Our ACGME-accredited program is dedicated to the thorough education and training of future pathologists, whether their career paths go into academic pathology, community practice, or industry. The program has tracks for traditional four-year integrated training in both anatomic (AP) and clinical pathology (CP), and for three year AP-only or CP-only training. On occasion by special arrangement, residents who began training elsewhere may be accepted at advanced standing for AP, CP, or for a combined program. AP includes experience in autopsy and surgical pathology (including subspecialties of pediatric pathology, gastrointestinal pathology, gynecologic pathology, neuropathology, hematopathology, and dermatopathology), forensic pathology, exfoliative and aspiration cytology, and renal pathology. Immunohistochemistry is routinely used and diagnostic electron microscopy is available as necessary. CP includes experience in hematology (including hematopathology crossing lines with anatomic pathology), coagulation, blood bank & transfusion medicine, flow cytometry, immunopathology, clinical chemistry, microbiology, molecular genetic pathology and cytogenetics, toxicology and transplantation (HLA) immunology. All residents receive instruction in laboratory management and in pathology informatics (see the syllabus and the accompanying materials). Detailed information about rotations and electives are available from the program director or residency coordinator (see contacts below). All house staff actively participate in teaching medical students. Research and other teaching opportunities are available and encouraged.
Types and Numbers of Appointments
There are 12 ACGME RRC-approved positions in our integrated AP-CP program, and most of our residents pursue combined AP-CP training. A background in general AP and CP is provided by a series of required rotations totaling 37 months. The remaining 11 months are used for elective experiences or research. Programs for those admitted with advanced standing are adjusted according to their previous experience. Initial rotations emphasize technical skills, methodology, disease mechanisms and the relationship of laboratory measurements to clinical problems, with close supervision by faculty and senior residents. Subsequent rotations emphasize skills in consultation, quality assurance, and management, with graded responsibilities. Specific learning objectives and laboratory inspection activities help guide the resident in becoming a competent pathologist.
Stipends and Maintenance
Residents in their first year of postgraduate training receive a stipend (2014 academic year stipends are $50,219 for first-year PGY1 residents and $55,804 for fourth-year PGY4 residents). Residents receive malpractice coverage and a life insurance policy in the amount of their annual salary as a fringe benefit at no cost. A dental plan and several forms of health insurance are available through payroll deduction. Tax-deferred annuity plans are also available. Residents receive a $1,200 travel allowance (up to $800 of which may be used towards books) and four-weeks of vacation per year.
All training programs are under the sponsorship and direction of the University of Missouri School of Medicine. University facilities include the 430-bed University Hospital, Women’s & Children’s Hospital, the Ellis Fischel Cancer Center, Outpatient Clinics, Medical Sciences Building of the School of Medicine, the Diabetes and Eye Research Centers, and the Health South Rehabilitation Center. Residents also rotate to Children's Mercy Hospital in Kansas City for pediatric surgical pathology, and to Cardinal Glennon Children's Hospital in St. Louis for cytogenetics and molecular genetic pathology. The closely affiliated 104-bed Harry S Truman Memorial Veterans Administration Hospital is across the street, and there are regular rotations to or other tasks at this affiliated VA hospital. Our blood bank, coagulation and HLA laboratories are coordinated with the American Red Cross Laboratories located one-half mile from the University Medical Center and all clinical services provided by these laboratories are directed by faculty of this department.
Candidates should be graduates of approved schools of medicine in the U.S or Canada or of approved foreign medical schools. International medical graduates must have passed USMLE Steps I, IICK, and IICS, must be ECFMG certified, must be eligible for Missouri medical licensure. and must either be US citizens, US permanent residents or hold an appropriate visa to work as resident physicians. Satisfactory references are required. Normal starting date is July 1. Applications must be submitted electronically through ERAS, preferably soon after it opens up each September.
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