A Message from our Chair
We appreciate your interest in our pathology program here at Baylor College of Medicine. The goal of our training program is to provide each resident with a solid foundation of skills with which to begin the lifelong pursuit of pathology.
Our program, like most others, has a core set of rotations that encompass eighteen months of Anatomic Pathology (AP) and 18 months of Clinical Pathology (CP). These core rotations occur at Ben Taub Hospital, Texas Children's Hospital (the largest children's hospital in the US), the Michael E. DeBakey VA Medical Center, and St. Luke's Episcopal Hospital. Residents also rotate at St. Joseph Medical Center, The Methodist Hospital, and the Harris County Institute of Forensic Sciences.
Your first year of training is mostly in AP; however, a few months of CP are also included, such as Blood Banking and Hematopathology, to ensure preparation for CP call. During your experiences in all of AP, you will be responsible for the grossing of the specimens, review of the slides, and being prepared for sign out with the attending staff.
Residents are expected to be responsible for their cases from the start to finish in order to learn appropriate skills as a practicing pathologist, which includes ordering and reviewing special stains. The pathologists' assistants provide detailed explanations of grossing techniques for both surgical specimens and autopsies.
CP training begins intensively in your second year and is both excellent and varied. We take particular pride in the CP rotations at Texas Children's Hospital, as it is the largest children's hospital in the US and many programs cannot offer a pediatric pathology experience. This CP training also has the distinction of containing Molecular Genetic Pathology, which is one of the best programs of its type in the country.
Our staff is world class, and there are many national and international experts in the department. We feel that our training is the best that can be had, and we welcome the opportunity to show you that!
Thomas M. Wheeler, M.D.
Harlan J. Spjut, M.D., Professor of Pathology
Professor, Scott Department of Urology
Chairman, Department of Pathology & Immunology
From the Chief Residents and Residency Program Director
Thank you for your interest in the Department of Pathology & Immunology at Baylor College of Medicine.
A variety of fully accredited residency and fellowship training options are available at BCM to meet your needs. On average, around six PGY-1 level positions are typically available each year, and a wide range of fellowship positions are also offered.
Several aspects of our training program result in an unparalleled experience. First, we receive clinical training in an absolutely unique combination of hospital settings: county (Ben Taub Hospital), pediatric (Texas Children's Hospital), Veterans Affairs health system (Michael E. DeBakey VA Medical Center), private practice (St. Luke's Episcopal Hospital and The Methodist Hospital), and community-based private practice (St. Joseph Medical Center). Residents may also elect to rotate at MD Anderson Cancer Center and on subspecialty surgical pathology services at BCM (including genitourinary and dermatopathology). Combined, surgical accessions total more than 100,000 per year at our clinical training sites.
As a result, residents and fellows receive a diverse and unique exposure to the whole range of service experiences in pathology. The volume, variety, and complexity of our surgical and clinical cases easily rival that of any national program. In addition, a monthly autopsy service for BCM residents enables effective autopsy training and performance.
Second, we have a multifaceted and exciting annual conference schedule. Our anatomic and clinical didactic lectures are scheduled on a biennial basis, and lecture material is posted on the departmental website for residents to review. Traditionally, the BCM program has had a very popular unknown case conference series in both AP and CP; these conferences test and sharpen the diagnostic skills of residents by simulating real-life situations. Residents also participate in virtual microscopy conferences, grand rounds, monthly journal clubs, subspecialty conferences, and multidisciplinary tumor boards.
Third, BCM offers a myriad of opportunities to residents and fellows who are interested in a research career. Opportunities exist at the Dan L. Duncan Cancer Center, the world-class Human Genome Sequencing Center, the BCM Graduate School of Biomedical Sciences, Texas Children's Hospital, and MD Anderson Cancer Center, as well as our numerous clinical services, providing a variety of opportunities in translational, clinical, and basic science research.
Finally, our program offers a non-competitive, team-approach environment for residents to effectively collaborate in educational conference activities and provide mentoring of junior trainees. Furthermore, residents have many opportunities to teach, both informally (through medical student rotations in pathology) and formally (by lecturing medical and physician assistant students). Progressive responsibility is delegated in order to help residents and fellows develop the competence, confidence, and independence to succeed as skilled pathologists within any practice setting.
We believe that our residents and fellows receive an incomparable variety of experiences and hope that you find our program as exciting as we do. We look forward to communicating with you.
Atin Agarwal, M.D.
Brad Barrows, D.O., M.S.
Frank H. Gannon, M.D.
Residency Program Director