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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 two residents per year.

Curriculum

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 and liver
  • Opportunities to participate in productive research programs
  • A pleasant, low-key collegial atmosphere that promotes learning

The department currently accessions close to 60,000 surgical specimens, 31,000 pap tests, 3,000 non-gyn and more than 3,000 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 takes 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.

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.

Although not required, research is strongly encouraged. Experienced senior staff members are always available to mentor resident research projects. Additional molecular projects are available at the Central Texas Cardiovascular Institute, located on the nearby VA Medical Center grounds. Many projects are also presented at state and national meetings. Residents are encouraged, whenever appropriate, to submit full manuscripts for publication.

Current active projects include:

  • Monoclonality in Hodgkin’s Lymphoma using next-generation sequencing
  • Single Nucleotide Polymorphisms in medullary and MSI associated colorectal carcinomas
  • Web-based stain interpretation for well-differentiated liver lesions
  • Protein expression in triple negative breast carcinomas
  • Next-generation sequencing in pilomatrix carcinomas
  • Next generation sequencing in lung adenocarcinomas
  • Diagnostic criteria for diagnosing osteomyelitis
  • Neural networking computer software applied to predicting thrombotic thrombocytopenic purpura
  • Digital image application to protein expression in breast carcinomas

Poster presentations from our current residents:

  • Train at one of U.S. News & World Report's top 10 hospitals in Texas

    Baylor Scott & White Medical Center – Temple is a 640-bed teaching and research hospital with 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, letters of recommendations, dean’s letters, transcripts and other credentials directly from your medical school.

Deadline for applications is November 15.

Visit ERAS to apply


Application Requirements

Eligible applicants should also provide:

  • Three letters of recommendation (at least one of these letters should be from an academic dean of the applicant's medical school. Applicants for advanced-level training should also include a letter from the director of their current pathology residency program.)
  • Passing USMLE Step I and II scores, preferably with a minimum score of 195 for Step I and 210 for Step II, or an equivalent examination. Applicants who pass their Step I on the first attempt will receive stronger consideration than those who do not

Graduates of American medical schools must have passed USMLE Step III (or equivalent) to participate in a Scott & White program beyond the first 12 months of training. An extension of six additional months may be made if extenuating personal circumstances exist. There is no extension beyond 18 months of training.

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

Wanell Eshun
Phone: 254.724.7354
Fax: 254.724.6329
Wanell.Eshun@BSWHealth.org

Pathology Residency
Baylor Scott & White Health
2401 S. 31st. St.
MS-01-266
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