Pathology Residency

Our core laboratory handles more than 35 million tests and serves as a reference laboratory to area hospitals, clinics and physicians.

The Texas A&M Health Science Center College of Medicine - Scott & White Pathology Residency is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Our four-year program satisfies the American Board of Pathology requirements for certification in anatomic and clinical pathology training.

Our training program emphasizes individualized professional growth and prepares trainees for a rewarding career in pathology through a resident-centered educational and patient care approach.

We accept three residents per year.


Residents begin by learning the basic principles of surgical and clinical pathology. All residents, no matter what their level, are under senior staff supervision and receive immediate feedback on their work. In addition, the performance of each resident is reviewed at least every six months, using defined and established criteria. The evaluation process is designed to meet the areas of competency required by the Accreditation Council for Graduate Medical Education (ACGME). Areas of strength and weakness are emphasized to apprise the residents of their performance.

Some advantages of our program include:

  • Well-organized rotations and electives
  • A wide variety of interesting cases
  • Large numbers of frozen sections
  • Excellent one-on-one staff to resident teaching
  • Opportunities for medical student teaching
  • Subspecialty expertise among the staff
  • Excellent subspecialty experiences in required and elective rotations, especially in forensic pathology, hematopathology, cytopathology, FNA, molecular genetic pathology, gastroenterology, kidney, GU, skin, liver, breast and Gyn
  • Opportunities to participate in productive research programs
  • A pleasant, low-key collegial atmosphere that promotes learning

Procedure numbers:

  • Surgical pathology: approximately 100,000
  • Pap smears: approximately 44,000
  • Fine needle aspirations (FNA): approximately 4,900
  • Non-gynecologic cytology samples: approximately 4,800
  • Bone marrow biopsy: approximately 1,200
  • Flow cytometry: approximately 3,400
  • Apheresis procedures: approximately 450
  • Antibody reports: approximately 2,000
  • Red cell transfusions: approximately 12,000

The department currently accessions close to 100,000 surgical specimens, 44,000 pap tests, 4,800 non-gyn and more than 4,900 fine-needle aspirations per year.

Our main rotations include surgical pathology, cytology and autopsy.

Upon gaining proficiency, residents are expected to:

  • Examine the specimens first and take appropriate tissue for fixed and/or (when indicated) frozen sections
  • Perform the gross dissection, present the findings to the staff and take appropriate tissue for fixed sections.
  • Formulate appropriate clinical and pathologic correlations
  • Examine both fresh and fixed-tissue specimens.
  • Preview cases and dictate the final report
  • Perform, as well as interpret, FNA procedures of superficial masses. Aspiration procedures of the deep masses (lung, liver, pancreas, etc.) are performed by other specialists, and the resident learns how to interpret smears from these procedures.

Additional rotations are required in areas of:

  • Forensic Pathology (through the Travis County Medical Examiner's Office)
  • Molecular Biology
  • Cytogenetics
  • Dermatopathology
  • Pediatric Pathology
  • Liver and Renal Pathology/Electron Microscopy
  • Laboratory Management
  • Other subspecialty rotations are available as electives

Clinical pathology rotations include many high-volume services, with approximately 180,000 tests combined per month. Clinical pathology has completed about 1,200 bone marrow biopsies and 3,400 flow cytometry cases.

Through structured didactic education and patient-centered service work, residents are expected to achieve competency in many areas of the clinical pathology laboratory, with rotations in:

  • Clinical Chemistry
  • Hematology/Coagulation
  • Flow Cytometry
  • HLA Typing
  • Immunology
  • Laboratory Management
  • Microbiology
  • Different aspects of Molecular Pathology
  • Transfusion Medicine/Blood Banking


Residents rotate through all services and acquire an understanding of basic methodologies, test menus and service complexities. Residents learn the basic principles of quality control, quality assurance and the fundamental concepts required to act as a consultant.

Upon completion of the required rotations, residents are able to function effectively in the clinical pathology environment.  Following the graduated responsibility concept, our laboratory management training includes direct training with management personnel and allows residents to better understand the elements of finance and strategy that impact laboratory operations in our current practice climate.

Residents also have the opportunity for elective time in any area of the laboratory, as well as the opportunity to successfully complete research projects, including quality improvement initiatives.


Baylor Scott & White Medical Center – Temple offers four pathology fellowships fully accredited by the ACGME


Advanced training in diagnostic clinical cytopathology including daily sign-out of gynecologic and non-gynecologic specimens and training in performance and interpretation of fine-needle aspiration (FNA) biopsies.

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Offers advanced training in all aspects of diagnostic dermatopathology including rotations in dermatopathology service, clinical dermatology and surgical pathology and cytopathology.

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Emphasizes the practical aspects of hematopathology, including morphologic skills, laboratory management and clinical consultation.

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Surgical Pathology

Provides exposure to more than 60,000 surgical pathology accessions per year along with cytology and subspecialty rotations.

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  • Train at one of U.S. News & World Report's top hospitals in Texas

    Baylor Scott & White Medical Center – Temple is a 640-bed teaching and research hospital with a Level I trauma center.

How to Apply

We use the Electronic Residency Application Service (ERAS) to electronically accept residency applications, letters of recommendations, dean’s letters, transcripts and other credentials directly from your medical school.

Deadline for applications is December 1.

Application Requirements

Eligible applicants should also provide:

  • Three letters of recommendation
  • Passing USMLE Step I and II scores or an equivalent examination. Applicants who pass their Step I on the first attempt will receive stronger consideration than those who do not

Graduates from medical schools beyond the first 12 months of training. Extension of the time period may be negotiated on an individual basis if the House Staff has taken and not passed USMLE III in the first 12 months of the program.”

Foreign medical graduate applicants who received their diploma within five years of their application date are preferred. The Texas A&M Health Science Center College of Medicine – Scott & White sponsors only the J1 visa for those individuals who require a visa in order to be work-authorized.

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

Contact Us

Coral Fraire
Phone: 254.215.0905
Fax: 254.724.6329

Pathology Residency
Baylor Scott & White Health
2401 S. 31st. St.
Temple, TX 76508

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 Temple

Temple uniquely offers a combination of access to big-city conveniences while maintaining a small-town atmosphere. Temple has also been ranked among the Top 20 Fastest Growing Cities in Texas and one of America's most affordable places of 2015.

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