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ASCP Fellowship & Job Market Surveys A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys www.ascp.org/residents Jonathan Genzen, MD, PhD, FASCP Jennifer Kasten, MD, MSc (Oxon), MSc (London) Jay Wagner, MBA, MLS(ASCP) CM

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Page 1: ASCP Fellowship & Job Market Surveys - Amazon S3...A total of 294 fellows participated in the five Spring 2018 Fellowship In-Service Examinations and surveys. 1 Introduction ... 5

ASCP Fellowship & Job Market SurveysA REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE

and TMISE Surveys

www.ascp.org/residents

Jonathan Genzen, MD, PhD, FASCP

Jennifer Kasten, MD, MSc (Oxon), MSc (London)

Jay Wagner, MBA, MLS(ASCP)CM

Page 2: ASCP Fellowship & Job Market Surveys - Amazon S3...A total of 294 fellows participated in the five Spring 2018 Fellowship In-Service Examinations and surveys. 1 Introduction ... 5

1 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

CONTENTS INTRODUCTION

ASCP responds to the interests and needs of residents, fellows, and program

directors by directing an annual survey on residency and fellowships and

the job market for pathologists in training.

The surveys are conducted as part of the Resident In-Service Examination

(RISE), and the Fellow Forensic In-Service Examination (FISE), the Fellow

In-Service Hematopathology Examination (FISHE), Fellow Neuropathology

In-Service Examination (NPISE), Fellow Pediatric Pathology In-Service

Examination (PISE), and the Fellow Transfusion Medicine In-Service

Examination (TMISE). These data are compiled by ASCP to provide

information useful to all pathology trainees, residency and fellowship program

directors, and prospective employers.

A total of 2519 residents participated in the Spring 2018 RISE and survey in

the following training levels: 684 PGY-1, 642 PGY-2, 652 PGY-3, and

541 PGY-4.

Of these residents, 84 percent are in AP/CP training, while 11 percent and

3 percent are in AP only and CP only tracks respectively. 1.5% and 0.5%

indicated that they were AP/NP and Other respectively. For PGY 1-4 trainees,

55 percent have Medical Degrees from North America.

A total of 294 fellows participated in the five Spring 2018 Fellowship

In-Service Examinations and surveys.

1 Introduction

4 Preparation for Residency

6 Residents’ Perceptions on Training and Health Care

12 Applying for Pathology Jobs Immediately After Residency

14 Applying For Pathology Fellowship

17 Fellowships

23 Additional Subspecialty Fellowships

26 Applying for Pathology Jobs After Fellowship

37 ASCP Resident Council

38 Acknowledgments

0

100

200

300

400

500

600

700

800

2018 RISE Participants684

642

652

541

PGY-1 PGY-2 PGY-3 PGY-4

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www.ascp.org/residents | 2A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

Indicate your residency training track (All residents)

I am a graduate of a medical school from the following region (All residents)

I am a graduate of a US or Canadian allopathic (MD) medical school. (All residents)

I am a graduate of a US or Canadian osteopathic (DO) medical school. (All residents)

AP Only

CP OnlyAP/CP AP/NP

Other

1.5%

0.5%11%

3%

84%

9% Yes

91% No

North America

Middle East

Caribbean

China

India

Other Asia

European Union

Latin/South America

Pakistan

Africa

Australia, NZ, Oceania

United Kingdom/Ireland

0% 10% 20% 30% 40% 50% 60%

48% Yes

52% No

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3 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

What other advanced degree, in addition to MD/DO, or MBBS do you hold? (All residents)

Have you had formal postgraduate medical experience in an area other than pathology? If yes, please pick highest level achieved. (All residents)

Masters (MS)None Doctoral PhD

Intern

PracticeNo Resident

Fellow

Have you previously completed a pathology residency training program outside the United States or Canada? (All residents)

Are you currently in or planning to be in a physician-scientist track as part of your training program? (All residents)

Other

5%

11%

16%

68%

2%

1%

79%

10%

8%

94% No

6% Yes

81% No

13% I don’t know

6% Yes

Conclusions The vast majority of pathology residents are in AP/CP training programs. The majority of pathology residents attended either an allopathic (MD)

or osteopathic (D0) medical school in the United States or Canada. A quarter of pathology residents hold on additional advanced degree.

3 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

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www.ascp.org/residents | 4A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

Preparation For Residency

The ASCP Resident Council responded to requests from residents interested in learning about national trends regarding medical education prior to residency.

How well did your medical school training prepare you for your pathology residency? (PGY-1 residents only)

Moderately well

Somewhat well Very well

Poorly

How much training or exposure to pathology did your medical school provide? (PGY-1 residents only)

32%

35%

33%

Minimal exposure to pathology

Exposure to pathology through labs or lecturers but no first-hand experience

First-hand experience in pathology (e.g. clinical rotations)

24%

44%

26%

6%

Medical school preparation for pathology residency training is problematic with

67 percent of residents citing minimal exposure to pathology and/or no first-

hand pathology experience during medical school.

Please select the option which best describes pathology rotation availability at your medical school. (PGY-1 residents only)

66%14%

20%My medical school did not offer a pathology rotation; I arranged a clerkship with another institution/hospital

My medical school did not offer a pathology rotation; I was not able to arrange a clerkship

My medical school had a pathology department with an in-house clerkship

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5 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

What was/is your general range of student loans when you exited medical school? (All residents)

45%

10%

Less than $99,999

No student loans17%

7%

Has or will your amount of student debt influence your job choice? (All residents)

47%27%

22%

Summary A quarter of first year residents noted that medical school did not adequately train them for pathology residency. Only a third of residents stated that their

medical school included first-hand experience in pathology.

45 percent of pathology residents have no student loans at the time of medical school graduation. About 40 percent have more than $150,000 in debt,

and about 30% of all residents have $200,000 or more in debt. For residents who had student loans, about half felt that debt would affect their choice

of practice setting and/or subspecialty.

Medical school debt is significant for many residents and it appears to play a role in their choice of practice and their subspecialty of pathology practice.

13%

8%

$100,000 - $149,999

$200,000 - $300,000

$150,000 - $199,999

Greater than $300,000

Influence on the type of practice setting I prefer

No influence

Influence on both the type of practice setting and specialty area

Influence on the subspecialty area I choose4%

5 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

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www.ascp.org/residents | 6A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

Residents’ Perceptions On Training And Health Care

Which of the following best describes the primary location of your residency training program? (PGY-3/4 residents only)

University hospital system (with an affiliated medical school)

Hospital system (without an affiliated medical school)

Local/community hospital

Military or government hospital (e.g the NIH)

Other

86%

6%

4%

1%3%

Dissatisfied

Very dissatisfied

10%

58%

28%

4%

Very satisfied

Satisfied

Overall how satisfied are you with your current residency training program? (All residents)

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7 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

Rate the quality of your pathology education program. (All residents)

Poor

Fair

Good

Excellent

Was there a large discrepancy between AP and CP educational experiences? (PGY-3/4 residents)

52%

The quality of the CP curriculum is better than the quality of the AP curriculum

The quality of the AP curriculum is better than the quality of the CP curriculum

35%

13%

The quality of the AP curriculum is the same as the quality of the CP curriculum

59%

Residents spend more time rotating on CP than on AP

Residents spend more time rotating on AP than on CP

39%

2%

Residents spend the same amount of time rotating on AP as they do on CP

62%

32%

6%

More emphasis is placed on the CP curriculum than on the AP education

More emphasis is placed on the AP curriculum than on the CP curriculum

The same amount of emphasis is placed on the AP curriculum as on the CP curriculum

0% 10% 20% 30% 40% 50%

33%

20%

47%

Residents spend more time reading/studying on CP than on AP rotations

Residents spend more time reading/studying on AP than on CP rotations

Residents spend the same amount of time reading/studying on AP as they do on CP rotations

QUALITY TIME

EMPHASIS STUDYING

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www.ascp.org/residents | 8A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

How often are you pulled from CP rotation to cover AP service? (All residents)

19%

27%

Sometimes

Frequently

14%

33%

Not applicable (I am an AP-only or CP-only trainee)

Never

7%

Rarely

How often are you pulled from AP rotation to cover CP service? (All residents)

19%

14%

61%

1%1%

4%

Sometimes

Frequently

Rarely

Not applicable (I am an AP-only or CP-only trainee)

Never

Very frequently

Do your CP rotations incorporate graduated responsibilities?

Do your AP rotations incorporate graduated responsibilities?

0 1 2 3

Neve

r

Som

etim

es

Ofte

n

2.6

2.7

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9 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

How prepared do you feel for the following business aspects of pathology practice? (PGY-4 residents only)

0 1 2 3 4

CPT Coding

Contract Negotiations

Personnel Issues

Physician Quality Reporting

Inspections and Accreditation

Laboratory Management

Billing

Not a

t all

Min

imal

Mod

erat

ely

Defin

itely

Do you attend management meetings with laboratory personnel?

Neve

r

Som

etim

es

PGY-4 Residents

Have you had experience during training with budgets or finance?

0 1 2 3

Ofte

n

2.3

1.8

Management, Meetings, and Budgets

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www.ascp.org/residents | 10A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

What type of practice environment do you plan to seek or are currently seeking? (PGY 1-3 vs. PGY-4)

0% 10% 20% 30% 40% 50%

Academic institution

Community practice (“private practice”)

Reference laboratory

Other

No preference

Government/Military

Corporate

PGY-4

PGY 1-3

How confident are you about finding the pathology job you desire? (All residents)

83% of trainees at all levels are somewhat to very confident that they can find their desired pathology job position.

0% 10% 20% 30% 40% 50%

Not confident at all

Somewhat confident

Moderately confident

Very confidentAll Residents

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11 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

How useful are the AGGME Milestones for your preparation for pathology practice?

PGY-1 residents had a more favorable impression of the utility of Pathology Milestones in preparation for pathology practice. This may reflect the more recent

incorporation of Pathology Milestones into the ACGME Next Accreditation System, versus more senior residents who began training prior to their implementation in

pathology training programs.

Not applicable

Not useful

Somewhat useful

Very useful

Moderately useful

0% 5% 10% 15% 20% 25% 30% 35% 40%

PGY-2

PGY-1

Conclusions

• The vast majority of pathology residents are satisfied with their residency training program and view the quality of their program favorably.

• Residents responded that in general, AP training receives more focus than CP training as noted by questions regarding quality, time,

and emphasis in these disciplines.

• Programs are incorporating graduated responsibilities in both AP and CP rotations.

• Residency training in the business and management aspects of practice remains an area where improvement is needed.

• About a third of residents are clearly interested in community practice, and most residents are confident that they can find their desired pathology position.

• The Pathology Milestones are viewed to be useful by most residents.

PGY-4

PGY-3

11 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

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www.ascp.org/residents | 12A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

PGY-1

PGY-4

PGY-3

Applying For Pathology Jobs Immediately After ResidencyAlthough a minority of pathology residents choose to go directly from training into the job market, both the ASCP Resident Council and the RISE Committee thought

it would be useful to report relevant information for future trainees.

How many jobs have you applied for this year (i.e. have submitted or sent your CV/resume)? (PGY-3/4 residents only)

How many formal job interviews have you had this year (including in-person, by telephone, Skype, etc.)? (PGY-3/4 residents only)

How many job offers have you received this year? (PGY-3/4 residents only)

0

5

10

15

20

25

30

0 1 2 3 More than 3

Num

ber o

f Res

iden

ts

PG-4

PG-3

1-3

More than 100 4-6

7-10

0

10

20

30

40

50

60

70

80

Num

ber o

f Res

iden

ts

0

10

20

30

40

50

Num

ber o

f Res

iden

ts

More than 100 4-6

1-3 7-10

In 2018, 90 PGY-3/4 residents applied for jobs. This is similar to the number observed in 2017 (n=99).

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13 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

On average, what was the starting salary offered (excluding benefits)? (PGY-3/4 residents only)

Did you receive a signing bonus/moving allowance? (PGY-3/4 residents only)

7%

31%

13%

2%

38%

62%

How satisfied are you with the help/support that your department has provided to help you obtain a job? (PGY-3/4 residents only)

Conclusions 90 PGY-3/4 residents formally applied for a job starting immediately after residency. In 2018, 60 of these residents seeking an immediate job received

a job offer (42 PGY-4s and 18 PGY-3s ). The majority of residents were satisfied with the help/support that departments provided in their job search.

13%

28%

7%

Satisfied

Dissatisfied Very satisfied

Very dissatisfied

$100,000/year - <$150,000/year >$250,000/year

<$100,000/year

$150,000/year - <$200,000/year

$200,000/year - <$250,000/year

A starting salary was not discussed

17%

30%

No

Yes

17%

35%

Not applicable

13 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

Surgical Pathology

Hematopathology

Cytopathology

Gastrointestinal/Hepatic Pathology

Forensic Pathology

Dermatopathology

Blood Banking/Transfusion Medicine

Gynecologic Pathology

Molecular Pathology

Breast Pathology

Molecular Genetic Pathology

Genitourinary Pathology

Neuropathology

Informatics

Bone/Soft Tissue Pathology

Renal Pathology

Pediatric Pathology

Head and Neck Pathology

Other AP Subspecialty

Clinical Microbiology

Thoracic Pathology

Clinical Chemistry

Cardiovascular Pathology

Other CP Subspecialty

HLA/Immunopathology/Transplantation

Laboratory Medicine

Ophthalmic Pathology

Orthopedic Pathology

Toxicology

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www.ascp.org/residents | 14A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

Not applicable

As part of the 2018 RISE, 1193 PGY- 3/4 residents were surveyed about their experience in the fellowship

process and residents’ attitudes toward fellowship training.

From the 2018 survey, the fellowships that PGY-3/4 residents have already applied for or intend to apply for are listed in order of preference:

0% 5% 10% 15% 20%

Surgical Pathology

Hematopathology

Cytopathology

Gastrointestinal/Hepatic Pathology

Forensic Pathology

Dermatopathology

Blood Banking/Transfusion Medicine

Gynecologic Pathology

Molecular Pathology

Breast Pathology

Molecular Genetic Pathology

Genitourinary Pathology

Neuropathology

Informatics

Bone/Soft Tissue Pathology

Renal Pathology

Pediatric Pathology

Head and Neck Pathology

Other AP Subspecialty

Clinical Microbiology

Thoracic Pathology

Clinical Chemistry

Cardiovascular Pathology

Other CP Subspecialty

HLA/Immunopathology/Transplantation

Laboratory Medicine

Ophthalmic Pathology

Orthopedic Pathology

Toxicology

Applying For Pathology Fellowship

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15 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

Level of Interest in Applying for a Fellowship (PGY-3/4 residents only)

I intend to apply for a fellowship this year

I have applied for a fellowship this year

Principal Reason for Pursuing a Fellowship (All residents)

To how many fellowship programs did you formally apply? (PGY-3/4 residents only)

1-3

More than 100 4-6

7-10

42%

14%

7%

I do not intend to apply for a fellowship

I intend to apply for a fellowship in the future

I have already accepted a fellowship

4%

5%

83%

5%

3%

Employers expect fellowship training and are not likely to hire candidates without it.

Specific subspecialty training (and ABP subspecialty certification) is required for my desired job

Enhance pathology skills that were not taught during residency

To obtain additional sign-out experience prior to employment

Desired job not immediately available after residency

I have not identified an employer who will sponsor my visa

4.2

4.0

3.8

3.8

2.9

1.6

42% of the residents applied to 1-3 fellowship programs, 20% applied to 4-6

fellowships, and 31% applied for 7 or more fellowships.

20%

17%

1 = Not applicable/not a consideration 2 = Not very important 3 = Minor importance

4 = Somewhat important 5 = Extremely important

Number of Fellowships Intended to Complete (All residents)

1

0 2

3 or more

43%

2% 4%

51%

About half of the residents plan to complete one fellowship, and 43% report

interest in training in two fellowships. A small minority do not plan to do a

fellowship or plan to complete more than two fellowships.

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www.ascp.org/residents | 16A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

How many fellowship interviews have you had (including in-person, by telephone, Skype, etc.)? (PGY-3/4 residents only)

1-3

More than 100 4-6

7-10

69%

21%

3%

About 70% have 3 or fewer interviews for fellowships. Only a small number of

residents interview for seven or more fellowship positions.

6%

Number of Fellowship Offers Received (PGY-3/4 residents only)

1

>30 2

3

49%

12%

3%

About a half of residents received a single fellowship offer; only 3 percent of

PGY3/4 had not received any offers at time of survey. 47 percent of residents

had positive responses from two or more fellowship programs, suggesting that

there is competition among fellowship programs for strong applicants.

27%

8%

Conclusions Fellowship training in pathology is planned by 96 percent of residents. 45 percent choose to pursue two or more fellowships.

• 49 percent of PGY-3/4 residents received only a single fellowship offer; 47 percent received multiple offers. Only 2 percent of PGY-4 residents

had not yet received a fellowship offer, suggesting that only a small number of residents are not finding immediate fellowship opportunities.

A PGY-3 resident would still have another year to find a position.

• Surgical Pathology is the top fellowship of choice; Hematopathology, Cytopathology, GI/Hepatic Pathology and Forensic Pathology round

out the top five fellowship specialties.

1%

Not applicable

1%

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17 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

Fellowships

ASCP offered five fellowship in-service examinations for the Spring of 2018: the Fellow Forensic In-Service Examination (FISE), the Fellow In-Service

Hematopathology Examination (FISHE), the Fellow Neuropathology In-Service Examination (NPISE), the Fellow Pediatric Pathology In-Service Examination (PISE),

and the Fellow Transfusion Medicine In-Service Examination (TMISE).

Fellow in-service examinations were taken by 294 individuals: post-exam surveys offered the chance to query fellows in Forensics (n=44), Hematopathology

(n=138), Neuropathology (n=40), Pediatric Pathology (n=20), and Transfusion Medicine (n=52) about their experience entering the job market and any plans for

additional specialty training. Nearly all fellows responded that they were in a fellowship directly related to their respective fellow in-service examination.

Are you a diplomate of the American Board of Pathology (ABP)?

0% 20% 40% 60% 80% 100%

FP

HP

NP

PP

TMYES NO

76% of surveyed fellows are already diplomates of the American Board of Pathology.

FP Forensic Pathology

HP Hematopathology

NP Neuropathology

PP Pediatric Pathology

TM Transfusion Medicine

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www.ascp.org/residents | 18A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

Fellowships

FP Forensic Pathology

HP Hematopathology

NP Neuropathology

PP Pediatric Pathology

TM Transfusion Medicine

In which areas are you a diplomate of the ABP?

0% 20% 40% 60% 80% 100%

FP

HP

NP

PP

TM

CP OnlyAP/CP SubspecialtyAP Only

How long is your current fellowship program?

Three yearsOne year OtherTwo years

0% 20% 40% 60% 80% 100%

FP

HP

NP

PP

TM

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19 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

Which year of your current fellowship program are you in?

FP

HP

NP

PP

TM

Third yearFirst year OtherSecond year

0% 20% 40% 60% 80% 100%

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www.ascp.org/residents | 20A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

34%

9%

11%

For your current fellowship area, how many fellowship programs did you formally apply to (i.e., have submitted or sent your CV/resume), including your current program?

0

1

2

0% 20% 40% 60% 80% 100%

16%

11%

FORENSICPATHOLOGY

31%

10%

14% 14%

6%

HEMATOPATHOLOGY

17%

17%

3%

NEUROPATHOLOGY

25%

5%

15%

35%

20%

PEDIATRICPATHOLOGY

48%

10%

11%

17%

TRANSFUSION MEDICINE

3

5

>5

4%10%

10%

4%4%

19%

4

21%

40%

3%

6%

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21 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

How many fellowship program interviews have you had, including interviews for your current program?

NP

FP

PP

HP

TM

0

2

4

8

10

7

6

1

3

5

9

More than 10

0% 10% 20% 30% 40% 50% 60%

For your current fellowship area, how many total fellowship offers did you receive?

0% 10% 20% 30% 40% 50% 60% 70% 80%

FP

HP

NP

PP

TM

2

0

3

1

More than 3

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www.ascp.org/residents | 22A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

0% 10% 20% 30% 40% 50% 60% 70% 80%

To what extent has each of the following factors influenced your decision to pursue fellowship training?

Fellows from all five subspecialties indicated that the top three factors that influenced their decision to pursue fellowship training were that 1) employers expect

fellowship training and are not likely to hire candidates without it, 2) specific subspecialty training (and ABP subspecialty certification) is required for desired job, and

3) to enhance pathology skills that were not taught during residency. Obtaining additional sign-out experience prior to employment was another important motivator.

Employers expect fellowship training and are not likely to hire candidates without it

I have not identified an employer who will sponsor my visa

Desired job not immediately available after residency

To obtain additional sign-out experience prior to employment

Enhance pathology skills that were not taught during residency

Specific subspecialty training (and ABP subspecialty certification) is required for my

desired job

NPFP PPHP TM

Not a

t all i

mpo

rtant

Som

ewha

t Im

porta

nt

Mod

erat

ely

Impo

rtant

Very

Impo

rtant

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

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23 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

Additional Subspecialty Fellowships

How many fellowships do you intend to complete?

FP

HP

NP

PP

31 2

TM

Career goals include advanced specialization in more than one field

0% 10% 20% 30% 40% 50% 60% 70% 80%

How much has each of the following factors influenced your decision to pursue multiple fellowships?

0 1 2 3No influence

A little influence

A lot of influence

HPFP TMNP PP

Desired job not available after the completion of first fellowship

Desire to be more competitive in the job market

Desire to strengthen specific areas of my training

Family priorities

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www.ascp.org/residents | 24A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

Have you already completed a fellowship in a different subspecialty other than current fellowship?

FP

HP

NP

PP

TM

0% 20% 40% 60% 80% 100%

No

Yes

Are you going to do an additional fellowship after your current fellowship training?

FP

HP

NP

PP

TM

0% 20% 40% 60% 80% 100%

No

Yes

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25 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

Fellowships have done or will do:

Surgical Pathology

Cytopathology

Molecular Genetic Pathology

Pediatric Pathology

Hematopathology

Other CP Subspecialty

Molecular Pathology

Neuropathology

Forensic Pathology

Blood Banking/Transfusion Medicine

Dermatopathology

Other AP Subspecialty

Clinical Microbiology

Gastrointestinal/Hepatic Pathology

HLA/Immunopathology/Transplantation

Laboratory Medicine

Orthopedic Pathology

Conclusion 73 percent of forensic pathology fellows will only complete one fellowship. Between 38-55 percent of fellows in other subspecialties are planning to

complete a second fellowship. Very few are planning more than two fellowships.

49% of fellows have indicated that they are considering completing more than 1 fellowship with Surgical Pathology, Cytopathology and Molecular Genetic

Pathology topping the list.

0% 10% 20% 30% 40% 50%

25 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

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www.ascp.org/residents | 26A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

Applying For Pathology Jobs After Fellowship

FP

HP

NP

PP

TM

0% 20% 40% 60 80% 100%

I am applying for both jobs and fellowships?

I plan to apply for a job position (no more fellowships) or have already accepted a job

I plan to apply for additional fellowships (not applying for jobs yet)

Please select which description most accurately describes your plan for fellowships and/or jobs:

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27 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

How many jobs have you applied for this year (i.e., have submitted or sent your CV/resume)?

How many formal job interviews have you had this year (including in-person, by telephone, Skype, etc.)?

FP

HP

NP

PP

TM

4-6

0

7-10

1-3

>10

# FELLOWS

The number of job applications varies widely by specialty. 79% of Forensic Pathology (33 of 42) fellows applied for 1 to 3 jobs. In contrast, 28% of

the Hematopathology (35 of 123) and Pediatric Pathology (5 of 18) fellows applied for 7 or more jobs.

FP

HP

NP

PP

TM

4-6

0

7-10

1-3

>10

# FELLOWS

0 5 10 15 20 25 30 35 40

0 10 20 30 40 50

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www.ascp.org/residents | 28A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

Summary A significant number of fellows had not yet received job offers at the time of the survey. Fellows across subspecialty programs report differences in their

experiences in applying for and ultimately receiving job offers.

How many job offers have you received this year?

Has it taken longer than you expected to find a job?

In 2018, at the time of the survey (April 16 – 27, 2018) of residents who had submitted resumes and had a formal interview, 2 of 41 forensic pathology,

3 of 18 neuropathology, 1 of 14 pediatric pathology and 6 of 37 transfusion medicine fellows had not yet received job offers. In contrast 17 of 74 or 23%

of hematopathology fellows had not yet received an offer.

FP

HP

NP

PP

TM

2

0

3

1

> 3

0% 10% 20% 30% 40% 50% 60% 70% 80%

Not applicable

Yes

No

0 5 10 15 20 25 30 35 40

# FELLOWS

FP

HP

NP

PP

TM

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Have you applied for a job at the institution where you completed either your residency or fellowship programs?

# FELLOWS

FP

HP

NP

PP

TM

0 10 20 30 40 50

Yes

No

Have you received a job offer at your own residency or fellowship training program?

# FELLOWS

0 5 10 15 20

Yes

No

FP

HP

NP

PP

TM

Have you already accepted (or plan to accept) a job offer?

# FELLOWS

0 10 20 30 40 50 60

Yes

No

FP

HP

NP

PP

TM

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Academic institution

Corporate

Reference Laboratory

Community group practice

Other

What type of setting best describes the setting of the job offer?

0 5 10 15 20 25 30 35 40

Government/Military HP

FP

TM

NP

PP

What is your expected employment status?

FP

HP

NP

PP

TM

0 5 10 15 20 25 30 35

0 5 10 15 20 25 30 35

Hourly EmployeePartner/Partner Track Locum TenensSalaried Employee

# FELLOWS

# FELLOWS

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31 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

Starting annual salaries ranged widely among fellowship groups. The range of $150,001 - $200,000 was the most frequent in forensic pathology with

$200,001 - $250,000 the most frequent in hematopathology. There was a fairly even split between $150,001 - $200,000 and $200,001 - $250,000

in neuropathology, pediatric pathology and transfusion medicine.

FP

HP

NP

PP

TM

# FELLOWS

A signing bonus

No

A moving bonus

Both a signing bonus and moving bonus

0 5 10 15 20 25

HP

FP

TM

NP

PP

<$100,000/year

>$250,000/year

$150,001 - $200,000/year

$100,000 - $150,000/year

If you received a job offer, on average, what was the starting salary offered (excluding benefits)?

A starting salary was not discussed

# FELLOWS

0 5 10 15 20 25 30 35

$200,001 - $250,000/ year

Does the offer include a signing or moving bonus?

The majority of fellows received no signing or moving bonus or just a moving bonus. Very few receive a signing bonus.

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From the time you started applying for jobs, how long have you been looking for a job?

FP

HP

NP

PP

TM

4 to 6 months

<1 month

6 months to 1 year

1 to 3 months

>1 year

From the time you started applying for jobs, how much time passed before you received a firm offer?

FP

HP

NP

PP

TM

4 to 6 months

<1 month

6 months to 1 year

1 to 3 months

>1 year

0% 10% 20% 30% 40% 50%

0 10% 20% 30% 40% 50% 60%

The majority of fellows who did find jobs received a job offer within 6 months of formal applications.

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No

Yes

Did you restrict or plan to restrict your job search to a specific geographic region?

FP

HP

NP

PP

TM

0% 10% 20% 30% 40% 50% 60% 70% 80%

How much has each of the following factors influenced restricting the search?

FP

HP

NP

PP

TM

Family considerationsPersonal connection to the location or area

Lifestyle considerations (weather, activities, etc.)Spouse’s job

Professional contacts in area

0 1 2 3

No in

fluen

ce

A litt

le

influ

ence

A lo

t of

influ

ence

33 | www.ascp.org/residents ASCP Fellowship & Job Market Surveys

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58% of the fellows restricted their job search to a specific geographic region. Family, personal connection and lifestyle (weather, activities, etc.)

were all cited as important factors. About 12% of fellows restrict their job search based on their visa status.

Indicate the area to which you restricted your job search.

FP

HP

NP

PP

TM

0% 5% 10% 15% 20% 25% 30% 35% 40%

NP

FP

PP

HP

TM

YES

NO

Southeast US

Northeast US

Southwest US

Midwest US

Northwest US

Other

Canada

Did you restrict your job search based on your citizenship/visa status?

0% 20% 40% 60% 80% 100%

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Based on your experience, indicate the availability of positions in the following categories related to your fellowship area.

HPFP TMNP PP

Academic institution

Government/Military

Reference Laboratory

Community group practice (“private practice”)

Other

0 1 2 3

How important are the following issues to you in searching for a job?

All Fellows

Long-term job security

Fiscal pressures (loan repayments, etc.)

Job availability in a specific geographic region

Salary considerations

Opportunities for career advancement

Research opportunities

Teaching opportunities

Opportunity to practice a subspecialty interest

Family factors (e.g. spouse’s job, children’s school)

Few

Mod

erat

e

Man

y

Corporate

Not a

t all

impo

rtant

Som

ewha

t im

porta

nt

Mod

erat

ely

impo

rtant

0 1 2 3 4Ve

ry

impo

rtant

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2017-18 ASCP Resident Council

Jennifer Kasten, MD, MSc (Oxon), MSc (London) Chair

Alexander Feldman, MD Chair-Elect

Sounak Gupta, MBBS, PhD AMA-RFS Delegate

Kendall Brewer, MD

Anne Chen, MD

Yekaterina “Kate” Eichel, MD

Jeffrey Mohlman, MD, MPH

Kelly Mooney, MD

Rugvedita Parakh, MBBS, MD

Stephanie Skala, MD

Melissa Straub, MD

Jennifer Woo, MD

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www.ascp.org/residents | 38A REPORT ON THE 2018 RISE, FISE, FISHE, NPISE, PISE and TMISE Surveys

ACKNOWLEDGMENTS

The ASCP RISE Committee wishes to thank the members of the ASCP Resident Council

for their dedicated input into these surveys. Moreover, this survey would not be possible

without the cooperation of all pathology residency program directors and the participation

of all residents and fellows who take these in-service exams and the associated surveys.

We are very grateful for their assistance. Please address comments or questions about this

survey to Jay Wagner at [email protected].

COVER IMAGERY:

Stephanie Skala, MD

Jeffrey Mohlman, MD, MPH

Jennifer Woo, MD

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33 West Monroe Street, Suite 1600Chicago, IL 60603 Phone: (312) 541-4999

www.ascp.org

/ASCP.Chicago

/ascponelab11_1

8405

_JP