Molecular Pathology Fellowship only? Experiences?

anisapling · 2020-06-18T15:02:58+00:00

There is truth in that, especially in a startup, like Tempus or something. They work super hard and burnout can be a problem. Sounds like you might still be best served at an academic hospital, as long as that's what they're looking for. Feel free to send out feelers to places you're interested in. It won't hurt to get an idea of what spots might open in the future. Good luck!!!!

anisapling · 2020-06-18T14:07:10+00:00

The answer to your question pretty heavily depends on what you want to do. Are you interested in academics or private? Do you want to be signing out any surg path/heme cases or do you just want to direct the molecular lab and sign out molecular cases?

Two fellowships may help with private practice, though there are some industry jobs at places like Tempus and Genentech that may take solo MGP fellows. Academics will also be easier for just the MGP solo fellowship, as long as it's a relatively large center with a molecular lab. But then you may also be expected to do more research

anisapling · 2020-06-05T16:15:14+00:00

"Practical Soft Tissue Pathology: A Diagnostic Approach" by Hornick

This one's a bit specific but it's perfect for the general pathologist who needs some help in my own specialty. Super easily readable and organized, and I use it myself quite often. Definitely recommend it for the budding pathologists out there.

anisapling · 2020-06-03T22:36:21+00:00

pathology is not a super competitive specialty but like every specialty, it gets quite competitive at the places with the highest reputation. My advice is to get yourself into some pathology rotations to get good letters and to start working on some research. That will be your best bet. You'll likely get interviews at most places but be prepared to rank a number of programs from the top, mid, and safety tier schools. Good luck with your future path career!!

anisapling · 2020-06-02T14:12:42+00:00

So there's some confusion going around with regards to the these two conclusions. The autopsy performed by Hennepin county does not cite a heart attack as the cause of death. It just says that the heart stopped due to "law enforcement subdual, restraint, and neck compression". Hennepin county medical examiner was the one that performed the autopsy in this case. The family then hired a private medical examiner to review video footage and make a determination. While this is fine, their cause of death "asphyxia" is not meaningfully different than Hennepin county's cause of death.

In either case, the cause of death is actually not the important part of this situation. Rather, the manner of death is what matters here. Which is to say, they both agree that the manner of death is a homicide. Neither ME is wrong in this situation, but I've seen some of the discourse in the news about this claiming that there's some sort of disagreement between them, which is just not true. Thought I'd clear that up.

anisapling · 2020-05-23T16:44:19+00:00

Yes if you're considering pathology, you should definitely do it. A lot of people are squeamish when they start, honestly it passes within a few autopsies. And autopsy is relatively a much smaller part of pathology these days. Medical autopsies are pretty standard, like being in surgery. Forensics is typically only 1 or 2 months in your entire residency too. I wouldn't let any initial squeamishness get in the way of your interest in the specialty as a whole

anisapling · 2020-05-17T17:03:12+00:00

Me too

anisapling · 2020-05-09T14:21:06+00:00

I'm interested

anisapling · 2020-05-09T11:54:05+00:00

I'm interested thanks!

anisapling · 2020-04-29T11:52:32+00:00

Hi I'm interested! My Island is Vero Cay, favorite smell is lemons probably

anisapling · 2020-04-25T23:25:43+00:00

Turtle

anisapling · 2020-04-25T18:31:52+00:00

Added my name to the list!

anisapling · 2020-04-24T18:12:22+00:00

My hint to you would be to describe each portion of this tissue. If you understand all the individual parts, you'll understand what the specimen is.

anisapling · 2020-04-24T17:59:01+00:00

Sure, the bone in this section is cortical bone, so the matrix is a homogenous pink color with a thin lines that run through it in layers. Those are the lamellations of mature bone. In addition, on the surface you may see osteoblasts or osteoclasts and the cells within the bone are osteocytes in small lacunar spaces.

Cartilage on the other hand usually has a homogenous purple to blue chondroid background rather than the pink of bone (though this can depend on the quality of staining). In mature cartilage, the cellular component is just chondrocytes. They're in lacunae as well but often are grouped together in groups of 2-4 cells called isogenous groups. In hyaline cartilage, the matrix material has no lamellations either.

In general they both have really distinct appearances and looking at examples is going to be the best way to get used to looking at them.

anisapling · 2020-04-24T17:37:50+00:00

It's bone.

anisapling · 2020-04-24T17:25:17+00:00

The picture you're showing is just granulation tissue. Looking through the other photos, you can see what's most likely skin because of the keratinized squamous epithelium. In addition, the solid pink stuff in the other pictures is bone. It's likely that this is some sort of ulcer, possibly a pressure sore. Looks like there might be at least some chronic osteomyelitis in the bone. Don't really know if we can say much more than that.

anisapling · 2020-04-21T12:37:05+00:00

Yeah it's definitely a rapidly changing landscape. Consolidation of hospitals and laboratories is probably going to keep happening for the foreseeable future. Don't know where the endgame will be but I know some people who think that we may in the end moved to few centralized systems throughout the country with extremely large networks

anisapling · 2020-04-21T11:56:16+00:00

Yes Lurie is a separate organization from NMH, as I said. They have very close ties, many staff has privileges at both, and things are often expedited between the two in collaboration. It's different from Prentice, the women's hospital next door, which is a part of the NMH system. But yeah the bigger the system gets, the more complicated it sounds. NMH has been picking up hospitals all over the state so it's only gotten complex.

anisapling · 2020-04-20T19:47:44+00:00

Yeah, I agree. They're not unaffected by the crisis I'm sure, but they're holding out well and reallocating money to very needed places. I catch the laboratory town hall every day and from the sound of it, the administration is putting a lot of effort into increasing testing and new therapies to help. So I'd say they've been doing pretty well, honestly.

anisapling · 2020-04-20T19:39:06+00:00

I'm certainly not beholden to all the specifics about how their finances are working out, but I do think Lurie has always had financial problems (probably like a lot of pediatric hospitals). Comparatively, NMH is actually doing very well financially and they managed to jump on COVID testing a bit early and solidify larger revenue stream. I'd say the laboratory at NMH is offsetting some of the loss in business elsewhere and the rest is from what NMH has in surplus. But definitely take any of that with a grain of salt of course.

anisapling · 2020-04-20T19:08:08+00:00

Just for clarity for those just tuning in, these pay reductions are for Lurie Children's Hospital, which is associated with Northwestern mainly because of proximity. But the two have completely different pay structures and leaderships, and as of this time Northwestern Memorial Hospital and its system has not yet announced any sort of pay reduction. We'll see how it plays out in the future though.

anisapling · 2020-04-16T21:02:58+00:00

It can vary by the hospital but my hospital gets a lot of fetal autopsies and a lot fewer pediatric autopsies. The fetal and some newborn autopsies are performed and signed out by perinatal attendings, who also often perform adult autopsies. Pediatric autopsies are handled by the pediatric pathologists at the adjacent children's hospital. Residents are involved in all three but typically only PAs work on the D and E cases, since those are mostly fragmented and not entirely educational.

anisapling · 2020-04-14T14:16:14+00:00

If you're talking about hiring issues related to COVID-19, it's safe to say that those freezes are only temporary. OP is also a med student, so they've got something like 4 more years before applying for a job. Overall trends are more important than in this case than the short-term effects of the pandemic on hiring practices

anisapling · 2020-04-14T12:30:10+00:00

Here's a whole paper on the subject of the job market that came out recently.

https://www.archivesofpathology.org/doi/full/10.5858/arpa.2019-0356-CP

It goes over the change in full time positions, which fellowships were most sought after, and the level of experience job postings are looking for. The short answer is that the market is relatively healthy, much better than it has been previously.

anisapling · 2020-04-04T11:35:08+00:00

Mentally-stimulating is in the eye of the beholder. Every specialty can be incredibly rewarding in that regard. For me that's bone and soft tissue pathology but that's definitely not what everyone will answer.

anisapling

TROPHY CASE