Fellowships: Cytopathology Fellowship

The University of New Mexico ACGME-accredited Cytopathology Fellowship provides a one year intensive experience that is practical but also allows for creativity in translational research. The faculty include the Chair of the Department and seven other experienced cytopathologists (five with formal subspecialty training in the field). By the end of successful training, the fellow is eligible to sit for the American Board of Pathology subspecialty certification in cytopathology.

- Thèrése Bocklage, M.D. 
Director, Cytopathology Fellowship Program

Practical Experience

cytopathology graphic

Left: UNM Patient: 44 year old woman with a 2.7 cm nodule in the left lobe of the thyroid gland. Top right: Resected carcinoma. Bottom right: FNA specimen obtained by the pathologist using U/S guidance : papillary thyroid carcinoma, classic type.

Techniques

We are delighted to offer ultrasound (U/S) guided FNA training as well as traditional fine needle aspiration (FNA) biopsy training. Four members of our faculty have formal U/S FNA training, and we have collectively performed hundreds of these biopsies. The technique enables careful sampling of both palpable and non-palpable lesions and optimizes sample acquisition and triage.

Diagnostic Acumen

Our large number of gynecologic (Pap monolayer) samples (~70,000 annually split across two institutions) enables rapid development of competency in this critical component of cytopathology. At UNM, we diagnose approximately 7500 non-gynecologic samples encompassing various fluids (urine, peritoneal, pleural) as well as FNAs (primarily in the head and neck when performed by UNM pathologists) and interventional radiology, gastroenterology or pulmonology derived samples. This diverse caseload provides a broad exposure to common and more esoteric entities encountered in a cytology specimen.

Administrative Aspects of Cytopathology

During the year, the fellow will rotate to TriCore Reference Laboratories for practical immersion in management of a cytopathology laboratory. The fellow will also engage in at least one quality control project, such as correlation of one year of thyroid FNA biopsy diagnoses with follow-up surgical resections.

Teaching

A majority of our faculty members have been formally awarded commendations for the high quality of their teaching: Douglas Clark, M.D., Nancy Joste, M.D., Thèrése Bocklage, M.D., Edgar Fischer, M.D., Lesley Lomo, M.D., Samuel Reynolds, M.D., and Von Samedi, M.D., Ph.D. All of us are delighted to work with the fellow and the residents during daily procedures, daily case signouts and in didactic sessions and journal clubs.

Research Opportunities

Typically, the Cytopathology Fellow will undertake one translational research effort mentored by one or more of the cytopathologists. Up to three months can be specifically alloted for research. Special techniques used in prior projects include fluorescence in situ hybridization (FISH) and PCR, but old-fashioned case reviews examining novel questions still occurs. Recently, fellows have presented research as posters at the annual meeting of the United States and Canadian Academy of Pathology (USCAP).

Teaching Faculty

photo of therese bocklage

Bocklage

Thèrése Bocklage, M.D.

Thèrése Bocklage, M.D.,Director, Cytopathology Fellowship Program, has subspecialty interest and expertise in bone and soft tissue pathology, head and neck pathology, and pediatric pathology. As medical director of our human tissue repository she has expertise in the complex process of tissue banking. She completed a cytopathology fellowship at Baylor Hospital in Houston.

photo of douglas clark

Clark

Douglas P. Clark, M.D.

Douglas P. Clark, M.D., The Frederick H. Harvey Chair of Pathology, completed a cytopathology fellowship and post-doctoral research fellowships at Hospital of the University of Pennsylvania. He has special interest in Cytopathology, Fine Needle Aspiration Biopsy, Thyroid FNA, and Molecular Diagnostics.

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Hanson

Joshua Hanson, M.D.

Joshua Hanson, M.D. completed a gastrointestinal pathology fellowship at Yale University and shares his GI expertise with us and our trainees on a daily basis.

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Joste

Nancy Joste, M.D.

Nancy Joste, M.D. trained at the Brigham and Women's Hospital in Boston and has subspecialty expertise in gynecologic pathology and cytopathology.

photo of leslie lomo

Lomo

Lesley Lomo, M.D.

Lesley Lomo, M.D. has special interest and expertise in breast and gynecologic pathology. She completed a cytopathology fellowship at the Brigham and Women's Hospital in Boston. As a medical education scholar she is especially versed in the newest and most efficient teaching techniques.

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Reynolds

Samuel Reynolds, M.D.

Samuel Reynolds, M.D. has subspecialty interest in lung and sarcoma pathology. He completed a cytopathology fellowship here at UNM.

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Samedi

Von Samedi, M.D.

Von Samedi, M.D. has special interest in gastrointestinal pathology. As a medical education scholar he is highly engaged in resident and fellow education and medical school teaching. He completed a cytopathology fellowship at Beth Israel Deaconess Medical Center in Boston.

2016-2017 Cytopathology Fellow

Adriana Maria Sanchez, M.D.

Adriana Maria Sanchez received her MD degree from Universidad San Francisco de Quito, Quito, Ecuador and completed her residency at Drexel University College of Medicine in Philadelphia, PA.

photo of adriana maria sanchez

Sanchez

Fellowship Alumni and their current positions

Year Fellow Position after training
2015 Theresa Smith, MD Pathologist, Santa Fe Pathology Services, Santa Fe, NM
2014 Khaled Sarah, MD Hospitals of Providence, El Paso, TX
2013 David Meredith, MD Private Practice Pathologist, Deaconess Hospital, Spokane WA
2012 Julie Harrington, MD Assistant Professor, UNM Department of Pathology, Albuquerque, NM
2011 Samuel Reynolds, MD Assistant Professor, UNM Department of Pathology, Albuquerque, NM
2010 Ying Xiang, MD, PhD Pathology Specialists of Arizona, Tempe AZ
2008 Joe Glass, MD Assistant Professor, UNM Department of Pathology, Albuquerque, NM
2006 Bonnie Carmichael, MD Pathologist, Pathology Associates of Albuquerque, Albuquerque, NM
2004 Fatma Midani, MD Private practice, NM


Recently Published Books

photo of clark book

Thyroid Cytopathology, 2nd ed (Essentials in Cytopathology) by Douglas P. Clark and William C. Faquin

photo of joste book

Abnormal Pap Smears - What Every Woman Needs to Know (Revised and Updated) by Lynda Rushing, MD and Nancy Joste, MD.



Application Process

To Apply, Submit:

  • CAP Standardized Fellowship Application Form
  • Personal Statement
  • Curriculum Vitae
  • Copies of USMLE Step I, II, III scores
  • Medical School Transcript
  • Three Letters of Recommendation, one of which should come from your program director
  • ECFMG certification, if applicable

Applicant must be AP/CP eligible.

Contact Information

Jeanne Lay
Residency Coordinator
Pathology Department
MSC 08 4640
1 University of New Mexico
Albuquerque, NM 87131
Email: jlay@salud.unm.edu