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Washington University/B-JH/SLCH Consortium Head and Neck Pathology Program
Overview
Overview of the Program
The Head and Neck Pathology Fellowship offered by the Washington University/B-JH/SLCH Consortium is a highly immersive fellowship focused on both general surgical pathology and head and neck pathology. This program is designed to cultivate specialists who excel in diagnosing a diverse array of head and neck conditions while gaining substantial clinical experience and research opportunities.
Curriculum
The fellowship may include up to six months of general surgical pathology, allowing fellows to gain comprehensive insights into various pathology practices. Alternatively, fellows may choose a dedicated head and neck pathology focus. The program includes significant hands-on practice, where fellows participate actively in diagnosing and pre-dictating their cases, fostering independence and confidence.
Fellows will engage deeply in the clinical setting, handling a high volume of specimens that range from commonly encountered conditions to rare malignancies. Major components of the curriculum include:
Head and Neck Pathology Training
Fellows work closely with attending pathologists to review and sign out all head and neck consults. Responsibilities include:
- Sign-out every third large in-house head and neck tumor resection case.
- Handle all head and neck consult cases.
- Participate in frozen section procedures for intraoperative consultations.
- Engage in multidisciplinary tumor boards and discussion sessions with Otolaryngology and Oncology clinicians.
- Provide education to residents and medical students in gross prosection and safety practices.
Cytology Rotation
A one-week rotation focused on fine needle aspiration biopsies from the head and neck allows additional networking and skill development in cytological techniques.
Facilities
Training takes place in the advanced facilities of the Washington University School of Medicine, specifically within the BJC Institute of Health. This large, 680,000-square-foot building is equipped with state-of-the-art laboratories, enhancing the learning and research opportunities for fellows.
Research Opportunities
Fellows are actively encouraged to participate in clinical research projects during their training, with dedicated time allocated each week for this purpose. They will collaborate with faculty members to explore topics relevant to head and neck pathology, contributing to the academic growth of the division.
Requirements
To be eligible for the Head and Neck Pathology Fellowship, applicants must have completed an ACGME-accredited residency in anatomic pathology. Fellows must be board-certified or board-eligible in anatomic pathology and be legally authorized to work in the United States. The program is competitive and generally attracts a wide pool of candidates.
Visa Support
The program is open to international medical graduates (IMGs) and sponsors J-1 visas, which facilitate the training of international fellows at the institution. This provision underscores the program's commitment to fostering a diverse training environment.
Application Process
Applicants must submit an online application, providing necessary documents including a CV, personal statement, photograph, and USMLE scores (step 3 is optional). The application portal also collects contact information for three individuals who will be asked to provide letters of recommendation. The deadline for applications typically aligns with the academic calendar, aiming for candidates who are motivated and exhibit a solid background in pathology.
Competitiveness
The fellowship is highly competitive, attracting numerous applicants with strong backgrounds in pathology. Ideal candidates demonstrate a clear commitment to furthering their education and clinical skills in head and neck pathology.
Web sources
SmartPick
Program data
ACGME History [2]
Program
Program Size
-- (1 years) [1]
Accreditation Status
Continued Accreditation
(Effective: January 28, 2026)
Composition
--
Training
Fellowship Rate:--
Faculty-to-Residents Ratio:2.5X [1]
Residents Career Path
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Quality of Life
First Year Paid Sick Leave: --
First Year Paid Vacation: --
First Year Salary: $76,390 [1]
First Year Maximum Consecutive Hours on Duty: 14 hours [1]
First Year Average Weekly Hours: 50 hours [1]
Admission
USMLE Step 2 Score: --
Visa Sponsorship:--
YOG Cutoff:--
Race / Ethnicity
No race data available.
Gender
No gender data available.
Incoming Schools
No incoming school data available.
Rotation Duration by Site
Benchmarks
Roster
Location
St. Louis, MO [4]
- Above the national average
- Below the national average
- Similar to the national average
Housing — Rental prices [5]
Rental prices
Crime — All violent offences [6]
Rate per 100,000 residents
Living in St. Louis, MO
Crime Rate and Safety
St. Louis has areas with varying crime rates, so it's important to research specific neighborhoods. Overall, the city has made improvements in safety but like any big city, precautions are still necessary.
Fun Activities
St. Louis is known for its Gateway Arch, Forest Park, diverse food scene, museums, and sports teams like the Cardinals and Blues. There are also many parks and outdoor recreational activities available.
Climate
St. Louis experiences all four seasons with hot summers and cold winters. Spring and fall are often mild and pleasant.
Races and Population
St. Louis has a diverse population with a mix of races and ethnicities, contributing to a rich cultural scene.
Education
St. Louis is home to several universities and colleges, providing opportunities for continuing education and cultural events.
Cost of Living
The cost of living in St. Louis is lower than the national average, making it an affordable option for residents.
Proximity to Bigger Cities
St. Louis is approximately a 4-hour drive from Chicago, IL, and a 5-hour drive from Kansas City, MO. Both cities offer additional cultural, dining, and entertainment options.
Pros
- St. Louis is a diverse city offering a mix of urban and suburban living. Here is an overview of different aspects of living in St. Louis: St. Louis has areas with varying crime rates
- so it's important to research specific neighborhoods. Overall
- the city has made improvements in safety but like any big city
- precautions are still necessary. Fun Activities: St. Louis is known for its Gateway Arch
- Forest Park
- diverse food scene
- museums
- and sports teams like the Cardinals and Blues. There are also many parks and outdoor recreational activities available. Climate: St. Louis experiences all four seasons with hot summers and cold winters. Spring and fall are often mild and pleasant. Races and Population: St. Louis has a diverse population with a mix of races and ethnicities
- contributing to a rich cultural scene. Education: St. Louis is home to several universities and colleges
- providing opportunities for continuing education and cultural events. Cost of Living: The cost of living in St. Louis is lower than the national average
- making it an affordable option for residents. Proximity to Bigger Cities: St. Louis is approximately a 4-hour drive from Chicago
- IL
- and a 5-hour drive from Kansas City
- MO. Both cities offer additional cultural
- dining
- and entertainment options. Pros: Affordable cost of living
- diverse cultural experiences
- plenty of outdoor activities.
Cons
- Some areas have higher crime rates
- winters can be cold.
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References
1. Freida - https://freida.ama-assn.org/program/3012830081
2. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search
3. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/
4. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=050XX00US29189
5. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/
6. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr