Surgical Pathology Fellowship rotations are divided into four-week blocks. A typical rotation schedule includes:
|Frozen section laboratory
|Sent-in consultation service
|Nondirected consultation service
|Electives in subspecialty areas of your choice
Frozen section laboratory
Mayo Clinic has a unique way of signing out the surgical specimens received from the operating rooms. Surgical specimens are grossed in and a subset is signed out on the same day.
The remaining specimens, requiring ancillary testing, are signed out on the next day, file day. The advantages of our practice include increased communication with clinical colleagues and rapid turnaround time, facilitating the immediate development of therapeutic management. It is important to note that not all specimens are frozen or even signed out at the frozen section.
Ultimately, the surgical pathology fellow is an integral player in the frozen section practice: supervising grossing and tissue processing, performing the initial review of slides, and communicating with the attending pathologist, surgeons, oncologists and other clinicians.
Sent-in consultation service
Fellows are responsible for reviewing previously obtained biopsy and surgical material of Mayo Clinic patients. This rotation includes interaction with most of the anatomic pathologists and includes a strong quality assurance program.
Nondirected consultation service
Mayo Clinic receives approximately 60,000 outside consultations every year. On this rotation, fellows manage approximately 12 consults a day from different specialties with graduating degrees of responsibility.
Elective in subspecialty areas of your choice
Subspecialties available for elective rotations include:
- Bone and soft tissue pathology
- Breast pathology
- Cardiovascular pathology
- Endocrine pathology
- Gastrointestinal and hepatobiliary pathology
- Gynecologic pathology
- Head and neck pathology
- Lymph node pathology
- Molecular anatomic pathology
- Molecular genetics
- Ophthalmic pathology
- Pulmonary pathology
- Renal pathology
- Urologic pathology
Fellows are required to attend several conferences related to general surgical pathology. These include the surgical pathology unknown slide conference, journal club, gross pathology conference, interesting case conference and frozen section working group meeting.
As their schedules allow, fellows are encouraged to attend the resident core curriculum lecture series. Delivered four or five mornings a week, the series covers a range of topics in anatomic and clinical pathology.
Surgical pathology fellows also have access to several extensive teaching files that contain glass slides demonstrating the entire spectrum of neoplastic and non-neoplastic pathological diseases.
The wealth of surgical pathology material at Mayo Clinic offers limitless opportunities for research projects. Mayo Clinic researchers collaborate with large, active clinical and research groups in all subspecialty areas.
Fellows are evaluated at the completion of each rotation block. Evaluations assess fellow competence in:
- Patient care
- Medical knowledge
- Systems-based practice
- Practice-based learning and improvement
- Interpersonal and communication skills
The program director meets with each fellow quarterly to review evaluations and discuss professional growth.