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The Department of Pathology & Microbiology

The Department of Pathology and Microbiology at UNMC provides three unique Fellowship programs:

Surgical Hematopathology and Clinical Microbiology

Our fellowships offer specialized and highly-interactive opportunities for the fellows designed to provide advanced, practical clinical experiences, as well as excellent research opportunities. We also have opportunities for traditional postdoctoral fellowship positions in our research laboratories

Surgical Pathology Program Description

This fellowship will provide advanced training in diagnostic Surgical Pathology. The goal of the fellowship would be to improve and learn diagnostic skills so as to ease the transition from residency to independent sign out. Dr. Subodh Lele is the program director for the surgical pathology fellowship. Attention will be given to fulfill the needs of the individual fellow in terms of gaining skills towards pursuing a career in either private practice or academics. Highlights of the surgical pathology fellowship include independent sign out in the last three months of the fellowship. Approximately 25 pathologists on staff have a wide variety of subspecialty expertise to further enhance the fellow’s training. There will be several months of elective time which could be tailored to suit the needs of the fellow.

Environment

The University of Nebraska Medical Center (UNMC) and its affiliated hospital, The Nebraska Medical Center (TNMC), comprise the Medical Center campus which is located in central Omaha, Nebraska. The Surgical Pathology division at TNMC accessions more than 27,000 specimens with a wide range of neoplastic and non-neoplastic pathology. TNMC is a world-renowned transplant center that will offer the candidate the opportunity to learn transplant pathology. There is also full access to state-of-the-art facilities in molecular and ultrastructural techniques.

Curriculum

During the first three months of training, the Fellow will be paired with a first year resident to supervise gross, frozen sections, and sign out on a three day or four day cycle. For the next six months, the Fellow will choose the sequence of their rotation through four major areas: frozen section and consults (one month); liver, heart and transplant biopsies (one month); cervical biopsies and consults (one month), and elective time (three month). Elective time is rotations based on Fellow’s choice. The final three months will be the opportunity in which the Fellow completes independent sign out.

Positions available

Positions have been filled through June 2012.

Qualifications

Applicants for the surgical fellowship program must have a M.D., and be board eligible or certified in anatomic pathology (AP) or combined anatomic and clinical pathology (AP/CP). Requirements for the position are for one year (July 1 – June 30).

Application

Apply with curriculum vitae and three letters of recommendation for positions starting on July 1, 2013

For more information, please contact the International department at nmamdani@nebraskamed.com

Hematopathology Fellowship Program Description

The Department of Pathology and Microbiology at the University of Nebraska Medical Center (UNMC) offers a Hematopathology fellowship that is a two-year program designed to train academically-oriented physicians in all aspects of hematology and Hematopathology. Only trainees who are board eligible or certified in both anatomic and clinical pathology are accepted into the program. The fellowship is directed and coordinated by Dr. Dennis Weisenburger, who has over 30 years of experience in diagnostic Hematopathology and is former trainee of Dr. Henry Rappaport, best known for his “Rappaport Classification,” the first clinically significant lymphoma classification system. The program includes all current aspects of clinical and laboratory hematology, with emphasis on the development of a basic understanding of hematologic disorders and the appropriate application and utilization of laboratory procedures and methods in the diagnosis of these disorders. The program is coordinated with a busy hematology and oncology service, and includes active participation in regularly-scheduled clinical and laboratory teaching conferences. Our goal is to train fellows with excellent interpretive skills, and consultative and managerial abilities in laboratory hematology. Investigative research, either clinical or basic, is required during the fellowship. Fellows are expected to present their research at national meetings and publish original papers in peer-reviewed journals during the fellowship period.

Environment

The University of Nebraska Medical Center (UNMC) and its affiliated hospital, The Nebraska Medical Center (TNMC), comprise the Medical Center campus which is located in central Omaha, Nebraska. Over 300 new cases of hematologic malignancy, as well as numerous benign disorders, are reviewed for the regional Nebraska Leukemia/Lymphoma Study Group each year. Most of these cases are handled according to a special protocol for obtaining tissue for immunologic, molecular and cytogenetic studies at the various contributing institutions, and then the tissues are shipped to UNMC for evaluation and classification. A detailed computerized clinical database is collected and maintained on each case for research purposes and all reports and representative slides are kept on each case in the Study Group Registry. Over 1,100 new patients per year, and over 23,000 total patients, are enrolled in the Registry. Approximately, 2,700 biopsies of lymph nodes and other tissues with hematologic disorders are reviewed each year, with 54,000 total biopsies in the registry. An active bone marrow and peripheral blood stem cell transplantation program at UNMC (150 cases per year) provides additional interesting material for study. Approximately 1,200 bone marrow specimens from UNMC are examined yearly, in addition to outside consultations (400 per year).

Accreditation

This program is Accreditation Council for Graduate Medical Education (ACGME) accredited.

Curriculum

The training program is structured to give the fellows clearly-defined and graduated responsibilities and delegated authority. Written goals and objectives for the educational program are defined and utilized. As the fellows progress through the educational program, they are given increased responsibility for the consultation services. In the second year, fellows are allowed to sign out flow cytometry, molecular hematology, bone marrows, and lymph nodes on their own commensurate with their demonstrated expertise, using the staff for consultation on difficult cases when needed. There is ample opportunity for the fellows to develop the necessary knowledge and skills in all aspects of laboratory hematology. During the various rotations, emphasis is placed on understanding the pathogenesis of hematologic diseases, the use of specific criteria for diagnosis, the use of laboratory data for prognostic and therapeutic decision making, as well as clinicopathologic correlations. An integrated approach to the diagnosis of disease is emphasized throughout the program, including the bringing together of clinical information and all the pertinent laboratory data to arrive at a correct diagnosis. The two-year fellowship program consists of a one-year program of structured learning, followed by a second year consisting of additional specialization, including electives and research opportunities, and clinical responsibility. Flexibility in choosing rotations is allowed to encourage the development of special interests and expertise.

The hematology laboratory rotation provides understanding and expertise in the theory, methodology, application and clinical interpretation of “wet” hematology and coagulation tests. Fellows review all abnormal blood smears and fluid cytopreparations, and interpret tests such as coagulation panels. The fellows act as a liaison between the laboratory and the clinical staff, and investigate interesting or abnormal laboratory findings. The fellow may also participate on internal medicine consultative teams that evaluate and manage hospital hematologic and coagulation problems, attend clinical hematology conferences, and participate in selected hematology clinics (i.e. Hemophilia Clinic).

Didactic/discussion group sessions and assigned reading materials on the various aspects of laboratory administration and management are provided, and fellows are involved in the day-to-day managerial and quality assurance aspects of the laboratory. The fellows attend laboratory management meetings, and review quality control and quality assurance data, as well as incident reports.

The hematology and coagulation laboratories are excellent facilities with modern instruments for the study of hematologic disorders, and are approved by the College of American Pathologists (CAP). Ongoing research in hematology test development and clinical application occurs in the laboratory, with emphasis on coagulation. The medical center is a tertiary care referral center for patients with hematologic and oncologic disorders, and provides a large volume and rich variety of material for specialist trainees.

The Hematopathology rotations consist of primary responsibility for the evaluation and interpretation of tissue and cytologic specimens from bone marrow (aspirate smears, particle sections, core biopsies, etc.), lymph nodes, spleens, and other tissues involved by hematologic disorders. The fellow is expected to be proficient in the procurement of bone marrow specimens. The fellow is expected to make a preliminary diagnosis and differential diagnosis for each case evaluated. These rotations provide an understanding of the theory, methodology, clinical application, and interpretation of special techniques such as histochemistry, immunohistochemistry, cytogenetics, flow cytometry, and gene rearrangements and other molecular analyses. Fellows learn the art of clinical consultation and communication with referring pathologists and clinicians. The opportunities for investigative research are abundant in the program. The Nebraska Leukemia/Lymphoma Study Group Registry and the transplantation program at UNMC provide a wealth of material and data for both translational and basic research.

Positions available

Currently accepting applications for the 2013-2014 year, which begins on July 1, 2013?

Qualifications

Only trainees who are board eligible or certified in both anatomic and clinical pathology (AP/CP) are accepted into the program.

Application

Applicants will need to submit a complete application package. The package includes a Fellowship Application Form, a curriculum vitae, a personal statement, United States Medical Licensing Examination results (parts 1, 2, and 3), and three letters of recommendation. The personal statement should include a brief overview of the applicant’s interests, related prior experiences, and long-term career goals. The three letters of recommendation should include one letter from the applicant’s current program director, and two from other physicians who know the applicant well, preferably one hematopathologist. International medical graduates must also submit a copy of their valid Educational Commission for Foreign Medical Graduates (ECFMG) certificate and be eligible for a J-1 visa, if necessary.

For more information, please contact the International department at nmamdani@nebraskamed.com

Pathology and Microbiology Residency Program

The Department of Pathology & Microbiology at the University of Nebraska Medical Center offers a fully accredited, four-year residency program in anatomic and clinical pathology (AP/CP), in addition to fellowship training in surgical pathology, Hematopathology and medical microbiology. There are also educational opportunities for fourth year medical students through the department’s M4 rotation program to actively participate in advanced elective rotations and work directly with skilled clinical pathologists. The department offers its residents and fellows an excellent clinical network of hospitals, clinics, laboratories, physicians, and staff, providing a full spectrum of medical education experiences.

Residency Programs (very limited slots):

The Department of Pathology & Microbiology at the University of Nebraska Medical Center accepts applications only through the Association of American Medical Colleges’ (AAMC) Electronic Residency Application System (ERAS). We look for candidates with excellent academic performance and a strong interest in pursuing pathology as the next step in their career. Preferences for interviews will be given to applications received before November 15th for appointments beginning July 1 of the following year.
Before an invitation can be extended, we must have the following materials on file from ERAS:

  • ERAS Common Application Form (CAF)
  • Personal Statement (1-2 pages)
  • Official Medical School Transcripts 
  • Medical Student Performance Evaluation (Dean’s Letter) 
  • Three Letters of Reference from faculty members, mentors, or supervisors who can address your performance and your commitment to the study of pathology 
  • United States Medical Licensing Examination (USMLE) Scores (or equivalent), reporting for all steps taken as they become available

 

International Medical Graduates (in addition): 

  • Educational Commission for Foreign Medical Graduates (ECFMG) Status Report 
    Visa Status 
  • Documentation of additional continuing medical education in clinical medicine in the United States or Canada of significant duration (i.e., at least one year).
    • NOTE: While research abilities/experience is valuable, applicants who have done research only (without significant clinical medicine experience) are not considered competitive and may not be invited for an interview

International Applicants

We are frequently asked for specific criteria for International Medical Graduates (IMG). Historically, IMG candidates who have been invited to interview have had the following characteristics:

  • USMLE Scores (all steps taken) above 200 (80) on the first attempt 
    Pass on the CSA (Effective 1999) 
  • Medical school graduation less than 5 years ago 
  • At least one year paid experience within US medical system (preferably in pathology-related specialty) OR post-MD study (PhD or Masters) 
  • J-1 Visas or US Naturalization

 

For applicants who want to transfer from or have completed study in another specialty, and who are applying for a first-year pathology position, you will need to apply through ERAS. One of your reference letters must be from your current residency program director.

Fellowship Programs

The Department of Pathology and Microbiology at UNMC provides three unique fellowship programs: surgical pathology, Hematopathology, and clinical microbiology. Our fellowships offer specialized and highly-interactive opportunities for the fellows designed to provide advanced, practical clinical experiences, as well as excellent research opportunities. We also have opportunities for traditional postdoctoral fellowship positions in our research laboratories. 

Program Description

UNMC’s Department of Pathology and Microbiology in collaboration with The Nebraska Medical Center (TNMC) sponsors a Clinical Microbiology Fellowship Program that is accredited by the Committee on Postgraduate Educational Programs (CPEP) of the American Academy of Microbiology. This two year training program provides the trainee hands-on experience in the basic disciplines of clinical microbiology, i.e., bacteriology, mycobacteriology, mycology, parasitology, virology, molecular microbiology, public health microbiology, and serology, through bench rotations, didactic lectures, and interaction with pathology residents, faculty, and fellows. Administrative experience through participation in management and committee interaction is also a part of the training. Dr. Steven Hinrichs is director of this program, while Dr. Peter Iwen is its deputy director. Fellows are selected for their potential as future directors of diagnostic microbiology laboratories and as leaders in public health. Upon completion of the program, Fellows are expected to apply to take the examination as the next step for certification as a diplomate of the American Board of Medical Microbiology (D [ABMM]).

Environment

The University of Nebraska Medical Center (UNMC) and its affiliated hospital, TNMC, comprise the Medical Center campus which is located in central Omaha, Nebraska. The Medical Center, which is the sponsoring institution, is an academic health center with a full service clinical microbiology laboratory associated with the hospital. Additionally, also available on campus are Regional Pathology Services, our outreach laboratory, and the Nebraska Public Health Laboratory (NPHL). NPHL functions as a contracted service between UNMC and the State of Nebraska. Although a majority of the training will take place at the sponsoring institution, additional opportunities will also be available in the clinical microbiology laboratory at our sponsoring affiliate, the Creighton University Medical Center. This facility is geographically located within a short distance of the Medical Center campus.

Accreditation

The Ph.D. postdoctoral training program is accredited by the CPEP.

Certification

Upon successful completion of the Clinical Microbiology Fellowship Program, the Fellow will be eligible to sit for the examination as the next step to certification as a diplomate by the American Board of Medical Microbiology (D [ABMM]).

Curriculum

During the first year of training, the Fellow will spend time rotating through each of the various areas of clinical microbiology to include bacteriology, mycobacteriology, mycology, virology, parasitology, and molecular microbiology. Expectations are that the fellow will become proficient in the handling and processing of specimens and in the procedures necessary to isolate and identify pathogens during this time. During the second year of the rotation, the Fellow will also have the opportunity to interact with the infectious diseases physicians, infection control personnel, and pharmacy personnel and to participate in independent research projects as a means to help strengthen the learning process. Fellows will also be expected to participate in the various teaching programs offered at the Medical Center.

Positions Available

The goal is to accept one individual into the program each year which is dependent on the availability of funding.

Qualifications

Applicants to the postdoctoral training program must have a Ph.D. and/or M.D.in clinical microbiology or a related discipline. Ideal candidates will have previous experience working within a diagnostic laboratory setting and a strong desire to pursue future activities as it pertains to public health and microbiology. Foreign Ph.D. applicants from countries where English is not the primary language will only be considered if they have: 1) completed the Test of English as a Foreign Language (TOEFL) exam (a score of a least 550 on the paper-based TOEFL, 213 on the computer-based TOEFL, or 80 on the internet-based TOEFL is required); 2) graduated with a Ph.D. from an accredited US institution; and 3) completed at least one year of post-doctoral training within the United States. Foreign M.D. applicants will only be considered if they are certified by the Educational Commission for Foreign Medical Graduates (ECFMG) and licensed to practice medicine in the United States.

Application

Complete the online application: “Application for CPEP-accredited Postgraduate Training Program”.

Application Process

Complete applications for the academic year, which begins the first week in July, are accepted from August 1st through November 30th. An internal review by the Selection Committee will be completed by February 1st. After this time, individuals considered for an appointment will be asked to visit the UNMC campus in Omaha for an on-site interview with the program Directors and select faculty. The application review process will be completed with the final decision for select into the program decided by March 1st. The appointment into the fellowship program will be contingent upon an acceptable background check and verification of credentials.

For more information, please contact the International department at nmamdani@nebraskamed.com

Pathology Residency Program

The ultimate goal of a pathology residency program is to provide trainees with the exposure, knowledge and tools to succeed in the next stage of their career. To that end, UNMC offers a truly comprehensive residency experience in both anatomic and clinical pathology that allows its residents to excel, whether in a career in academics or in private practice.

Our flexible program consists of core rotations through each of the basic anatomic pathology (AP) and clinical pathology (CP) disciplines, followed by advanced rotations and electives including molecular diagnostics, cytogenetics, flow cytometry, forensic pathology, pediatric pathology as well as other subspecialty areas including transplant pathology, dermatopathology, neuropathology, Hematopathology and others. Knowledge and skills are gained through service rotations, a didactic AP/CP core curriculum, numerous subspecialty and interdisciplinary conferences and teaching activities for medical students, as well as allied health students. The strength of our program is exemplified by the receipt of our five year renewal of our Accreditation Council for Graduate Medical Education (ACGME) accreditation in October 2010.

As the major referral center for the state, we see a superb variety of cases with ample “bread and butter” pathology mixed with rare and interesting specimens. A strong didactic curriculum and a high faculty to trainee ratio are designed to optimize residents’ education. Our world class in-house ancillary services, including cytogenetics, molecular pathology and a very active state public health laboratory to name a few, provide residents with unparalleled opportunities to be involved in the cutting edge of pathology clinical service, research and education.

The intangible strengths of UNMC’s Pathology Residency Program are just as important as those listed above. With faculty dedicated to teaching a resident pool with strong camaraderie and outstanding, modern facilities, there is a supportive culture that helps residents be successful. As an added bonus, Omaha is a wonderful city in which to live during your four years here!

For more information, please contact the International department at nmamdani@nebraskamed.com

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