Sep 29, 1995
ECU Health Medical Center/East Carolina University Program
Overview
The residency program at ECU Health Medical Center and East Carolina University's Department of Pathology and Laboratory Medicine is an ACGME-accredited program that hosts a total of twelve residents specializing in anatomic and clinical pathology. This comprehensive training opportunity allows residents to acquire the skills necessary for a successful career in pathology while being located in a modern, 900+ bed facility which serves a diverse population across 29 counties in eastern North Carolina, catering to approximately 1.4 million residents.
Curriculum Overview
The core curriculum spans four years and is carefully designed to cover all essential areas of anatomic and clinical pathology. It includes a mix of required rotations, elective rotations, and didactic lectures, all influenced by resident feedback. Each residency year is structured with twelve monthly rotations, incorporating both anatomic pathology (26 blocks) and clinical pathology (18 blocks). This integration ensures a balanced exposure to both fields throughout residency training.1
The program promotes a collaborative learning environment, providing ample opportunities for residents to gain in-depth experience and interactivity with case discussions and study sessions. Furthermore, residents have the flexibility to select electives that align with their interests or pursue research activities under faculty mentorship, ensuring personal growth within the field.1
Rotations
Anatomic Pathology Core: Residents partake in a variety of rotations including autopsy pathology, cytopathology, surgical pathology, and frozen section evaluations. The autopsy division, for instance, manages medical examiner cases and hospital autopsies, providing extensive hands-on experience over three required blocks during the first three years.3
Clinical Pathology Core: Residents engage in rotations focusing on blood bank transfusion medicine, chemistry, hematopathology, microbiology, and laboratory management. The diverse case exposure prepares residents for various diagnostics and enhancing their managerial abilities in clinical settings.4
Research and Teaching Opportunities
Residents are encouraged to develop their teaching skills through structured pedagogical activities, contributing to the education of medical students and fellow residents via case discussions and departmental presentations. Research initiatives are strongly supported, with residents actively participating in presenting their findings at national conferences and collaborating on departmental publications.1
Financial backing is also provided by the Office of Graduate Medical Education to help residents present research at conferences.3
Mentoring and Professional Development
A structured mentoring program pairs residents with faculty mentors who provide guidance on various topics throughout their residency, including professional development, conflict resolution, and personal wellness. This approach supports residents in navigating their careers and meeting their individual goals.1
Visa Support and Competitiveness
The program supports J1 visa sponsorship for international medical graduates (IMGs), promoting a diverse resident cohort committed to serving the community. It is known for being welcoming to residency candidates from a variety of clinical backgrounds, including DOs and IMGs. Candidates applying to this program should be well-prepared, as selection can be highly competitive.7
In regards to application materials, candidates are required to submit three letters of recommendation, with at least one from a pathologist. Applicants must have completed USMLE Step 1 and 2 for MD candidates or COMLEX Level 1 and 2 for DO candidates.8
Fellowship and Career Opportunities for Graduates
Graduates from this residency go on to secure fellowships in various subspecialties, indicating a strong track record of success in advancing their medical careers post-residency.6
Web sources
SmartPick
Program data
ACGME History [3]
Program
Program Size
2, 3, 3, 3 (4 years) [1]
Accreditation Status
Continued Accreditation
(Effective: April 23, 2026)
Composition [2]
--
Training
Fellowship Rate:100% [2]
Faculty-to-Residents Ratio:1.5X [1]
Residents Career Path [2]
Quality of Life
First Year Paid Sick Leave: 12 days [1]
First Year Paid Vacation: 15 days [1]
First Year Salary: $63,657 [1]
First Year Maximum Consecutive Hours on Duty: 16 hours [1]
First Year Average Weekly Hours: 60 hours [1]
Admission
USMLE Step 2 Score: 219–254 [2]
Visa Sponsorship:--
YOG Cutoff:10 [1]
Race / Ethnicity
No race data available.
Gender
No gender data available.
Incoming Schools
No incoming school data available.
Rotation Duration by Site
Benchmarks
Match & stats
2026 Residency Applicant & Interview Insights
Signals
Hometown State
Medical School State
Step 1 Fail
Step 2 Fail
Applicant Type
Note: The AIR (Applicant Interview Rate) is calculated as the percentage of applicants in each category who were offered interviews. A higher AIR suggests stronger alignment with program preferences, indicating a greater likelihood of the program favoring applicants in this category.
USMLE STEP 2 CK Score [2]
COMLEX Level 2 Score [2]
Match History [4]
Roster
Publications
15 Publications (5 yr)
Peer-reviewed output from faculty and residents, last 5 years
15 Publications (5 yr)
Margin Adequacy in Phyllodes Tumours Revisited: Reappraisal of the Evidence Base and Knowledge Gaps.
NOS2 and COX2 impact the spatial landscape of CD8+ T cells in ER-breast cancer, providing novel mechanistic insight that drives tumor progression and poor survival.
Location
Greenville, NC [5]
- Above the national average
- Below the national average
- Similar to the national average
Housing — Rental prices [6]
Rental prices
Crime — All violent offences [7]
Rate per 100,000 residents
Living in Greenville, NC
Greenville, NC is a vibrant city that offers a mix of urban amenities and a small-town feel. Here are some aspects to consider when it comes to living in Greenville:
Crime Rate and Safety
Greenville has a moderate crime rate compared to the national average. Like any city, it's essential to take standard safety precautions.
Fun Activities
The city is home to various entertainment options, including parks, museums, shopping centers, and a lively dining scene. The nearby Tar River provides opportunities for outdoor activities like kayaking and hiking.
Climate
Greenville has a humid subtropical climate with hot summers and mild winters. Be prepared for high humidity levels during the summer months.
Races and Population
The population of Greenville is diverse, with a mix of different races and ethnicities contributing to the city's cultural richness.
Education
Greenville is known for being a college town, with East Carolina University located in the city. This brings a youthful energy to the area and various educational opportunities.
Cost of Living
The cost of living in Greenville is relatively lower compared to bigger cities, which can be a great advantage for residents, especially those just starting their careers.
Proximity to Bigger Cities
Greenville is approximately 1.5 to 2 hours away from Raleigh, the capital of North Carolina, and about 2.5 to 3 hours from Charlotte. Both cities offer more extensive cultural offerings, entertainment options, and diverse job opportunities.
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References
1. Freida - https://freida.ama-assn.org/program/3003621404
2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/1c4baf27-b427-f4cd-e37c-f92e112c67f1
3. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search
4. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/
5. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US3728080
6. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/
7. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr