The MetroHealth System/Case Western Reserve University Program
Location:
Cleveland, OHSpecialty:
CytopathologyACGME Code:
3073821038The MetroHealth System offers a comprehensive and ACGME-accredited one-year Cytopathology Fellowship program, affiliated with Case Western Reserve University School of Medicine. This program aims to train well-rounded cytopathologists with an emphasis on diagnostic excellence, procedural skills, quality improvement, teaching, and research, thereby significantly contributing to the community through a collaborative team approach. The fellowship emphasizes the diagnostic and consultative roles of pathologists in a clinical setting.
The fellowship trains fellows by providing exposure to over 25,000 annual cytologic specimens and offers a wealth of educational resources to support their development. The faculty comprises five cytopathologists dedicated to maintaining a modern laboratory equipped with advanced systems for histological and cytological correlation, ensuring enhanced diagnostic reliability.
As part of the fellowship, fellows will engage in pathologist-performed fine needle aspiration (FNA) services, which are both time-efficient and cost-effective, receiving supportive feedback from the clinical team. The training involves hands-on experience in both procurement and rapid on-site evaluation of FNA samples from superficial sites, as well as deep body sites using imaging guidance.
Curriculum Overview
The curriculum is meticulously structured, encompassing various aspects of cytopathology. It includes proficiency in FNA techniques and offers active involvement in quality assurance programs unique to the cytology lab. The training is segmented to progressively develop competencies throughout the fellowship year.
The first quarter focuses on essential techniques in cytologic specimen preparation and an introduction to FNA procedures. As the fellows progress through the quarters, they will enhance their skills in various cytology disciplines, including gynecologic and non-gynecologic cytopathology, integrating knowledge in quality assurance and management principles. The fellows are expected to lead unknown case conferences and regularly present during multidisciplinary tumor boards.
Key Topics Include:
- Gynecologic Cytopathology using established guidelines for abnormal findings.
- Non-Gynecologic Cytopathology spanning respiratory, gastrointestinal, and urinary specimens.
- Advanced FNA techniques for different anatomical sites and ancillary studies.
- Integrative quality management for maintaining lab standards.
Throughout the fellowship, there is also a strong emphasis on research, with fellows expected to engage in clinical research and present findings at national meetings, further enhancing their academic and professional development.
Application Process and Requirements
The application process is tailored for aspiring candidates who have completed an ACGME-accredited four-year AP/CP or a three-year AP residency. Eligible candidates are expected to be board-eligible or certified in Anatomic Pathology (AP) or Anatomic and Clinical Pathology (AP/CP). Applicants must also secure an unrestricted, permanent Ohio State Medical License prior to the fellowship's commencement.
To apply, candidates are required to submit a completed CAP Fellowship Application, a current curriculum vitae, three letters of recommendation, and a personal statement. The program is currently recruiting for the 2025-2026 academic year and emphasizes a safe application process with the availability of virtual interviews.
Visa Support
The MetroHealth program offers J-1 visa sponsorship for international applicants. H-1B visas may be considered on a case-by-case basis, but are not guaranteed for all applicants, and specific eligibility criteria apply.
Competitiveness and Candidate Profile
The Cytopathology Fellowship at MetroHealth is known to be highly competitive. The program is open to applications from both US graduates and international medical graduates (IMGs). Candidates aspiring to join this program should possess a solid foundation in pathology and display a commitment to furthering their expertise in cytopathology.
Alumni Outcomes
The fellowship has a strong track record of cultivating successful professionals within the field of pathology. Graduates of the program have moved on to esteemed positions in various institutions, showcasing the fellowship's effectiveness in preparing its fellows for productive careers.
Website
Director
Caroline M Abramovich, MDProgram Director, Cytopathology Fellowship Appointed Since May 2019Coordinator
Program
Program Size
Composition
Quality of Life
First year average hours per week:
50hrsFirst year max cons. hours on duty:
10hrsFirst Year Salary:
$76,937First Year Paid Vacation:
-First Year Paid Sick Leave:
-Training
Fellowship Rate:
-Faculty to Residents Ratio:
5XResidents career path:
Admission
Min. Step 2 Score:
-Visa Sponsorship:
-YOG Cutoff:
-Location
Cleveland, OH
Housing - Rental Prices
Crime - All Violent Offences
Living in Cleveland, OH
- Crime Rate and Safety: Cleveland has a higher-than-average crime rate, particularly in certain neighborhoods. It's important to research specific areas to ensure safety.
- Fun Activities: Cleveland offers a wide range of cultural attractions including the Rock and Roll Hall of Fame, Playhouse Square, and beautiful parks along Lake Erie.
- Climate: Cleveland experiences all four seasons. Winters can be cold and snowy, while summers are warm and humid.
- Races and Population: Cleveland is a diverse city with a mix of different races and ethnicities. The population is around 381,000.
- Education: Cleveland is home to several universities and colleges, providing educational opportunities for residents.
- Cost of Living: The cost of living in Cleveland is lower than the national average, making it an affordable place to live.
- Proximity to Bigger Cities: Cleveland is about 2 hours away from Columbus, Ohio, and 4 hours away from Pittsburgh, Pennsylvania, by car. Both cities offer additional amenities and attractions.
- Pros: Affordable cost of living, diverse cultural attractions, and access to higher education.
- Cons: Higher crime rate in some areas, cold winters, and potential for humid summers.
Interview Questions
