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ASCP Fellowship & Job Market SurveyA Report on the 2012 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

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By Henry M. Rinder, MD, FASCP and Jay Wagner, MBA, MLS(ASCP)CM

2 www.ascp.org/residents

Contents

03 Introduction

04 Applying for Pathology Fellowships

09 Conclusions

10 Survey on Sign-Out: 2012

13 Conclusions

14 Applying for Pathology Jobs Immediately After Residency

18 Conclusions

20 Residents’ Perceptions of Future and U.S. Healthcare System

22 Conclusions

23 Applying for Pathology Jobs After Fellowship

34 Fellows Surveyed About Anticipated Job Responsibilities

37 Conclusions

39 Acknowledgements

39 ASCP Resident Council 2011-2012

3www.ascp.org/residents

22 Conclusions

23 Applying for Pathology Jobs After Fellowship

34 Fellows Surveyed About Anticipated Job Responsibilities

37 Conclusions

39 Acknowledgements

39 ASCP Resident Council 2011-2012

A S C P F e l lo w S h i P & J o b M A r k e t S u rv e y S:A r e P o rt o n t h e 2012 r i S e , F i S e , F i S h e , n P i S e , P i S e

A n d t M i S e S u rv e y S

the American Society for Clinical Pathology continues to respond to the interests and needs of residents, fellows, and program directors by directing an annual survey on fellowships and the job market for pathologists in training, including residents and fellows.

The surveys are conducted as part of the Resident In-Service

Examination (RISE) and the Fellow Forensic In-Service Examination

(FISE), the Fellow In-Service Hematopathology Examination (FISHE),

Fellow Neuropathology In-Service Examination (NPISE), Fellow

Pediatric Pathology In-Service Examination (PISE) and the Fellow

Transfusion Medicine In-Service Exam (TMISE). These data are

compiled by ASCP to provide information useful to all pathology

trainees, residency and fellowship program directors,

and prospective employers.

A total of 2,602 individuals participated in the Spring 2012 RISE,

including 2,540 residents (658 PGY-1, 648 PGY-2, 650 PGY-3, and

584 PGY-4) and 63 individuals who cited training status as other

than PGY 1-4, e.g. fellows.

A total of 279 fellows participated in the 5 Spring 2012 Fellowship

In-Service Examinations.

By Henry M. Rinder, MD, FASCP and Jay Wagner, MBA, MLS(ASCP)CM

Mobile QR-Code

APPLYING FOR PATHOLOGY FELLOWSHIPS

.

As part of the 2012 RISE, 1,218 PGY-3/4 residents were surveyed about their experi-

ence in the fellowship application process and residents’ attitudes towards fellowship

training.

From the 2012 survey, the fellowships that most PGY-3/4 residents had already applied

for or intend to apply for are listed in order of preference:

• Surgical Pathology

• Cytopathology

• Hematopathology

• Gastrointestinal/Hepatic Pathology

• Dermatopathology

• Blood Banking/Transfusion Medicine

• Genitourinary Pathology

• Breast Pathology

• Molecular Genetic Pathology

• Forensic Pathology

• Gynecologic Pathology

• Molecular Pathology

• Pediatric Pathology

• Neuropathology


Job not available after residency(2%)

Pathology skills enhanced (44%)

Fellowship in future career path (33%)

Fellowship enhanced ability to secure employment (21%)

Principal Reason for Pursuing a Fellowship

Number of Fellowships Intended to Complete?

1 Fellowship (60%)

2 Fellowships (34%)

3 Fellowships or more (1%)

0 Fellowships (5%)

Nearly half of residents cited

enhancement of their pathology skills as

the main reason for pursuing a fellowship,

while one-third were planning their

career in pathology to be based on

their fellowship specialty. The third

group of residents chose a fellowship

to enhance their employability, and only

a small number of residents chose a

fellowship because of job unavailability.

The vast majority of residents finalized

their fellowship plans during their

PGY-3 year, while much smaller numbers

made their decisions earlier in their

training; still, 8% did not decide on

fellowship pathways until their 4th year

of residency training.

Already accepted a fellowship(81%)

Intend to apply(6%)

Already applied(8%)

I do not intend to apply(5%)


The trend towards multiple fellowships

appears to have stabilized, with 35% of

residents reporting interest in doing 2

or more fellowships compared with 40%

in 2011. Specialization in several fields

as a career goal was the main reason

for doing multiple fellowships, cited by

more than half of residents. The main

secondary reasons for multiple fellow-

ships included biding time until a job

became available, achieving specialty

experience that would be required in

anticipated jobs, and filling in residency

training gaps. One in 20 residents do not

plan to pursue a fellowship.

Reasons for Pursuing Multiple Fellowships

Level of Interest in Applying for a Fellowship

Improve “weak” areas of residency training (11%)

Multiplesubspecialtiesneeded for job (15%)

Family/location/timing of training (3%)

Career goals include specialization in multiple fields ( 54%)

Job not available(17%)


To how many fellowship programs did you formally apply?

Number of Fellowship Program Interviews Received

Career goals include specialization in multiple fields ( 54%)

1-3(41%)

4-6(17%)

0(7%)

>10 (21%)

7-10 (14%)

1-3(60%)

7-10 (6%)

>10 (2%)

0 (8%)

4-6 (24%)

The largest group of residents applied

to 3 or fewer fellowship programs, but

one-fifth of residents applied to more

than 10 programs.

Nearly 85% of residents had between

1-6 interviews, with the vast majority

having 3 or fewer interviews.


APPLYING FOR PATHOLOGY FELLOWSHIPS

Number of Fellowship Offers Received

Did you accept more than one offer?

The reported results for fellowship

offers in 2012 were remarkably similar

to those reported in 2009, 2010,

and 2011. Slightly more than half of

residents received a single fellowship

offer; in 2012, 10% of applicants (down

from 12% in 2011) did not receive

any offers, confirming that pathology

fellowship opportunities still remain

somewhat tight compared to the

number of graduating residents. About

one-third of residents had positive

responses from two or more fellowship

programs, certainly suggesting that

there is competition among fellowship

programs for strong applicants.

No(94%)

Yes(6%)

1(56%)

3 (9%)

>3 (5%)

0 (10%)

2 (20%)

Only a small group of residents

(6%) admitted to accepting multiple

fellowship offers.

Co n C l u S i o n S:

Fellowship training in pathology is sought after by 95% of residents; about

one-third of residents plan on multiple fellowships. Enhancing pathology skills,

developing specialty-specific expertise for future employment, and filling training

gaps were the prime considerations cited by residents for choosing to pursue one

or more fellowships.

• Decisions on fellowship specialties were mostly made during the PGY-3

training year, but a small number of residents postponed fellowship choices

until their 4th year of training.

• The majority of residents received only a single fellowship offer; about one-

third, similar to previous years, received multiple offers. One in ten had not yet

received a fellowship offer, only slightly fewer than in 2011 and suggesting that

fellowship opportunities are still tight compared with total resident numbers.

• Surgical pathology remains the top fellowship choice; cytopathology has moved

into the #2 fellowship spot above hematopathology, while GI/hepatic pathology,

dermatopathology, and a new entry, transfusion medicine round out the top 6

fellowship specialties.


In what PGY year did you finalize your choice of fellowship?

PGY 3(69%)

PGY 1 (4%)

PGY 2 (18%)

PGY 4 (8%)

Before residency began (1%)

Survey on Sign-Out: 2012The ASCP Resident Council received requests from residents interested in learning

about national trends regarding sign-out procedure and to discern PGY-3 and -4

attitudes about sign-out and their level of confidence.


What type of sign-out experience does your program have?

Do you believe thatyour sign-out experience would benefit from:

Morning or day-of preview time, sign-out with attending(51%)

No preview time, sign-out with attending(1%)

Overnight preview time, sign-out with attending (43%)

Other(5%)

More preview time(49%)

No change (49%)

Less preview time (2%)


Do you feel ready to sign-out general pathology cases upon graduation from residency?

Why don’t you anticipate feeling ready to sign-out cases upon graduation from residency?

Yes, but with back-up if needed (49%)

No(14%)

Yes, but with a transitional period where all cases are reviewed (25%)

Yes(12%)

Need fellowship training to feel confident (65%)

Not prepared - educational deficiency(14%)

Did not see enough variety of cases in residency(3%)

Did not see enough volume of cases in residency (7%)

Not enough graduated responsibility in training program(11%)

0

20

40

60

80

100


About half of residency programs utilize previewing on the day of sign-out, while a

slightly smaller number preview cases the night before sign-out with the attending.

Half of residents polled stated that they would prefer more preview time, while an

equal number were satisfied that their preview time was adequate.

The vast majority of PGY-3 & -4 residents felt that they were ready to sign out

general pathology cases after completing their training but only a small percentage

felt immediately capable of independence, without backup or a transitional period.

A small but significant group (14%) did not feel ready for general pathology sign-

out after graduation; two-thirds of these residents felt that fellowship training

would overcome that training gap. The remainder cited several program deficits

including lack of: education, graduated responsibility, case volume, and case variety.

Nearly one-quarter of residents do not have graduated sign-out available to them

during training, but nearly all residents desire this capability. Tellingly, fewer than

20% of senior residents sign out frozen sections on their own.


Does your program have graduated sign-out?

Do you want/enjoygraduated sign-out?

Do you sign-out frozen sections on your own?

NoYes

22%

5%

83%78%

95%

17%

APPLYING FOR PATHOLOGY JOBS IMMEDIATELY AFTER RESIDENCY

.

Although relatively few pathology residents opt to go directly from training into the

job market, both the ASCP Resident Council and the RISE Committee deem it critical

to survey residents in this situation and report relevant information for future trainees.

Number of Jobs Formally Applied For

In 2012, 475 PGY-3 and PGY-4 residents

noted that they were seriously

considering entering the job market;

however, only 139 actually applied for

a specific job. Slightly more than two-

thirds applied for between 1-3 jobs,

but a small subset applied for at least

10 positions

1-3 (68%)

7-10(6%)

4-6 (14%)

>10(12%)


Perception As to Where Jobs are Most Available

Helpful Employment Resources

Community jobs are perceived to be

most readily available for trainees

coming directly out of residency, but

academic positions were close behind,

and these two accounted for 80% of

jobs sought immediately after residency

training.

Residents learned of jobs through a

variety of venues but, as noted previ-

ously, hearing of jobs from faculty and

by word-of-mouth is always the most

important resource for the job search.

Rounding out the top 4 best venues

were (2) contacting potential employers

directly; (3) job boards at conferences

and meetings; and (4) using pathology-

outlines.com for job opportunities.

Reference laboratories (4%)

Community group practice (44%)

Academic institutions(36%)

Other (10%)

Government/Military (4%) Corporate

(2%)

www.Facebook.com/ASCP.Chicago

2.6

2.5

2.5

2.7

2.7

2.8

2.8

2.8

2.9

3.5

monster.com

careerweb.com

mdconsult.com

New England Journal of Medicine advertisement

2.9Executive recruiter

American Journal of Clinical Pathology advertisement

ASCP Job Finder

College of American Pathologists Job Listing

3.1www.pathologyoutlines.com

Faculty/word-of-mouth

3.2“Job Board” post at pathology conferences

Target inquiries, i.e., calling/ writing potential employers

Archives of Pathology and Laboratory Medicine advertisement

4.0

5=extremely important, 4=somewhat important, 3=minor importance, 2=not very important, and 1=not a consideration).

Scale:


Geography always plays an important

but not overwhelming role in job

selection; 42% of residents in 2012

stated that their job search was limited

to certain parts of the country.

Perhaps related to the current economic

situation, the spouse’s job and lifestyle/

family issues play equally significant

roles in geographic job considerations.

The spouse’s job continues to rise in

importance: 38% in 2012, compared

with 34% in 2011 and only 18% in

2010. Being native to the area of desired

employment is still a consideration, but

the influence of nearby professional

contacts is negligible.

Job Search: Geographic Restrictions

Job Search: Other Restrictions

No(58%)

Yes(42%)

4-Professional contacts in area(3%)

1-Native to the area (20%)

2-Spouse’s job (38%)

3-Other lifestyle/family issues (39%)


Number Of Job Offers

Job Offers At Own Training Program

Did you receive a job offer at your

own residency or fellowship training

program? 3-Other lifestyle/family issues (39%)

1 (39%)

2(12%)

3(4%)

0(43%)

>3(2%)

4-No, not offered(52%)

1-Yes, but declined for another offer (14%)

2-Yes, accepted but will keep looking in the future (10%)

3-Yes, accepted and plan to stay (24%)

0

10

20

30



As noted previously, 139 residents formally applied for job openings in 2012. A significant

number (39%) received a single employment offer, but 43% failed to receive any offer. About

one-fifth of residents received multiple offerings (see related pie chart)

In the 2012 survey, 51 of the 139 residents who were actively seeking jobs did receive offers

to become an attending at their current training program

Salary Range for Residents Who Accepted a Job Offer from Their Own Residency Program

< $100K $100K-$150K $150K-$200K $200K-$250K > $250K Not Discussed

8%

2%

28% 28%

17% 17%

10-Your perception of staff and institution at interview

3.9

4.1

4.1

3.8

3.9

3.1

3.3

3.7

3.8

2.7

1-Long-term job security

8-Family factors (e.g. spouse’s job/children’s school)

2-Job availability in a specific geographic region

4-Opportunitites for career advancementt

7-Opportunities to practice a subspecialty interest

3-Salary considerations

9-Fiscal pressures (loan repayments etc.)

5-Research opportunities

6-Teaching opportunities

5=extremely important, 4=somewhat important, 3=minor importance, 2=not very important, and 1=not a consideration).

Scale:


Factors in Job Choices

Residents who found employment

immediately after residency were asked

to rank factors in their job choice.

Long-term security and the working

environment remained at the top of the

list, similar to 2011, while family and

geographic considerations were next

most important.


The ASCP Resident Council was also

interested in how residents perceive the

US healthcare system and pathology’s

future.

Would you want access to a centralized database of private practice and academic institutions and the types of pathologists they employ?

Yes (89%)

No(11%)

Resident feelings about U.S. healthcare in general

Pessimistic (70%)

I do not practice or live in US (6%)

I do not practice or live in US (6%)

Resident feelings about future compensation for Pathologists

Optimistic(29%)

Optimistic(24%)

Pessimistic (65%)


How confident are you about finding the pathology job you desire?

How many fellowships do you intend to complete? (Residents who are pessimistic about finding a desirable pathology job)

When all PGY-3 & -4 residents were

surveyed, two-thirds were somewhat or

very confident that they would be able

to attain their desired pathology job.

Somewhat confident (55%)

Not very confident(27%)

Not confident at all(7%)

Very confident (11%)

1 (59%)

3(1%)

2 (32%)

0(6%)

Pessimism regarding available jobs did

not affect the decision to pursue a fel-

lowship nor the number of fellowships

they planned to complete when com-

pared with optimistic residents.


• A minority of residents seriously consider taking jobs immediately following

their general pathology training, but only a fraction of these residents actually

proceed to formally apply for positions. Opportunities do exist for such

residents in both community and academic practice, but 40% of applicants

did not receive any employment offer; a significant proportion of available

positions are at the academic institution where the individual trained.

• Faculty contacts and word-of-mouth are the best sources for job contacts.

• Family issues have joined long-term job security and the staff-based working

environment as strong factors in job choice.

• Although residents are somewhat pessimistic about health care, most feel that

they can find desirable jobs; applying for fellowships is essential regardless of

resident outlook.



APPLYING FOR PATHOLOGY JOBS AFTER FELLOWSHIP

ASCP offered five Fellowship in-service examinations for the Spring of 2012: the Fellow Forensic

In-Service Examination (FISE), the Fellow In-Service Hematopathology Examination (FISHE), Fellow

Neuropathology In-Service Examination (NPISE), Fellow Pediatric Pathology in-Service Examination

(PISE), and the Fellow Transfusion Medicine In-Service Exam (TMISE). Fellow in-service examina-

tions were taken by 279 individuals; post-exam surveys offered the chance to query fellows in

Forensics (n=37), Hematopathology (n=135), Neuropathology (n=41), Pediatric Pathology (n=19),

and Transfusion Medicine (n=47) about their experience entering the job market and any plans for

additional specialty training.

0

20

40

60

80

100


Indicate your residency training track

For how many jobs did you formally apply?

AP/CP AP Only CP Only

81%

19%

92%

7% 1% 2%

95%

5%

49% 49%

55%

0% 0% 0%

45%

The majority of fellows in Forensics, Hematopathology, and Pediatric Pathology

came from a background of AP/CP residency training; as expected, about half of

Neuropathology and Transfusion Medicine fellows did their residency training in

AP-only and CP-only tracks, respectively.

0

20

40

60

80

0 1-3 4-6 7-10 >10

6%

72%

11%6% 6%5%

15%

27%

15%

31%29% 29%

12% 12% 12% 12%18%

39%

45%

0% 3%

24%19%

27%24%

FORENSIC HEMATOPATHOLOGY NEUROPATHOLOGY PEDIATRIC PATHOLOGY TRANSFUSION MEDICINE



How many job offers did you receive?

Although the majority of fellows in all 5 specialties applied for modest numbers (<7) of employ-

ment positions, a significant proportion (30% or more) of hematopathology, pediatric, and

transfusion medicine fellows had 7 or more applications. This trend may be related to greater

competition for available jobs since at least 30% of fellows in each of these subspecialties did

not receive any job offer. Interestingly, nearly half of neuropathology fellows similarly did not

receive offers but sent out far fewer applications; it is possible that the absolute number of open

jobs in this field is sparse.

For those fellows who did receive employment offers, the majority had only a single position

made available, but a good percentage (12-31% depending on the specialty) received 2 offerings.

Only transfusion medicine fellows had a significant number of fellows (19%) receiving more than

2 job offers; by contrast, none of the pediatric or neuropathology fellows received more than 2

offers. These data are of concern, indicating an imbalance between the number of pathology fel-

lows seeking employment versus the number of job openings.

0

20

40

60

0 1 2 3 >3

11%

50%

31%

6%8%

31%37%

20%

47%

35%

18%12%

8%

48%

39%

0% 0%0% 0%4%3%

30%

38%

14% 11%


0

20

40

60

80


0

20

40

60

<1 Month 1 to 2 Months 4 to 6 Months 6 Months to 1 Year >1 Year

13%

47%

34%

6% 0% 0%3%12%

33%36%

29%

11%

22%

33% 33%

16% 12%6%

35%

18%4%

27%31% 31%

8%

How long did it take you to find a job?

Additional Subspecialty Fellowship (Total Number of Fellowships Planned)

The majority of fellows who did find jobs did so within 6 months, but a significant

percentage had to continue searching for up to 12 months or even longer in a few

instances (see related chart).

A significant percentage of fellows are planning to complete an additional

fellowship besides the one they had just finished (see the following chart).

Only a small proportion (one-quarter) of forensics fellows planned additional

training, while at least one-third to more than one-half of other pathology

fellows are seeking added fellowship training. Overall, 40% of all fellows

surveyed plan to complete 2 or more fellowships, consistent with surveys of

residents from the RISE.

Are you going to do an additional fellowship in a subspecialty other than your

current fellowship?

1 2 ≥3

78%

22%

61%

38%

1%

32%

11%

58%

66%

34%

51%

0% 0%4%

45%




Indicate your principal reason for pursuing fellowship training.

Only for forensic fellows did a majority of respondents cite fellowship training as a necessity for

their desired employment; transfusion medicine fellows cited similar rationales but to a lesser

extent. The largest percentage of hematopathology, pediatric, and neuropathology fellows cited

enhancement of pathology skills as their impetus for added training.

Career goals requiring enhanced specialization in more than one field of pathology was the

number one reason for completing multiple fellowships for all fellows queried, regardless of

subspecialty training (see following graph). For the majority of fellows surveyed, their current

fellowship was their last as they anticipated entering the job market.

0

20

40

60

80

100

1-Fellowship is necessary for a desired position

89%

32% 32%

41% 45%

0% 0%4% 4%2%

2-Desired job not immediately available after residency

3-Enhance pathology skills by additional training

5%

42%37%

51%

28%

4-In general, fellowship training enhances my ability to secure employment

21%

32%

23%

5% 5%


0

20

40

60

80

100


For what reason(s) are you interested in completing multiple fellowships?

Are you (or do you plan to)

0

20

40

60

80

1-Desired job not available after the completion of 1st fellowship

2-Career goals include advanced specialization in more than one field

3-Need to improve “weak” areas of residency training to feel comfortable to practice

4-Family/location/timing of training

5-Believe that multiple areas of subspecialty are needed to compete in a sparse job market

10%

50%

20% 20%14%

35%

25% 25%

16%

32%

12%12%8%

24%

6%

16%12%

71%

0% 0% 0%

18% 18% 18%

39%

1-only applying for a job (not applying for fellowship)?

2-only applying for fellowships (not applying for jobs)?

3-applying for both jobs and fellowships?

89%

3%

79%

8% 8%13%

58%

11%

32%

54%

20%

27%

70%

21%

9%



0

20

40

60

80

YES NO

69%

31%

55%

45%53%

47%45%

55%51% 49%




Did you restrict your job search to a specific geographic region?

Indicate your principal reason for such a restriction.

Geography was only modestly important in job selection for all

fellows in the 2012 survey except for forensics; the reasons for

geographic restriction were very similar to those for residents: family

(especially spousal employment), lifestyle, and being native to the

area (see related graph). The East Coast continues to be attractive

but nearly all areas of North America are represented, depending on

the fellowship specialty.

0

20

40

60

80

1-Native to the area

28%24%

28%26%27%

40%

11% 11%16%

37%

2-Spouse’s job 3-Other lifestyle/family issues

44% 43%

78%

27%

42%

4-Professional contacts in area

5%4% 3% 0%7%


Indicate the area to which you restricted your job search.

0 10 20 30 40

1-Northeast US

2-Southeast US

3-Midwest US

4-Northwest US

5-Southwest US

6-Canada

7-Other

32%

32%33%

22%20%

0%

0%13%

4%

16%

8%18%

22%7%

11%

0%

16%15%

11%7%

12%

11%13%

37%

20%

26%

5%

20%

27%22%

0%0%

13%

4%3%



Annual Starting Salary OfferedStarting annual salaries were quite disparate among fellowship

groups (see related chart). Only 15% of forensics fellows and 8%

of transfusion medicine fellows reported starting annual salaries

of $200,000 or more; about one-quarter of neuropathology fellows

were in that range. Nearly 50% of Hematopathology and Pediatric

pathology fellows recieved offers in the $200,000 or greater salary

range. For only 5% of fellows overall was a starting salary not known.

0 10 20 30 40 50 60 70

<$100,000/year

$100,000 - <$150,000 /year

$150,000 - $200,000 /year

$200,000 - $250,000 /year

>$250,000 /year

A starting salary was not discussed

6%2%0%

0%0%

0%0%

6%16%

12%

9%30%

44%12%

8%

43%

33%69%

56%

24%

5%

19%

28%

24%22%

0%

0%

24%3%

4%



Reasons For Specific Job Selections In Order of Importance

0 1 2 3 4 5

1 Long-term job security

2Job availability in a specific

geographic region

3Salary considerations

4Opportunities for career

advancement

5Research opportunities

6 Teaching opportunities

7 Opportunity to practice a subspecialty interest

8 Family factors (e.g. spouse’s

job, children’s school)

9 Fiscal pressures

(loan repayments, etc.)

10 Your perception of staff and

institution at interview

4.35

4.284.03

4.03

4.03

4.01

3.67

4.11

2.512.51

3.51

2.80

2.65

3.41

3.27

3.38

3.28

3.08

3.92

3.14

4.50

4.07

3.93

2.78

4.34

3.94

3.95

3.89

3.053.18

4.47

4.15

3.82

2.70

4.03

3.15

4.17

4.0

3.94

3.94

3.76

3.763.76

3.71

3.73

3.81

3.824.10

3.583.88



Did you receive a bonus?

Based on your experience, where are most available specialty pathology positions at this time?

There was also disparity among fellow specialties in bonuses. About

one-half to two-thirds of transfusion medicine, pediatric pathology, and

hematopathology fellows received a signing and/or moving bonus for their

new job. Only one-third of forensics fellows and very few neuropathology

fellows received a bonus.

The majority of forensics fellows have consistently

found jobs with governmental entities, which may be

one reason why they were not offered higher starting

salaries or bonuses. By contrast, nearly 80% or more

of all other fellows surveyed found jobs in either

academic or community practice. The vast majority of

neuropathology, pediatric pathology, and transfusion

medicine jobs are in the academic sector.

0

20

40

60

80

1-Signing bonus only

0%

31%

66%

8%

33%

47%

6% 6%

88%

22% 22%

33%

22%

8%

46%

35%

2-Moving bonus only 3-Signing and moving bonus

3%13%

0%12%

4-No

0 20 40 60 80

1-Academic institution

2-Community group practice

3-Reference Laboratory

4-Corporate (e.g. Ameripath)

5-Government/Military

6-Other

91%

38%

5%

5%

3%

76%

11%42%

0%0%

0%

2%

10%

72%1%

6%

9%

11%

11%12%

6%

6%

0%

0%

0%

0%

0%

0%

0%

82%



FELLOWS SURVEYED ABOUT ANTICIPATED JOB RESPONSIBILITIES

Fellows were also surveyed about their anticipated job responsibilities. As expected from

both their training and job locales, fellows who were completing training in forensics

were overwhelmingly entering positions with primary medicolegal responsibilities.

Similarly, nearly 80% of pediatric pathology fellows and more than half of transfusion

medicine fellows expected that their practice would be limited to this pathology

specialty, possibly because of their overwhelmingly academic settings.

By contrast, the majority of fellows completing their training in hematopathology

were expecting to be handling additional non-specialty responsibilities, with the

largest group having an anticipated job description that encompasses all aspects of

anatomic and clinical pathology practice. Not unexpectedly, since a large proportion of

neuropathology fellows were trained in AP/NP, nearly three-quarters were expecting

their job responsibilities to be limited to neuropathology and surgical pathology.


Forensic Pathology: What types of cases will make up the majority of your workload?

Hematopathology: What types of cases will make up the majority of your workload?

Medicolegal death inquiry (forensic autopsies) (93%)

Hospital autopsies(6%)

4-Hematopathology, surgical pathology, and clinical pathology (42%)

2-Hematopathology and surgical pathology (26%)

3-Hematopathology and clinical pathology (8%)

Research (1%)

Other (5%)

1-Hematopathology only (19%)


Neuropathology:What types of cases will make up the majority of your workload?

Pediatric Pathology: What types of cases will make up the majority of your workload?

2-Neuropathology and surgical pathology (58%)

Other (12%)

1-Neuropathology only(12%)

4-Neuropathology, surgical pathology, and clinical pathology (18%)

1-Pediatric pathology only (78%)

4-Pediatric pathology, surgical pathology, and clinical pathology(22%)

Co n C l u S i o n S:• A substantial percentage (40%) of fellows plan to complete additional fellowship training, defined as 2

or more pathology fellowships before entering the job market. For those fellows who were seeking jobs,

most applied for modest numbers of available positions (<6 opportunities).

• The job situation for pathology fellows is still mixed; most fellows receive 1-2 offers, but a substantial

minority is not finding employment right away. This latter circumstance may weigh on fellows’ decisions

to pursue additional fellowship training. Most fellows receive a job offer within the first 6 months, but

some need up to a year or more for a positive response.

• There is some disparity in starting salaries (and bonuses) between fellows coming out of training. This

could be related to the variability in employment locales, e.g. forensics fellows entering governmental

entities. Fellows coming from forensics, pediatric pathology, and transfusion medicine largely expect

that their job responsibilities will mirror their fellowship specialty, but a significant percentage will

shoulder additional general pathology practice duties. By contrast, most fellows completing their training

in neuropathology or hematopathology anticipate positions that encompass an additional general

pathology workload.


Transfusion Medicine: What types of cases will make up the majority of your workload?

4-Transfusion medicine, surgical pathology, and clinical pathology(4%)

3-Transfusion medicine and clinical pathology (15%)

2-Transfusion medicine and surgical pathology (8%)

Other (15%)

Research (4%)

1-Transfusion medicine only (54%)


AC k n o w l e d g e M e n t S

A S C P r e S i d e n t Co u n C i l , 2011-12

The ASCP RISE Committee wishes to thank the members of the

ASCP Resident Council. Moreover, this survey would not be possible

without the cooperation of all pathology residency program

directors and the genuine participation of all residents and fellows

who take these in-service exams and the associated surveys. We

are very grateful for their assistance. Please address comments or

questions about this survey to Jay Wagner at [email protected]

or [email protected]

Christopher H. Cogbill, MD Chair

Evelyn T. Bruner, MD Chair-Elect

Delecia R. LaFrance, MD Secretary

Felicia D. Allard, MD

Deirdre Amaro, MD

Enid D. Boeding, MD

Lauren Gilmore, MD

Mathew D. Rumery, MD

Jennifer N. Stall, MD

David Stockman, MD

Amanda Treece, MD

Sean R. Williamson, MD

www.ascp.org/residents

33 West Monroe Street

Chicago, IL 60603

Suite 1600

P 312.541.4999

www.ascp.org

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