned to the bench. Although encouraged, this duty may be relinquished during the time the Fellow is on "elective rotation"
  7. The Fellow will attend and present all cases at the Head and Neck Tumor Board Conference held weekly on Tuesday at 7:00 A.M. This will also apply when the Fellow is on "elective rotation". The Fellow will also periodically be asked to present cases at the ENT Grand Rounds held every Wednesday at 7:00 A.M. and at other clinical conferences.
  8. The Fellow will be called upon to present cases about twice a year at the Department of Pathology Slide Seminar held at noon every Thursday in the Conference Center. The fellow will also be asked about once a year to present one or more interesting cases to the Pittsburgh Path Society.
  9. The Fellow is encouraged to pursue one or two research projects that will be suitable for publication in a peer-review journal.
  10. The Fellow will attend (expense-free) Barnes' three-day course on Surgical Pathology of the Head and Neck.