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Pathology Residency

The goal of the Saint Louis University residency in pathology is to prepare physicians for the practice of pathology in any setting — academic, community hospital or laboratory.

group photo of faculty and trainees

The Department of Pathology at Saint Louis University School of Medicine offers a four-year program leading to combined certification in anatomic and clinical pathology. The emphasis in this program is on broad training within a university medical school environment for residents who are interested in the hospital practice of anatomic and clinical pathology.

Pathology Training

This residency provides a broad curriculum in diagnostic, consultative, investigative and administrative aspects of clinical and anatomic pathology. Training and experience in techniques and methods used in diagnostic, consultative, administrative and experimental pathology emphasize hospital-based pathology, clinical correlative experience and the role of the pathologist in patient care decision making.

Multiple educational methods are employed and apprenticeship is a key teaching technique as residents work alongside practicing pathologists. Our faculty provides supervision and instruction at all levels of training and resident responsibility increases with demonstrated ability.

Our residents are members of our department and participate in our activities, including scholarly pursuits.

Residents who complete the program are qualified for combined certification in anatomic pathology/clinical pathology. They will have demonstrated competency expected of a new practitioner in patient care, including interpersonal and communication skills, professionalism, medical knowledge, practice-based learning and improvement and systems-based practice. As the program reinforces the concept of lifelong learning, they will also be prepared to stay abreast of new techniques and developments within pathology through the course of their careers.

Subspecialty Training

Subspecialty training for all residents is provided in diagnostic electron microscopy, immunopathology, cytopathology, coagulation, microbiology, blood banking, cytogenetics, neuropathology, forensic pathology, hematopathology, molecular pathology, gastrointestinal and liver pathology, and pediatric pathology.

Participation by residents in research and teaching is encouraged and expected. Fellowships in forensic pathology, gastrointestinal and hepatic pathology, hematopathology and pediatric pathology are available.


Residency Highlights

Medical Examiner’s Offices

Faculty members in the Department of Pathology are responsible for the Medical Examiner's Offices in St. Louis city and county. A Medical Death Investigator Training Course is held three times a year and a Masters Advanced Training Conference is held every other year. A total of approximately 190 hospital autopsies, 400 forensic autopsies, 36,300 surgical specimens, 8,000 cytologies, and 3,100,000 laboratory tests are performed each year. Currently, 640 fine needle aspirates are interpreted in cytopathology.

Our department also serves as a referral center for evaluation of hereditary bleeding and thrombophilic disorders, inherited metabolic diseases, muscle biopsies, renal biopsies, toxicology, immunohistochemistry, immunohematology and electron microscopy.

Flow Cytometry and Molecular Diagnostics Laboratories

A Flow Cytometry Laboratory houses two Beckman Coulter FC 500 flow cytometers. Our Molecular Diagnostics Laboratory houses an Abbott Molecular m200rt real-time PCR instrument, a QIACube nucleicisolation robot, and a Roche LightCycler 480 II.

Rotation Schedule

Anatomic Pathology 

  • Autopsy: four months
  • Forensic pathology: one month
  • Surgical pathology: ten months
  • Cytology: three months
  • Pediatric pathology: three months
  • Ultrastructural pathology, electron microscopy: one month
  • Renal pathology: one month

Optional electives: dermatopathology, neuropathology, gastrointestinal pathology, cytology at Quest Laboratory

Clinical Pathology

Pathology residents are expected to complete six months of core laboratory rotations during the course of the four-year combined AP and CP residency:

  • Clinical chemistry
  • Clinical toxicology
  • Immunology/serology
  • Hematology
  • Urinalysis
  • Body fluid analysis
  • Laboratory management
  • Informatics
  • Point-of-care testing

In addition to the core laboratory rotations, residents are expected to complete rotations in the following areas:

  • Microbiology: two months  
  • Blood bank/transfusion medicine: four months
  • Hematopathology: three months
  • Molecular diagnostics: one month
  • Cytogenetics: one month
  • VA clinical pathology: three months
  • Pediatric clinical pathology: one month

Optional electives: toxicology, laboratory management/database management, coagulation

Resident Research Projects

Active research programs exist in the department of molecular pathology and pediatric pathology, renal and dermatopathology, oncogenes and cytokines, molecular immunology, RNA metabolism in normal and tumor cells, platelet function, endothelial cell-neutrophil interaction, the pathology and treatment of lysosomal storage disease, forensic toxicology, signal transduction, phospholipid metabolism, atherogenesis, transplant pathology, molecular biology of ovarian neoplasia, molecular mechanisms of hepatic fibrogenesis, chemoprevention of colon cancer, and phospholipase activation.

Application Process

Residency candidates must be graduates of medical schools in the United States or Canada or graduates of foreign medical schools certified by the ECFMG. Applications are accepted through the Electronic Residency Application Service (ERAS).

The application deadline is Dec. 15.

We subscribe to and respect the rules of the National Resident Matching Program.

Application Requirements

ERAS application including:

  • Personal statement
  • Dean’s letter
  • Three letters of recommendation
  • Medical school transcript
  • Copy of United States Medical Licensing Examination (USMLE) scores
  • Photograph (for identification)

Additional requirements for foreign medical school graduates:

  • Educational Commission for Foreign Medical Graduates (ECFMG) certification
  • USMLE scores for step 1 and CK over 210
  • Passing Step 3 for international applicants is required before ranking
  • At least one year of experience in the U.S. medical system or Ph.D./masters study
  • J-1 Visa