OB/GYN Pathology Fellowship Program

Clinical and Research Training

Clinical Training

The clinical training through the Department of Pathology at Magee-Womens Hospital has the following Objectives:

  1. The trainee will acquire comprehensive current knowledge and skill in diagnostic gynecological pathology via:
    • Broad exposure to the full range of gynecological surgical pathology specimens.
    • Correlation of surgical pathology and cytology specimens
    • Daily interaction with experienced gynecological surgical pathologists and clinicians
    • Application of new technologies in diagnostic pathology.

  2. The trainee will acquire current knowledge and skill in developmental pathology via:
    • Exposure to embryo, fetal, neonatal and placental pathology.
    • Interaction with experienced developmental pathology faculty including developmental neuropathology.

  3. The trainee will participate in the teaching programs of the department and the hospital including:
    • Attendance at daily scheduled weekly / monthly teaching conferences.
    • Presenting case material at department teaching conferences
    • Participation and presentation at combined pathology / clinical tumor board and breast conferences.
    • Teaching colleagues and students via group / lecture presentations.

  4. The trainee will acquire the skills necessary for effective interaction and communication with clinicians via:
    • Direct communication with them on clinicians on unusual cases and in the operating room frozen section room.
    • Being consulted by clinicians and clinical residents on their cases.

  5. The trainee will acquire the skills of independent inquiry and self learning by:
    • Independent work up of current cases.
    • Review of department video and glass slide study sets.
    • Completion of assignments as directed by faculty.

The clinical training includes participation in state-of-the-art technology such as flow cytometry, in situ hybridization, immunohistochemistry, tumor cytogenetics including FISH, and molecular biology. The clinical programs that the department serves include reproductive endocrinology, sexually transmitted diseases, maternal fetal medicine, neonatology, gynecological oncology, genetics, ultrasound, stereotactic core breast biopsy, MRI, and the newest breast digitized imaging mammography technology. A program strength is the frequent interaction with these multidisciplinary specialists in women's health on a daily basis and through inter-disciplinary conferences.

During the 12 month training program trainees experience first hand the full range of anatomical pathology features of diseases unique to women through working in a department with over 100 years of collective faculty experience in gynecological and breast pathology.

Developmental pathology training includes stillborn and newborn autopsies, products of conception from early pregnancy loss, and placental pathology - about 3,000 cases per year - including those from the high risk maternal-fetal-medicine referral program.

Summary of Clinical Training:

  • Daily sign out with anatomical pathologists experienced in gynecological and perinatal pathology
  • The responsibilities of the fellow includes:
  • Participation in frozen section preparation and interpretation and contact in the operating room with surgeons
  • Evaluation of surgical pathology cases each day
  • Responsibility for cyto-histological correlation of Non-Gynecological and Gynecological cases
  • Participation in and presentation at scheduled conferences - see conference list
  • Clinical rotations include culposcopy, molecular diagnostics, flow cytometry on solid tumors, genetics, and stereotactic core biopsy in radiology, breast imaging (including MRI), and patient contact in the breast consultation center.

Research Training

The research training is primarily clinical through collaboration with department pathologists or clinicians in the area of women's health. Several faculty members are funded through the NIH in areas related to endometrial cancer, cervical neoplasia, ovarian cancer, breast cancer and sexually transmitted diseases including molecular biology techniques. Opportunities also exist for participation in funded research involving the molecular biology of early placental implantation and pre-eclampsia in a basic science research laboratory. The hospital has two extramural funding award programs - one exclusively for trainees at up to $5,000 per year. The other intramural funding program can be in collaboration with faculty at up to $20,000 per year. Faculty and trainees have a history of success in obtaining research funds from these sources.

A unique feature of MWH is its Magee Womens Research Institute (MWRI) - the only research institute nationally focused exclusively on women's health. Trainees have opportunity to collaborate with numerous basic scientists in the MWRI as well as participate in research seminars.

Although clinical research is the primary focus there are two PhD faculty in the department at MWH with opportunities for research in genetics, including FISH, and molecular diagnostics in microbiology and virology or surgical pathology.

Each trainee is expected to complete at least one research project and publish one paper.

Education Training

Education opportunities include the day to day contact with experienced pathologist with expertise in women's health as part of the regular sign-out. In addition daily conferences are held that cover the full spectrum of women's health issues. Participation in clinical grand rounds is possible since MWH is the location of the university Obstetrics Gynecology and Reproductive Sciences department.

Regular Conferences

 Monday (Weekly)  10:00am  Children's Hospital Neuropathology
 Tuesday (Weekly)  07:30am  MWH Grand Rounds
 Tuesday (Weekly)  04:00pm  MWH Surgical Pathology
 Tuesday (Monthly)  04:00pm  MWH ASC teleconference
 Wednesday (Weekly)  10:00am  MWH Cytology
 Wednesday (Weekly)  12:00pm  UPMC Anatomical & Clinical Pathology Resident Conference
 Wednesday (Weekly)  04:00pm  Pittsburgh Pathology Society
 Thursday (Bi-weekly)  07:30am  Cytology/colposcopy/histological Correlation
 Thursday (Weekly)  11:00am  MWH Perinatal
 Thursday (Weekly)  02:00pm  MWH Breast Consultation
 Friday (Weekly)  08:00am  MWH Tumor Board
 As Scheduled     Gynecological Pathology with Clinicians

Other Teaching Activities Required of Each Fellow

  1. To attend the weekly surgical pathology and perinatal pathology conferences
  2. To lead one surgical pathology conference per month
  3. To attend the weekly UPMC Residents conference
  4. To attend the weekly MWH Comprehensive Breast Care Conference
  5. To attend the weekly cytology conference at site of rotation
  6. Participate in a bi-weekly journal club