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You will likely not develop a single assay during your 12 month stint there. We have a serious communication disconnect here.Im not saying Molecular diagnostics is worthless, Im saying the fellowship in its current form is. I can dx anything that someone who spent a year with Epstein can but in terms of marketing myself to urologists I dont have the same leverage, move this way up, there are less GU fellowship slots than GI!!Ħ.) Forensics (can be very competitive at the best places: NM and MiamiDade) Okay realize Im saying "marketable" NOT useful. GU is interesting b/c out of the blue this is hugely marketable. And dont bring up UCSF please, that fellowship is 80% liver. How many solid GI fellowships are there? Maybe MAYBE 6 in the whole US: Odze at Brigham being no1, MGH, BID, UCLA (but their big guy left), Cleveland, Hopkins.the list is slim. Competition for these fellowships is limited to academic geek types who fantasize about large ovarian masses and endometrial polyps.move that down. Now GYN in my opinion is near worthless, gynpath is bread and butter stuff you can get in any solid surg path year. Pap smears too hopefully will go away with universal HPV screening. And this is nowhere near as marketable as it used to be given that breast FNAs are being replaced by cores from radiology. For one, there are a TON of cyto fellowship positions, probably 2x as many that are needed. In reality it is more complex than this because boarded fellowships are a "foot in the door" for many groups, but I would counter that connections, individual personality factors and educational pedigree are FAR FAR greater in this regard. If the premium pay pack is an "attractant" as it almost always is for a potential partner, then you really experience it for a 2-3 years before pay equalizes, meaning you will never ever EVER actually win in a financial scenario doing a DP fellowship IF you already have a solid job offer. That is the cumulative difference of the DP "premium pay" added for TWENTY SEVEN years. Over a 25 year career, that extra year of work produces $271,000 from that 50K and saves you around $140,000 in student debt interest from the quicker repayment than the DP scenario. If you lived like a resident that first year after training and took the $200,000 lived off 50 of it and spent another 100 or so towards accumulated debt, the last 50 you put in a 7% investment vehicle.
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If you have a job offer for $200,000 (take home amount, for simplicity sake) for general pathology and the opportunity to do a fellowship in Derm, realize that some groups will only marginally pay more a DP boarded pathologist, lets say its a $15,000 premium.
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Top post-residency surgpath concentrations:Īnytime you do further medical education in your late 20s you need to determine what the Opportunity Cost is precisely. Top subspec fields for board certification:Ĭytopath (although questionable now given paradigm shift) So I would call those more of a surgical path fellowship with concentration in X.
![pathology salary pathology salary](https://img.medscape.com/pi/features/slideshow-slide/compensation/2014/pathology/fig12.jpg)
GI and GU are NOT boarded subspec fields in this discipline. Molecular Genetics (unless connected to a general surgical path year) That being said, these are fairly useless: My gut feeling with anecdotal evidence only is that there is no real correlation between your subspec anymore and your pay level. Therefore "highest paying subspecialities" in Path is very very different than say Ortho or other surgical subs. Having a contract in your name requires only 2 things: Board certification in AP AND CP. Those without are by necessity reliant on those with. Success in Pathology in terms of financial metrics is binary: our world is divided roughly into 2 groups, those WITH service contracts held in their name and those WITHOUT service contracts.