Pathology Residency Programs

On the Dome

Overview

The Department of Pathology at Johns Hopkins provides in-depth training in anatomic pathology (AP) and clinical pathology (CP), either combined or individually, to newly graduated M.D.s and those with previous postdoctoral experience. The program is designed to train a well-rounded pathologist through extensive clinical and research experience. House officers receive training in diagnostic anatomic and clinical pathology in a setting of clinical and academic excellence. The department also offers a combined anatomic pathology (AP) and neuropathology (NP) track.

Director of Residency Training Program

Co-Director of Residency Training Program

Medical Training Program Manager


Residency Training


Clinical Training

Residents selecting combined AP and CP training have a fully integrated four-year program developed for their particular interest. In the first two years, all residents are exposed to the major divisions of anatomic and clinical pathology. The first year focuses on AP training, including autopsy, surgical pathology and cytopathology, as well as some CP training. The second year emphasizes introductory rotations in CP. In the ensuing two years, the residents take advanced and elective rotations in both anatomic and clinical pathology. The final year of training provides substantial responsibility in anatomic and clinical pathology, and plenty of opportunities for advances electives and research.

The core AP rotations include:

  • autopsy
  • cytopathology
  • forensic pathology
  • gastrointestinal/liver pathology
  • gynecological pathology
  • surgical pathology
  • molecular diagnostics
  • hematopathology

During the residency, there are multiple elective opportunities for training in the pathology of specific systems, including dermatopathology, neuropathology, renal pathology/electron microscopy, and immunohistochemistry. Most of our AP only residents also elect to have some research experience, that in some cases includes an additional funded year for dedicated research. Numerous endowed funds and a T32 training grant are available to support these research efforts.

The core CP rotations include:

  • clinical chemistry
  • immunology
  • hematology/coagulation
  • management
  • medical microbiology
  • molecular diagnostics
  • transfusion medicine
  • hematopathology

The emphasis in CP is diagnostic interpretation of laboratory tests, interaction with clinical services, and understanding of technical methods, instrumentation, information systems, quality assurance and laboratory management. Additional training consists of rotations and electives that provide further experience in select areas and opportunities for research.

Clinically relevant rotations, in both AP and CP are integrated throughout training, and residents attend and present at departmental and interdepartmental conferences. Several conferences play a major role in the Residency Training Program, including:

  • Weekly didactic sessions in both Anatomic and Clinical Pathology.
  • Weekly surgical pathology case conference.
  • Daily and weekly multiheaded microscope and didactic conferences in surgical pathology and in specialty areas.
  • Weekly work rounds and weekly seminars in clinical pathology.
  • Weekly grand rounds with presentations by faculty, fellows and guest lecturers from within and outside the institution.
  • Research seminars.

During your four years of residency you will complete:

RotationMonth(s)
Autopsy 4
Chemistry2
Consult Service2
Cytopathology3
Dermatopathology1
Forensic Pathology1
GI/Liver Pathology2
Gyn Pathology3
Hematology/Coagulation2
Hematopathology2
Immunology2
Laboratory Management2
Medical Microbiology3
Molecular and Cytogenetics2
Neuropathology1
Surgical Pathology3
Surgical Pathology (SP)6
Transfusion Medicine3
Total Cores
AP Core
CP Core
44
          26
          18
Electives/Research4

Clinical Training

Residents selecting combined AP training have a fully integrated three-year program developed for their particular interest. In the first two years, all residents are exposed to the major divisions of anatomic pathology. The first year focuses on AP training, including autopsy, surgical pathology and cytopathology. In the ensuing two years, the residents take advanced and elective rotations in anatomic pathology. The final year of training provides substantial responsibility in anatomic pathology.

The core AP rotations include:

  • autopsy
  • cytopathology
  • forensic pathology
  • gastrointestinal/liver pathology
  • gynecological pathology
  • surgical pathology
  • molecular diagnostics
  • hematopathology

During the residency, there are multiple elective opportunities for training in the pathology of specific systems, including dermatopathology, molecular pathology, neuropathology, renal pathology/electron microscopy, and immunohistochemistry. Many of our AP only residents chose a more intense research experience that includes electives in research, and in some cases a funded year for dedicated research. Numerous endowed funds and a T32 training grant are available to support these research efforts.

Clinically relevant rotations in AP are integrated throughout training, and residents attend and present at departmental and interdepartmental conferences. Several conferences play a major role in the Residency Training Program, including:

  • Weekly didactic sessions in Anatomic Pathology.
  • Weekly surgical pathology case conference.
  • Daily and weekly multiheaded microscope and didactic conferences in surgical pathology and in specialty areas.
  • Weekly grand rounds with presentations by faculty, fellows and guest lecturers from within and outside the institution.
  • Research seminars.

During your three years of residency you will complete:

RotationMonth(s)
Autopsy 4
Consult Service2
Cytopathology2
Dermatopathology*
Forensic Pathology1
GI/Liver Pathology2
Gyn Pathology3
Hematopathology2
Molecular and Cytogenetics1
Neuropathology*
Surgical pathology (Bayview)3
Surgical pathology (JHH)6
Total Cores26
Electives/Research10
* recommended elective

Clinical Training

Residents selecting CP only training have a fully integrated three-year program developed based on their particular interests with assistance from their faculty mentor. In the first two years, all residents are exposed to the major divisions within Clinical Pathology, with rotations in Chemistry, Hematology/Coagulation, Medical Microbiology and Transfusion Medicine. More specialized experiences are also provided in Hematopathology, Immunology, and Molecular Pathology/Cytogenetics. In the third year, the program includes sufficient time for electives and research allowing the CP only resident an opportunity for further specialization. This final year of training provides substantial responsibility in clinical pathology with leadership in the laboratory. Many of our CP only residents chose a more intense research experience that includes electives in research, and in some cases a funded year for dedicated research. Numerous endowed funds and a T32 training grant are available in the Department to support these research efforts.

Our program provides a unique opportunity to work on an individual basis with faculty members who are leaders in their fields. With extensive rotations throughout the clinical laboratories, the overriding goals of CP training are focused in three specific areas:

  • the science supporting clinical laboratory testing, including technical methodologies and instrumentation,
  • the medical significance and interpretation of test results, requiring interactions with clinical services and an understanding of pathophysiology, and
  • principles of laboratory management, including the role of the medical director, information systems, and quality assurance.

Clinical Pathology residents attend and present at departmental and interdepartmental conferences. Each laboratory has specific conferences providing opportunities for both didactic and active learning in a focused subspecialty area. Additionally, several departmental conferences play a major role in the Clinical Pathology Residency Training Program, including:

  • Weekly didactic sessions in Clinical Pathology.
  • Weekly work rounds addressing the on-call and consultative role of the clinical pathologist.
  • Weekly seminars in clinical pathology.
  • Weekly grand rounds with presentations by faculty, fellows and guest lecturers from within and outside the institution.
  • Quarterly quality improvement forums for residents, providing additional exposure to quality assurance and quality improvement activities.
  • Research seminars.

All house staff participate in the teaching of the pathology course for medical students. Residents have assigned days to teach small groups of students in collaboration with faculty members. CP residents also provide continuing educational experiences for the technical staff in the clinical laboratories.

Throughout the training program, residents assume progressively increasing responsibility for the management of cases under the close supervision of senior residents, fellows and attending faculty members. Two residents from the Pathology program are selected to serve as the Chief Residents in Pathology.

Our department offers several fellowship programs allowing for further specialized training. Recent graduates hold faculty positions in top academic institutions.

During your three years of residency you will complete:

RotationMonth(s)
Chemistry2
Hematology/Coagulation2
Hematopathology2
Immunology2
Laboratory Management2
Medical Microbiology3
Molecular and Cytogenetics2
Transfusion Medicine3
Advanced specialty training as determined by faculty and resident6
Total Cores24
Electives/Research12

Clinical Training

Residents selecting the AP/NP track will undergo rigorous training in anatomic pathology and neuropathology in a fully integrated four-year program developed for their particular interest and leading to AP/NP Board eligibility. The first two years consist of 24 months encompassing the core disciplines of anatomic pathology. In the second two years, residents work as neuropathology fellows and focus exclusively on neuropathology, with 21 months of rotations covering surgical, autopsy, and forensic NP as well as neuromuscular and eye pathology. The final year of training provides substantial responsibility in neuropathology, leadership opportunities and at least 3 months of elective or research time that may be tailored to the fellow's clinical and/or research interests. While research is emphasized and supported, development of the knowledge base and skill set necessary for independent work in diagnostic anatomic and neuropathology is paramount. Previous trainees have built on this foundation in successful careers involving various combinations of surgical pathology and clinical neuropathology as well as research into tumor biology, mechanisms of neurodegeneration, and nervous system development.

For individuals interested in developing a career as independent investigators, additional training opportunities are available through R25 and T32 grants.

NOTE:

Residents who are completing AP training, AP/CP training, or training in a neuro-related clinical discipline (including one year in general Anatomic Pathology) and who are interested in becoming Board-eligible in neuropathology should apply directly to the Division of Neuropathology's two-year fellowship program:
(Neuropathology Training Opportunities, Fellowship Training Programs).

The core AP rotations include:

  • autopsy
  • cytopathology
  • forensic pathology
  • gastrointestinal/liver pathology
  • gynecological/pediatric pathology
  • surgical pathology

Clinically relevant rotations in AP are integrated throughout the first two years of training, and residents attend and present at departmental and interdepartmental conferences. Several conferences play a major role in the Residency Training Program, including:

  • Weekly didactic sessions in Anatomic Pathology.
  • Daily autopsy gross conference.
  • Weekly surgical pathology case conference.
  • Daily and weekly multi-headed microscope and didactic conferences in autopsy and surgical pathology and in specialty areas.

The core NP rotations include:

  • Autopsy neuropathology
  • Surgical neuropathology
  • Neuromuscular laboratory (muscle and medical nerve biopsies)
  • Ophthalmic Pathology
  • Outside elective rotations in pediatric neuropathology

During clinically relevant rotations in NP in the 3rd and 4th year, residents attend and present at departmental and interdepartmental conferences. Several conferences play a major role in the Neuropathology Training Program, including:

  • Weekly didactic sessions in neuropathology.
  • Weekly autopsy neuropathology conference.
  • Weekly multi-headed microscope fellows case conference
  • Weekly neuro-oncology tumor boards
  • Monthly pituitary conference
  • Weekly grand rounds with presentations by faculty, fellows and guest lecturers from within and outside the institution.
  • Research seminars.

The first two years are dedicated to Anatomic Pathology services and you will complete:

RotationMonth(s)
Autopsy 4
Consult Service2
Cytopathology2
Dermatopathology*
Forensic Pathology1
GI/Liver Pathology2
Gyn Pathology2
Hematopathology2
Molecular and Cytogenetics1
Surgical Pathology (Bayview)3
Surgical Pathology (JHH)5
Total Cores24
* elective 

During your second and third year, you will complete:

Neuropathology fellowship
  - Autopsy Neuropathology (including forensic neuropathology)
  - Eye pathology
  - Surgical neuropathology
  - Peripheral nerve and muscle
  - Pediatric neuropathology
Up to 21 months
Elective or research time 3 months (final year)

The Department of Pathology at Johns Hopkins is offering several new elective certification tracks for interested residents. While working with a dedicated faculty member and completing well-defined goals and objectives, residents can gain an additional area of expertise during residency. By utilizing a wealth of opportunities that are available at Johns Hopkins, such as the Physician-Scientist Training Program, the Armstrong Institute for Patient Safety and Quality, the Institute for Excellence in Education, and the Center for Global Health, residents will have the ability to interact and collaborate with national and international leaders.

The following tracks are optional and are being offered to interested residents starting July 1, 2017:

  • Physician-Scientist Research

    This pathway is designed to increase the number of physician-scientists in pathology by attracting exceptional and committed young physicians into the field. Participants in this track will complete a dedicated year of research utilizing the institutional T32 training grant or equivalent grant. Excellent mentorship and the establishment of a personal research committee ensure trainee success in the program. Further, participants will have the opportunity to interact with students and faculty in the world-renowned medical scientist training program (MSTP) and the new Physician-Scientist Training Program at the Johns Hopkins University School of Medicine. The Department of Pathology at Hopkins has been ranked #1 in NIH funding for nine of the past ten years, and this funding provides a wealth of unique research opportunities. Research can also be supported by several departmental endowments for resident research such as the Fred and Janet Sanfilippo Fund. Upon completion of the track, residents will be prepared for a career in academic medicine centered on basic science or clinical research and will be eligible for the American Board of Pathology's Physician-Scientist Pathway Certification.

  • Education

    The Johns Hopkins University School of Medicine has a long and rich history of excellence in education. The goal of education track is to provide the next generation of academic pathologists with the conceptual and practical skills necessary to become master educators by taking advantage of the many opportunities available at Hopkins. Residents will participate in the Institute for Excellence in Education (IEE) and can apply for funding through two endowment programs for residents in the Department of Pathology: The Mabel Smith Fund for Resident Research and Education and The Risa B. Mann, M.D. Fund. Residents will pursue initiatives related to education delivery, curriculum/educational product development, and/or education scholarship during residency. Upon completion of the track, trainees will be well-equipped with the skills necessary to be leaders in medical education.

    Check out some of the innovative teaching tools that are currently coming out of our department!
    Related links:
  • Informatics

    Technology and information systems are rapidly changing medicine. The overarching goal of this track is to train leaders who can contribute to one of the many diverse areas of informatics, including: clinical informatics, bioinformatics, and imaging technologies in pathology. During residency, participants will complete a basic curriculum, learn and/or develop a new skillset with a mentor, and will complete a project related to an area of interest in informatics. Whether participants are interested in data mining or the interworking of the laboratory information system (LIS), the opportunities at Johns Hopkins are endless.

  • QA/QI/Value-Based Care

    The Quality Improvement pathway is designed to provide foundational knowledge of quality concepts, techniques, and tools to enable residents to observe systemic processes in day to day work and suggest action to improve local, regional, and national Pathology practice. The track will include didactic readings plus online and in person courses including at a national meeting. Residents will participate in a hospital QI committee and serve as internal or external CAP inspectors. They will develop quality related research projects which will be eligible for publication and teach their peers about quality improvement, culminating in a capstone thesis-type experience in the fourth year. Upon completion of the track, residents will be prepared to become future leaders in quality improvement and control in both university and private practice settings.

    Related Links:

  • Health Policy/Hospital Management

    This track is intended to teach the next generation of academic pathologists the knowledge and skills necessary to be leaders in the areas of healthcare policy and business management. The curriculum includes designated reading materials and optional classroom activities at the Carey Business School and the Bloomberg School of Public Health. Further, residents will participate in regular Departmental Finance Committee and Departmental Leadership meetings. Finally, residents will work with administration on a business improvement project or healthcare policy initiative. Upon completion of this track, participants should understand what is needed to operate a Pathology department or business unit and will have ideas to innovate practice as leaders in the field.

  • Global Health

    This track is intended to provide interested residents and fellows with exposure to the challenges pertaining to pathology and laboratory medicine in low resource settings. Despite being central to surveillance and clinical management, Pathology is grossly neglected and/or under-resourced in low-middle income countries (LMICs). This track offers a myriad of opportunities for global health outreach along the core tenets of research, education and clinical practice. Over 3-4 years of residency, this track combines formal and informal teaching with a capstone project to impart both theoretical knowledge and practical experience in global health. The capstone project is specifically intended to transform theory into real-world experience. While travel is not required, it is strongly encouraged, at least for the fieldwork component of the project (if so applicable). There are resources available to this end that may be awarded based on the outcome of a competitive applications process.

    Check out some of the interesting global health work being done in our department by Dr. Tim Amukele!




Not interested in one of these tracks? That's perfectly OK. These tracks are entirely optional.