GME : Residency Training : Pathology

"The Pathology Training Program at Winthrop strives for an optimal learning experience through teaching and supervision, with residents exposed to a wide range of unusual and challenging cases."

• Message from the Chairman
• Introduction & Philosophy
• Program-At-A-Glance
• Curriculum & Rotation Schedule
• Faculty
• Graduate Placement
• Department Publications
• Conferences
• Research
• Application Procedure

Virginia Donovan, MD

With a total of 8 residency positions and 10 full-time attending pathologists, the Pathology Training Program at Winthrop-University Hospital provides residents with an optimal learning experience through teaching and supervision. They are exposed to a wide range of unusual and challenging tertiary care cases, as well as more commonly encountered conditions. The Department processes 20,000 surgical pathology and 3.1 million clinical pathology specimens annually.

The surgical services are enhanced by a strong regional referral base and include very active cardiothoracic and gynecologic oncology components. What's more, Winthrop has an eminent regional Poison Control Center onsite.

Proximity and convenient access to New York City ensure abundant exposure to pathology conferences of national and international caliber, and the local Nassau County Society of Pathologists provides educational opportunities of equal quality. The combination of on- and offsite learning provides residents with a comprehensive educational opportunity of superb quality and intensity.

Virginia Donovan, MD
Chairman, Department of Pathology
Program Director, Residency Program
Winthrop-University Hospital
259 First Street
Mineola, NY 11501

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Dr. Donald Brand, Director of Health Outcomes, discusses poster with Dr. Sambit Mohanty

In the Anatomic Pathology Program, an optimal pathologist-to-resident ratio provides an excellent learning opportunity. Using double-headed microscopes, residents fully participate with their attending pathologist.

Active learning, across the full spectrum of disease, is enhanced by regularly scheduled, consultant-conducted slide seminars in pediatric pathology, pulmonary pathology, renal pathology, orthopaedic pathology and dermatopathology. Similar in-house instruction covers neuropathology, cytopathology, Ob/Gyn pathology and routine diagnostic gross and microscopic surgical pathology, as well as autopsy pathology. Pathologists' assistants ensure that residents are not overburdened with service commitments.

Dr. Steven Drexler and Dr. Jonathan Klein beside Poster Presentation at Housestaff Research Day

The comprehensive Clinical Pathology Program is supported by a full-service hospital laboratory that processes over 3 million specimens annually. With an impressive MD and PhD faculty, expert instruction in all aspects of clinical pathology is offered, and didactic lectures enhance exposure to an enormous amount of clinical material in the lab and at the bedside. Residents participate in on-call decision-making. Quality improvement and lab management strategies are incorporated into the curriculum, and a wide variety of interdisciplinary activities round out the total learning experience. Subspecialty laboratory rotations include cytogenetics, virology and molecular pathology.

Louis Ragolia, PhD, Christopher Hall, BS and Thomas Palaia, MS from Winthrop’s Bench Research Lab proudly stand with Dr. Dominick Giovanniello in front of his poster presentation.

Following their training, residents apply for and obtain prime fellowships in areas of their choice. Job placement following fellowship has been good.

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• Eight-positions, fully accredited four-year AP/CP or three-year AP residency program
• Major Teaching Affiliate of the Health Sciences Center of the State University of New York, Stony Brook
• State-of-the-art equipment, including multi-headed microscopy, molecular testing, Internet/Medline link and laser disc teaching collection; Kodachrome teaching collections also available
• Recent graduating residents successfully passed boards
• Residents participate in research projects and publications with senior staff members
• Generous benefits, including on-site subsidized housing convenient to Manhattan, as well as Long Island's beaches.

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PGY-1
9 months - Anatomic Pathology
3 months - Clinical Pathology

PGY-2
6 months - Clinical Pathology
6 months - Anatomic Pathology

PGY-3
6 months Anatomic Pathology
6 months Clinical Pathology

PGY-4
5.5 months Anatomic Pathology
2.5 months CP
4 months CP and AP electives including research

Rotation Schedule for AP/CP4

YEAR ONE Anatomic Pathology (9 Months) Surgical Pathology (5 Months) Autopsy Pathology (3 Months) Cytopathology (1 Month) Clinical Pathology (3 Months) Microbiology (3 Months)

YEAR TWO Clinical Pathology (6 Months) Clinical Chemistry (2 Months) Hematology (2 Months) Blood Banking (2 Months) Anatomic Pathology (6 Months) Surgical Pathology (3 Months) Autopsy Pathology (1 Month) Forensic Pathology (1 Month) FNA Cytology (1 Month)

YEAR THREE Anatomic Pathology (6 Months) Surgical Pathology (2 Months) Autopsy Pathology (1 Month) Cytopathology (0.5 Month) Immunohistochemistry (1 Month) Electron Microscopy (3 Weeks) Clinical Pathology (6 Months) Cytogenetics (1 Month) Molecular Pathology (5 Weeks) Supervision of Blood Bank, Immunology and Hermatology (2 Months) Immunology (2 months)

YEAR FOUR Anatomical Pathology (5 Months) Autopsy Pathology (1 Month) Surgical Pathology (2.5 Months) Cytopathology (1 Month) Forensic Pathology (1 month) Dermatopathology (1 month) Clinical Pathology (3 Months) Supervision of Chemistry, Microbiology and Medical Informatics (2 Months) Virology (2 Weeks) Electives (4 Months) Choices: Clinical Pathology (1 Month) minimum in any special area Anatomic Pathology (1 Month) in any special area AP/CP Research (2 Months) minimum in AP/CP research Immunohistochemistry, Flow Cytometry and Image Analysis

Electives
Residents are offered the following elective rotations:

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Faculty

Virginia Donovan, M.D., Chairman/Program Director
Medical School – John Hopkins Hospital
Residency – John Hopkins Hospital
Speciality: Hematopathology, Clinical Pathology

George Turi, M.D., Director of Anatomic Pathology
Medical School: Washington University School of Medicine
Residency: Babies Hospital, Pediatrics, St. Louis Missouri (1973-1974)
Resident in Pathology, Albert Einstein College of Medicine (1974-1976)
Chief Resident, Pediatric Pathology, Presbyterian Hospital, Columbia University (1976-1977)
Cardiovascular Pathology, Presbyterian Hospital, Columbia University (1977-1978).
Fellowship: Postdoctoral Research Fellowship, National Institute of Health (Heart, Lung and Blood Institute) (1978-1980)
Specialty: GI, Cardiovascular, Breast & Hematopathology

Steven Drexler, M.D.
Medical School – New York University
Residency: State University of New York at Stony Brook (1989-1990)
Fellowship: State University of New York at Stony Brook, Neuropathology Fellow (1992-1994)
Speciality: Neuropathology, Medical Informatics

Poonam Khullar, M.D., Director of Molecular Pathology
Medical School – Christian Medical College, Vellore, India
Residency AP/CP – University of Medicine & Dentistry of NJ- Robert Wood Johnson
Fellowship in Surgical Pathology- New England Deaconess Hospital, Boston, MA
Specialty: Placenta & GYN

Andrea Flieder, M.D.
Medical School-Medical College of Pennsylvania
Residency in AP/CP- Massachusetts General Hospital
Fellowship in Pathology-Harvard University, Faculty of Medicine
Specialty: Surgical Pathology & Breast

Elena Selbs, M.D.
Medical School: Russian State Medical University, Moscow Russia
Residency AP/CP- Winthrop University Hospital (1997-2001)
Fellowship: Surgical Pathology, Winthrop University Hospital (2001-2002)
Elective Fellowship in Pulmonary and Gastrointestinal Pathology, AFIP, Washington, DC (March 2001-June 2001)
Speciality: Pulmonary Pathology, GI

Mala Gupta, M.D.
Medical School: Lady Hardinge Medical College, New Delhi India
Residency in AP/CP – St. Luke’s Roosevelt Hospital (1988-1992)
Fellowship: Surgical Oncologic Pathology, Memorial Sloan Kettering Cancer Center (1992-1993)
Fellowship Cytopathology, Memorial Sloan Kettering Cancer Center (1993-1994)
Speciality: Cytopathology, Thyroid & Pancreas

Barbara Arendash, M.D.
Medical School: Columbia University College of Physicians and Surgeons
Residency AP/CP- Hospital of the University of Pennsylvania, Philadelphia, PA (1983-1985)
Residency AP/CP- Santa Clara Valley Medical Center (1985-1988)
Fellowship: Surgical Pathology, Pennsylvania Hospital, Philadelphia, PA (1988-1989)
Fellowship: Cytopathology, Hospital of the University of Pennsylvania (1989-1990)
Speciality: Anatomic & Dermatopathology

Iman Hanna, M.D.
Pre/Medical School: Faculty of Medicine, Ain-Shams University (1981-1989)
Residency AP/CP Brown University School of Medicine (1993-1996)
Fellowship in Gynecologic Pathology: Women and Infants Hospital, Brown Univeristy School of Medicine, Providence, RI
Fellowship in Surgical Pathology: Rhode Island Hospital, Brown University School of Medicine, Providence, Rhode Island.
Speciality:

Jen Zhou, M.D.
Medical School: Tianjin Medical University, Tianjin, China (1983-1988)
Residency AP/CP: Case Western Research University Program (2003-2007)
Fellowship: Cytopathology, Case Western Research University Program (2007-2008)
Speciality: Cytopathology, Breast & Soft Tissue

Joseph Chiofolo, DO
Medical School: New York College of Osteopathic Medicine
Residency AP/CP: Long Island Jewish Medical Center
Fellowship: Transfusion Medicine, New York Blood Center
Specialty: Transfusion Medicine

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Graduate Placement

2008-2009

2007-2008

2006-2007

2005-2006

2004-2005

2003-2004

2002-2003

2001-2002

2000-2001

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2009

Dhillon, J., Amin, Mahul, Selbs, E., Turi, G, Paner, Gladell, Reuter, V. “Mucinous Tubular and Spindle Cell Carcinoma of the Kidney with Sarcomatoid Change.” American Journal of Surgical Pathology, Volume 33, Pages 44-49, Number 1, January 2009

Cunha, B.A., Durie, N., Selbs, E. and Pherez. “Fever of Unknown Origin (FUO) due to Rosai-Dorfman Disease with Mediastinal Adenopathy Mimicking Lymphoma: Diagnostic Importance of Elevated Serum Ferritin Levels and Polyclonal Gammopathy.”

Heart & Lung, Volume 38. No.1, pages 83-88, January-February 2009.

ABSTRACT

Mohanty, Sambit, Bonasera, Robert, Feuerman, Martin, Gupta, Mala, Stavropoulos, S. “Endoscopic Ultrasound Guided Fine Needle Aspiration (EUS-FNA)-What variables influence diagnostic yield?” Digestive Disease Science, Chicago, May 2009.

2008

Durie-Walls, N., Krol, Vitality, Cunha, Burke A. “Kimura’s Disease: An Unusual Cause of Anterior Cerivcal Adenopathy.” Infectious Disease Practice for Clinicians. June 2008, pages 693-694.

Chitteneni, H. Packman, M. Ali, N, Durie, N, Fishbane, S. “A Randomized Prospective, Double-Blined Placebo Controlled Study of Oral Paricalcitol In the Treatment of Patients With Proteinuric Renal Disease.” Journal of the American Society of Nephrology (August 2008).

ABSTRACTS:

Giovanniello, D., Selbs, E., Turi, G. “Acute Tumor Lysis Syndrome in a 19 year old male with disseminated T-Cell Lymphoblastic Lymphoma/Leukemia: A Case Report”. Winthrop House Staff Research Day, May 2008.

Bragdon, J., Khullar, P., Gupta, M., Koduru, P. “Fluorescence In Situ Hybridization (FISH) Break Apart Probes Detect Lymphoma in Paraffin Embedded Fine Needle Aspirate Specimens.” Winthrop House Staff Research Day, May 2008.

Klein, J., Khullar, P., Gheorghe, G., Orazi, A. “Polymorphous hemangioendothelioma of the Spleen.” Winthrop House Staff Research Day, May 2008.

Dessio, W., Turi, G. “Syringocystadenocarcinoma papilliferum: A Case Report and Immunohistochemistry Evaluation.” Winthrop House Staff Research Day, May 2008.

2007

Plummer M, Durie, N, Eisenstein L, Cunha B.,. “Quadrivalvular marantic endocarditis mimicking acute bacterial endocarditis (ABE)”. Heart and Lung, March/April, pages 154-158. 2007

Rosen, Y. “Pathology of Sarcoidosis”. Seminars in Respiratory and Critical Care Medicine. Vol. 28, pages 36-52. 2007.

Wax, Bobbi, Durie, Nicole, Khullar, Poonam, Price, Anita. “Report the radiologic and pathologic findings of a newborn with a choledochal cyst, and review the etiology,diagnostic consierations and management of this entity.” Clinical Imaging 31, pages 269-272. 2007

ABSTRACTS:

Gupta, M, Bhanote, M., Rijhwani, K., Pollock. “HBME-1 and Galectin-3 Immunohistochemistry is useful for differentiating papillary thyroid carcinoma (PTC) from nono-papillary thyroid lesions with similar nuclear features: A retrospective study of 57 cases. USCAP, October 2007.

Phillips, J., Walsh, R., Chiofolo, J. “A Case of Combined Variable Immunodeficiency Diagnosed Through An ABO Discrepancy.” Blood Banks Association of New York State Inc. Quarterly. Fall 2007, Volume 41, No. 3

2006

Plummer M, Durie, N, Eisenstein L, Cunha B.,. “Quadrivalvular marantic endocarditis mimicking acute bacterial endocarditis (ABE)”. Heart and Lung

Edelman, M., Bhanote, M., Choksi, M., Cassar, P., DellaRatta, R., Staszeski, H. “Metastatic Adenocarcinoma of the Colon and Follicular Lymphoma Within the Same Lymph node. A Case Report and Review of the Literature”. International Journal of Gastrointestinal Cancer, Volume 36, No.3, 171-176, 2005.

Selbs, E, Turi, G., Dhillon, Jasreman, Reuter, V. “Histologic features and cytogenetics of Sarcomatoid Change in Renal Mucinous Tubular and Spindle Cell Carcinoma with Systemic Metastases”. Modern Pathology. Volume 19. Supplement 3. September 2006

Turi, G., Flieder, A. Buyuk, A., “Collision Metastases of Two Ipsilateral Primary Breast Carcinoma sto an Axillary Lymph Node.” Modern Pathology. Volume 19. Supplement 3. September 2006.

ABSTRACTS:

Turi, G., Buyuk, A., Mishra, P., Weinstein, M., Vithiananthan, S., Grendell, J., Ragolia, L., Pollack, S., Norowski, K., Weston, S. “Mean nocturnal oxygen saturation is predictive of non-alcoholic fatty liver disease (NAFLD) activity score (NAS) in patients with morbid obesity. 8th World Congress on Sleep Apnea, Montreal, Canada. Accepted June 2006.

Turi, G., Buyuk, A., Mishra, P., Weinstein, M., Vithiananthan, S., Grendell, J., Ragolia, L., Pollack, S., Norowski, K., Weston, S. “Mean Nocuurnal Oxygen Saturation but no Apnex-Hypopnea Index (AHI) predicts Non-alcoholic fatty liver disease (NAFLD) activity score (NAS) in a cohort of patients with morbid obesity undergoing bariatric surgery. American Assocation for the Study of Liver Diseases (AASLD). Accepted June 2006.

Turi, G., Weston, S., Mishra, P., Pandya, H., Buyuk, A., Hall, C., Grendell, J., Pollack, Sm., Norowski, K., Vithiananthan, S. “Prospective Evaluation of Risk factors for Development of NAFLD in Patients Undergoing Bariatric Surgery for Morbid Obesity in a Racially Diverse Cohort Using the Recently Validated NAFLD Activity Score (NAS) Histological Scoring System. American Association for the Study of Liver Diseases. Accepted June 2006.

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Teaching conferences conducted at the multiheaded microscope cover: cytology, neuropathology, dermatopathology, OBGYN pathology, pulmonary pathology, renal pathology, cardiovascular pathology, orthopaedic pathology and pediatric pathology, autopsy pathology, intraoperative consultation, and daily diagnostic conference. Weekly gross pathology conferences occur in conjunction with autopsy presentations.

Interdisciplinary Conferences
Residents participate in a variety of interdisciplinary conferences including Surgical Morbidity and Mortality, GYN Tumor Board, Radiology-Pathology Conference and Department of Medicine Clinical Pathological Correlation Conference.

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Multi-headed microscope

Residents are required to participate in research projects under the direction of senior staff members in anatomic and clinical pathology, with participation in publications arising from this research.

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For further information, contact:

Candace Bergen, Residency Coordinator
Department of Pathology
Winthrop-University Hospital
259 First Street
Mineola, NY 11501

Tel: (516) 663-2450
Fax: (516) 663-4584
E-mail: cbergen@winthrop.org