Pathology Residency

Janna Neltner, MD
Residency Program Director

Dennis Williams, MD
CP Associate Director, Residency Program

Robert McDonald, DO
AP Associate Director, Residency Program

The University of Kentucky residency training program in the Department of Pathology and Laboratory Medicine provides thorough training in the fields of anatomic pathology and clinical pathology. The Department has full professional responsibility for all pathology and clinical laboratory services of the University of Kentucky Hospital which includes the Albert B. Chandler Medical Center, Children's Hospital, the Kentucky Clinic outpatient services, Good Samaritan Hospital, and the Veterans Affairs Medical Center, as well as pathology services at the Saint Claire Medical Center in Morehead, Kentucky.

EDUCATIONAL GOALS AND PHILOSOPHY
Our training program aims to develop in each resident personal diagnostic and management skills that afford competence, timeliness, accuracy, and built-in lifelong improvement applicable to all aspects of anatomical pathology and laboratory medicine. By a graduated and progressive exposure within anatomical pathology and laboratory medicine rotations with corresponding evaluation of performance, the resident will develop lifelong habits of self-directed learning and critical self-evaluation that will allow for a happy satisfied lifestyle both inside and outside the laboratory. Throughout residency a teaching role is required. This fosters continuous learning and the important role that the pathologist plays as an educator in the laboratory, hospital, and academic setting. Research is a natural part of pathology as an inquiring open and unbiased mind is essential to the diagnostic role of the pathologist. While a research project is not a curricular requirement, it is encouraged as it stimulates the discipline, inquisitiveness and lifelong commitment to discovery required of this profession. A team approach to work, interaction with and knowledge of others within the department at all levels, and a positive up-beat enthusiasm for all tasks is encouraged throughout the training program. Monthly and annual evaluations are aimed at being positive and reinforcing with a view to solving any problems as they arise and maintaining an open-door policy of communication with all faculty at all times.

OUTLINE OF THE PROGRAM
The vast majority of our residents train in both anatomic pathology and clinical pathology (AP/CP). For AP/CP residents, each year of training is divided equally between anatomic pathology and laboratory medicine with each year divided evenly into 13 4-week blocks. The first four weeks of each resident’s first year is an orientation period. During this time, first year residents will be introduced to our autopsy and surgical pathology services, while having direct guidance from a paired senior resident. We have similar orientation periods to our other service rotations as well (cytology and hematopathology). These orientation periods help ease the residents unfamiliar with the service into the workflow.

ANATOMIC PATHOLOGY (26-30 MONTHS)
Rotations
- Surgical Pathology: 16
- Cytopathology: 4
- Autopsy: 4
- Neuropathology: 1
- Anatomic Electives (Dermatopathology, Outside Cases, St. Claire, Transplant Pathology, Renal Pathology, Research): 2 - 4

CLINICAL PATHOLOGY (18-20 MONTHS)
Rotations
- Transfusion Medicine: 4
- Special Chemistry/Toxicology: 3
- Hematopathology: 3
- Microbiology: 3
- Lab Management: 1
- Molecular Diagnostics: 2
- Clinical Electives: 1 - 3

FACILITIES AND MATERIALS
The 945-bed Albert B. Chandler University Hospital is located on the main campus of the University of Kentucky. The Department performs approximately 100 autopsies per year, processes over 28,000 surgical specimens, and 1500 Bone Marrow cases. In addition, approximately 16,000 cases for physician review are received for cytological study. An additional 730 medical legal autopsies are performed by medical examiners (faculty members) at the Commonwealth's Central Laboratory Facility in Frankfort and are available for residents' education. Additionally, the clinical laboratory handles 1400 cytogenetic cases, 7000 professional laboratory cases and 11,000 immunomolecular cases.

ELIGIBILITY AND APPLICATIONS
Graduating medical students are accepted directly into the residency training program at the College of Medicine, but must apply through the NRMP via ERAS (Electronic Residency Application Service). Graduate physicians may also enter the program after completion of an internship or other postgraduate training; such appointments do not always involve the NRMP. Although appointments are for one year at a time, a resident whose work is satisfactory can anticipate completion of the entire four-year program. The Department can accommodate a total of twenty-two house officers. Residents in their second postgraduate year and beyond must be licensed to practice in Kentucky. The University pays fees for Kentucky State Medical licensure. Applicants must pass USMLE Step I and Step II and have at least three recommendation letters. Applicants must have graduated from medical school within the last 10 years. For IMG applicants, eligibility for J-1 student visa status is strongly preferred because of institutional requirements. Also, the university requires ECFMG certification prior to your application being complete and at least 3-months of US clinical experience. Potential candidates will be invited to come to Lexington, Kentucky for a personal interview, during our interview period (October through December). Application deadline for our program is October 15; however, applicants are invited to interviews on a first come, first serve basis.

 

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