Sep 26, 1997
Washington University/B-JH/SLCH Consortium Program
Overview
The program in Pathology at Washington University in St. Louis is a comprehensive training effort that provides residents with an advanced education in both anatomic pathology and clinical pathology. It emphasizes a tri-part mission that revolves around exceptional training, thereby preparing future pathology and immunology professionals to excel in their careers. The program spans multiple areas within pathology, designed to accommodate a wide array of interests while ensuring that residents emerge as confident, independent practitioners within a healthcare team.
The program offers a structured curriculum that encompasses core clinical competencies and evidence-based medicine, alongside interpersonal communication skills critical for effective practice. The first two years generally focus on core requirements combined with research and elective time, while the third year allows greater flexibility for residents to explore personal areas of interest, particularly through targeted electives and dedicated research projects.
Curriculum and Training Design
The residency consists of multiple tracks designed to allow specialization, including a combined Anatomic Pathology and Clinical Pathology (AP/CP) residency track which spans four years. During this time, residents engage in core rotations and have exposure to elective time that enables personalization of their training path. The curriculum covers a range of subspecialties in Anatomic Pathology, including but not limited to Breast, Gyn, Hematopathology, and Neuropathology, as well as robust training in Clinical Pathology disciplines.
The Anatomic Pathology curriculum integrates clinical methods with formal seminars, and residents regularly participate in case sign-outs and management of complex laboratory operations. The unique aspect of this training is the strong mentorship provided; residents are encouraged to establish lasting relationships with faculty for deeper learning and guidance throughout their education.
Research Opportunities
The program strongly supports research activities, providing residents multiple avenues to engage in cutting-edge scientific inquiries. Interest in basic sciences or clinical research is encouraged, and participants are often involved in projects leading to presentations at national conferences and publications in reputable journals. Up to $2,500 is available annually for first author presentations as support for attendance at professional meetings.
Clinical Rotations
Training includes a significant volume of clinical rotations that cover various specialties within Pathology. Each resident engages with over 55,000 surgical specimens each year, gaining exposure to a diverse case mix that enhances their clinical training. Residents also have responsibilities within next-generation sequencing laboratory platforms and clinical settings, providing a comprehensive understanding of emerging laboratory technologies.
Unique Aspects of the Program
Residents benefit from a supportive environment with a focus on wellness and work-life balance, tailored resources designed for educational benefits, and numerous opportunities for feedback and engagement with faculty. Regularly scheduled conferences facilitate continuous medical education and foster collaboration among residents and staff.
Visa Support and Application Requirements
The program sponsors J-1 visas for foreign medical graduates who meet specific requirements, including valid ECFMG certification by the start of residency, letters of recommendation, and the ERAS application. The program is competitively positioned for applicants, welcoming both international medical graduates (IMGs) and United States medical graduates (USMGs), with a strong emphasis on creating a culturally diverse and supportive trainee environment.
Applicants should keep in mind that there may be specific considerations regarding the year of graduation and allowable failed STEP scores, so thorough preparation is advised. The overall application process demands a comprehensive evaluation of academic and clinical achievements, personal statements, and letters of recommendation.
Living in St. Louis
St. Louis offers a dynamic living environment with an affordable cost of living coupled with a rich array of cultural, recreational, and educational opportunities. Residents frequently express satisfaction with living in the city due to its vibrant atmosphere, expansive parks, and local attractions, enhancing their residency experience.
Summary of Benefits
The competitive salary structure and extensive benefits offered are designed to support residents throughout their training journey. This environment fosters professional development and individual growth while ensuring access to advanced clinical and research resources. The inclusion of moonlighting opportunities for senior residents also allows individuals to gain additional financial and practical experience.
Web sources
SmartPick
Program data
ACGME History [3]
Program
Program Size
11, 9, 10, 7 (4 years) [1]
Accreditation Status
Continued Accreditation
(Effective: January 28, 2026)
Composition [2]
Training
Fellowship Rate:48% [2]
Faculty-to-Residents Ratio:1.4X [1]
Residents Career Path [2]
Quality of Life
First Year Paid Sick Leave: 14 days [1]
First Year Paid Vacation: 28 days [1]
First Year Salary: $69,842 [1]
First Year Maximum Consecutive Hours on Duty: 12 hours [1]
First Year Average Weekly Hours: 50 hours [1]
Admission
USMLE Step 2 Score: 230–266 [2]
Visa Sponsorship:J1, F1 [2]
YOG Cutoff:--
Race / Ethnicity
Gender
Incoming Schools
10%
Kansas City University
7%
Saint Louis University School of Medicine
5%
University of Iowa Roy J. and Lucille A. Carver College of Medicine
5%
University of Khartoum Faculty of Medicine
* Multiple schools share the same admissions rate.
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]
No data available for COMLEX
Level 2 Score
Match History [4]
Roster
Location
St. Louis, MO [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 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/3002811193
2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/390c6ca9-d737-9160-3f72-f2a35da6fa90
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=050XX00US29189
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