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Pathology Residency

With an annual number of clinical laboratory tests exceeding 2.5 million, our residents are exposed to a wide array of techniques and procedures.

The Department of Pathology at Baylor University Medical Center, a part of Baylor Scott & White Health, provides the opportunity for an ACGME-accredited residency training experience in a multicultural metropolitan city.

We are a combined anatomic and clinical pathology program with 18 residents and a 100% board pass rate.

Our four-year program provides comprehensive exposure to both anatomic and clinical pathology with a broad referral system, including our Centers of Excellence, resulting in a high-volume and high-complexity training environment.

In addition, the residency program is associated with MedFusion, a central US reference laboratory, offering a myriad clinical lab experiences including next-generation sequencing and modern molecular techniques.

Medical School Elective

Medical students are encouraged to apply for an elective rotation in anatomic/clinical pathology. Students participate in conferences and one-on-one teaching with attending physicians on the medical staff at Baylor Scott & White Health facilities and residents. The elective rotation lasts from two to four weeks. Applications are available for the Medical Student Elective and Externship from the Visiting Student Application Service (VSAS).

Curriculum

Our residency program emphasizes all aspects of practical hands-on training, didactic instruction and clinicopathologic research. Under the supervision of faculty on the medical staff at Baylor Dallas, residents learn to choose appropriate techniques to study specimens and implement procedures to reach a diagnosis. The comprehensive four-year program includes structured rotations in anatomic and clinical pathology, as well as elective time. 

Anatomic Pathology

The anatomic pathology program includes a versatile surgical pathology service, autopsy pathology (including forensic pathology) and cytopathology.

Clinical Pathology

The clinical pathology program features rotations in transfusion medicine, chemistry, hematology, microbiology and immunology. Subspecialty areas include molecular, cytogenetics, toxicology, virology, special hematology and flow cytometry.

Pathology Caseload

  • Annual surgical pathology accessions: 56,605
  • Annual new cancers diagnosed: 3,137
  • Annual bone marrow accessions: 1,830
  • Annual FNA accessions: 1,909
  • Annual non-gynecologic cytology accessions: 3,097
  • Annual gynecologic cytology, outpatient accessions: 9,172
  • Annual hospital-based autopsies: 108
  • Annual forensic autopsies, Dallas County Medical Examiner’s office: 3,208
  • Annual clinical laboratory tests: 2,661,533

A sample of our rotations is below. The PGY-1 year is relatively set, but the PGY-2 through PGY-4 years can be rearranged to accommodate special interests (fellowship interest).

PGY-1

  • Surgical pathology (eight months)
  • Autopsy (one dedicated month; rotating autopsy coverage throughout residency)
  • Blood bank/apheresis (two months)
  • Core labs 1 (one month)

PGY-2

  • Surgical pathology (four months)
  • Cytopathology 1 (two months)
  • Hematopathology (three months, including two weeks in Apheresis)

PGY-3

  • Surgical pathology (four months)
  • Cytopathology 2 (one month)
  • Molecular 1 (one month)
  • Hematopathology (three months)
  • Flow cytometry/Cytogenics (one month) at Med Fusion
  • Transplant immunology/Lab management (one month)
  • Flex month (one month)

PGY-4

  • Surgical pathology junior staff (one month)
  • Clinical pathology junior staff (one month) at Med Fusion
  • Forensic pathology (one month) at Dallas County Medical Examiner
  • Surgical pathology (one month)
  • Core labs 3 (one month)

Total anatomic pathology rotations: 27 months
Total clinical pathology rotations: 18 months
Total flex: three months

Because we generally alternate between taking three to five residents each year (to maintain 18 residents total), the annual resident schedule can have minor variations depending on the year.

Weekend Autopsy Coverage

  • PGY-1: five weekends each
  • PGY-2: four weekends each
  • PGY-3: about two weekends each
  • PGY-4: about one weekend each

Regular Call Coverage

  • PGY-2: five weeks each
  • PGY-3: four weeks each
  • PGY-4: three weeks each

Residents take regular call a week at a time, starting from Friday 5 p.m. to the following Friday 7:30 a.m. However, the call resident only handles after-hours calls (during work hours, the call resident is not involved). Call is relatively light at our program.

The resident helps handle the following:

  • After-hours frozens (average 1-2, varies from 0 to 5 in a week)
  • Transplant organ donation evaluation (average 1-3, varies from 0 to 7 in a week)
  • Rapid GMS (rare to occur overnight, usually done in the morning next day by cytology service)
  • Autopsy requests – handled over the phone (average 1-2, varies from 0 to 4 in a week)
  • Transfusion reaction – handled over the phone (average 1-2, varies from 0 to 4 in a week)

At Baylor Dallas, pathology residents do not triage transfusion/blood product requests. Usually the only blood bank calls residents deal with are transfusion reactions.

At all times, an attending is available and on call with the resident.

Clinically relevant rotations, in both AP and CP are integrated throughout training, and residents attend and present at departmental and interdepartmental conferences. Several conferences play a major role in the residency program, including:

  • Weekly didactic lectures (topics are rotated over a two-year period, with roughly one month dedicated to each topic)
  • Weekly unknowns conference
  • Monthly journal clubs
  • Tumor boards
  • GI/liver conference
  • Nephrology conference
  • Heme-Onc conference
  • Morbidity and mortality conference

Tumor Board Conferences

Surgeons, oncologists, radiologists and pathologists present their perspectives on each patient presented. This is an opportunity to learn about interesting and complex cases and understand clinical implications for pathology diagnoses.

The pathology resident is responsible for preparing and presenting a power point presentation on the tumor histology, pathologic findings and staging. All cases are reviewed with the attending prior to the conference.

Although flex months are listed in the third and fourth year in our schedule, they can be used at any point during residency. Our program is very supportive when residents wish to do off-campus rotations, and resident pay by our institution is maintained during off-campus electives.

The following flex time opportunities are available to our residents. Other flex options can be set up by the program if requested.

  • Community pathology
  • Renal pathology
  • Neuropathology
  • General surgical pathology
  • Breast
  • Gynecology
  • Transplant pathology
  • Research month
  • Cytopathology 
  • Microbiology
  • Chemistry
  • Blood bank
  • Informatics
  • Train at one of U.S. News & World Report's "Best Hospitals"

    Baylor University Medical Center, part of Baylor Scott & White Health, is a 115-acre campus with 915 beds, a Level I trauma center and nationally ranked specialty services.

How to Apply

We use the Electronic Residency Application Service (ERAS) to electronically accept residency applications.

Deadline for applications is November 1; however, we highly recommend submitting your application as close to the ERAS registration date of September 15.

Visit ERAS to apply


Application Requirements

In order to be considered for the program, applicants must submit the following materials:
  • Curriculum vitae
  • One-page personal statement
  • Medical school transcript
  • Dean's letter
  • Three letters of recommendation
  • Official transcript of USMLE or COMLEX scores

Learn more about Baylor Scott & White's housestaff appointment eligibility, including guidelines for international medical graduates.

Contact Us

Adrienne Rickett, C-TAGME
Program Administrator
Phone: 214.820.3772
BUMCPathresidency@BSWHealth.org

Pathology Residency
Baylor University Medical Center
Roberts Hospitals, Suite 1013
3500 Gaston Ave
Dallas, TX 75246

Working at Baylor Scott & White Health

Compensation and Benefits

In addition to competitive stipends, we offer our residents a full menu of employee benefits. We help offset the cost of many of these benefits; others are options you can choose to pay for yourself.

Life in Dallas

Dallas provides access to metropolitan entertainment and culture while maintaining the lowest cost of living among the top 10 largest U.S. cities.

Why Baylor Scott & White

As the largest not-for-profit health care system in Texas and one of the largest in the United States, Baylor Scott & White Health includes 48 hospitals, more than 900 patient care sites, more than 6,000 active physicians and more than 40,000 employees.

Check out all of our programs in North and Central Texas