The Selective Pathology (GI) fellowship is designed to serve as advanced training in the surgical pathology of the luminal gastrointestinal tract, liver, and pancreatobiliary system. The basis of this training lies in the receipt of approximately 23,000 cases per year which includes approximately 15,000 endoscopically obtained mucosal biopsy specimens, 700 medical liver biopsies and 250 transplant liver biopsies. Additionally, approximately 1000 GI pathology cases per annum are received from outside institutions for consultation. Due to the nature of the tertiary care institution, many of these cases are challenging and unusual, and provide the GI fellow with a unique opportunity for concentrated experience in GI pathology. The GI pathology faculty includes 7 subspecialty trained attending pathologists, many of whom are nationally recognized for their contributions their respective fields.
Two GI pathology fellows are recruited annually. Generally, the annual schedule is composed of 10 months of GI/liver pathology and 2 months of general surgical pathology.
Description of Responsibilities:
Triage, preview, and signout of intradepartmental and extradepartmental consults of luminal gastrointestinal, hepatic, and pancreatobiliary specimens.
Gross room supervision of residents performing macroscopic examination of specimens.
Twice weekly, the GI pathology fellows act as the surrogate attending pathologist on the daily GI or liver pathology signouts. The fellow reviews cases with the resident and directs the work-up and diagnosis of cases. Once the cases are fully diagnosed, they are then passed to the attending pathologist for formal signout.
Conference Coverage. The GI path fellows present at a host of interdisciplinary conferences which include medical liver conference, pancreatobiliary conference, IBD rounds, GI oncology tumor board, medical/surgical GI conference, and liver tumor conference.
For two weeks annually, each GI pathology fellow will rotate at the Department of Pathology at Children’s Hospital Boston which handles a high volume of endoscopically obtained mucosal biopsies on pediatric patients. During this time, the fellow will be able to preview all luminal GI tract biopsies in concert with an attending pathologist.