Interested in learning more about this rotation? Start the process for a free introductory meeting with our team
Monday - Friday 9:30 AM to 6 PM. All time will be spent in Brooklyn with the exception of Monday when you will be at the Staten Island office.
Hours have been provided by the preceptor. Hours are subject to change at the preceptor’s discretion, but the minimum total hours will remain approximately the same.
Location: New York
This US clinical experience will take place in Brooklyn, New York.
Outpatient US Clinical Experience in Pathology
What you will do:
This is an outpatient experience under the supervision of a board-certified pathologist who has held academic affiliations with NYU School of Medicine and the College of Physicians and Surgeons at Columbia University. You will also have the opportunity to work with the pathologist's colleague.
Learners will have the opportunity to observe the physician as the doctor interacts with patients presenting with lesions of the thyroid gland, breast, and other tissues. Following the patient interview, the affected area is examined by ultrasound, a target site is identified, and then the FNA is performed. Observers will be able to see how the slide is prepared and then participate in sign out. In many cases, a diagnosis is established later that same day. The typical day will be split into three parts:
Fine Needle Aspiration
Rotators will observe how the pathologist performs fine needle aspiration procedures. The steps involved include taking the patient history, explaining the process of the FNA procedure to patients, using ultrasound to measure the lesion, performing the procedure, staining the specimens, and reading it using the microscope.
After the spcimen is obtained, you will have the chance to preview all slides with the pathologist. You will learn how to make diagnoses and order and interpret special stains, genetic tests, and flow cytometry when needed.
You will perform a final review of the slides with both pathologists at the end of the day. Following this, the pathologist will call patients to inform them of the diagnosis and discuss next steps. The referring clinicians will also be called.
There may also be opportunities to spend time in the lab observing lab technicians as they work with gross specimens (thyroid, breast, lymph nodes, skin, GI), fixing, dehydration, paraffin, embedding, and cutting.
Who should consider this rotation:
International medical graduates (IMGs) and students seeking US clinical experience in Pathology. Other learners that may find this rotation appealing are aspiring endocrinologists as well as IMGs who wish to learn how to perform these FNA procedures in their native countries.
How to obtain a letter of recommendation:
The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
During the rotation:
Our team will be checking in periodically with you to ensure that you are having an optimal experience. We encourage you to contact us if you have any questions during the rotation.
Excellent rotation since the attending established a very unique practice which tries to remove barriers in cancer diagnosis and management. The attending conducts the sonogram, biopsies, smears the slides himself so they can be processed immediately in their in-house laboratory. Preliminary reading of the stained slides is given to the patient so they can ease their anxiety or be prepared depending on the scenario. Coordination of care is seen everyday as the pathologist communicates with the medical team regarding the biopsy results and planned approach to management. The staff, associate pathologist and laboratory director are all very welcoming and open to sharing what they know.