Duke University Hospital Program

The Department of Pathology at Duke University Medical Center offers a one-year ACGME-accredited Hematopathology Fellowship designed to provide a comprehensive educational experience in both adult and pediatric hematopathology. This program focuses on a variety of skills essential for the diagnosis and understanding of hematological diseases.

Program Goals

The primary goal of the program is to equip fellows with extensive knowledge and hands-on experience in multiple aspects of hematopathology. This includes:

• Morphologic evaluation of lymphoid tissues, bone marrow biopsies, aspirate smears, blood films, and body fluid smears.
• Acquisition of techniques for performing bone marrow aspirations and biopsies.
• Evaluation of cellular antigens on a spectrum of hematolymphoid conditions including leukemias, lymphomas, and myeloma through flow cytometry and immunohistochemical analysis.
• Interpretation of cytogenetic and molecular diagnostic assays in the context of various hematological conditions.
• Analysis of coagulation tests and special hematological tests.
• Management and operation of automated hematology instrumentation.
• Involvement in laboratory management and adherence to regulatory policies relevant to hematopathology.

The annual case volume for this fellowship is substantial, including approximately 3,000 bone marrow specimens, 1,600 lymph nodes, 6,000 flow cytometry diagnostic assays, and various molecular and cytogenetic analyses.

Curriculum and Rotations

The program structure consists of thirteen 4-week blocks, divided as follows:

• 7 blocks dedicated to diagnostic hematopathology (in-house and consult cases including bone marrow, lymph node, blood smears, and flow cytometric studies).
• 1 block specifically for flow cytometry.
• 1 block for cytogenetics.
• 1 block covering molecular diagnostics.
• 1 block focused on coagulation/automated hematology.
• 1 block for research activities.
• 1 block for elective experiences.

This thorough curriculum is designed to offer fellows diverse and rich learning opportunities in hematopathology.

Research Opportunities

Fellows are encouraged to participate in research and quality improvement projects, which can significantly enhance their educational experience and professional development in hematopathology. Faculty members involved are recognized experts in hematopathology and contribute to an engaging research environment.

Training Sites and Facilities

The fellowship operates within the Duke University Health System, a prominent tertiary care center, which boasts three hospitals and significant patient volume. The Durham Veteran’s Affairs Hospital is also affiliated, offering additional essential training experiences. The Department is well-equipped with advanced laboratory facilities, essential for comprehensive training in hematopathology.

Stipend and Support

Fellows receive a stipend that is commensurate with their level of training, providing them with adequate financial support during their fellowship.

Visa Support

The program sponsors J-1 visas for international medical graduates who wish to participate in this fellowship. This visa category is essential for non-US citizens or permanent residents seeking advanced training in the United States.

Eligibility Requirements

To be eligible for the Hematopathology Fellowship, applicants must possess the following qualifications:

• An MD or DO degree.
• Board eligibility or certification in anatomic and clinical pathology (AP/CP). Exceptional candidates who have completed an anatomic pathology-only residency may also be considered.

Application Process

The program plans to start accepting application materials for the 2026-2027 fellowship in the Fall of 2024, with specific application processes outlined. Prospective fellows can expect to engage in the inaugural Hematopathology Fellowship NRMP Match starting with the 2026-2027 appointment year.

Competitiveness

The Hematopathology Fellowship at Duke University is competitive. As with many prestigious programs, applicants are encouraged to demonstrate strong academic backgrounds, relevant clinical experiences, and a compelling commitment to the specialty of hematopathology.