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Breast

The Selective Pathology Breast Fellow will be responsible for preparing approximately 600-700 breast pathology cases sent in consultation. The majority of these cases are sent by pathologists to Drs. Connolly and Schnitt. As such, these cases are challenging and unusual, and provide the breast fellow with a unique opportunity for concentrated experience in breast pathology.

The Selective Pathology Breast Fellow will also be the coordinator for in-house consultations (approximately 1500 cases per year) from residents and attendings. After previewing the case and review with the breast pathologist, the fellow will report back to the attending and resident the opinion of the breast pathologists.

In addition to reviewing and signing-out a large volume of breast pathology cases, the Breast Fellow will have opportunities to pursue research projects with Drs. Schnitt and Connolly. These projects may be of either a translational or basic science nature.

The Breast Fellow will be responsible for presentation of clinical cases at the breast multidisciplinary clinic and for presentation and discussion of cases at our own surgical slide conference.

Description of Assignments

  • Triage and preview of consult material prior to signout with Drs. Schnitt or Connolly.
  • Communication of results to referring pathologists.
  • Coordination of in-house consultations. The Fellow will ascertain from the resident or attending referring the case the questions regarding the case and present the material to the breast pathologists. Once a diagnosis has been rendered the fellow is responsible for communicating the results and any discussion/teaching points back to the resident/attending requesting the consultation.
  • Appropriate billing for each case and, after review of the final report in the computer, SNOMED coding the cases prior to final review and release of the report by the attending.
  • Instruction to residents with questions regarding grossing and processing of breast specimens.
  • Preparation, preview and presentation of cases for the twice weekly Multidisciplinary Breast Clinic.
  • Supervision of residents presenting at the weekly Mammographic/Pathologic Correlation Conference.
  • Interpretation of ER/PR and Her2/neu immunohistochemistry results for all breast carcinoma cases with Dr. Schnitt.
  • Responsibility for Her2 FISH analysis.
  • Opportunities for research with the Dana Farber Harvard Cancer Center Breast pathology Core Laboratory and the Dana Farber Harvard Cancer Center Breast SPORE.