Career Development - Pathology

What Does Training Look Like?

Residency in pathology is four years for anatomical and clinical pathology programs. For anatomical pathology programs, three years of residency is standard. Similarly, for clinical pathology, residency lasts three years.
 

Subspecialties

Blood banking/Transfusion medicine
Chemical Pathology
Clinical Informatics
Cytopathology
Dermatopathology
Forensic Pathology
Hematopathology
Medical Microbiology
Molecular Genetic Pathology
Neuropathology
Pediatric Pathology
Selective Pathology (Selective Pathology fellowships concentrate on a particular area or organ system in surgical pathology; these fellowships do not have specialty board exams for certification.)
 

What Does a Typical Workday Look Like?

A typical workday involves being in the lab from 7:30 am to 5:30 or 6 pm. Pathologists consult with the clinical teams continuously throughout the day regarding the cases at hand. Teaching is a significant part of the daily routine, whether in academic or private practice, and many participate in research. Pathologists assume medical directorship roles for the laboratories, interact with the various federal, state and specialty accrediting agencies and participate significantly in hospital quality programs. Transfusion medicine pathologists provide direct care for patients in therapeutic apheresis and cell therapy collections. Night and weekend call is typically not as intense as other specialties, and involves activities such as frozen sections for surgery, hematology reviews for acute leukemia and emergent therapeutic apheresis procedures. Overall, the projected length or and satisfaction with career, work and personal lifestyle and benefits are favorable. 
 

Important Qualities and Traits

Qualities recognized as important to pathology include:

  • Good microscopic technique
  • Excellent communication with other physicians
  • Intelligence and strong problem solving skills
 

Shadowing Opportunities

Information about shadowing in pathology is available by contacting Bea Delucca.
 

Research Opportunities

To learn more about research opportunities in pathology, see the Pathology Research Page.

Additionally, students may want to pursue research opportunities through the DeBakey Scholars Program. This program offers medical students the opportunity to pursue and complete a longitudinal, structured, closely supervised research experience culminating in a capstone presentation prior to graduation. For more information, contact Dr. Derek Pociask

 

Specialty Interest Group

The Pathology Appreciation Club (PAC) is advised by Dr. Ryan Craig
 
 

Recommended T3 & T4 Coursework

Several electives in pathology are available. These include: Surgical Pathology, Dermatopathology, Hematopathology, and Cytopathology.
 
 

Specialty Statistics

One of the most common questions we get asked is “How do I know if I’m competitive for this specialty?” There are a lot of metrics that are provided by sources like the NRMP’s Charting Outcomes report that can help you gauge whether you are a competitive applicant, and help guide your choices of activities. 

The table below shows the 25th percentile, the median and the 75th percentile for a number of the more regularly used metrics to gauge competitiveness. It’s important for you to understand what these numbers represent, and why they may be different from the averages you might see elsewhere.

  • The 25th percentile represents the lower range of “normal” for a successful applicant in this specialty.
  • The median represents an average for successful applicants in this specialty.
  • The 75th percentile represents the higher range of “normal” for a successful applicant in this specialty.

Medical students are usually over-achievers, who have exceeded expectations throughout their educational years. However, it’s important to realize that overachievement is not always a good thing when it comes to match. Instead, you should aim for “fit.” This means that you should fall somewhere between the 25th and 75th percentile on these metrics. Below the 25th percentile, and you have a relatively low chance of match (25% chance, to be specific). Above the 75th percentile, and you also have a lower chance of matching (again, 25% chance), as program directors are typically looking for candidates who “fit” their profiles more so than those who exceed those profiles.

Between the 25th and 75th percentiles is the sweet spot. This range spans 50% of successful applicants, with only 25% of successful applicants falling above the 75th percentile and 25% of successful applicants falling below the 25th percentile. The closer you fall to the median (i.e., the 50th percentile), the better! This doesn’t mean you’re average, but rather that you are fitting the demands of this specialty!

A note about medians vs. means as a measure of “average”: We use medians to determine competitiveness rather than means for a simple reason. Medians are not as warped as means by outliers, or those successful candidates who fall very much outside the average on a particular measure. You may have heard that the “average” Step 2 score or number of publications for a specialty are incredibly high (or low), and you may wonder how it’s even possible to hit this “average.” These unrealistic “averages” are typically means that have been influenced by just a very small number of people who have incredibly high (or low) scores or numbers of publications, and often those high numbers of publications in particular, are the result of having earned a research Ph.D. or having spent years in a research career! This is NOT the expectation, but rather an exception!

PATH 25th percentileMedian75th percentile
Step 1 First Time Pass Rate97.40%   
National Step 2 CK 240247258
Successful Tulane Step 2 CK (2022-2026) 234236252
Research Experiences 246
Abstracts 124
Presentations 247
Publications 136
Volunteer 246
Work 123

 

 

Special Considerations When Applying for Residency

Students wishing to pursue a residency in pathology will take part in the NRMP Match process.
 

Important Advice

Figure out which program will be the best fit for you. There’s nothing as important as fit.

Scores on Step 1 and Step 2 are important aspects on which residents are matched. Make sure your scores are as competitive as possible.

Consider doing away rotations at programs in which you have interest.

Use all the resources available to you during your medical school years. These resources are here to help you!

 

Where Past Tulane Students Have Matched

U Miami/Jackson Health System-FLMIAMIFL2023
Tulane Univ SOM-LANEW ORLEANSLA2023
Tulane Univ SOM-LANEW ORLEANSLA2024
University of Utah HealthSALT LAKE CITYUT2024
Tulane Univ SOM-LANEW ORLEANSLA2025
NYP Hosp-Weill Cornell Med Ctr-NYNEW YORKNY2025
Houston Methodist Hospital-TXHOUSTONTX2026
Duke Univ Med Ctr-NCDURHAMNC2026
 

How Many Programs Should I Apply To?

Most applicants apply to 17-36 programs.